Alexander Grimster

ORCID: 0000-0002-4738-1686
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About
Contact & Profiles
Research Areas
  • Cardiac Arrhythmias and Treatments
  • Cardiac pacing and defibrillation studies
  • Atrial Fibrillation Management and Outcomes
  • Cardiac Structural Anomalies and Repair
  • Cardiac electrophysiology and arrhythmias
  • Viral Infections and Immunology Research
  • Cardiac Valve Diseases and Treatments
  • ECG Monitoring and Analysis
  • Cardiac Imaging and Diagnostics

St George's Hospital
2025

St George’s University Hospitals NHS Foundation Trust
2016-2023

St George's, University of London
2016-2021

St George's Hospital
2008-2018

A 33-year-old Algerian man presenting with acute asthma was found to have right bundle branch block and anterior ST-segment elevation on surface electrocardiogram (ECG). Two years earlier he had suffered a syncopal event during which relatives were unable find pulse. brother died suddenly asthma. Exercise tolerance …

10.1093/europace/eun101 article EN EP Europace 2008-04-30

The Biosense Webster ThermoCool® SmartTouch® Surround Flow (STSF) catheter is a recently developed ablation incorporating (SF) technology to ensure efficient cooling and force sensing quantify tissue contact. In our unit, it superseded the SF from time of its introduction in May 2015. Procedure-related data were collected prospectively for first 100 procedures performed department using STSF catheter. From database 654 unit catheter, we selected one match each procedure, matching procedure...

10.1093/europace/euw177 article EN EP Europace 2016-10-04

The use of remanufactured single-use devices (SUDs), including cardiac electrophysiology catheters, has become established in the USA and other health care systems but without much published scientific evaluation on relative safety or efficacy these devices. In United Kingdom (UK), SUDs not been routine. We performed a structured circular mapping catheter (Stryker® Lasso NAV 2515) during its introduction our centre.We prospectively evaluated performance 100 consecutive patients undergoing an...

10.1007/s10840-018-0497-x article EN cc-by Journal of Interventional Cardiac Electrophysiology 2018-12-26

To determine if a software algorithm can use an individualized distance-morphology difference model, built from three initial pacemaps, to prospectively locate the exit site (ES) of ventricular arrhythmias (VA).Consecutive patients undergoing ablation VA single centre were recruited. During mapping, pacing points collected in chamber interest and navigation applied predict ES, which was corroborated by conventional mapping techniques. Thirty-two underwent ES prediction over 35 procedures....

10.1093/europace/euy024 article EN EP Europace 2018-03-08

Abstract Funding Acknowledgements Type of funding sources: None. Background Bipolar radiofrequency catheter ablation (B-RFA) has shown promising results in refractory ventricular arrhythmia (VA) septal origin and underlying non-ischemic cardiomyopathy (NICM). However, its efficacy safety other locations such as the free wall papillary muscles (PM) not yet been fully determined. Purpose To describe analyse procedural data, B-RFA a cohort patients with VA different substrate. Methods We...

10.1093/europace/euad122.342 article EN cc-by-nc-nd EP Europace 2023-05-24

Abstract Background Cardiac perforation caused by cardiac rhythm device implantation is uncommon but potentially lethal. Methods All patients presenting to a single referral centre with after between December 2017 and July 2019 were identified. Patient demographics, time diagnosis, the method of lead extraction 30-day complications examined. Results Thirteen cases identified, 4 which implanted at other hospitals. The incidence for devices our institution was 9/1031 (0.87%). Median from...

10.1093/eurheartj/suaa120 article EN European Heart Journal Supplements 2020-10-01

Catheter ablation is widely used for the control of ventricular tachycardia (VT) in structural heart disease. Patients this group can be highly complex, with multiple comorbidities, and have often had prior cardiac surgery. Increasing numbers these patients are now being treated percutaneous options valve replacement/repair. As such, we seeing referred devices to our arrhythmia services who require catheter ablation. We present first reported case VT presence Tendyne mitral prosthesis...

10.1016/j.hrcr.2020.11.018 article EN cc-by-nc-nd HeartRhythm Case Reports 2020-12-25

Cardiac implantable electronic device (CIED)-related perforation is uncommon but potentially lethal. Management typically includes the use of computed tomography (CT) scanning and often involves cardiac surgery.Patients presenting to a single referral centre with CIED-related between 2013 2019 were identified. Demographics, diagnostic modalities, method lead revision, 30-day complications examined.A total 46 cases identified; median time from implantation diagnosis was 14 days (interquartile...

10.1111/pace.14204 article EN Pacing and Clinical Electrophysiology 2021-02-24

Abstract Funding Acknowledgements Type of funding sources: None. Background Cardiac perforation is an uncommon but life-threatening complication cardiac implantable electronic device (CIED) implantation. Management strategy commonly relies on diagnostic Computed Tomography (CT) imaging and surgery. Emerging evidence has indicated a diversion from this approach. Transvenous culprit lead revision been shown to be safe efficacious in limited series. We sought evaluate the outcomes transvenous...

10.1093/europace/euab116.491 article EN EP Europace 2021-05-01
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