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Advances in Cardiac Electrophysiology and Pacing: Part II
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Advances in Cardiac Electrophysiology and Pacing: Part II

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 20 June 2024 | Viewed by 1066

Special Issue Editors

Dr. Gianfranco Mitacchione

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Guest Editor
Cardiology Department, Electrophysiology and Cardiac Pacing Unit, Luigi Sacco University Hospital, Via Giovanni Battista Grassi, 74, 20157 Milan, MI, Italy
Interests: catheter ablation; implantable cardioverter defibrillator (ICD); subcutaneous implantable cardioverter defibrillator (S-ICD); cardiac pacing; leadless pacemaker; transseptal catheterization; atrial fibrillation ablation; cardiac resynchronization therapy (CRT); lead extraction
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Antonio Curnis

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Guest Editor
Cardiology Department, Electrophysiology and Cardiac Pacing Unit, Spedali Civili Hospital, University of Brescia, Brescia, Italy
Interests: cardiac pacing; lead extraction; atrial fibrillation ablation; cardiac resynchronization therapy (CRTD); cardiac arrhythmias; leadless pacemaker; catheter ablation; implantable cardioverter defibrillators (ICD); subcutaneous implantable cardioverter defibrillator (S-ICD)
Prof. Dr. Giovanni Battista Forleo

E-Mail Website
Guest Editor
Cardiology Department, Electrophysiology and Cardiac Pacing Unit, Luigi Sacco, University Hospital, Milan, Italy
Interests: ventricular tachycardia ablation; atrial fibrillation ablation; cardiac pacing; cardiac resynchronization therapy (CRTD); implantable cardioverter defibrillators; lead extraction; subcutaneous implantable cardioverter defibrillator (S-ICD)

Special Issue Information

Dear Colleagues,

Today, the interventional treatment of cardiac arrhythmias represents a continuous challenge. This is mainly due to the widening of indications for implantable electronic devices (CIEDs) and for catheter ablation (CA), as well as the continuous improvement of technologies. Despite international guidelines and worldwide consensus updates, evidence gaps persist at all points. The aim of this Special Issue is to provide a comprehensive overview of advances in the diagnosis and treatment of cardiac arrhythmias, with a particular interest in the use of innovative techniques and technologies in interventional therapies. Therefore, researchers in the fields of clinical arrhythmology and electrophysiology are encouraged to submit their findings as original articles or reviews to this Special Issue.

It is my pleasure to invite you to contribute to this Special Issue. This is a new volume; we published 12 papers in the first volume. For more details, please visit the link below: https://www.mdpi.com/journal/jcm/special_issues/Cardiac_Electrophysiology_Pacing.

Dr. Gianfranco Mitacchione
Prof. Dr. Antonio Curnis
Prof. Dr. Giovanni Battista Forleo
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cardiac arrhythmias
  • cardiac implantable electronic device
  • catheter ablation
  • sudden cardiac death
  • lead extraction
  • atrial fibrillation
  • ventricular tachycardia
  • defibrillator therapy

Related Special Issue

Published Papers (2 papers)

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Research

13 pages, 629 KiB  
Article
“Ablate and Pace” with Conduction System Pacing: Concomitant versus Delayed Atrioventricular Junction Ablation
by Pietro Palmisano, Matteo Ziacchi, Gabriele Dell’Era, Paolo Donateo, Lorenzo Bartoli, Giuseppe Patti, Jacopo Senes, Antonio Parlavecchio, Mauro Biffi, Michele Accogli and Giovanni Coluccia
J. Clin. Med. 2024, 13(8), 2157; https://doi.org/10.3390/jcm13082157 - 09 Apr 2024
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Abstract
Objectives: Conduction system pacing (CSP) and atrioventricular junction ablation (AVJA) improve the outcomes in patients with symptomatic, refractory atrial fibrillation (AF). In this setting, AVJA can be performed simultaneously with implantation or in a second procedure a few weeks after implantation. Comparison data [...] Read more.
Objectives: Conduction system pacing (CSP) and atrioventricular junction ablation (AVJA) improve the outcomes in patients with symptomatic, refractory atrial fibrillation (AF). In this setting, AVJA can be performed simultaneously with implantation or in a second procedure a few weeks after implantation. Comparison data on these two alternative strategies are lacking. Methods: A prospective, multicentre, observational study enrolled consecutive patients with symptomatic, refractory AF undergoing CSP and AVJA performed in a single procedure or in two separate procedures. Data on the long-term outcomes and healthcare resource utilization were prospectively collected. Results: A total of 147 patients were enrolled: for 105 patients, CSP implantation and AVJA were performed simultaneously (concomitant AVJA); in 42, AVJA was performed in a second procedure, with a mean of 28.8 ± 19.3 days from implantation (delayed AVJA). After a mean follow-up of 12 months, the rate of procedure-related complications was similar in both groups (3.8% vs. 2.4%; p = 0.666). Concomitant AVJA was associated with a lower number of procedure-related hospitalizations per patient (1.0 ± 0.1 vs. 2.0 ± 0.3; p < 0.001) and with a lower number of hospital treatment days per patient (4.7 ± 1.8 vs. 7.4 ± 1.9; p < 0.001). Conclusions: Concomitant AVJA resulted as being as safe as delayed AVJA and was associated with a lower utilization of healthcare resources. Full article
(This article belongs to the Special Issue Advances in Cardiac Electrophysiology and Pacing: Part II)
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13 pages, 929 KiB  
Article
Detailed One-Year Follow-Up in Left Bundle Branch Area Pacing: Echocardiography, Natriuretic Peptide, Electrical Parameters and Complications
by Maciej Fularz and Przemysław Mitkowski
J. Clin. Med. 2024, 13(6), 1532; https://doi.org/10.3390/jcm13061532 - 07 Mar 2024
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Abstract
Background: LBBAP is a promising method of cardiac pacing. Data on some follow-up details are still limited. We aimed to evaluate LBBAP over a one-year follow-up period. Methods: The studied population consisted of 110 patients who underwent LBBAP device implantation (93 [...] Read more.
Background: LBBAP is a promising method of cardiac pacing. Data on some follow-up details are still limited. We aimed to evaluate LBBAP over a one-year follow-up period. Methods: The studied population consisted of 110 patients who underwent LBBAP device implantation (93 for bradycardia indications, 17 for CRT). Echocardiography and NT-proBNP measurement were performed before the procedure and after one year. Electrical parameters, complications and some other conditions that required attention were noted during the observation period. Results: In total, 89 patients completed the one-year follow-up. NT-proBNP and echocardiographic parameters (LVEF, left ventricular end-diastolic dimension, left atrium dimension) improved after the one-year follow-up, especially in the patients with CRT indications, but also in the bradycardia patients. The independent predictors of a positive heart function response were higher baseline NT-proBNP and the presence of either RBBB or LBBB. The electrical parameters were satisfactory but a slight raise in the pacing threshold was observed at subsequent control visits. Major complications occurred in 4.5% of patients in the acute phase and in 4.4% during the follow-up (the most common was dislodgement of the non-LBBAP lead). One patient is presumed to have developed pacing-induced cardiomyopathy. The most frequent mild complications were intraprocedural RBBB (9.1%) and conversion to deep septal pacing during the follow-up period (5.5%). In addition, 4.4% of the patients required individual programming of the pacing output to maintain the optimal type of capture. Conclusions: The impact of LBBAP device implantation on cardiac function parameters is positive in a wide range of indications, especially in patients with RBBB or LBBB. The prevalence of complications is relatively high but major complications are rarely associated with LBBAP issues. Full article
(This article belongs to the Special Issue Advances in Cardiac Electrophysiology and Pacing: Part II)
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