A5009677645- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Cardiac electrophysiology and arrhythmias
- Cardiac pacing and defibrillation studies
- Cardiac Imaging and Diagnostics
- Cardiovascular Health and Disease Prevention
- Cardiac Valve Diseases and Treatments
- Coronary Interventions and Diagnostics
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cardiac Structural Anomalies and Repair
- Historical Education Studies Worldwide
- Cardiac Arrest and Resuscitation
- Parathyroid Disorders and Treatments
- Social and Cultural Dynamics
- Vascular anomalies and interventions
- Paraoxonase enzyme and polymorphisms
- Trauma and Emergency Care Studies
- Cancer-related cognitive impairment studies
- Cardiovascular Syncope and Autonomic Disorders
- Historical Education and Society
- Pain Management and Treatment
- Cardiovascular Issues in Pregnancy
- History of Education in Spain
- Cardiovascular Effects of Exercise
- Pericarditis and Cardiac Tamponade
Henry Dunant Hospital
2021-2025
Clinique Pasteur
2020-2023
Alexandra Hospital
2017-2021
National and Kapodistrian University of Athens
2013-2021
Technological Educational Institute of Central Greece
2015
Laiko General Hospital of Athens
2015
Princeton University
2012
Right phrenic nerve (PN) injury is a major complication of thermal ablation atrial tachycardias (ATs) originated from the superior vena cava (SVC). We report case 41-year-old female patient admitted for catheter frequent paroxysmal AT resistant to antiarrhythmic drugs. Electroanatomical activation map demonstrated focal origin located at lateral aspect SVC, ∼17 mm above breakthrough sinus node wavefront. Importantly, high-output pacing this site resulted in PN capture. To avoid injury,...
Background: Chemotherapy regimens for breast cancer treatment can promote vascular dysfunction and lead to high cardiovascular risk. Purpose: To investigate the burden inflammation in metastatic patients receiving CDK 4/6 inhibitors or everolimus addition standard hormonal treatment. Methods: 22 consecutive female with were enrolled. Relative wall thickness (RWT) left ventricle mass (LVM) measurements by transthoracic echocardiography obtained followed 24-h ambulatory blood pressure...
Outcomes of catheter ablation for non-paroxysmal atrial fibrillation (AF) remain suboptimal. Non-invasive stratification patients based on the presence cardiomyopathy (ACM) could allow to identify best responders pulmonary vein isolation (PVI).
Cavotricuspid isthmus pulsed-field ablation has been recently described to be safely performed despite initial reports on coronary arterial spasm while conduction disturbances as a complication of cavotricuspid are rare and have reported exclusively for radiofrequency catheter ablation.A 64-year-old female patient with mechanical prosthetic valves underwent atrial fibrillation using the pentaspline catheter. At end uneventful pulmonary vein isolation, an tachycardia depended occurred. A...
A 64-year-old man with ischaemic cardiomyopathy, cardiac resynchronization therapy defibrillator and previous ventricular tachycardia (VT) ablation presented due to electrical storm (ES) recurrent discharges from the device. He was under mexiletine carvedilol, as he discontinued amiodarone thyrotoxicosis. Intravenous esmolol xylocaine, reprogramming of device general anaesthesia mildly reduced VT episodes shocks. Left stellate ganglion blockade (LSGB) continuous infusion 0.2% ropivacaine...
Electroanatomic mapping is usually required in order to obtain a precise diagnosis and guide the ablation of atrial tachycardias (ATs) after for fibrillation (AF). However, epicardial connections may limit interpretation endocardial activation sequence as well efficacy radiofrequency ablation.A 53-year-old man with history AF 2 years ago was admitted recurrent AT (cycle length 275 ms). Ultra-high-density Rhythmia™ system revealed challenging map two focal points early left atrium. The use an...
Key Clinical Message Electrocardiographic (ECG) changes occurring several hours after the onset of acute cardiogenic pulmonary edema have been seldom described. The proposed explanatory mechanisms are various and not fairly established. In absence significant coronary artery disease, these ECG abnormalities could be attributed to implicated in microcirculatory dysfunction.
Inflammation and coagulation pathways are implicated in circulatory disease, but their interaction has not been completely deciphered yet. In this study, we investigated the association of inflammation indices (activated clotting time [ACT], C-reactive protein, neutrophils) hospitalized patients. Blood samples were drawn from consecutive patients at admission 48 hours for assessment aforementioned parameters (n = 63). Healthy controls matched sex age also examined 39). Activated positively...
A 60-year-old patient presented with recalcitrant electrical storm (ES). Mild sedation and initial antiarrhythmic combination of esmolol amiodarone did not affect the intensity ES, which resulted in battery exhaustion. Oral propranolol addition to intravenous might be preferred hemodynamically stable patients before interventional therapies. (Level Difficulty: Intermediate.)
Amyloid light-chain (AL) amyloidosis is a multisystemic disease. Among its clinical manifestations, vein and arterial thromboembolic events are included. We report the unusual case of 57-year-old female patient with AL presenting an ST segment elevation myocardial infarction due to coronary artery embolization (CE). The reported history exertional dyspnoea along episodes haemoptysis for last few months. Her angiography demonstrated distal left anterior descending artery. main findings her...
Transfemoral access has been established as the gold standard approach for majority of patients undergoing transcatheter aortic valve implantation (TAVI). However, in cases with anatomical difficulties or severely diffused peripheral arterial disease, alternative vascular may be considered such transaxillary approach. We present case a 92-year-old gentleman exertional dyspnea due to severe symptomatic stenosis and history femoro-femoral bypass surgery, coronary surgery permanent dual-chamber...
Key Teaching Points•The approach to supraventricular tachycardia diagnosis has mainly been described for tachycardias with a stable cycle length. However, extrapolation of criteria derived from regular can also be performed caution regularly irregular tachycardias.•When there are variations in length, if V-V interval changes precede and predict A-A changes, then atrioventricular nodal reentrant (AVNRT) made.•Cycle length alternans may seen AVNRT case anterograde conduction alternating...
1.A high prevalence of arrhythmias is observed after heart surgeries (as for excisions myxomas), related to the anatomical substrate atriotomy scars, requiring catheter ablation.2.Surgical injury cardiac conduction system should also be considered in these patients as disturbances may occur interventions implantation a pacemaker.3.Although pacemaker syndrome has mainly been described VVIR-paced and sinus rhythm, it can presented with atrial-based pacing due interatrial disturbances.