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Barrio-Lopez MT, Ruiz-Canela M, Goni L, Valiente AM, Garcia SR, de la O V, Anton BD, Fernandez-Friera L, Castellanos E, Martínez-González MA, Almendral J. Mediterranean diet and epicardial adipose tissue in patients with atrial fibrillation treated with ablation: a substudy of the 'PREDIMAR' trial. Eur J Prev Cardiol 2024; 31:348-355. [PMID: 37950920 DOI: 10.1093/eurjpc/zwad355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Revised: 08/21/2023] [Accepted: 11/07/2023] [Indexed: 11/13/2023]
Abstract
AIMS To analyse the relationship between Mediterranean diet (MedDiet) adherence and epicardial adipose tissue (EAT) in patients with atrial fibrillation (AF) and the association between EAT or MedDiet adherence at baseline with AF recurrence after ablation. METHODS AND RESULTS We included 199 patients from the PREDIMAR trial (PREvención con DIeta Mediterránea de Arritmias Recurrentes), in a single centre in this substudy. All of them had a computed tomography with EAT measurement. Lifestyle and clinical characteristics were obtained at baseline. The traditional MedDiet pattern was defined according to the MedDiet Adherence Screener (MEDAS). Any documented AF > 30 s after ablation was considered a recurrence. Multivariable-adjusted linear and logistic regression models were run to assess the cross-sectional association of MedDiet with EAT, and of EAT with the AF type at baseline. Also, Cox regression models were used to prospectively assess the associations of MedDiet adherence and EAT with AF recurrences after ablation. Median EAT was 135 g (interquartile range: 112-177), and the mean MedDiet score was 7.75 ± 2 points. A higher MEDAS ≥ 7 that was associated with lower odds of an EAT ≥ 135 g [multivariable odds ratio (mOR) = 0.45; 95% CI = 0.22-0.91; P = 0.025] was significantly associated with persistent AF after adjusting for traditional risk factors (mOR: 2.22; 95% CI: 1.03-4.79; P = 0.042). No significant associations were observed between EAT ≥ 135 g and the risk of atrial tachyarrhythmia recurrences after ablation [multivariable-adjusted hazard ratio (mHR) = 1.18; 95% CI: 0.72-1.94; P = 0.512], or between MEDAS ≥ 7 and AF recurrence (mHR = 0.78; 95% CI: 0.47-1.31; P = 0.344). CONCLUSION In patients with AF, higher adherence to MedDiet is associated with a significantly lower amount of EAT. Epicardial adipose tissue ≥ 135 g was significantly associated with persistent AF.
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Affiliation(s)
- María Teresa Barrio-Lopez
- Electrophysiology Laboratory and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe 25, 28660 Madrid, Spain
| | - Miguel Ruiz-Canela
- Department of Preventive Medicine and Public Health, University of Navarra, IDISNA (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
| | - Leticia Goni
- Department of Preventive Medicine and Public Health, University of Navarra, IDISNA (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
| | - Almudena Martinez Valiente
- Cardiac Imagine Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Madrid, Spain
| | - Silvia Romero Garcia
- Cardiac Imagine Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Madrid, Spain
| | - Víctor de la O
- IMDEA-Food Institute (Madrid Institute for Advances Studies), Campus of International Excellence (CEI), 28040 Madrid, Spain
| | - Belen Diaz Anton
- Cardiac Imagine Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Madrid, Spain
| | - Leticia Fernandez-Friera
- Cardiac Imagine Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Madrid, Spain
| | - Eduardo Castellanos
- Electrophysiology Laboratory and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe 25, 28660 Madrid, Spain
| | - Miguel Angel Martínez-González
- Department of Preventive Medicine and Public Health, University of Navarra, IDISNA (Instituto de Investigación Sanitaria de Navarra), Pamplona, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
| | - Jesus Almendral
- Electrophysiology Laboratory and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe 25, 28660 Madrid, Spain
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Bäumer N, Castellanos E, Soberats B, Fernández G. Bioinspired crowding directs supramolecular polymerisation. Nat Commun 2023; 14:1084. [PMID: 36841784 PMCID: PMC9968348 DOI: 10.1038/s41467-023-36540-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 02/06/2023] [Indexed: 02/27/2023] Open
Abstract
Crowding effects are crucial to maintaining functionality in biological systems, but little is known about their role in analogous artificial counterparts. Within the growing field of supramolecular polymer science, crowding effects have hitherto remained underappreciated. Herein, we show that crowding effects exhibit strong and distinct control over the kinetics, accessible pathways and final outcomes of supramolecular polymerisation processes. In the presence of a pre-formed supramolecular polymer as crowding agent, a model supramolecular polymer dramatically changes its self-assembly behaviour and undergoes a morphological transformation from bundled fibres into flower-like hierarchical assemblies, despite no co-assembly taking place. Notably, this new pathway can only be accessed in crowded environments and when the crowding agent exhibits a one-dimensional morphology. These results allow accessing diverse morphologies and properties in supramolecular polymers and pave the way towards a better understanding of high-precision self-assembly in nature.
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Affiliation(s)
- Nils Bäumer
- grid.5949.10000 0001 2172 9288Westfälische-Wilhelms Universität Münster, Organisch Chemisches Institut, Corrensstraße 36, 48149 Münster, Germany
| | - Eduardo Castellanos
- grid.9563.90000 0001 1940 4767Department of Chemistry, University of the Balearic Islands, Cra. Valldemossa, Km. 7.5, Palma de Mallorca, 07122 Spain
| | - Bartolome Soberats
- grid.9563.90000 0001 1940 4767Department of Chemistry, University of the Balearic Islands, Cra. Valldemossa, Km. 7.5, Palma de Mallorca, 07122 Spain
| | - Gustavo Fernández
- Westfälische-Wilhelms Universität Münster, Organisch Chemisches Institut, Corrensstraße 36, 48149, Münster, Germany.
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Reichert ZR, Morgan TM, Li G, Castellanos E, Snow T, Dall'Olio FG, Madison RW, Fine AD, Oxnard GR, Graf RP, Stover DG. Prognostic value of plasma circulating tumor DNA fraction across four common cancer types: a real-world outcomes study. Ann Oncol 2023; 34:111-120. [PMID: 36208697 PMCID: PMC9805517 DOI: 10.1016/j.annonc.2022.09.163] [Citation(s) in RCA: 25] [Impact Index Per Article: 25.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 09/20/2022] [Accepted: 09/23/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Genomic analysis of circulating tumor DNA (ctDNA) is increasingly incorporated into the clinical management of patients with advanced cancer. Beyond tumor profiling, ctDNA analysis also can enable calculation of circulating tumor fraction (TF), which has previously been found to be prognostic. While most prognostic models in metastatic cancer are tumor type specific and require significant patient-level data, quantification of TF in ctDNA has the potential to serve as a pragmatic, tumor-agnostic prognostic tool. PATIENTS AND METHODS This study utilized a cohort of patients in a nationwide de-identified clinico-genomic database with metastatic castration-resistant prostate cancer (mCRPC), metastatic breast cancer (mBC), advanced non-small-cell lung cancer (aNSCLC), or metastatic colorectal cancer (mCRC) undergoing liquid biopsy testing as part of routine care. TF was calculated based on single-nucleotide polymorphism aneuploidy across the genome. Clinical, disease, laboratory, and treatment data were captured from the electronic health record. Overall survival (OS) was evaluated by TF level while controlling for relevant covariables. RESULTS A total of 1725 patients were included: 198 mCRPC, 402 mBC, 902 aNSCLC, and 223 mCRC. TF ≥10% was highly correlated with OS in univariable analyses for all cancer types: mCRPC [hazard ratio (HR) 3.3, 95% confidence interval (CI) 2.04-5.34, P < 0.001], mBC (HR 2.4, 95% CI 1.71-3.37, P < 0.001), aNSCLC (HR 1.68, 95% CI 1.34-2.1, P < 0.001), and mCRC (HR 2.11, 95% CI 1.39-3.2, P < 0.001). Multivariable assessments of TF had similar point estimates and CIs, suggesting a consistent and independent association with survival. Exploratory analysis showed that TF remained consistently prognostic across a wide range of cutpoints. CONCLUSIONS Plasma ctDNA TF is a pragmatic, independent prognostic biomarker across four advanced cancers with potential to guide clinical conversations around expected treatment outcomes. With further prospective validation, ctDNA TF could be incorporated into care paradigms to enable precision escalation and de-escalation of cancer therapy based on patient-level tumor biology.
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Affiliation(s)
| | | | - G Li
- Foundation Medicine, Cambridge, USA
| | | | - T Snow
- Flatiron Health, New York, USA
| | - F G Dall'Olio
- Gustave Roussy, Villejuif, France; University of Bologna, Bologna, Italy
| | | | - A D Fine
- Foundation Medicine, Cambridge, USA
| | | | - R P Graf
- Foundation Medicine, Cambridge, USA
| | - D G Stover
- The Ohio State University, Columbus, USA.
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Plana‐Pla A, García B, Munera‐Campos M, Catasus N, Serra E, Blanco I, Castellanos E, Bielsa I. Skin Lesions in Neurofibromatosis Type 2: Diagnostic and Prognostic Significance of Cutaneous (Plexiform) Schwannomas. J Eur Acad Dermatol Venereol 2022; 36:1632-1640. [PMID: 35490384 PMCID: PMC9543204 DOI: 10.1111/jdv.18190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 04/07/2022] [Indexed: 12/04/2022]
Abstract
Background Neurofibromatosis type 2 (NF2) is a genetic disease characterized by the appearance of multiple tumours in the nervous system. Cutaneous lesions are common and may provide useful diagnostic and prognostic information, but they have not been widely studied. Objectives To characterize cutaneous lesions in a Spanish cohort of patients with NF2 and investigate associations with clinical and genetic severity. Methods We studied the clinical and histologic characteristics of cutaneous lesions in 49 patients with NF2 and analysed correlations with phenotype‐ and genotype‐based severity scores. We collected information on the presence/absence of cutaneous lesions, location, age at onset, type of lesion, and histologic features. We also studied level of systemic involvement and genetic mutations involved. Results Forty‐nine patients (31 women [63.3%] and 18 men [36.7%]) were analysed, and 33 (67.3%) had cutaneous lesions presumed to be schwannomas. According to their clinical form, they were distributed as follows: 24 patients (48%) had deep tumours, 21 (42%) had plaque‐like lesions, and 3 (6%) had superficial tumours. Histologic examination from 27 lesions analysed out 23 patients showed classic schwannoma or hybrid schwannoma‐neurofibroma features in the 8 deep tumours biopsied and plexiform schwannoma features in the 17 plaque‐like lesions and the 2 superficial tumours analysed. Early onset (first 2 decades of life) was reported by all patients with plaques and superficial tumours. In our cohort, 100% of the patients with plaque‐like lesions and superficial tumours with microscopic features of plexiform schwannoma were in the 2 groups with the most severe clinical phenotypes, and 82.6% of them were in the 3 most severe genotype‐based classes. Conclusions and Relevance Cutaneous lesions, specially plexiform schwannomas, are common in NF2, and they usually appear at an early age providing useful diagnostic and prognostic information. These tumours are part of the spectrum of cutaneous manifestations in this disease. Although its diagnostic and prognostic value has been pointed out, there are few studies focussed on their analysis.
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Affiliation(s)
- A Plana‐Pla
- Dermatology Department, Hospital Universitari Germans Trias I Pujol (HUGTiP), Badalona. Departament de Medicina, Universitat Autònoma de Barcelona. Badalona Barcelona 08916 Spain
| | - B García
- Clinical Genetics and Genetic Counseling Unit, Clinical Genetics Service, Northern Metropolitan Clinical Laboratory Germans Trias i Pujol University Hospital (HUGTiP) Can Ruti Campus, Badalona Barcelona 08916 Spain
- Hereditary Cancer Group Germans Trias i Pujol Research Institute (IGTP‐PMPPC); Can Ruti Campus Badalona Barcelona 08916 Spain
- Clinical Genomics Unit, Clinical Genetics Service, Northern Metropolitan Clinical Laboratory Germans Trias i Pujol University Hospital (HUGTiP) Can Ruti Campus, Badalona Barcelona 08916 Spain
- Clinical Genomics Research Unit Germans Trias i Pujol Research Institute (IGTP‐PMPPC); Can Ruti Campus Badalona Barcelona 08916 Spain
| | - M Munera‐Campos
- Dermatology Department, Hospital Universitari Germans Trias I Pujol (HUGTiP), Badalona. Departament de Medicina, Universitat Autònoma de Barcelona. Badalona Barcelona 08916 Spain
| | - N Catasus
- Clinical Genomics Research Unit Germans Trias i Pujol Research Institute (IGTP‐PMPPC); Can Ruti Campus Badalona Barcelona 08916 Spain
| | - E Serra
- Hereditary Cancer Group Germans Trias i Pujol Research Institute (IGTP‐PMPPC); Can Ruti Campus Badalona Barcelona 08916 Spain
| | - I Blanco
- Clinical Genetics and Genetic Counseling Unit, Clinical Genetics Service, Northern Metropolitan Clinical Laboratory Germans Trias i Pujol University Hospital (HUGTiP) Can Ruti Campus, Badalona Barcelona 08916 Spain
- Clinical Genomics Research Unit Germans Trias i Pujol Research Institute (IGTP‐PMPPC); Can Ruti Campus Badalona Barcelona 08916 Spain
| | - E Castellanos
- Clinical Genomics Unit, Clinical Genetics Service, Northern Metropolitan Clinical Laboratory Germans Trias i Pujol University Hospital (HUGTiP) Can Ruti Campus, Badalona Barcelona 08916 Spain
- Clinical Genomics Research Unit Germans Trias i Pujol Research Institute (IGTP‐PMPPC); Can Ruti Campus Badalona Barcelona 08916 Spain
| | - I Bielsa
- Dermatology Department, Hospital Universitari Germans Trias I Pujol (HUGTiP), Badalona. Departament de Medicina, Universitat Autònoma de Barcelona. Badalona Barcelona 08916 Spain
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Barrio-Lopez MT, Castellanos E, Betancur A, Zorita B, Medina J, Losada N, Del Valle MD, Sanchez C, Crespo R, Gonzalez V, Morales T, Urriza B, Ortiz M, Almendral J. The presence of a large patent foramen ovale reduces acute and chronic success in atrial fibrillation ablation. J Interv Card Electrophysiol 2022; 64:705-713. [PMID: 35142969 DOI: 10.1007/s10840-022-01134-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 01/20/2022] [Indexed: 11/30/2022]
Abstract
PURPOSE In this study, we analyzed PFO implications in atrial fibrillation (AF) ablation. METHODS Six hundred and twenty-five consecutive patients with AF undergoing PV isolation were included. We considered that a large and/or compliant PFO was present if the catheters advanced gently into the LA without puncturing the septum. Atrial tachyarrhythmias after the 3-month blanking period were classified as a recurrence. RESULTS Out of the 625 patients included, 36 (5.8%) were found to have PFO. No significant differences were observed in the clinical characteristics of patients with PFO compared with patients without PFO. Nevertheless, patients with PFO had lower acute success in PV isolation compared with patients without PFO (98.2% vs. 88.5%; p = 0.006) even after adjusting for age, sex, type of AF, LA area, cardiomyopathy, time from AF diagnosis to the ablation, and ablation technique (odds ratio: 0.1; 95% confidence interval (CI): 0.02-0.9; p = 0.039). In 546 patients followed more than 6 months, the recurrence rate of any atrial tachyarrhythmia after 18.6 ± 11.9 months was significantly higher in patients with PFO compared with patients without PFO (41.9 vs. 70%; p = 0.012). This difference remained significant after adjusting for age, sex, type of AF, LA area, cardiomyopathy, time from AF diagnosis to the ablation, and ablation technique (hazard ratio: 1.9; 95% CI: 1.1-3.3; p = 0.015). CONCLUSIONS The presence of a large and/or compliant PFO is an independent factor for PV isolation failure and arrhythmia recurrence rate after the ablation.
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Affiliation(s)
- Maria Teresa Barrio-Lopez
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain.
| | - Eduardo Castellanos
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Andres Betancur
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Blanca Zorita
- Department of Cardiology, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Madrid, Spain
| | - Juan Medina
- Department of Cardiology, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, Madrid, Spain
| | - Nieves Losada
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Maria Diaz Del Valle
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Cristina Sanchez
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Rosa Crespo
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Victor Gonzalez
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Tamara Morales
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Belen Urriza
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Mercedes Ortiz
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
| | - Jesús Almendral
- Electrophysiology Laboratory and Arrhythmia Unit, Centro Integral de Enfermedades Cardiovasculares (HM CIEC), Unidad de Electrofisiología, Hospital Universitario HM Monteprincipe, HM Hospitales, Avda Monteprincipe, 25, 28660, Boadilla del Monte, Madrid, Spain
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Chumsri S, Sammons S, Alder L, Sokol E, Danziger N, Raskina K, Schrock A, Venstrom J, Snow T, Castellanos E, Ochuonyo E, Snider J, Mcgregor K. 237P Real-world outcomes of hormone receptor-positive (HR+) HER2-negative (HER2-) metastatic breast cancer (mBC) with high tumor mutational burden (hTMB) treated with immune checkpoint inhibitors (ICI). Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Ibáñez Criado JL, Ibáñez Criado A, Barrio-López T, Brouzet T, Castellanos E, Ortiz M, Sánchez-Quiñones J, Garcia-Fernández A, Ramos-Ruiz P, Heras S, Ajo Ferrer R, Ajo Ferrer M, Rico M, Quiles JA, Sogorb-Garri F, Martínez Martínez JG, Almendral J. New Approach for Atrioventricular Conduction Modulation by Ablation at a Distance From the Atrioventricular Node: Role in Nonpharmacologic Rate Control of Atrial Tachyarrhythmias. Circ Arrhythm Electrophysiol 2021; 14:e009550. [PMID: 33858181 DOI: 10.1161/circep.120.009550] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- José Luis Ibáñez Criado
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Alicia Ibáñez Criado
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Teresa Barrio-López
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain (T.B.-L., E.C., M.O., J.A.)
| | - Thomas Brouzet
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Eduardo Castellanos
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain (T.B.-L., E.C., M.O., J.A.)
| | - Mercedes Ortiz
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain (T.B.-L., E.C., M.O., J.A.)
| | - Jessica Sánchez-Quiñones
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Amaya Garcia-Fernández
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Pablo Ramos-Ruiz
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Santiago Heras
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Raquel Ajo Ferrer
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Maria Ajo Ferrer
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Maria Rico
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Juan Antonio Quiles
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Francisco Sogorb-Garri
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Juan Gabriel Martínez Martínez
- Arrhythmia Unit, Cardiology Service, University General Hospital of Alicante, Alicante Institute of Health and Biomedical Research (ISABIAL foundation) (J.L.I.C., A.I., T.B., J.S.-Q., A.G.-F., P.R.-R., S.H., R.A.F., M.A.F., M.R., J.A.Q., F.S.-G., J.G.M.M.)
| | - Jesús Almendral
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain (T.B.-L., E.C., M.O., J.A.)
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8
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Goni L, de la O V, Barrio-López MT, Ramos P, Tercedor L, Ibañez-Criado JL, Castellanos E, Ibañez Criado A, Macias Ruiz R, García-Bolao I, Almendral J, Martínez-González MÁ, Ruiz-Canela M. A Remote Nutritional Intervention to Change the Dietary Habits of Patients Undergoing Ablation of Atrial Fibrillation: Randomized Controlled Trial. J Med Internet Res 2020; 22:e21436. [PMID: 33284131 PMCID: PMC7752535 DOI: 10.2196/21436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 10/12/2020] [Accepted: 10/28/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The Prevention With Mediterranean Diet (PREDIMED) trial supported the effectiveness of a nutritional intervention conducted by a dietitian to prevent cardiovascular disease. However, the effect of a remote intervention to follow the Mediterranean diet has been less explored. OBJECTIVE This study aims to assess the effectiveness of a remotely provided Mediterranean diet-based nutritional intervention in obtaining favorable dietary changes in the context of a secondary prevention trial of atrial fibrillation (AF). METHODS The PREvention of recurrent arrhythmias with Mediterranean diet (PREDIMAR) study is a 2-year multicenter, randomized, controlled, single-blinded trial to assess the effect of the Mediterranean diet enriched with extra virgin olive oil (EVOO) on the prevention of atrial tachyarrhythmia recurrence after catheter ablation. Participants in sinus rhythm after ablation were randomly assigned to an intervention group (Mediterranean diet enriched with EVOO) or a control group (usual clinical care). The remote nutritional intervention included phone contacts (1 per 3 months) and web-based interventions with provision of dietary recommendations, and participants had access to a web page, a mobile app, and printed resources. The information is divided into 6 areas: Recommended foods, Menus, News and Online resources, Practical tips, Mediterranean diet classroom, and Your personal experience. At baseline and at 1-year and 2-year follow-up, the 14-item Mediterranean Diet Adherence Screener (MEDAS) questionnaire and a semiquantitative food frequency questionnaire were collected by a dietitian by phone. RESULTS A total of 720 subjects were randomized (365 to the intervention group, 355 to the control group). Up to September 2020, 560 subjects completed the first year (560/574, retention rate 95.6%) and 304 completed the second year (304/322, retention rate 94.4%) of the intervention. After 24 months of follow-up, increased adherence to the Mediterranean diet was observed in both groups, but the improvement was significantly higher in the intervention group than in the control group (net between-group difference: 1.8 points in the MEDAS questionnaire (95% CI 1.4-2.2; P<.001). Compared with the control group, the Mediterranean diet intervention group showed a significant increase in the consumption of fruits (P<.001), olive oil (P<.001), whole grain cereals (P=.002), pulses (P<.001), nuts (P<.001), white fish (P<.001), fatty fish (P<.001), and white meat (P=.007), and a significant reduction in refined cereals (P<.001), red and processed meat (P<.001), and sweets (P<.001) at 2 years of intervention. In terms of nutrients, the intervention group significantly increased their intake of omega-3 (P<.001) and fiber (P<.001), and they decreased their intake of carbohydrates (P=.02) and saturated fatty acids (P<.001) compared with the control group. CONCLUSIONS The remote nutritional intervention using a website and phone calls seems to be effective in increasing adherence to the Mediterranean diet pattern among AF patients treated with catheter ablation. TRIAL REGISTRATION ClinicalTrials.gov NCT03053843; https://www.clinicaltrials.gov/ct2/show/NCT03053843.
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Affiliation(s)
- Leticia Goni
- Department of Preventive Medicine and Public Health, University of Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.,Fisiopatología de la Obesidad y Nutrición, Centro de Investigación Biomédica en Red, Instituto de Salud Carlos III, Madrid, Spain
| | - Víctor de la O
- Department of Preventive Medicine and Public Health, University of Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.,Fisiopatología de la Obesidad y Nutrición, Centro de Investigación Biomédica en Red, Instituto de Salud Carlos III, Madrid, Spain
| | - M Teresa Barrio-López
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Montepríncipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Pablo Ramos
- Arrhythmia Unit, Department of Cardiology and Cardiac Surgery, Clínica Universidad de Navarra, Pamplona, Spain
| | - Luis Tercedor
- Department of Cardiology, Virgen de las Nieves University Hospital, Granada, Spain.,Biosanitary Research Institute of Granada (ibs.GRANADA), Granada, Spain
| | - Jose Luis Ibañez-Criado
- Arrhythmia Unit, Cardiology Service, Alicante Institute of Health and Biomedical Research (ISABIAL-FISABIO Foundation), University General Hospital of Alicante, Alicante, Spain
| | - Eduardo Castellanos
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Montepríncipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Alicia Ibañez Criado
- Arrhythmia Unit, Cardiology Service, Alicante Institute of Health and Biomedical Research (ISABIAL-FISABIO Foundation), University General Hospital of Alicante, Alicante, Spain
| | - Rosa Macias Ruiz
- Department of Cardiology, Virgen de las Nieves University Hospital, Granada, Spain
| | - Ignacio García-Bolao
- Arrhythmia Unit, Department of Cardiology and Cardiac Surgery, Clínica Universidad de Navarra, Pamplona, Spain
| | - Jesus Almendral
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Montepríncipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Miguel Ángel Martínez-González
- Department of Preventive Medicine and Public Health, University of Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.,Fisiopatología de la Obesidad y Nutrición, Centro de Investigación Biomédica en Red, Instituto de Salud Carlos III, Madrid, Spain.,Department of Nutrition, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, United States
| | - Miguel Ruiz-Canela
- Department of Preventive Medicine and Public Health, University of Navarra, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain
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9
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Barrio-Lopez MT, Sanchez-Quintana D, Garcia-Martinez J, Betancur A, Castellanos E, Arceluz M, Ortiz M, Nevado-Medina J, Garcia F, Almendral J. Epicardial Connections Involving Pulmonary Veins. Circ Arrhythm Electrophysiol 2020; 13:e007544. [DOI: 10.1161/circep.119.007544] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Background:
The presence of epicardial connections (ECs) between pulmonary veins (PVs) and other anatomic structures may hinder PV isolation. In this study, we analyzed their prevalence, location, associated factors, and clinical implications.
Methods:
Five hundred thirty-four consecutive patients with atrial fibrillation undergoing radiofrequency ablation were included. We considered that an EC was present if: (1) the first pass around the PV antrum did not produce PV isolation and (2) subsequent atrial activation during PV pacing showed that the earliest site was located away from the ablation line and later activation sites were observed near the ablation line. Clinical and electrophysiological variables were collected from all patients. Patients were followed during 12.9±9.4 months, and any documented atrial tachyarrhythmia after the 3-month blanking period was classified as a recurrence.
Results:
Out of the 534 patients included, 72 (13.5%) were found to have 81 ECs. There was a significant association between the presence of ECs and structural heart disease (15.3% in patients without ECs versus 36.5% in patient with ECs;
P
<0.001) and patent foramen ovale (4.6% versus 13.5%;
P
=0.002). The presence of a left common trunk was significantly associated with the absence of ECs (29.6% in patients without ECs versus 16.2% in patients with ECs;
P
=0.014). Patients with ECs had lower acute success in PV isolation compared with patients without ECs (99.1% versus 86.1%;
P
<0.001). After adjusting for age, sex, type of atrial fibrillation, left atrium area, hypertension, structural heart disease, presence of left common trunk, patent foramen ovale, and time for atrial fibrillation diagnosis to the ablation, we found a significantly higher risk of atrial tachyarrhythmia recurrences in patients with ECs compared with patients without ECs (hazard ratio, 1.7 [95% CI, 1.1–2.9];
P
=0.04).
Conclusions:
ECs between PVs and other adjacent structures are frequent in patient with atrial fibrillation (prevalence: 13.5%). Structural heart disease and a patent foramen ovale are strongly associated with the presence of ECs. ECs reduce the acute and chronic success of PV isolation.
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Affiliation(s)
- Maria Teresa Barrio-Lopez
- Electrophysiology and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, University CEU-San Pablo, Madrid, Spain (M.T.B.-L., J.G.-M., A.B., E.C., M.A., M.O., J.A.)
| | - Damian Sanchez-Quintana
- Anatomy and Cell Biology Department, School of Medicine, University of Badajoz, Spain (D.S.-Q., J.N.-M.)
| | - Joaquin Garcia-Martinez
- Electrophysiology and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, University CEU-San Pablo, Madrid, Spain (M.T.B.-L., J.G.-M., A.B., E.C., M.A., M.O., J.A.)
| | - Andres Betancur
- Electrophysiology and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, University CEU-San Pablo, Madrid, Spain (M.T.B.-L., J.G.-M., A.B., E.C., M.A., M.O., J.A.)
| | - Eduardo Castellanos
- Electrophysiology and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, University CEU-San Pablo, Madrid, Spain (M.T.B.-L., J.G.-M., A.B., E.C., M.A., M.O., J.A.)
| | - Martín Arceluz
- Electrophysiology and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, University CEU-San Pablo, Madrid, Spain (M.T.B.-L., J.G.-M., A.B., E.C., M.A., M.O., J.A.)
| | - Mercedes Ortiz
- Electrophysiology and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, University CEU-San Pablo, Madrid, Spain (M.T.B.-L., J.G.-M., A.B., E.C., M.A., M.O., J.A.)
| | - Jorge Nevado-Medina
- Anatomy and Cell Biology Department, School of Medicine, University of Badajoz, Spain (D.S.-Q., J.N.-M.)
| | - Fermin Garcia
- Cardiac Electrophysisology Program, Hospital of the Univeristy of Pennsylvania, Perlman School of Medicine, Philadelphia (F.G.)
| | - Jesús Almendral
- Electrophysiology and Arrhythmia Unit, Centro integral de Enfermedades Cardiovasculares (HM CIEC), Hospital Universitario HM Monteprincipe, HM Hospitales, University CEU-San Pablo, Madrid, Spain (M.T.B.-L., J.G.-M., A.B., E.C., M.A., M.O., J.A.)
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10
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Bujosa S, Castellanos E, Frontera A, Rotger C, Costa A, Soberats B. Self-assembly of amphiphilic aryl-squaramides in water driven by dipolar π–π interactions. Org Biomol Chem 2020; 18:888-894. [DOI: 10.1039/c9ob02085c] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Amphiphilic aryl-squaramides self-assemble via unprecedented dipolar π–π interactions forming well-defined supramolecular aggregates and self-consistent hydrogels in water
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Affiliation(s)
- Sergi Bujosa
- Universitat de les Illes Balears
- 07122 Palma de Mallorca
- Spain
| | | | | | - Carmen Rotger
- Universitat de les Illes Balears
- 07122 Palma de Mallorca
- Spain
| | - Antonio Costa
- Universitat de les Illes Balears
- 07122 Palma de Mallorca
- Spain
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11
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Castellanos E, Soberats B, Bujosa S, Rotger C, de la Rica R, Costa A. Development of Plasmonic Chitosan–Squarate Hydrogels via Bioinspired Nanoparticle Growth. Biomacromolecules 2019; 21:966-973. [DOI: 10.1021/acs.biomac.9b01635] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Eduardo Castellanos
- Universitat de les Illes Balears, Cra. Valldemossa Km 7.5, 07122 Palma de Mallorca, Spain
| | - Bartolome Soberats
- Universitat de les Illes Balears, Cra. Valldemossa Km 7.5, 07122 Palma de Mallorca, Spain
| | - Sergi Bujosa
- Universitat de les Illes Balears, Cra. Valldemossa Km 7.5, 07122 Palma de Mallorca, Spain
| | - Carmen Rotger
- Universitat de les Illes Balears, Cra. Valldemossa Km 7.5, 07122 Palma de Mallorca, Spain
| | - Roberto de la Rica
- Universitat de les Illes Balears, Cra. Valldemossa Km 7.5, 07122 Palma de Mallorca, Spain
- Multidisciplinary sepsis group, Balearic Islands Health Research Institute (IdISBa), Son Espases University Hospital, S Building, Carretera de Valldemossa 79, 07120 Palma de Mallorca, Spain
| | - Antonio Costa
- Universitat de les Illes Balears, Cra. Valldemossa Km 7.5, 07122 Palma de Mallorca, Spain
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12
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Jiao X, Lokker A, Snider J, Castellanos E, Nanda S, Fisher V, Zong J, Keating K, Fellous M. Co-occurrence of NTRK fusions with other genomic biomarkers in cancer patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz239.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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13
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Madison R, Schrock A, Gregg J, Carson K, Castellanos E, Singal G, Miller V, Ali S, Alexander B, Chung J. P1.01-23 Retrospective Analysis of Real-World Clinico-Genomic Data for Clinical Impact of Genomic Profiling of ctDNA in NSCLC. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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14
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Arceluz MR, Barrio T, Castellanos E, Salgado R, García J, Lázaro Rivera C, Ortiz M, Lucena Pardos I, Almendral J. A constant postpacing interval in response to overdrive pacing with variable number of beats: An aid in the identification of entrainment for a particular pacing train during macroreentrant atrial tachycardias. J Cardiovasc Electrophysiol 2019; 30:2657-2667. [PMID: 31544291 DOI: 10.1111/jce.14196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 09/14/2019] [Accepted: 09/17/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND When pacing trains with a constant cycle length (CL) but increasing number of beats are introduced during a macroreentrant atrial tachycardia (MAT), the postpacing interval (PPI) is expected to increase if entrainment does not occur but could be stable if entrainment occurs. We tested the ability of PPI analysis to detect entrainment. METHODS Synchronized pacing trains with increasing number of beats (1-20) were delivered from the coronary sinus (CS) and lateral right atrium (RA) at a CL 20 ms shorter than the MAT CL. Pacing trains were grouped in pairs differing by one-paced beat, and the ∆PPI measured. RESULTS In an initial prospective cohort of 21 patients (48% had left atrial flutter) the mean ∆PPI was 21.3 ± 5.6 ms for pairs of pacing trains in which neither entrained the MAT and 2.8 ± 1.4 ms for those in which both entrained the MAT (P < .0001). Results were similar for common vs atypical flutter, PPI-TCL ≤30 ms vs PPI-TCL >30 ms, presence vs absence of antiarrhythmic drugs and faster vs slower MAT. When an index pacing train was compared to one with two-paced beats less, a PPI difference of <19 ms identified entrainment with 95% sensitivity and 98% specificity. In a validation cohort of 16 patients, this cut-off value resulted in sensitivity and specificity of 90% and 94%. CONCLUSIONS A relatively constant ∆PPI in response to overdrive pacing with identical CL but different number of beats allows accurate discrimination between trains that entrained vs those which did not entrain a MAT.
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Affiliation(s)
- Martín R Arceluz
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Teresa Barrio
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Eduardo Castellanos
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Ricardo Salgado
- Arrhythmia Unit, Complejo Asistencial Universitario de Burgos, Burgos, Spain
| | - Javier García
- Arrhythmia Unit, Complejo Asistencial Universitario de Burgos, Burgos, Spain
| | - Carla Lázaro Rivera
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Mercedes Ortiz
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Irené Lucena Pardos
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Jesús Almendral
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
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15
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Carpio EF, Gomez JF, Sebastian R, Lopez-Perez A, Castellanos E, Almendral J, Ferrero JM, Trenor B. Optimization of Lead Placement in the Right Ventricle During Cardiac Resynchronization Therapy. A Simulation Study. Front Physiol 2019; 10:74. [PMID: 30804805 PMCID: PMC6378298 DOI: 10.3389/fphys.2019.00074] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Accepted: 01/22/2019] [Indexed: 12/18/2022] Open
Abstract
Patients suffering from heart failure and left bundle branch block show electrical ventricular dyssynchrony causing an abnormal blood pumping. Cardiac resynchronization therapy (CRT) is recommended for these patients. Patients with positive therapy response normally present QRS shortening and an increased left ventricle (LV) ejection fraction. However, around one third do not respond favorably. Therefore, optimal location of pacing leads, timing delays between leads and/or choosing related biomarkers is crucial to achieve the best possible degree of ventricular synchrony during CRT application. In this study, computational modeling is used to predict the optimal location and delay of pacing leads to improve CRT response. We use a 3D electrophysiological computational model of the heart and torso to get insight into the changes in the activation patterns obtained when the heart is paced from different regions and for different atrioventricular and interventricular delays. The model represents a heart with left bundle branch block and heart failure, and allows a detailed and accurate analysis of the electrical changes observed simultaneously in the myocardium and in the QRS complex computed in the precordial leads. Computational simulations were performed using a modified version of the O'Hara et al. action potential model, the most recent mathematical model developed for human ventricular electrophysiology. The optimal location for the pacing leads was determined by QRS maximal reduction. Additionally, the influence of Purkinje system on CRT response was assessed and correlation analysis between several parameters of the QRS was made. Simulation results showed that the right ventricle (RV) upper septum near the outflow tract is an alternative location to the RV apical lead. Furthermore, LV endocardial pacing provided better results as compared to epicardial stimulation. Finally, the time to reach the 90% of the QRS area was a good predictor of the instant at which 90% of the ventricular tissue was activated. Thus, the time to reach the 90% of the QRS area is suggested as an additional index to assess CRT effectiveness to improve biventricular synchrony.
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Affiliation(s)
- Edison F Carpio
- Centre for Research and Innovation in Bioengineering (Ci2B), Universitat Politècnica de València, Valencia, Spain
| | - Juan F Gomez
- Centre for Research and Innovation in Bioengineering (Ci2B), Universitat Politècnica de València, Valencia, Spain
| | - Rafael Sebastian
- Computational Multiscale Simulation Lab (CoMMLab), Department of Computer Science, Universitat de València, Valencia, Spain
| | - Alejandro Lopez-Perez
- Centre for Research and Innovation in Bioengineering (Ci2B), Universitat Politècnica de València, Valencia, Spain
| | - Eduardo Castellanos
- Electrophysiology Laboratory and Arrhythmia Unit, Grupo HM Hospitales, Hospital Monteprincipe, University CEU-San Pablo, Madrid, Spain
| | - Jesus Almendral
- Electrophysiology Laboratory and Arrhythmia Unit, Grupo HM Hospitales, Hospital Monteprincipe, University CEU-San Pablo, Madrid, Spain
| | - Jose M Ferrero
- Centre for Research and Innovation in Bioengineering (Ci2B), Universitat Politècnica de València, Valencia, Spain
| | - Beatriz Trenor
- Centre for Research and Innovation in Bioengineering (Ci2B), Universitat Politècnica de València, Valencia, Spain
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16
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Arceluz MR, Castellanos E, Barrio T, Salgado R, Martin J, Lazaro C, Ortiz MR, Garcia J, Peinado R, Almendral J. 591New entrainment criteria for macroreentrant atrial tachycardias. Europace 2018. [DOI: 10.1093/europace/euy015.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M R Arceluz
- Montepríncipe University Hospital, Electrophysiology unit , Madrid, Spain
| | - E Castellanos
- Montepríncipe University Hospital, Electrophysiology unit , Madrid, Spain
| | - T Barrio
- Montepríncipe University Hospital, Electrophysiology unit , Madrid, Spain
| | - R Salgado
- Complejo Asistencial Universitario , Burgos, Spain
| | - J Martin
- Complejo Asistencial Universitario , Burgos, Spain
| | - C Lazaro
- Montepríncipe University Hospital, Electrophysiology unit , Madrid, Spain
| | - M R Ortiz
- Montepríncipe University Hospital, Electrophysiology unit , Madrid, Spain
| | - J Garcia
- Complejo Asistencial Universitario , Burgos, Spain
| | - R Peinado
- Montepríncipe University Hospital, Electrophysiology unit , Madrid, Spain
| | - J Almendral
- Montepríncipe University Hospital, Electrophysiology unit , Madrid, Spain
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17
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Barrio T, Castellanos E, Salas J, Arzeluz M, Lazaro C, Ortiz M, Crespo R, Sanchez C, Lizana E, Almendral J. P1723Atrial mapping during pulmonary vein pacing to detect conduction gaps in a second pulmonary vein isolation procedure. Europace 2017. [DOI: 10.1093/ehjci/eux161.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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18
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Salas J, Castellanos E, Peinado R, Madero S, Barrio-López T, Ortiz M, Almendral J. Atrial mapping during pulmonary vein pacing: a novel maneuver to detect and close residual conduction gaps in an ablation line. J Interv Card Electrophysiol 2016; 47:299-307. [PMID: 27371411 PMCID: PMC5110596 DOI: 10.1007/s10840-016-0159-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2016] [Accepted: 06/17/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Location of residual conduction gaps on ablation lines around pulmonary veins (PV) is challenging, and several maneuvers have been described. Atrial mapping during PV pacing-the "pace and map" maneuver-could localize gaps. METHODS AND RESULTS We prospectively studied 209 patients undergoing PV isolation at a single institution over a 25-month period. In 24 (11.4 %) patients, 26 PV remained connected after an ablation line and an initial conventional gap closure protocol. The atrial side of the ablation line was mapped with the ablation catheter during PV pacing, and the earliest site was considered a gap site. Ablation at these gap sites resulted in bidirectional PV conduction block in 22 PV (85 %) in 21 patients (88 %), after 2.2 ± 1.6 radiofrequency applications and 8.2 ± 4.8 min. Early PV reconnection (≥20 min) occurred in 0 PV (0 %). During a mean follow-up of 12 ± 6 months, eight patients (33 %) had arrhythmia recurrences. CONCLUSIONS The "pace and map" maneuver is a relatively simple and efficacious means to identify gaps in ablation lines around PV, focusing on the atrial rather than the PV side of the line. It could be considered among the ways to eliminate residual conduction gaps.
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Affiliation(s)
- Jefferson Salas
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain.
| | - Eduardo Castellanos
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Rafael Peinado
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Sergio Madero
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Teresa Barrio-López
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Mercedes Ortiz
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
| | - Jesús Almendral
- Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
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Salas J, Almendral J, Castellanos E, Peinado R, Ortiz M. Unexpectedly short postpacing interval in a left free wall accessory pathway mediated tachycardia: A pitfall of the corrected postpacing interval algorithm? Indian Pacing Electrophysiol J 2016; 16:109-112. [PMID: 27788996 PMCID: PMC5067834 DOI: 10.1016/j.ipej.2016.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Revised: 05/16/2016] [Accepted: 08/18/2016] [Indexed: 11/27/2022] Open
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20
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Onjukka E, Rintelä N, Castellanos E, Djordjevic M, Lax I. Does Prostate Radiation Therapy Treatment Planning Benefit From MRI? Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.2003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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21
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Almendral J, Castellanos E. Epicardial ablation in post-myocardial infarction ventricular tachycardia: could it be one of the missing pieces of the puzzle? Circ Arrhythm Electrophysiol 2015; 8:767-8. [PMID: 26286302 DOI: 10.1161/circep.115.003247] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Jesús Almendral
- From the Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain.
| | - Eduardo Castellanos
- From the Electrophysiology Laboratory and Arrhythmia Unit, Hospital Monteprincipe, Grupo HM Hospitales, University CEU-San Pablo, Madrid, Spain
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22
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Castellanos E, Almendral J, Peinado R, Salas J, Ortiz M. Low recurrence rate after nodal reentrant tachycardia cryoablation with an 8-mm tip catheter and prolonged applications. ACTA ACUST UNITED AC 2015; 68:345-6. [PMID: 25716987 DOI: 10.1016/j.rec.2014.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Accepted: 11/03/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Eduardo Castellanos
- Unidad de Electrofisiología Cardiaca y Arritmología Clínica, Centro Integral de Enfermedades Cardiovasculares, Hospital Universitario Montepríncipe, Grupo HM Hospitales, Universidad CEU-San Pablo, Madrid, Spain.
| | - Jesús Almendral
- Unidad de Electrofisiología Cardiaca y Arritmología Clínica, Centro Integral de Enfermedades Cardiovasculares, Hospital Universitario Montepríncipe, Grupo HM Hospitales, Universidad CEU-San Pablo, Madrid, Spain
| | - Rafael Peinado
- Unidad de Electrofisiología Cardiaca y Arritmología Clínica, Centro Integral de Enfermedades Cardiovasculares, Hospital Universitario Montepríncipe, Grupo HM Hospitales, Universidad CEU-San Pablo, Madrid, Spain
| | - Jefferson Salas
- Unidad de Electrofisiología Cardiaca y Arritmología Clínica, Centro Integral de Enfermedades Cardiovasculares, Hospital Universitario Montepríncipe, Grupo HM Hospitales, Universidad CEU-San Pablo, Madrid, Spain
| | - Mercedes Ortiz
- Unidad de Electrofisiología Cardiaca y Arritmología Clínica, Centro Integral de Enfermedades Cardiovasculares, Hospital Universitario Montepríncipe, Grupo HM Hospitales, Universidad CEU-San Pablo, Madrid, Spain
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23
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Almendral J, Pombo M, Martínez-Alday J, González-Rebollo JM, Rodríguez-Font E, Martínez-Ferrer J, Castellanos E, García-Fernández FJ, Ruiz-Mateas F. Update on arrhythmias and cardiac pacing 2013. ACTA ACUST UNITED AC 2014; 67:294-304. [PMID: 24774592 DOI: 10.1016/j.rec.2013.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Accepted: 12/12/2013] [Indexed: 11/19/2022]
Abstract
This report discusses a selection of the most relevant articles on cardiac arrhythmias and pacing published in 2013. The first section discusses arrhythmias, classified as regular paroxysmal supraventricular tachyarrhythmias, atrial fibrillation, and ventricular arrhythmias, together with their treatment by means of an implantable cardioverter defibrillator. The next section reviews cardiac pacing, subdivided into resynchronization therapy, remote monitoring of implantable devices, and pacemakers. The final section discusses syncope.
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Affiliation(s)
- Jesús Almendral
- Unidad de Arritmias, Centro Integral de Enfermedades Cardiovasculares, Grupo HM Hospitales, Universidad CEU San Pablo, Madrid, Spain.
| | - Marta Pombo
- Unidad de Estimulación Cardiaca, Área de Cardiología, Hospital Costa del Sol, Marbella, Málaga, Spain
| | - Jesús Martínez-Alday
- Unidad de Arritmias, Servicio de Cardiología, Hospital de Basurto, Bilbao, Vizcaya, Spain
| | - José M González-Rebollo
- Unidad de Arritmias, Servicio de Cardiología, Complejo Asistencial Universitario de León, León, Spain
| | - Enrique Rodríguez-Font
- Unidad de Arritmias, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | - José Martínez-Ferrer
- Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario de Araba, Vitoria, Álava, Spain
| | - Eduardo Castellanos
- Unidad de Arritmias, Centro Integral de Enfermedades Cardiovasculares, Grupo HM Hospitales, Universidad CEU San Pablo, Madrid, Spain
| | | | - Francisco Ruiz-Mateas
- Unidad de Estimulación Cardiaca, Área de Cardiología, Hospital Costa del Sol, Marbella, Málaga, Spain
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Almendral J, Pombo M, Martínez-Alday J, González-Rebollo JM, Rodríguez-Font E, Martínez-Ferrer J, Castellanos E, García-Fernández FJ, Ruiz-Mateas F. Novedades en arritmias y estimulación cardiaca en 2013. Rev Esp Cardiol 2014. [DOI: 10.1016/j.recesp.2013.12.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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25
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Castellanos E, Peña A, Alabi S, Baez F, Gamboa J, Metzger M, De Alarcon P. A Risk Adapted, Response- Based Therapeutic Regimen Using OEPA/COPDAC for the Treatment of Children with High Risk Hodgkin Lymphoma; from the Central American y Dominican Republic Group. Klin Padiatr 2014. [DOI: 10.1055/s-0034-1371136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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26
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Arbelo E, Brugada J, Hindricks G, Maggioni AP, Tavazzi L, Vardas P, Laroche C, Anselme F, Inama G, Jais P, Kalarus Z, Kautzner J, Lewalter T, Mairesse GH, Perez-Villacastin J, Riahi S, Taborsky M, Theodorakis G, Trines SA, Brugada J, Arbelo E, Hindriks G, Maggioni AP, Morgan J, Tavazzi L, Vardas P, Alonso A, Ferrari R, Komajda M, Tavazzi L, Wood D, Vardas P, Brugada J, Mairesse G, Taborsky M, Kautzner J, Lewalter T, Riahi S, Jais P, Anselme F, Theodorakis G, Inama G, Trines S, Kalarus Z, Villacastin JP, Maggioni AP, Manini M, Gracia G, Laroche C, Missiamenou V, Taylor C, Konte M, Fiorucci E, Lefrancq EF, Glémot M, McNeill PA, Bois T, Heidbüchel H, Nuyens D, Boland J, Dinraths V, Herzet JM, Hoffer E, Malmendier D, Massoz M, Pourbaix S, Ballant E, Blommaert D, Deceuninck O, Dormal F, Xhaet O, De Potter T, Geelen P, Derycker K, Duytschaever M, Tavernier R, Vandekerckhove Y, Vankats D, Bulava A, Hanis J, Sitek D, Blahova M, Cihak R, Hanyasova L, Jansova H, Peichl P, Tanzerova M, Wichterle D, Duda J, Haman L, Parizek P, Coling L, Neuzil P, Petru J, Sediva L, Skoda J, Chovancik J, Fiala M, Neuwirth R, Karlsdottir A, Pehrson S, Gerdes C, Jensen H, Lukac P, Nielsen JC, Hansen J, Johannessen A, Hansen PS, Pedersen A, Heath F, Hjortshoj S, Thogersen A, Da Costa A, Martel I, Romeyer-Bouchard C, Sadki N, Schmid A, Haissaguerre M, Hocini M, Knecht S, Sacher F, Ait Said M, Cauchemez B, Ledoux F, Thomas O, Cebron JP, Decarsin N, Gras D, Hervouet S, Durand C, Durand-Dubief A, Poty H, Babuty D, Pierre B, Albenque JP, Boveda S, Combes N, Mas R, Hermida JS, Kubala M, Godin B, Savouré A, Soublin Y, Defaye P, Jacon P, Brigadeau F, Corbut S, Flament-Balzola F, Kacet S, Klug D, Lacroix D, Copie X, Gilles L, Hocine Z, Paziaud O, Piot O, Crocq C, Kaballu G, Le Moal V, Lotton P, Mabo P, Pavin D, Andronache M, De Chillou C, Magnin-Poull I, Deharo JC, Durand C, Franceschi F, Peyrouse E, Prevot S, Etchegoin M, Extramiana F, Leenhardt A, Messali A, Heine T, Schneider A, Winter N, Brachmann J, Ritscher G, Schertel-Gruenler B, Simon H, Sinha AM, Turschner O, Wystrach A, Stemberg M, Kuck KH, Metzner A, Tilz R, Wissner E, Heitmann K, Willems S, Andresen D, Mueller S, Volkmer M, Schmidt B, Kostopoulou A, Livanis E, Voudris V, Efremidis M, Letsas K, Tsikrikas S, Christoforatou E, Ioannidis P, Katsivas A, Kourouklis S, Andrikopoulos G, Rassias I, Tzeis S, Dakos G, Paraskevaidis S, Stavropoulos G, Theofilogiannakos E, Vassilikos V, Bongiorni M, Zucchelli G, Raviele A, Themistoclakis S, Pratola C, Tritto M, Della Bella P, Mazzone P, Moltrasio M, Tondo C, Calo L, De Luca L, Guarracini F, Lioy E, Dozza L, Frigoli E, Giannelli L, Pappone C, Saviano M, Schiavina G, Vicedomini G, De Ponti R, Doni LA, Marazzi R, Salerno-Uriarte J, Tamborini C, Anselmino M, Ferraris F, Gaita F, Bertaglia E, Brandolino G, Zoppo F, De Groot N, Janse P, Jordaens L, Pison L, Roos C, Van Gelder I, Manusama R, Meijer A, Van der Voort P, Trines S, Compier MG, Kazmierczak J, Kornacewicz-Jach Z, Wielusinski M, Baran J, Kulakowski P, Dzidowski M, Fuglewicz A, Nowak K, Pruszkowska-Skrzep P, Wozniak A, Nowak S, Trusz-Gluza M, Almendral J, Atienza F, Castellanos E, De Diego C, Ortiz M, Moreno Planas J, Perez Castellano N, Benezet J, Farre Muncharaz J, Rubio Campal J, Hernandez Madrid A, Matia R, Arana E, Pedrote A, Cozar R, Peinado R, Valverde I, Arbelo E, Berruezo A, Calvo N, Guiu E, Husseini S, Mont Girbau L. The Atrial Fibrillation Ablation Pilot Study: an European Survey on Methodology and results of catheter ablation for atrial fibrillation conducted by the European Heart Rhythm Association. Eur Heart J 2014; 35:1466-78. [DOI: 10.1093/eurheartj/ehu001] [Citation(s) in RCA: 151] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Elena Arbelo
- Department of Cardiology, Thorax Institute, Hospital Clínic de Barcelona, C/ Villarroel 170, 6° - Escala 3, 08036, University of Barcelona, Barcelona, Spain
| | - Josep Brugada
- Department of Cardiology, Thorax Institute, Hospital Clínic de Barcelona, C/ Villarroel 170, 6° - Escala 3, 08036, University of Barcelona, Barcelona, Spain
| | | | - Aldo P. Maggioni
- EURObservational Research Programme, European Society of Cardiology, Sophia – Antipolis, France
| | - Luigi Tavazzi
- GVM Care and Research, E.S. Health Science Foundation, Maria Cecilia Hospital, Cotignola, Italy
| | - Panos Vardas
- Department of Cardiology, Heraklion University Hospital, Crete, Greece
| | - Cécile Laroche
- EURObservational Research Programme, European Society of Cardiology, Sophia – Antipolis, France
| | - Frédéric Anselme
- Service De Cardiologie, Hôpital Charles Nicolle, Rouen Cedex, France
| | | | - Pierre Jais
- Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac, France
| | - Zbigniew Kalarus
- Department of Cardiology, Silesian Academy of Medicine, Zabrze, Poland
| | - Josef Kautzner
- Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic
| | | | | | | | - Sam Riahi
- AF Study Group, Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark
| | - Milos Taborsky
- Internal Cardiology Department, Faculty Hospital Olomouc, Olomouc, Czech Republic
| | | | - Serge A. Trines
- Department of Cardiology, Leiden University Medical Centre, Leiden, The Netherlands
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Abstract
Cooled-tip radiofrequencycatheter ablation of the cavotricuspid isthmus, performed after pulmonary vein isolation, resulted in acute occlusion of the posterolateral branch of the right coronary artery in a 49-year-old male with previously known right coronary artery disease. The occlusion was successfully stented. It is conceivable that previously diseased coronary arteries are more prone to be damaged during ablation.
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Affiliation(s)
- Eduardo Castellanos
- Unidad de Electrofisiologia Cardiaca y Arritmologia Clinica. Grupo Hospital de Madrid. Universidad CEU-San Pablo. Madrid, Spain
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Castellanos E, Sjödin K, Djordjevic M, Gubanski M. Quality of Life Assessment in Patients Receiving a Spacer Between Prostate and Anterior Rectal Wall to Optimize Radiation Therapy of Localized Prostate Cancer. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Drew SA, Escobar AE, Chase C, Liu C, Castellanos E, Stark L, Borsting E. Accommodative Lag is Not Predictive of Diminished Reading Speeds in Natural Settings. J Vis 2012. [DOI: 10.1167/12.9.525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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31
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Hadid C, Almendral J, Ortiz M, Perez-David E, Robles P, Castellanos E. Valor de la angiografía rotacional radiológica intraprocedimiento en la ablación de fibrilación auricular. Comparación con otras técnicas de imagen. Rev Esp Cardiol 2012; 65:574-5. [DOI: 10.1016/j.recesp.2011.07.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2011] [Accepted: 07/27/2011] [Indexed: 11/24/2022]
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32
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Castellanos E, Ericsson MH, Sorcini B, Green U, Nilsson S, Lennernäs B. EP-1122 RAYPILOT – ELECTROMAGNETIC REAL-TIME POSITIONING IN RADIOTHERAPY OF PROSTATE CANCER – INITIAL CLINICAL RESULTS. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)71455-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Almendral J, Castellanos E, Ortiz M. Taquicardias paroxísticas supraventriculares y síndromes de preexcitación. Rev Esp Cardiol 2012; 65:456-69. [DOI: 10.1016/j.recesp.2011.11.026] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2011] [Accepted: 11/27/2011] [Indexed: 10/28/2022]
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34
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Bezos J, Álvarez J, Juan LD, Romero B, Rodríguez S, Castellanos E, Saéz-Llorente J, Mateos A, Domínguez L, Aranaz A. Factors influencing the performance of an interferon-γ assay for the diagnosis of tuberculosis in goats. Vet J 2011; 190:131-5. [DOI: 10.1016/j.tvjl.2010.09.026] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2010] [Revised: 09/07/2010] [Accepted: 09/10/2010] [Indexed: 11/24/2022]
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35
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Wersall P, Castellanos E, Soderén B, Hellstrom A, Nafstadius P. Comparison of the SBRT Frame Procedure versus Gold Anchor Fiducial Marker IGRT on Accuracy, Precision and Economy. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.1536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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36
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Arias MA, Pachón M, Puchol A, Castellanos E. Repetitive pacemaker spike during the vulnerable period in a cardiac resynchronization therapy defibrillator. Heart Rhythm 2011; 8:148-51. [DOI: 10.1016/j.hrthm.2010.08.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2010] [Accepted: 08/09/2010] [Indexed: 11/29/2022]
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37
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Castellanos E, Aranaz A, De Buck J. PCR amplification and high-resolution melting curve analysis as a rapid diagnostic method for genotyping members of the Mycobacterium avium–intracellulare complex. Clin Microbiol Infect 2010; 16:1658-62. [DOI: 10.1111/j.1469-0691.2010.03198.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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38
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Arias MA, Puchol A, Castellanos E, Morady F. Response to a single atrial extrastimulus during a long-RP supraventricular tachycardia. Heart Rhythm 2010; 7:1333-5. [DOI: 10.1016/j.hrthm.2009.09.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2009] [Indexed: 10/20/2022]
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39
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Arias MA, Puchol A, Castellanos E, Rodríguez-Padial L. Right ventricular entrainment of a narrow QRS complex tachycardia: What is the mechanism? Heart Rhythm 2010; 7:1154-6. [DOI: 10.1016/j.hrthm.2009.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2009] [Indexed: 10/20/2022]
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Arias MA, Colchero T, Puchol A, Castellanos E, Rodriguez-Padial L. Loss of biventricular pacing due to T-wave oversensing. Europace 2010; 12:890-892. [DOI: 10.1093/europace/euq022] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
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Abstract
This article contains a review of some of the most important studies in the field of arrhythmias and cardiac electrophysiology that have been reported in publications during the last year. They were selected because of their clinical relevance and because they made a positive contribution to the continuing technological development of the invasive procedures used in cardiac electrophysiology.
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Arias MA, Puchol A, Castellanos E, Rodríguez-Padial L. Pseudoatrial fibrillation. J Cardiovasc Electrophysiol 2010; 21:581-2. [PMID: 20132394 DOI: 10.1111/j.1540-8167.2009.01700.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Miguel A Arias
- Cardiac Arrhythmia and Electrophysiology Unit, Department of Cardiology, Hospital Virgen de la Salud, Toledo, Spain.
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Pachón M, Arias MA, Castellanos E, Puchol A, Rodríguez-Padial L. Negative pressure pulmonary edema complicating an electrophysiological study. Int J Cardiol 2009; 137:e73-4. [PMID: 19446350 DOI: 10.1016/j.ijcard.2009.04.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2009] [Accepted: 04/24/2009] [Indexed: 11/25/2022]
Abstract
We report on a case of acute non-cardiogenic negative-pressure pulmonary edema developed during an ablation procedure of an accessory pathway in a patient with no structural heart disease. That potentially serious complication has not been previously reported during an interventional cardiology procedure.
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Arias MA, Puchol A, Castellanos E, Rodríguez-Padial L. Wide QRS complex tachycardia with alternating QRS complexes during cardiac resynchronization therapy: what is the mechanism? Heart Rhythm 2009; 7:138-40. [PMID: 19880355 DOI: 10.1016/j.hrthm.2009.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2009] [Indexed: 10/20/2022]
Affiliation(s)
- Miguel A Arias
- Department of Cardiology, Hospital Virgen de la Salud, Toledo, Spain.
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Arias MA, Castellanos E, Puchol A, Valverde I, Pachón M, García-Cosío MD, Rodríguez-Padial L. Atrioventricular nodal tachycardia in a patient with anomalous inferior vena cava with azygos continuation and persistent left superior vena cava. Pacing Clin Electrophysiol 2009; 32:1357-8. [PMID: 19796349 DOI: 10.1111/j.1540-8159.2009.02490.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
A 39-year-old female patient was referred for ablation of recurrent episodes of atrioventricular nodal reentrant tachycardia. A combination of an anomalous inferior vena cava with azygos continuation and a persistent left superior vena cava was discovered. A nonfluoroscopic navigation system was very useful for catheter ablation of the tachycardia in this unusual case of anomalous venous system of the heart.
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Affiliation(s)
- Miguel A Arias
- Cardiac Arrhythmia and Electrophysiology Unit, Department of Cardiology, Hospital Virgen de la Salud, Toledo, Spain.
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Arias MA, Puchol A, Pachón M, Castellanos E. Ablación con catéter de una vía accesoria oculta entre la orejuela derecha y el ventrículo derecho. Rev Esp Cardiol 2009. [DOI: 10.1016/s0300-8932(09)72113-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Arias MA, Puchol A, Castellanos E, Pachon M, Rodriguez-Padial L. Extremely prolonged ventricular asystole. Indian Pacing Electrophysiol J 2009; 9:283. [PMID: 19763198 PMCID: PMC2735162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/29/2022] Open
Abstract
We are reporting an extremely prolonged sinus arrest documented by Holter monitoring.
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Arias MA, Puchol A, Pachón M, Castellanos E. Catheter ablation of a concealed accessory pathway between the right atrial appendage and the right ventricle. Rev Esp Cardiol 2009; 62:1077-9. [PMID: 19712636 DOI: 10.1016/s1885-5857(09)73281-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Arias MA, Puchol A, Castellanos E, Rodríguez-Padial L. A narrow QRS complex tachycardia with eccentric retrograde atrial activation sequence: what is the mechanism? J Cardiovasc Electrophysiol 2009; 20:1410-2. [PMID: 19656245 DOI: 10.1111/j.1540-8167.2009.01569.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Miguel A Arias
- Cardiac Arrhythmia and Electrophysiology Unit, Department of Cardiology, Hospital Virgen de Salud, Toledo, Spain
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