Stories

Substrate-Based Ablation for Post-Infarction Ventricular Tachycardia

Post-infarction ventricular tachycardia (VT) is usually the clinical expression of a mature ventricular scar. Following myocardial infarction, surviving…

Steroid-Eluting Leads in Pediatric Pacing: Long-Term Threshold Stability

Pediatric pacing presents a distinctive engineering and clinical problem. A child may depend on a lead for many decades, while the heart, venous system,…

Arrhythmia monitoring after cryptogenic stroke

A cerebral infarction is often classified as cryptogenic when standard evaluation fails to identify a convincing source. Yet the absence of documented atrial…

Pulmonary Vein Isolation With Cryoballoon: Predictors of Durability

Pulmonary vein isolation (PVI) with a cryoballoon has become an established treatment for symptomatic atrial fibrillation, particularly in patients with…

Thyroid Dysfunction and Atrial Fibrillation: Pathophysiology and Management

Atrial fibrillation (AF) and thyroid disease frequently intersect in clinical practice. Excess thyroid hormone can increase atrial automaticity, shorten atrial…

The Utility of High-Density Mapping in Complex Atrial Tachycardias

Complex atrial tachycardias often arise in patients whose atrial anatomy and conduction have been altered by prior ablation, surgery, structural heart disease,…

Cardiac Resynchronization Therapy For Patients With Atrial Fibrillation

Cardiac resynchronization therapy (CRT) can improve ventricular function, symptoms, and survival in selected patients with heart failure and electrical…

Reducing Inappropriate ICD Shocks With Advanced Discrimination

Implantable cardioverter-defibrillators (ICDs) prevent sudden cardiac death by recognizing dangerous ventricular tachyarrhythmias and delivering…

Zero-fluoroscopy catheter ablation: protocols and learning curve

Catheter ablation has traditionally relied on fluoroscopy to show catheter position, guide transseptal access, and confirm lead or sheath movement. Advances in…

Micra AV Leadless Pacemaker: Clinical Updates and Programming Pearls

Leadless pacing has moved from a niche alternative to an established option for selected patients who need ventricular support without a transvenous lead or…