Abstract Introduction Treating ventricular tachycardia (VT) in patients with cardiac sarcoidosis (CS) is challenging as present different phase of the disease (inflammatory, scar, or sometimes both). A customized approach to treatment required for better outcomes. We describe our experience management VT CS based on disease. Methods and results Patients were considered have myocardial inflammation if there was an increased 18 fluorodeoxy glucose (FDG) uptake PET‐CT scan chest (n = 14). These...

Transcatheter aortic valve in is an emerging alternative therapeutic intervention for patients with a failed surgical bioprosthesis view of significant reoperative morbidity and mortality associated redo surgery. The valve-in-valve procedure clinically effective vast majority degenerated bioprosthetic valves. Safety efficacy concerns include device malposition, ostial coronary obstruction, high gradients after the procedure. We hereby present rare case transcatheter replacement embolization...

Atrial fibrillation (AF) is the most common sustained arrhythmia encountered in clinical practice with major public health impact mainly due to increased risk of stroke. The recent Global Burden Disease Study reported a lack prevalence data from India. Our goal was conduct pilot study evaluate feasibility assessing AF and stroke prophylaxis an urban Indian community.A screening camp conducted Nagpur, India, that evaluated adults aged ≥18 years. We collected demographics, recorded blood...

Abstract Introduction Catheter ablation (CA) of ventricular tachycardia (VT) in cardiac sarcoidosis (CS) has been reported with varying success. However, there is a scarcity data on the outcomes CA based ongoing inflammation. Objective We hypothesized that response to VT depends upon stage disease. Methods Between July 2004 and December 2018, 24 patients CS presented drug‐refractory at CARE Hospital (Hyderabad) University Minnesota (Minneapolis, MN). Patients were classified into two groups...

The burden of atrial fibrillation (AF) is increasing worldwide. It often asymptomatic, with stroke being the first manifestation in some. AF community and practice prophylaxis has not been studied India. problem might be higher rural regions due to poor health awareness challenges healthcare access. This study aimed estimate prevalence AF, clinical profile risk India.This a community-based cross-sectional done Andhra Pradesh (AP). Adults from 40 villages formed population. We did door-to...

Abstract Background Several past clinical studies have demonstrated that frequent and unnecessary right ventricular pacing in patients with sick sinus syndrome compromised atrio‐ventricular conduction (AVC) produces long‐term adverse effects. The safety efficacy of two pacemaker algorithms, Ventricular Intrinsic Preference™ (VIP) AutoCapture (VAC), were evaluated a multi‐center study patients. Methods We 80 across 10 centers India. Patients enrolled within 15 days dual chamber (DDDR)...

Epicardial approach to VT ablation increases the success rate of but is not without complications. We studied safety and efficacy epicardial ablations performed at our institute.All patients who underwent institute were retrospectively. The outcome was among three groups: ischaemic cardiomyopathy (ICM), non-ischaemic (NICM) granulomatous myocarditis (GM). Safety outcomes assessed included all complications considered be due pericardial access or mapping/ablation.A total 54 (total 119 VTs,...

Cardiovascular implantable electronic devices (CIED) are frequently implanted in patients on anti-thrombotic agents. Pocket hematomas more likely to occur these patients. The use of a sterile surgical drain the pulse generator pocket site could prevent hematomas, but fear infection precludes its use. objective present study is safety and efficacy antithrombotics undergoing CIED implantations.This single-centre, retrospective involving implantations (antiplatelets anticoagulants) from August...

Implantable cardioverter defibrillator (ICD) is often advised for secondary prevention of sudden cardiac death. Inappropriate shocks from ICD uncommon but can seriously affect the quality life. One reasons inappropriate shock loose set screw, which may remain undetected by device interrogation and/or fluoroscopy. A 55-year lady presented with multiple few hours after an implantation. The discrepancy between near field (NF, tip to ring) and far (FF, Can RV coil) signals helped us suspect...

First-degree Atrioventricular (AV) block can lead to symptoms of heart failure, due AV dyssynchrony. We report a case 40-year-old male with symptomatic 2:1 intermittent first-degree who was implanted dual chamber pacemaker conduction system pacing (CSP). With conventional programming managed ventricular (MVP) and long delays, patient developed dyspnea diastolic mitral regurgitation because Hence, delay optimization done, the became asymptomatic atrial sensing 100 % pacing. This emphasizes...

Rheumatic heart disease with persistent atrial fibrillation (RHD-AF) is associated increased morbidity. However, there no standardized approach for the maintenance of sinus rhythm (SR) in them. We aimed to determine utility a stepwise achieve SR RHD-AF.

Tachycardia detection and therapy algorithms in Implantable Cardioverter-Defibrillators (ICD) reduce, but do not eliminate inappropriate ICD shocks. Awareness of the pros cons a particular algorithm helps to predict its utility specific situations. We report case where PR logic™, an commonly used currently implanted ICDs differentiate supraventricular tachycardia (SVT) from ventricular resulted shock for SVT, discuss several solutions problem.

Abstract Background Implantable cardioverter defibrillator (ICD) is recommended for patients with ventricular tachycardia (VT) due to cardiac sarcoidosis (CS). Programming supraventricular (SVT) discriminators (onset, stability, and morphology/template match) generally minimize inappropriate therapies. However, VT in CS known show cycle length variability (CLV) pleomorphism. Objective To determine whether the stability criterion, designed prevent therapy during atrial fibrillation rapid...

Abstract Cardiac arrhythmias are common in acute myocardial infarction (MI), especially ST elevation MI. Almost 90% of patients develop some form cardiac arrhythmia Mostly they benign and transient. Incidence atrial tachycardia is fairly uncommon such setting. Most the disappear after reperfusion. Interpretation electrocardiograms (ECGs) emergency becomes even more difficult if there unusual QRS axis possibility arm lead reversal.

The epidemiology of atrial fibrillation (AF) in India has not been studied systematically large scale population based surveys. Stroke is one the leading causes death and disability India. As AF a major contributor stroke, it important to know burden stroke risk population. Andhra Pradesh Atrial Fibrillation (AP-AF) study aims assess prevalence, etiology, factors among rural Pradesh, This cross-sectional survey done using two-stage sampling process. Adults (≥18years) from villages East West...

Detection of high rate episodes can potentially result from oversensing physiological or nonphysiological signals. Assessment lead integrity, connection and analysis noise characteristics on electrograms are decisive steps in the evaluation oversensing. We report a case atrial ventricular due to minute ventilation presence connector issues.

Cardiac resynchronization therapy device (CRT-P and CRT-D) implantation has increased tremendously with increasing operator experience, eligible patients expansion of indications. Refinements in devices algorithms now aid physicians to improve biventricular pacing optimize CRT. We report a case which an interesting program was used achieve after repeated dislodgement the atrial lead patient implanted CRT-D.