Lucas Alves Jaques, Pedro Rafael Rocha Stermer, Ana Karoline Brito de Oliveira, Vera Regina Fernandes da Silva Marães, Raquel Henriques Jácomo, Aline Teixeira Alves, Katiane da Costa Cunha, Marianne Lucena da Silva
BackgroundThere are important physiological changes in the heart rate autonomic modulation in pregnant women and these changes may affect the way their bodies respond to exercise stimulus. The objective of this review is to verify the physical exercise influence on autonomic modulation of heart rate in pregnant women.MethodsThis study is a Systematic Review. The electronic databases used to search for the studies were Cochrane Library, MEDLINE via PUBMED, Regional Health Portal and EMBASE. Experimental studies that evaluated heart‐rate variability in pregnant women practicing physical exercises were included. And articles that addressed only fetal heart‐rate variability, case reports, congress abstracts, clinical trial protocols without results, preprints, and gray literature were excluded. There were no language or publication year restrictions. The descriptors used in the Search were Cardiac Chronotropism, Sympathetic Nervous System, Pregnancy, and Physical Exercise. For statistical analysis, the fixed effect model was used.ResultsA total of 3106 articles were found, and 12 studies were included, which 5 were nonrandomized clinical trials, 4 were randomized clinical trials, and 3 were cross‐sectional studies. Three hundred and four pregnant women were included in the studies. The application of physical exercise was varied, but in general they used aerobic exercises and with increased variability of the heart rate and reflex on the autonomic modulation of heart rate.ConclusionMost studies demonstrate benefits heart rate in pregnant women, but limited research makes it hard to compare specific types of exercise and larger studies are needed to identify the best exercise.
背景孕妇的心率自律神经调节发生了重要的生理变化，这些变化可能会影响她们的身体对运动刺激的反应方式。本综述旨在验证体育锻炼对孕妇心率自律调节的影响。用于搜索研究的电子数据库包括 Cochrane Library、MEDLINE via PUBMED、Regional Health Portal 和 EMBASE。其中包括评估孕妇进行体育锻炼时心率变异性的实验研究。仅涉及胎儿心率变异性的文章、病例报告、大会摘要、无结果的临床试验方案、预印本和灰色文献均被排除在外。没有语言或出版年份限制。检索中使用的描述符为心脏时相、交感神经系统、妊娠和体育锻炼。结果 共找到 3106 篇文章，纳入了 12 项研究，其中 5 项为非随机临床试验，4 项为随机临床试验，3 项为横断面研究。研究共纳入了 34 名孕妇。体育锻炼的应用多种多样，但一般都采用有氧运动，并增加了心率的可变性和对心率自律调节的反射。
{"title":"Autonomic modulation of heart rate during physical activity in pregnant women: A systematic review of literature","authors":"Lucas Alves Jaques, Pedro Rafael Rocha Stermer, Ana Karoline Brito de Oliveira, Vera Regina Fernandes da Silva Marães, Raquel Henriques Jácomo, Aline Teixeira Alves, Katiane da Costa Cunha, Marianne Lucena da Silva","doi":"10.1111/pace.14976","DOIUrl":"https://doi.org/10.1111/pace.14976","url":null,"abstract":"BackgroundThere are important physiological changes in the heart rate autonomic modulation in pregnant women and these changes may affect the way their bodies respond to exercise stimulus. The objective of this review is to verify the physical exercise influence on autonomic modulation of heart rate in pregnant women.MethodsThis study is a Systematic Review. The electronic databases used to search for the studies were Cochrane Library, MEDLINE via PUBMED, Regional Health Portal and EMBASE. Experimental studies that evaluated heart‐rate variability in pregnant women practicing physical exercises were included. And articles that addressed only fetal heart‐rate variability, case reports, congress abstracts, clinical trial protocols without results, preprints, and gray literature were excluded. There were no language or publication year restrictions. The descriptors used in the Search were Cardiac Chronotropism, Sympathetic Nervous System, Pregnancy, and Physical Exercise. For statistical analysis, the fixed effect model was used.ResultsA total of 3106 articles were found, and 12 studies were included, which 5 were nonrandomized clinical trials, 4 were randomized clinical trials, and 3 were cross‐sectional studies. Three hundred and four pregnant women were included in the studies. The application of physical exercise was varied, but in general they used aerobic exercises and with increased variability of the heart rate and reflex on the autonomic modulation of heart rate.ConclusionMost studies demonstrate benefits heart rate in pregnant women, but limited research makes it hard to compare specific types of exercise and larger studies are needed to identify the best exercise.","PeriodicalId":19650,"journal":{"name":"Pacing and Clinical Electrophysiology","volume":"162 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140562468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundHis bundle pacing (HBP) engaged electrical activation of both ventricles by stimulating the His‐Purkinje network, which could avoid marked ventricles dyssynchrony. The lead was given three to five clockwise rotations at the site with the His potential to anchor the interventricular septum. In 2018, the Multicenter His Bundle Pacing Collaborative Working Group recommended that the His bundle capture threshold should be lower than 2.5 V/1 ms in non‐pacing‐dependent patients, and pacing‐dependent patients should have a lower adjacent ventricular capture threshold as self‐backup. Therefore, to avoid safety issues such as loss of capture caused by increased threshold, we believe that more stringent criteria should be adopted in patients with atrioventricular block (AVB). In previous studies, the connection cable needed to be disconnected during the screwing. When the procedure was finished, the performer found that the patients with His bundle injury could obtain a lower threshold than those without His bundle injury. Although no studies of new bundle branch block (BBB) or AVB by the acute His bundle injury was reported. However, It is worrying that the damage of His bundle seems random during the procedure. How to balance avoiding severe injury with a lower capture threshold? At present, we report a case of light His injury and lower His capture threshold under continuous intracardiac electrocardiogram monitoring.
背景His束起搏（HBP）通过刺激His-Purkinje网络使两个心室电激活，可避免明显的心室不同步。导联在具有 His 电位的部位顺时针旋转三到五次，以固定室间隔。2018 年，多中心 His 束起搏协作工作组建议，非起搏依赖患者的 His 束捕获阈值应低于 2.5 V/1 ms，而起搏依赖患者应具有较低的邻近心室捕获阈值作为自我备份。因此，为避免阈值升高导致捕获丢失等安全问题，我们认为对房室传导阻滞（AVB）患者应采用更严格的标准。在以往的研究中，拧紧螺钉时需要断开连接电缆。手术结束后，操作者发现有 His 束损伤的患者比没有 His 束损伤的患者能获得更低的阈值。虽然没有关于急性 His 束损伤导致新的束支阻滞（BBB）或房室传导阻滞的研究报道。然而，令人担忧的是，在手术过程中，His束的损伤似乎是随机的。如何在避免严重损伤和降低捕获阈值之间取得平衡？目前，我们报告了一例在持续心电图监测下的轻度 His 损伤和较低 His 捕获阈值的病例。
{"title":"His potential injury as the end point of screwing by a continuous recording technique in His bundle pacing: A case report","authors":"Jinyan Zhong, Longfu Jiang","doi":"10.1111/pace.14967","DOIUrl":"https://doi.org/10.1111/pace.14967","url":null,"abstract":"BackgroundHis bundle pacing (HBP) engaged electrical activation of both ventricles by stimulating the His‐Purkinje network, which could avoid marked ventricles dyssynchrony. The lead was given three to five clockwise rotations at the site with the His potential to anchor the interventricular septum. In 2018, the Multicenter His Bundle Pacing Collaborative Working Group recommended that the His bundle capture threshold should be lower than 2.5 V/1 ms in non‐pacing‐dependent patients, and pacing‐dependent patients should have a lower adjacent ventricular capture threshold as self‐backup. Therefore, to avoid safety issues such as loss of capture caused by increased threshold, we believe that more stringent criteria should be adopted in patients with atrioventricular block (AVB). In previous studies, the connection cable needed to be disconnected during the screwing. When the procedure was finished, the performer found that the patients with His bundle injury could obtain a lower threshold than those without His bundle injury. Although no studies of new bundle branch block (BBB) or AVB by the acute His bundle injury was reported. However, It is worrying that the damage of His bundle seems random during the procedure. How to balance avoiding severe injury with a lower capture threshold? At present, we report a case of light His injury and lower His capture threshold under continuous intracardiac electrocardiogram monitoring.","PeriodicalId":19650,"journal":{"name":"Pacing and Clinical Electrophysiology","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140562379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tuncay Güzel, Muhammed Demir, Adem Aktan, Raif Kılıç, Bayram Arslan, Serhat Günlü, Bernas Altıntaş, Mehmet Zülküf Karahan, Mehmet Özbek, Burhan Aslan, Abdulkadir Arpa, Mehmet Sait Coşkun, Mahsum Altunbaş, Rohat Tüzün, Alkame Akgümüş, Muhammed Karadeniz, Saadet Aydın, Hamdullah Güzel, Selen Filiz Aslan, Serdar Söner, Ahmet Taş, Faruk Ertaş
Cardiac implantable electronic device (CIED) procedures are prone to complications. In our study, we investigated the effect of body mass index (BMI) on CIED-related complications.
{"title":"The effect of body mass index on complications in cardiac implantable electronic device surgery","authors":"Tuncay Güzel, Muhammed Demir, Adem Aktan, Raif Kılıç, Bayram Arslan, Serhat Günlü, Bernas Altıntaş, Mehmet Zülküf Karahan, Mehmet Özbek, Burhan Aslan, Abdulkadir Arpa, Mehmet Sait Coşkun, Mahsum Altunbaş, Rohat Tüzün, Alkame Akgümüş, Muhammed Karadeniz, Saadet Aydın, Hamdullah Güzel, Selen Filiz Aslan, Serdar Söner, Ahmet Taş, Faruk Ertaş","doi":"10.1111/pace.14903","DOIUrl":"https://doi.org/10.1111/pace.14903","url":null,"abstract":"Cardiac implantable electronic device (CIED) procedures are prone to complications. In our study, we investigated the effect of body mass index (BMI) on CIED-related complications.","PeriodicalId":19650,"journal":{"name":"Pacing and Clinical Electrophysiology","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138568813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohamed Hamouda Elkasaby, Basma Badrawy Khalefa, Mazen Negmeldin Aly Yassin, Malak Mohamed Abd El-Hameed, Omar Elkoumi, Hussam Al Hennawi
The implantable cardioverter-defibrillator (ICD) was designed to detect and treat ventricular arrhythmias, which account for nearly half of all cardiovascular fatalities. Transvenous ICD (TV-ICD) complications were reduced by introducing subcutaneous ICD (S-ICD). S-ICD can be implanted using a three (3IT)- or two (2IT)-incision technique. This systematic review and meta-analysis was conducted to compare the 3IT to the 2IT.
{"title":"Two-incision versus three-incision implantation technique of subcutaneous implantable cardioverter defibrillator: Systematic review and meta-analysis of 2076 patients","authors":"Mohamed Hamouda Elkasaby, Basma Badrawy Khalefa, Mazen Negmeldin Aly Yassin, Malak Mohamed Abd El-Hameed, Omar Elkoumi, Hussam Al Hennawi","doi":"10.1111/pace.14902","DOIUrl":"https://doi.org/10.1111/pace.14902","url":null,"abstract":"The implantable cardioverter-defibrillator (ICD) was designed to detect and treat ventricular arrhythmias, which account for nearly half of all cardiovascular fatalities. Transvenous ICD (TV-ICD) complications were reduced by introducing subcutaneous ICD (S-ICD). S-ICD can be implanted using a three (3IT)- or two (2IT)-incision technique. This systematic review and meta-analysis was conducted to compare the 3IT to the 2IT.","PeriodicalId":19650,"journal":{"name":"Pacing and Clinical Electrophysiology","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138569019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas F. Deering, Sandeep K. Goyal, Ashish A. Bhimani, Michael Hoosien, Ahmadreza Karimianpour, Kavita P. Krishnasamy, Kent R. Nilsson, Abdullah Omar, Dhanunjaya Lakkireddy, Rakesh Gopinathannair, Aashish Katapadi, Christian Sohns
Atrial fibrillation (AF) and heart failure are common overlapping cardiovascular disorders. Despite important therapeutic advances over the past several decades, controversy persists about whether a rate control or rhythm control approach constitutes the best option in this population. There is also considerable debate about whether antiarrhythmic drug therapy or ablation is the best approach when rhythm control is pursued. A brief historical examination of the literature addressing this issue will be performed. An analysis of several important clinical outcomes observed in the prospective, randomized studies, which have compared AF ablation to non-ablation treatment options, will be discussed. This review will conclude with recommendations to guide clinicians on the status of AF ablation as a treatment option when considering management options in heart failure patients with atrial fibrillation.
{"title":"Atrial fibrillation ablation in heart failure patients: Where do we stand in 2023? – State of the art review","authors":"Thomas F. Deering, Sandeep K. Goyal, Ashish A. Bhimani, Michael Hoosien, Ahmadreza Karimianpour, Kavita P. Krishnasamy, Kent R. Nilsson, Abdullah Omar, Dhanunjaya Lakkireddy, Rakesh Gopinathannair, Aashish Katapadi, Christian Sohns","doi":"10.1111/pace.14888","DOIUrl":"https://doi.org/10.1111/pace.14888","url":null,"abstract":"Atrial fibrillation (AF) and heart failure are common overlapping cardiovascular disorders. Despite important therapeutic advances over the past several decades, controversy persists about whether a rate control or rhythm control approach constitutes the best option in this population. There is also considerable debate about whether antiarrhythmic drug therapy or ablation is the best approach when rhythm control is pursued. A brief historical examination of the literature addressing this issue will be performed. An analysis of several important clinical outcomes observed in the prospective, randomized studies, which have compared AF ablation to non-ablation treatment options, will be discussed. This review will conclude with recommendations to guide clinicians on the status of AF ablation as a treatment option when considering management options in heart failure patients with atrial fibrillation.","PeriodicalId":19650,"journal":{"name":"Pacing and Clinical Electrophysiology","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138568963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hussam Al Hennawi, Muhammad Khuzzaim Khan, Momina Khalid, Hiba Khalid, Laveeza Fatima, Muhammad Talal Ashraf, Sameer Bhimani, Behzad B. Pavri
This meta-analysis compares His-Purkinje system pacing (HPSP), a novel cardiac resynchronization therapy (CRT) technique that targets the intrinsic conduction system of the heart, with conventional biventricular pacing (BiVP) in heart failure (HF) patients with left ventricular (LV) dysfunction and dyssynchrony.
{"title":"Beyond biventricular pacing: Exploring the advantages of his-bundle pacing and left bundle branch pacing in heart failure—A systematic review and meta-analysis","authors":"Hussam Al Hennawi, Muhammad Khuzzaim Khan, Momina Khalid, Hiba Khalid, Laveeza Fatima, Muhammad Talal Ashraf, Sameer Bhimani, Behzad B. Pavri","doi":"10.1111/pace.14892","DOIUrl":"https://doi.org/10.1111/pace.14892","url":null,"abstract":"This meta-analysis compares His-Purkinje system pacing (HPSP), a novel cardiac resynchronization therapy (CRT) technique that targets the intrinsic conduction system of the heart, with conventional biventricular pacing (BiVP) in heart failure (HF) patients with left ventricular (LV) dysfunction and dyssynchrony.","PeriodicalId":19650,"journal":{"name":"Pacing and Clinical Electrophysiology","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138569501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meijuan Zhang, Nan Zhang, Gary Tse, Guangping Li, Tong Liu
New-onset atrial fibrillation (NOAF) is a common manifestation in critically ill patients. There is a paucity of evidence indicating a relationship between urinary ketones and NOAF.
新发心房颤动（NOAF）是重症患者的常见表现。尿酮与新发心房颤动之间的关系尚缺乏证据。
{"title":"The association between urine ketone and new-onset atrial fibrillation in critically ill patients","authors":"Meijuan Zhang, Nan Zhang, Gary Tse, Guangping Li, Tong Liu","doi":"10.1111/pace.14897","DOIUrl":"https://doi.org/10.1111/pace.14897","url":null,"abstract":"New-onset atrial fibrillation (NOAF) is a common manifestation in critically ill patients. There is a paucity of evidence indicating a relationship between urinary ketones and NOAF.","PeriodicalId":19650,"journal":{"name":"Pacing and Clinical Electrophysiology","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138569213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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