Sinus node sparing novel hybrid approach for treatment of inappropriate sinus tachycardia/postural sinus tachycardia: multicenter experience. (Record no. 464)

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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/06/2022   34424446 34424446 07/06/2022 07/06/2022 Journal Article

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