Introduction: Neuromodulation is an approach used to treat diseases that are refractory to clinical treatments by employing electrical and chemical stimulation techniques, especially in cardiac, neurological, and psychiatric disorders. Objective: This study aims to provide an overview of the latest developments in neuromodulation therapies that use electrical stimulation. Methods and results: The present study describes the most common neuromodulation techniques. Neuroplasticity is used to adjust the ions and neural excitability in response to central and peripheral nervous system stimulation. The spinal cord, dorsal root, and gastric stimulations are effective treatments for neuropathies, chronic pain, muscle spasticity, epilepsy, depression, cluster headaches, heart failure, and gastroparesis symptoms. Deep brain stimulation and invasive cortical stimulation are medical procedures used selectively to treat Parkinson’s disease, dystonia, obsessive-compulsive disorder, and chronic pain. Barostimulation therapy is beneficial in controlling refractory hypertension, reducing the risk of cardiovascular events, and improving overall quality of life. Repetitive Transcranial Magnetic Stimulation is a recommended treatment option for fibromyalgia, neuropathic pain, chronic headaches, treatment-resistant depression, generalized anxiety disorders, schizophrenia, and attention deficit disorder. While controlling obesity shows promise in regulating appetite and promoting satiety, more research is needed to understand the safety and efficacy of these therapies in various groups. Conclusion: Neuromodulation devices hold promise for treating diseases that do not respond to clinical treatments. Additional clinical trials and studies are required to understand it fully.
{"title":"Electrical stimulation in special clinical situations","authors":"Lenises de Paula van der Steld","doi":"10.24207/jca.v37il.3504","DOIUrl":"https://doi.org/10.24207/jca.v37il.3504","url":null,"abstract":"Introduction: Neuromodulation is an approach used to treat diseases that are refractory to clinical treatments by employing electrical and chemical stimulation techniques, especially in cardiac, neurological, and psychiatric disorders. Objective: This study aims to provide an overview of the latest developments in neuromodulation therapies that use electrical stimulation. Methods and results: The present study describes the most common neuromodulation techniques. Neuroplasticity is used to adjust the ions and neural excitability in response to central and peripheral nervous system stimulation. The spinal cord, dorsal root, and gastric stimulations are effective treatments for neuropathies, chronic pain, muscle spasticity, epilepsy, depression, cluster headaches, heart failure, and gastroparesis symptoms. Deep brain stimulation and invasive cortical stimulation are medical procedures used selectively to treat Parkinson’s disease, dystonia, obsessive-compulsive disorder, and chronic pain. Barostimulation therapy is beneficial in controlling refractory hypertension, reducing the risk of cardiovascular events, and improving overall quality of life. Repetitive Transcranial Magnetic Stimulation is a recommended treatment option for fibromyalgia, neuropathic pain, chronic headaches, treatment-resistant depression, generalized anxiety disorders, schizophrenia, and attention deficit disorder. While controlling obesity shows promise in regulating appetite and promoting satiety, more research is needed to understand the safety and efficacy of these therapies in various groups. Conclusion: Neuromodulation devices hold promise for treating diseases that do not respond to clinical treatments. Additional clinical trials and studies are required to understand it fully.","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"19 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815967","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}
Marcela da Cunha Sales, Á. Rösler, Gustavo Simões Ferreira, Vinícius Wlly Prediger, Jonathan Fraportti do Nascimento, F. A. Lucchese
Introduction: Atrial fibrillation (AF) is an arrhythmia that has a well-established impact on cardiovascular and cerebrovascular morbidity and mortality. However, the role of this arrhythmia plays on surgical risk remains uncertain. Objective: to evaluate the impact of preoperative persistent or permanent AF on in-hospital mortality after isolated coronary artery bypass graft surgery (CABG). Methods: prospective cohort with 2,377 patients submitted to isolated CABG between January 2014 and December 2021. Sixty-two variables, including baseline factors, operative characteristics, and outcomes, were analyzed. Patients were divided into two study groups: No preoperative AF (n=2,287) and preoperative persistent or permanent AF (N=90). The comparison between the groups was performed initially by descriptive and univariate analysis. Subsequently, the analysis of mortality predictors was performed using binary logistic regression - multivariate adjusted analysis. Results: patients with preoperative AF were older, had a higher prevalence of pulmonary hypertension and anemia, had lower ejection fraction and had higher surgical risk scores when compared with patients with no history of atrial fibrillation. The in-hospital death was more frequent in patients with a history of AF (3.2% vs 8.9%, P=0.010). Through the multivariate analysis, it was possible to verify that preoperative AF is independently associated with the occurrence of in-hospital mortality after CABG (OR 2.68; 95% CI 1.21-5.94, P=0.015). Conclusion: Preoperative persistent or permanent AF has been shown to have a significant impact on in-hospital mortality rates after CABG even after adjusted multivariate analysis, being an independent risk predictor for the occurrence of postoperative death.
导言：心房颤动（房颤）是一种心律失常，对心血管和脑血管的发病率和死亡率具有公认的影响。然而，这种心律失常对手术风险的影响仍不确定。目的：评估术前持续性或永久性房颤对孤立冠状动脉旁路移植手术（CABG）后院内死亡率的影响。方法：2014 年 1 月至 2021 年 12 月期间，对 2377 名接受分离式冠状动脉旁路移植手术的患者进行前瞻性队列研究。分析了62个变量，包括基线因素、手术特征和结果。患者被分为两个研究组：术前无房颤组（2287 人）和术前持续性或永久性房颤组（90 人）。两组之间的比较首先通过描述性分析和单变量分析进行。随后，使用二元逻辑回归--多变量调整分析对死亡率预测因素进行了分析。结果：与无心房颤动病史的患者相比，术前有心房颤动的患者年龄更大，肺动脉高压和贫血的发病率更高，射血分数更低，手术风险评分更高。有房颤病史的患者院内死亡的发生率更高（3.2% vs 8.9%，P=0.010）。通过多变量分析，可以证实术前房颤与 CABG 术后的院内死亡率有独立关联（OR 2.68；95% CI 1.21-5.94，P=0.015）。结论即使经过调整后的多变量分析，术前持续性或永久性心房颤动已被证明对心脏搭桥术后的院内死亡率有显著影响，是术后死亡的独立风险预测因素。
{"title":"Impact of preoperative persistent or permanent atrial fibrillation on inhospital mortality after coronary artery bypass graft surgery","authors":"Marcela da Cunha Sales, Á. Rösler, Gustavo Simões Ferreira, Vinícius Wlly Prediger, Jonathan Fraportti do Nascimento, F. A. Lucchese","doi":"10.24207/jca.v37i1.3494","DOIUrl":"https://doi.org/10.24207/jca.v37i1.3494","url":null,"abstract":"Introduction: Atrial fibrillation (AF) is an arrhythmia that has a well-established impact on cardiovascular and cerebrovascular morbidity and mortality. However, the role of this arrhythmia plays on surgical risk remains uncertain. Objective: to evaluate the impact of preoperative persistent or permanent AF on in-hospital mortality after isolated coronary artery bypass graft surgery (CABG). Methods: prospective cohort with 2,377 patients submitted to isolated CABG between January 2014 and December 2021. Sixty-two variables, including baseline factors, operative characteristics, and outcomes, were analyzed. Patients were divided into two study groups: No preoperative AF (n=2,287) and preoperative persistent or permanent AF (N=90). The comparison between the groups was performed initially by descriptive and univariate analysis. Subsequently, the analysis of mortality predictors was performed using binary logistic regression - multivariate adjusted analysis. Results: patients with preoperative AF were older, had a higher prevalence of pulmonary hypertension and anemia, had lower ejection fraction and had higher surgical risk scores when compared with patients with no history of atrial fibrillation. The in-hospital death was more frequent in patients with a history of AF (3.2% vs 8.9%, P=0.010). Through the multivariate analysis, it was possible to verify that preoperative AF is independently associated with the occurrence of in-hospital mortality after CABG (OR 2.68; 95% CI 1.21-5.94, P=0.015). Conclusion: Preoperative persistent or permanent AF has been shown to have a significant impact on in-hospital mortality rates after CABG even after adjusted multivariate analysis, being an independent risk predictor for the occurrence of postoperative death.","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":" 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140221956","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}
Introduction: To report the case of a patient with a total atrioventricular block with significant ventricular dysfunction whose pacemaker implantation and physiological stimulation occurred through the iliac vein due to tortuosities in other vessels that prevented the procedure. Method: Information was obtained by reviewing the medical records, interviewing the patient, photographing the diagnostic methods to which the patient was submitted, and reviewing the literature. Conclusion: The reported case and published publications bring to light the discussion of pacemaker implantation sites and physiological stimulation in a complex situation that, although it occurs in a minority of cases, when well it is capable of obtaining satisfactory results.
{"title":"Parahisian Stimulation Through Unusual Vascular Access - Case Report","authors":"Carlos Robério Mendes, Paulo Albino","doi":"10.24207/jca.v37i1.3492","DOIUrl":"https://doi.org/10.24207/jca.v37i1.3492","url":null,"abstract":"Introduction: To report the case of a patient with a total atrioventricular block with significant ventricular dysfunction whose pacemaker implantation and physiological stimulation occurred through the iliac vein due to tortuosities in other vessels that prevented the procedure. Method: Information was obtained by reviewing the medical records, interviewing the patient, photographing the diagnostic methods to which the patient was submitted, and reviewing the literature. Conclusion: The reported case and published publications bring to light the discussion of pacemaker implantation sites and physiological stimulation in a complex situation that, although it occurs in a minority of cases, when well it is capable of obtaining satisfactory results.","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260297","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}
Pub Date : 2024-02-04DOI: 10.24207/abec.2023.22759
B. P. Valdigem, Edileide Correa, Antonio Tito Paladino Filho, Rogério Braga Andalaft, Gabriela Hinkelmann Berbert, Luciana Vidal Armaganiijan, Ricardo Garbo Habib, Larissa Ventura Bruscky, A. Vilela, J. Assef, D. A. R. Moreira, Claudia Fragata da Silva, Rui F Ramos, Ibraim Masciarelli Pinto Filho
{"title":"Resolution of atrial fibrillation after radiofrequency septal ablation: Case report","authors":"B. P. Valdigem, Edileide Correa, Antonio Tito Paladino Filho, Rogério Braga Andalaft, Gabriela Hinkelmann Berbert, Luciana Vidal Armaganiijan, Ricardo Garbo Habib, Larissa Ventura Bruscky, A. Vilela, J. Assef, D. A. R. Moreira, Claudia Fragata da Silva, Rui F Ramos, Ibraim Masciarelli Pinto Filho","doi":"10.24207/abec.2023.22759","DOIUrl":"https://doi.org/10.24207/abec.2023.22759","url":null,"abstract":"","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"11 11-12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139867025","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}
Pub Date : 2024-02-04DOI: 10.24207/abec.2023.22568
Wasly Santana Silva, Josias Melo Leite, Patrícia de Souza Pinto Pereira, Samara Gomes da Silva Barbosa, Jefferson Petto
{"title":"The differential benefit of using Handgrip in patients with ischemiainduced ventricular arrhythmia","authors":"Wasly Santana Silva, Josias Melo Leite, Patrícia de Souza Pinto Pereira, Samara Gomes da Silva Barbosa, Jefferson Petto","doi":"10.24207/abec.2023.22568","DOIUrl":"https://doi.org/10.24207/abec.2023.22568","url":null,"abstract":"","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139806396","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}
Pub Date : 2024-02-04DOI: 10.24207/abec.2023.22790
Ricardo Ferreira Silva, Rafael Flores Pires, Daniel Pereira da Silva Cavalieri, David Costa Britto Neto, Fernando Monteiro de Aguiar Giordano, Sandra Eneida de Pina Castelo
{"title":"Cardioneuroablation -Radiofrequency treatment for functional bradycardia","authors":"Ricardo Ferreira Silva, Rafael Flores Pires, Daniel Pereira da Silva Cavalieri, David Costa Britto Neto, Fernando Monteiro de Aguiar Giordano, Sandra Eneida de Pina Castelo","doi":"10.24207/abec.2023.22790","DOIUrl":"https://doi.org/10.24207/abec.2023.22790","url":null,"abstract":"","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139806773","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}
Pub Date : 2024-02-04DOI: 10.24207/abec.2023.22792
Ricardo Ferreira Silva, Ronaldo Vasconcelos Távora, Ieda Prata, Hercules Firminio, Rafael Flores Pires, David Costa Britto Neto, Daniel Pereira da Silva Cavalieri, Fernando Monteiro de Aguiar Giordano, Sandra Eneida de Pina Castelo
{"title":"Cardioneuroablation in patients with a permanent pacemaker","authors":"Ricardo Ferreira Silva, Ronaldo Vasconcelos Távora, Ieda Prata, Hercules Firminio, Rafael Flores Pires, David Costa Britto Neto, Daniel Pereira da Silva Cavalieri, Fernando Monteiro de Aguiar Giordano, Sandra Eneida de Pina Castelo","doi":"10.24207/abec.2023.22792","DOIUrl":"https://doi.org/10.24207/abec.2023.22792","url":null,"abstract":"","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"2007 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139807356","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}
Pub Date : 2024-02-04DOI: 10.24207/abec.2023.22762
Ricardo Ferreira Silva, Rafael Flores Pires, Daniel Pereira da Silva Cavalieri, David Costa Britto Neto, Fernando Monteiro de Aguiar Giordano, Sandra Eneida de Pina Castelo
{"title":"Physiological stimulation in Dx ICD implantation","authors":"Ricardo Ferreira Silva, Rafael Flores Pires, Daniel Pereira da Silva Cavalieri, David Costa Britto Neto, Fernando Monteiro de Aguiar Giordano, Sandra Eneida de Pina Castelo","doi":"10.24207/abec.2023.22762","DOIUrl":"https://doi.org/10.24207/abec.2023.22762","url":null,"abstract":"","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139866299","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}
Pub Date : 2024-02-04DOI: 10.24207/abec.2023.22727
Daniel Nascimento Machado, Anna Beatriz Vilas Boas Moreira, Gabriel Diógenes Moreira Ferreira, Maria Eduarda Mota Oliveira
{"title":"Epidemiological profile of electrophysiological studies with ablation for atrial fibrillation in Brazil, from 2017 to 2022","authors":"Daniel Nascimento Machado, Anna Beatriz Vilas Boas Moreira, Gabriel Diógenes Moreira Ferreira, Maria Eduarda Mota Oliveira","doi":"10.24207/abec.2023.22727","DOIUrl":"https://doi.org/10.24207/abec.2023.22727","url":null,"abstract":"","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139867181","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}
Pub Date : 2024-02-04DOI: 10.24207/abec.2023.22738
Pedro Henrique Santana Moreira, Jefferson Petto, Marvyn de Santana do Sacramento, Lis Jacques Zwecker, Pedro Tito Matos Leão, Maura Carla Cerqueira Batista, Ingrid Correia Santos
{"title":"Cardiovascular handgrip responses during cyclic exercise - a pilot study","authors":"Pedro Henrique Santana Moreira, Jefferson Petto, Marvyn de Santana do Sacramento, Lis Jacques Zwecker, Pedro Tito Matos Leão, Maura Carla Cerqueira Batista, Ingrid Correia Santos","doi":"10.24207/abec.2023.22738","DOIUrl":"https://doi.org/10.24207/abec.2023.22738","url":null,"abstract":"","PeriodicalId":508768,"journal":{"name":"Journal of Cardiac Arrhythmias","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139867269","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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