Stories

Intracardiac Echocardiography in Complex Ablation Procedures

Complex ablation has evolved from a fluoroscopy-centered intervention into a multimodality procedure guided by three-dimensional mapping, advanced imaging,…

Ventricular arrhythmias during pregnancy: evaluation and treatment options

Pregnancy creates major cardiovascular adaptations that can expose or intensify rhythm disorders. Plasma volume and cardiac output rise, resting heart rate…

Left Bundle Branch Area Pacing: Implant Technique and Early Results

Left bundle branch area pacing (LBBAP) has emerged as a practical form of cardiac conduction system pacing for patients who require bradycardia support,…

The Genetics of Long QT Syndrome: Genotype-Phenotype Correlations

Long QT syndrome (LQTS) is an inherited electrical disorder in which ventricular repolarization is prolonged, creating a substrate for torsades de pointes,…

Pacing and Cardiac Function When Ejection Fraction Is Preserved

A preserved left ventricular ejection fraction (LVEF) is often interpreted as evidence of satisfactory cardiac performance. In patients who require permanent…

Acute Management of Electrical Storm in ICD Patients

Electrical storm is a time-critical arrhythmic emergency characterized by recurrent episodes of sustained ventricular tachycardia (VT) or ventricular…

Monitoring for atrial fibrillation recurrence after ablation

Catheter ablation can reduce the burden of atrial fibrillation (AF), improve symptoms, and support quality of life, but it does not make recurrence impossible.…

Ablation of para-Hisian accessory pathways: risks and techniques

Para-Hisian accessory pathways are among the most technically demanding substrates in catheter ablation. Their close relationship to the His bundle and…

Arrhythmogenic left ventricular cardiomyopathy as a distinct phenotype

Arrhythmogenic left ventricular cardiomyopathy (ALVC) is an inherited myocardial disease characterized by progressive fibrosis, ventricular arrhythmias, and a…

Defibrillation threshold testing in contemporary ICD implantation

Defibrillation threshold (DFT) testing once formed a routine part of implantable cardioverter-defibrillator (ICD) implantation. The procedure induced…