Smart decisions in rhythmology : What should we know? What should be do? What do we still have to learn?

Herzschrittmachertherapie & Elektrophysiologie
Mustapha El HamritiPhilipp Sommer

Abstract

Heart rhythm disorders are one of the most common cardiac problems in Germany. Every year, about 95,000 ablation procedures, 42,000 implantable cardioverter-defibrillators (ICD) and 102,000 pacemaker implantations are performed with the annual numbers continuing to increase. Besides technological innovations in the field of therapeutic devices (e.g., ablation tools), there are fundamental changes in the diagnostic workup for arrhythmias since smartwatches and wearable devices are increasingly available on the market. In this article, an overview on the latest developments in the field of invasive electrophysiology and rhythmology is provided. The following are explained: why electrocardiograms (ECGs) from smartwatches/wearables are usually of good quality and can be used for screening or confirmation of a diagnosis; why we should consider re-establishment of sinus rhythm in patients with atrial fibrillation or limited left ventricular function; to what extent investigator and center experience influence patient safety; how we can induce a physiological contraction pattern in about 70% of AV block patients by direct stimulation of the specific conduction system, why the benefit of an implantable ICD is questionable in nonischemi...Continue Reading

References

Mar 30, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Timir S BamanFrank Bogun
Nov 4, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Paulus KirchhofKatja Zeppenfeld
Aug 30, 2016·The New England Journal of Medicine·Lars KøberUNKNOWN DANISH Investigators
Jul 6, 2017·The New England Journal of Medicine·Li ShenJohn J V McMurray
Feb 1, 2018·The New England Journal of Medicine·Nassir F MarroucheUNKNOWN CASTLE-AF Investigators
Feb 2, 2019·Circulation·Gaurav A UpadhyayRoderick Tung
Nov 2, 2019·Journal of the American College of Cardiology·Edward P ChengJim W Cheung
Nov 14, 2019·The New England Journal of Medicine·Marco V PerezUNKNOWN Apple Heart Study Investigators
Nov 23, 2019·JACC. Clinical Electrophysiology·Jung Myung LeeUNKNOWN POBI-AF Investigators
Feb 29, 2020·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Aleksandr VoskoboinikEdward P Gerstenfeld
May 28, 2020·Pacing and Clinical Electrophysiology : PACE·Jason G AndradeIsabelle Nault

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Citations

Nov 24, 2020·Herzschrittmachertherapie & Elektrophysiologie·Victoria Johnson, David Duncker

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