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International Journal of Arrhythmia最新文献

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One-year outcomes of anterior–posterior vs. anterior-lateral method of cardioversion for atrial fibrillation: a tertiary center experience 心房颤动心脏复律的前-后法与前-侧法的一年疗效:一家三级中心的经验
Pub Date : 2024-01-30 DOI: 10.1186/s42444-024-00111-y
Sarim Rashid, Syed Ahmed Salahuddin, Fatima Sajid, Syed Yasir Shah, Jahanzeb Malik, Saifullah Khan
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引用次数: 0
SGLT2 inhibitors and the cardiac rhythm: unraveling the connections SGLT2 抑制剂与心律:揭示其中的联系
Pub Date : 2024-01-23 DOI: 10.1186/s42444-024-00109-6
Aritra Paul, Chadi Tabaja, O. Wazni
{"title":"SGLT2 inhibitors and the cardiac rhythm: unraveling the connections","authors":"Aritra Paul, Chadi Tabaja, O. Wazni","doi":"10.1186/s42444-024-00109-6","DOIUrl":"https://doi.org/10.1186/s42444-024-00109-6","url":null,"abstract":"","PeriodicalId":34172,"journal":{"name":"International Journal of Arrhythmia","volume":"61 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139602894","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}
引用次数: 0
Sex-related differences of fatty acid-binding protein 4 and leptin levels in atrial fibrillation: an updated review 心房颤动中脂肪酸结合蛋白 4 和瘦素水平的性别差异:最新综述
Pub Date : 2024-01-15 DOI: 10.1186/s42444-023-00108-z
S. Saidullah, B. A. Ahmad, Muhammad Saad Waqas, Anam Fatima, Malik Hasnat ul Hassan Khan, Umer Khiyam, Jahanzeb Malik
{"title":"Sex-related differences of fatty acid-binding protein 4 and leptin levels in atrial fibrillation: an updated review","authors":"S. Saidullah, B. A. Ahmad, Muhammad Saad Waqas, Anam Fatima, Malik Hasnat ul Hassan Khan, Umer Khiyam, Jahanzeb Malik","doi":"10.1186/s42444-023-00108-z","DOIUrl":"https://doi.org/10.1186/s42444-023-00108-z","url":null,"abstract":"","PeriodicalId":34172,"journal":{"name":"International Journal of Arrhythmia","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139622953","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}
引用次数: 0
Validation of arrhythmogenic right ventricular cardiomyopathy risk calculator for sudden cardiac death: a systematic review 验证心律失常性右室心肌病心脏性猝死风险计算器:系统性综述
Pub Date : 2023-11-24 DOI: 10.1186/s42444-023-00107-0
Sarim Rashid, Ritesh Pahwani, Sahil Raj, Hafiz Ahmed Raza Khan, Saffa Nadeem, Muhammad Usman Ghani, J. Basit, Amin Mehmoodi, Jahanzeb Malik
{"title":"Validation of arrhythmogenic right ventricular cardiomyopathy risk calculator for sudden cardiac death: a systematic review","authors":"Sarim Rashid, Ritesh Pahwani, Sahil Raj, Hafiz Ahmed Raza Khan, Saffa Nadeem, Muhammad Usman Ghani, J. Basit, Amin Mehmoodi, Jahanzeb Malik","doi":"10.1186/s42444-023-00107-0","DOIUrl":"https://doi.org/10.1186/s42444-023-00107-0","url":null,"abstract":"","PeriodicalId":34172,"journal":{"name":"International Journal of Arrhythmia","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139242263","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}
引用次数: 0
The efficacy of ultra-high-density mapping guided partial antral ablation for pulmonary vein isolation in atrial fibrillation patients 超高密度定位引导部分心房消融治疗房颤患者肺静脉隔离的疗效观察
Pub Date : 2023-11-09 DOI: 10.1186/s42444-023-00106-1
Jongmin Hwang, Seongwook Han, Chun Hwang, Tae-Wan Chung, Hyoung-Seob Park
Abstract Background The muscular discontinuities or lack of myocardial extensions around the pulmonary veins (PVs) antrum were previously reported. The objective of our study was to compare the efficacy of a partial antral ablation for PV isolation (PVI) using ultra-high density (UHD) mapping with a conventional wide antral circumferential ablation (WACA) in atrial fibrillation (AF) patients. Methods A total of 119 patients medical records who received catheter ablation for AF in our hospital were analyzed. In one group of patients, detailed activation mapping of each PV was performed using a UHD mapping system. Each PV antral segment’s activation pattern was classified into “directly-activated from the LA” or “passively-activated from an adjacent PV segment” patterns. The ablation applications were performed at the directly-activated PV antral segment only for the PVI when the PV had “passively-activated segments” (partial antral ablation; PA-UHD group). Another patient group received a conventional WACA for the PVI (WACA group). Results Sixty patients received partial antral ablation (PA-UHD), and age/sex-matched 59 patients received WACA. In the PA-UHD group, passively-activated segments were observed in 58.3% of all PV segments. The success rate of a partial antral ablation for the PVI in PVs with passively-activated segments was 85%. The 1-year atrial tachyarrhythmia recurrence did not differ between the PA-UHD and WACA groups. Conclusions Our study revealed the presence of passively-activated PV segments, which could potentially indicate muscular discontinuity at the PV-LA junction. In most PVs with passively-activated segments, PVI was successfully achieved by ablation with only directly-activated segments. The 1-year recurrence rate of atrial tachyarrhythmia in PA-UHD group was comparable to that observed in the WACA group.
背景以前曾报道过肺静脉(pv)上腔周围肌肉不连续或心肌延伸不足。本研究的目的是比较使用超高密度(UHD)定位的部分心房消融术(PVI)与传统宽心房环向消融术(WACA)在房颤(AF)患者中的疗效。方法对我院接受房颤导管消融治疗的119例患者病历进行分析。在一组患者中,使用超高清测绘系统对每个PV进行详细的激活测绘。每个PV正中节段的激活模式分为“LA直接激活”和“相邻PV节段被动激活”两种模式。当PV具有“被动激活段”时,仅在直接激活的PV窦段进行消融应用(部分窦段消融;PA-UHD集团)。另一组患者接受PVI常规WACA治疗(WACA组)。结果60例患者接受部分心房消融术(PA-UHD), 59例患者接受年龄/性别匹配的WACA。在PA-UHD组中,58.3%的PV节段被观察到被动激活。对于被动激活段的PVI,部分心房消融的成功率为85%。PA-UHD组和WACA组1年房性心动过速复发率无差异。结论:我们的研究揭示了被动激活PV节段的存在,这可能表明PV- la连接处的肌肉不连续。在大多数具有被动激活节段的pv中,仅通过直接激活节段的消融即可成功实现PVI。PA-UHD组房性心动过速1年复发率与WACA组相当。
{"title":"The efficacy of ultra-high-density mapping guided partial antral ablation for pulmonary vein isolation in atrial fibrillation patients","authors":"Jongmin Hwang, Seongwook Han, Chun Hwang, Tae-Wan Chung, Hyoung-Seob Park","doi":"10.1186/s42444-023-00106-1","DOIUrl":"https://doi.org/10.1186/s42444-023-00106-1","url":null,"abstract":"Abstract Background The muscular discontinuities or lack of myocardial extensions around the pulmonary veins (PVs) antrum were previously reported. The objective of our study was to compare the efficacy of a partial antral ablation for PV isolation (PVI) using ultra-high density (UHD) mapping with a conventional wide antral circumferential ablation (WACA) in atrial fibrillation (AF) patients. Methods A total of 119 patients medical records who received catheter ablation for AF in our hospital were analyzed. In one group of patients, detailed activation mapping of each PV was performed using a UHD mapping system. Each PV antral segment’s activation pattern was classified into “directly-activated from the LA” or “passively-activated from an adjacent PV segment” patterns. The ablation applications were performed at the directly-activated PV antral segment only for the PVI when the PV had “passively-activated segments” (partial antral ablation; PA-UHD group). Another patient group received a conventional WACA for the PVI (WACA group). Results Sixty patients received partial antral ablation (PA-UHD), and age/sex-matched 59 patients received WACA. In the PA-UHD group, passively-activated segments were observed in 58.3% of all PV segments. The success rate of a partial antral ablation for the PVI in PVs with passively-activated segments was 85%. The 1-year atrial tachyarrhythmia recurrence did not differ between the PA-UHD and WACA groups. Conclusions Our study revealed the presence of passively-activated PV segments, which could potentially indicate muscular discontinuity at the PV-LA junction. In most PVs with passively-activated segments, PVI was successfully achieved by ablation with only directly-activated segments. The 1-year recurrence rate of atrial tachyarrhythmia in PA-UHD group was comparable to that observed in the WACA group.","PeriodicalId":34172,"journal":{"name":"International Journal of Arrhythmia","volume":" 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135241396","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}
引用次数: 0
The effect of empirical superior vena cava isolation during total thoracoscopic ablation in patients with persistent atrial fibrillation 经验性上腔静脉隔离对持续性房颤患者全胸腔镜消融的影响
Pub Date : 2023-10-23 DOI: 10.1186/s42444-023-00105-2
Hee-Jin Kwon, Dong Seop Jeong, Seung-Jung Park, Kyoung-Min Park, June Soo Kim, Young Keun On
Abstract Background In patients with non-paroxysmal AF (atrial fibrillation), various ablation strategies have been attempted to target non-pulmonary vein (PV) foci or to achieve substrate modification beyond pulmonary vein isolation. The efficacy of empirical ablation of the SVC, one of the most common non-PV foci, is unclear. The aim of this study was to investigate the efficacy and safety of additional superior vena cava (SVC) isolation in patients with non-paroxysmal AF undergoing thoracoscopic surgical ablation. Methods/results A total of 191 patients with persistent or long-standing persistent AF was enrolled. All patients underwent total thoracoscopic surgical ablation for AF, and half of them also received empirical SVC isolation. We compared the atrial tachyarrhythmia (ATa)-free survival rate and procedure-related complications in the two groups of patients. The 3-year ATa-free survival rate was 53% in the SVC isolation group and 52% in the no-SVC isolation group ( p = 0.644). There were no differences between the two groups with respect to AF type or LA size. Procedure-related complications occurred in 12 patients (6%). Pacemakers were implanted only in three patients from the SVC isolation group. The only factor influencing recurrence of ATa was LA diameter. Conclusions Empirical SVC isolation during thoracoscopic ablation for persistent AF did not improve patient outcomes.
背景在非阵发性房颤(房颤)患者中,已经尝试了各种消融策略来靶向非肺静脉(PV)病灶或实现肺静脉隔离之外的底物修饰。SVC是最常见的非pv病灶之一,经验消融的效果尚不清楚。本研究的目的是探讨附加上腔静脉(SVC)隔离在接受胸腔镜手术消融的非阵发性房颤患者中的疗效和安全性。方法/结果共纳入191例持续性或长期持续性房颤患者。所有患者均行房颤全胸腔镜手术消融治疗,其中一半患者还行经验性SVC分离。我们比较了两组患者的无房性心动过速(ATa)生存率和手术相关并发症。SVC分离组3年无ata生存率为53%,无SVC分离组为52% (p = 0.644)。两组之间在房颤类型或LA大小方面没有差异。12例(6%)患者发生手术相关并发症。只有SVC隔离组的3名患者植入了起搏器。影响ATa复发的唯一因素是LA直径。结论胸腔镜消融治疗持续性房颤时经验性SVC隔离不能改善患者预后。
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引用次数: 0
Reactive atrial-based anti-tachycardia pacing algorithm in cardiovascular implantable electronic devices is safe and feasible without increase in thromboembolic events in patients with a left atrial appendage closure device 心血管植入式电子装置中基于心房反应性抗心动过速起搏算法是安全可行的,且不会增加左心房附件关闭装置患者的血栓栓塞事件
Pub Date : 2023-10-01 DOI: 10.1186/s42444-023-00104-3
Cody Carter, Zeryab Khan, Rayan El-Zein, Marie Lockhart, Ankur Shah, David Nemer, Jaret Tyler, Eugene Fu, Auroa Badin, Sreedhar R. Billakanty, Anish K. Amin, Nagesh Chopra
Abstract Background Reactive atrial-based anti-tachycardia pacing (rATP) in CIED (cardiovascular implantable electronic devices) is effective in atrial fibrillation (AF) suppression. Uninterrupted systemic anticoagulation is recommended when this algorithm is activated to avoid stroke, however, the use of a rATP algorithm in patients with a left atrial appendage (LAA) closure device has not been studied. We assessed the safety and feasibility of rATP algorithm to suppress AF in patients with a LAA closure device over an extended period. Methods Data from 55 consecutive patients who underwent a Watchman ® implant at a tertiary care hospital between September 1, 2015, and January 30, 2020, who also had an in situ Medtronic ® CIED (45 with and 10 without rATP capability) were retrospectively reviewed. Results The 55-patient cohort was 60% male, 77 ± 8 years old, CHA 2 DS 2 -VASc score 5 (4–6), HAS-BLED score 3 (3–4), LVEF 53 ± 14%, LA size 4.4 ± 0.7 cm and ventricular pacing burden of 73 (1.4–98.3)%. The CIEDs (20 ICDs and 35 pacemakers) antedated Watchman ® implants by 915 ± 725 days. Post-implant, all patients discontinued anticoagulation. Twenty patients in the rhythm-control group with active rATP algorithm displayed no increase in yearly AF burden and were less likely to develop permanent/long-standing persistent AF ( p = 0.002) when compared to 35 patients in the rate-control group with CIEDs inactive/incapable of rATP over a ≤ 5-year follow-up. The longest AF episode in the rhythm-control group lasted 204 (19–2520) h. There was no increase in stroke/thromboembolism and a significant reduction in major bleeding noted over ≤ 5 years pre- versus post-implant in the whole cohort ( p = 0.005). Conclusion rATP algorithm use is safe and feasible in patients with a Watchman ® device. Patients should be forewarned of a surge in post-Watchman ® implant AF burden.
背景CIED(心血管植入式电子装置)反应性心房抗心动过速起搏(rATP)对抑制房颤(AF)是有效的。当该算法被激活时,推荐不间断的全身抗凝以避免卒中,然而,rATP算法在左心耳(LAA)闭合装置患者中的应用尚未研究。我们评估了rATP算法在长时间内抑制LAA闭合装置患者AF的安全性和可行性。方法回顾性分析2015年9月1日至2020年1月30日在三级医院接受Watchman®植入的55例患者的数据,这些患者同时也接受了Medtronic®原位CIED(45例具有rATP能力,10例不具有rATP能力)。结果55例患者中男性占60%,年龄77±8岁,CHA 2 DS 2 -VASc评分5 (4-6),ha - bled评分3 (3 - 4),LVEF 53±14%,LA大小4.4±0.7 cm,心室起搏负荷73(1.4 ~ 98.3%)%。cied(20个icd和35个起搏器)比Watchman®植入物早915±725天。植入后,所有患者停用抗凝治疗。在≤5年的随访中,与35名cied不活跃/无法进行rATP的患者相比,节律控制组中有20名患者的年度房颤负担没有增加,并且发生永久性/长期持续性房颤的可能性更小(p = 0.002)。节律控制组最长的房颤发作持续了204(19-2520)小时。在整个队列中,植入前后≤5年的卒中/血栓栓塞发生率没有增加,大出血发生率显著降低(p = 0.005)。结论rATP算法在Watchman®装置患者中使用是安全可行的。应预先警告患者watchman®植入后房颤负担的激增。
{"title":"Reactive atrial-based anti-tachycardia pacing algorithm in cardiovascular implantable electronic devices is safe and feasible without increase in thromboembolic events in patients with a left atrial appendage closure device","authors":"Cody Carter, Zeryab Khan, Rayan El-Zein, Marie Lockhart, Ankur Shah, David Nemer, Jaret Tyler, Eugene Fu, Auroa Badin, Sreedhar R. Billakanty, Anish K. Amin, Nagesh Chopra","doi":"10.1186/s42444-023-00104-3","DOIUrl":"https://doi.org/10.1186/s42444-023-00104-3","url":null,"abstract":"Abstract Background Reactive atrial-based anti-tachycardia pacing (rATP) in CIED (cardiovascular implantable electronic devices) is effective in atrial fibrillation (AF) suppression. Uninterrupted systemic anticoagulation is recommended when this algorithm is activated to avoid stroke, however, the use of a rATP algorithm in patients with a left atrial appendage (LAA) closure device has not been studied. We assessed the safety and feasibility of rATP algorithm to suppress AF in patients with a LAA closure device over an extended period. Methods Data from 55 consecutive patients who underwent a Watchman ® implant at a tertiary care hospital between September 1, 2015, and January 30, 2020, who also had an in situ Medtronic ® CIED (45 with and 10 without rATP capability) were retrospectively reviewed. Results The 55-patient cohort was 60% male, 77 ± 8 years old, CHA 2 DS 2 -VASc score 5 (4–6), HAS-BLED score 3 (3–4), LVEF 53 ± 14%, LA size 4.4 ± 0.7 cm and ventricular pacing burden of 73 (1.4–98.3)%. The CIEDs (20 ICDs and 35 pacemakers) antedated Watchman ® implants by 915 ± 725 days. Post-implant, all patients discontinued anticoagulation. Twenty patients in the rhythm-control group with active rATP algorithm displayed no increase in yearly AF burden and were less likely to develop permanent/long-standing persistent AF ( p = 0.002) when compared to 35 patients in the rate-control group with CIEDs inactive/incapable of rATP over a ≤ 5-year follow-up. The longest AF episode in the rhythm-control group lasted 204 (19–2520) h. There was no increase in stroke/thromboembolism and a significant reduction in major bleeding noted over ≤ 5 years pre- versus post-implant in the whole cohort ( p = 0.005). Conclusion rATP algorithm use is safe and feasible in patients with a Watchman ® device. Patients should be forewarned of a surge in post-Watchman ® implant AF burden.","PeriodicalId":34172,"journal":{"name":"International Journal of Arrhythmia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135406619","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}
引用次数: 0
Association between alcohol consumption and subclinical atrial fibrillation 饮酒与亚临床心房颤动的关系
Pub Date : 2023-09-15 DOI: 10.1186/s42444-023-00102-5
Ga-In Yu, Daehoon Kim, Hee Tae Yu, Tae-Hoon Kim, Il-Young Oh, Jong Sung Park, Hyung-Seob Park, Junbeom Park, Young Soo Lee, Ki-Woon Kang, Jaemin Shim, Jung-Hoon Sung, Eue-Keun Choi, Boyoung Joung
Abstract Background It has become important to identify and manage risk factors for subclinical atrial fibrillation (AF) with an increase in its detection rate. Thus, this research aimed to investigate whether alcohol consumption contributes to the development of subclinical AF. Methods This prospective study enrolled 467 patients without AF from a multicenter pacemaker registry. The incidence of subclinical AF (episodes of atrial rate > 220 beats per minute without symptoms) was compared between alcohol-drinking and non-drinking groups. Results During followup (median 18 months), the incidence and risk of long-duration atrial high-rate episodes (AHRE) ≥ 24 h were increased in the alcohol group compared to the non-alcohol group [5.47 vs. 2.10 per 100 person-years, adjusted hazard ratio (HR), 2.83; 95% confidence interval (CI), 1.14–7.04; P = 0.03]. After propensity score matching, the incidence and risk of long-duration AHRE were higher in the alcohol group (6.97 vs. 1.27 per 100 person-years, adjusted HR, 7.84; 95% CI, 1.21–50.93; P = 0.03). The mean burden of long-duration subclinical AF was higher in the alcohol group than in the non-alcohol group (0.18 vs. 1.61% during follow-up, P = 0.08). Conclusion Alcohol consumption was associated with an increased risk of subclinical AF. Long-duration AHRE incidence and AHRE burden were higher in alcohol drinkers than in non-drinkers.
背景随着亚临床心房颤动(AF)检出率的提高,识别和管理其危险因素变得越来越重要。因此,本研究旨在探讨饮酒是否与亚临床房颤的发展有关。方法本前瞻性研究纳入了来自多中心起搏器登记的467例无房颤患者。亚临床房颤发生率(房颤发作率>在饮酒组和不饮酒组之间比较每分钟220次(无症状)。结果在随访期间(中位18个月),与非酒精组相比,酒精组≥24 h的长时间心房高率发作(AHRE)的发生率和风险增加[5.47 vs 2.10 / 100人年,校正风险比(HR), 2.83;95%置信区间(CI), 1.14-7.04;P = 0.03]。倾向评分匹配后,酒精组长期AHRE的发生率和风险更高(6.97 vs 1.27 / 100人年,调整后HR为7.84;95% ci, 1.21-50.93;P = 0.03)。酒精组长期亚临床房颤的平均负担高于非酒精组(随访期间为0.18比1.61%,P = 0.08)。结论:饮酒与亚临床房颤风险增加相关。饮酒者的长期AHRE发病率和AHRE负担高于非饮酒者。
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引用次数: 0
Trends in cardiovascular death related to mechanical complications of cardiac electronic devices in the United States from 1999 to 2020 1999年至2020年美国与心脏电子设备机械并发症相关的心血管死亡趋势
Pub Date : 2023-09-01 DOI: 10.1186/s42444-023-00101-6
Mingliang Tan, Y. H. Yeo, Boon Jian San, J. Tan
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引用次数: 0
Current methods of left atrial appendage closure: the non-pharmacological approach for stroke prevention in atrial fibrillation patients 当前左心耳封堵方法:预防心房颤动患者卒中的非药物方法
Pub Date : 2023-08-22 DOI: 10.1186/s42444-023-00103-4
D. Jeong
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引用次数: 0
期刊
International Journal of Arrhythmia
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