Stories

Substrate Ablation of VT in Unstable Post-Infarct Patients

Survivors of myocardial infarction remain exposed to a long tail of electrical instability, and ventricular tachycardia arising from the resulting scar is a…

Novel Oral Anticoagulants in Atrial Fibrillation With Liver Disease

Atrial fibrillation and chronic liver disease frequently coexist, creating a difficult balance between thromboembolic protection and haemorrhagic risk. Liver…

Transesophageal Echocardiography-Guided Cardioversion Safety Protocols

Atrial fibrillation (AF) cardioversion can restore sinus rhythm promptly, yet the procedure carries a clinically important risk of thromboembolism when clot…

Atrial Fibrillation Burden and Quality of Life after Catheter Ablation

Catheter ablation has changed the treatment pathway for many people with atrial fibrillation (AF), yet procedural success is broader than freedom from an…

ICDs In Arrhythmogenic Mitral Valve Prolapse

Arrhythmogenic mitral valve prolapse (AMVP) is a recognised substrate for ventricular arrhythmia and, in a small but important group, sudden cardiac death.…

Ablation of atrial fibrillation with left atrial scar

Atrial fibrillation (AF) ablation is often considered when symptoms persist despite medication, when antiarrhythmic drugs are poorly tolerated, or when rhythm…

Managing Device Complications After Prior Radiation Therapy

Radiation therapy can leave a long cardiovascular footprint. Patients treated for Hodgkin lymphoma, breast cancer, lung cancer, oesophageal malignancy, or…

Supraventricular Tachycardia in Pregnancy: Pharmacologic and Interventional Strategies

Pregnancy can expose a previously silent arrhythmia or increase the frequency of established supraventricular tachycardia (SVT). Changes in blood volume,…

His–Purkinje pacing for patients with left ventricular dysfunction

Conventional right ventricular pacing can produce electrical and mechanical dyssynchrony, particularly when a high proportion of ventricular beats is paced. In…

Atrial fibrillation and dementia: can anticoagulation protect the brain?

Atrial fibrillation (AF) is widely recognised as a cause of embolic stroke, yet its relationship with cognitive decline is broader than the occurrence of a…