MARC details
000 -LEADER |
fixed length control field |
04318nam a22004937a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
220706s20222022 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1383-875X |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1007/s10840-021-01044-5 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1007/s10840-021-01044-5 [pii] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
34424446 |
245 ## - TITLE STATEMENT |
Title |
Sinus node sparing novel hybrid approach for treatment of inappropriate sinus tachycardia/postural sinus tachycardia: multicenter experience. |
251 ## - Source |
Source |
Journal of Interventional Cardiac Electrophysiology. 63(3):531-544, 2022 Apr. |
252 ## - Abbreviated Source |
Abbreviated source |
J Interv Card Electrophysiol. 63(3):531-544, 2022 Apr. |
253 ## - Journal Name |
Journal name |
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2022 Apr |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
ppublish |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Medline status |
MEDLINE |
266 ## - Date added to catalog |
Date added to catalog |
2022-07-06 |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND: The ideal treatment of inappropriate sinus tachycardia (IST) and postural orthostatic tachycardia syndrome (POTS) still needs to be defined. Medical treatments yield suboptimal results. Endocardial catheter ablation of the sinus node (SN) may risk phrenic nerve damage and open-heart surgery may be accompanied by unjustified invasive risks. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSIONS: Preliminary results of this multicenter experience with a novel SN sparing hybrid ablation of IST/POTS, using surgical thoracoscopic video-assisted epicardial ablation combined with simultaneous endocardial 3D mapping may prove to be an efficient and safe therapeutic option in patients with symptomatic drug-resistant IST and POTS. Importantly, in our study, all patients had a complete resolution of the symptoms and restored normal SN activity. Copyright © 2021. The Author(s). |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: We describe our first multicenter experience of 255 consecutive patients (235 females, 25.94 +/- 3.84 years) having undergone a novel SN sparing hybrid thoracoscopic ablation for drug-resistant IST (n = 204, 80%) or POTS (n = 51, 20%). As previously described, the SN was identified with 3D mapping. Surgery was performed through three 5-mm ports from the right side. A minimally invasive approach with a bipolar radiofrequency clamp was used to ablate targeted areas while sparing the SN region. The targeted areas included isolation of the superior and the inferior caval veins, and a crista terminalis line was made. All lines were interconnected. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Normal sinus rhythm (SR) was restored in all patients at the end of the procedure. All patients discontinued medication during the follow-up. After a blanking period of 6 months, all patients presented stable SR. At a mean of 4.07 +/- 1.8 years, normal SN reduction and chronotropic response to exercise were present. In the 51 patients initially diagnosed with POTS, no syncope occurred. During follow-up, pericarditis was the most common complication (121 patients: 47%), with complete resolution in all cases. Pneumothorax was observed in 5 patients (1.9%), only 3 (1.1%) required surgical drainage. Five patients (1.9%) required a dual-chamber pacemaker due to sinus arrest > 5 s. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Catheter Ablation |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
*Postural Orthostatic Tachycardia Syndrome |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Catheter Ablation/mt [Methods] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Endocardium/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Female |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Humans |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Postural Orthostatic Tachycardia Syndrome/di [Diagnosis] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Sinoatrial Node/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
Tachycardia, Sinus/di [Diagnosis] |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Multicenter Study |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Bello, David |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Hoff, Steve |
790 ## - Authors |
All authors |
Almorad A, Badhwar N, Bala G, Beaty EH, Bello D, Brodt C, Brugada P, Chierchia GB, Colombowala I, de Asmundis C, Frazier K, Gandhi G, Gopinathannair R, Hoff S, Jones SD, Kincaid EH, Koerber S, Krauthammer Y, La Meir M, Lakkireddy D, Lee A, Morady F, Okum E, Overeinder I, Patel D, Romano M, Romeya A, Shah A, Shah H, Shults C, Sieira J, Stroker E, Taylor BJ, Thomaides A, Tummala R, Van Meeteren J, Vloka M, Whalen SP, Winner M |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1007/s10840-021-01044-5">https://dx.doi.org/10.1007/s10840-021-01044-5</a> |
Public note |
https://dx.doi.org/10.1007/s10840-021-01044-5 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |