Stories

Cardiac Sympathetic Denervation: Procedure and Follow-Up in LQTS

Patients with congenital or acquired long QT syndrome face a constant threat of malignant ventricular arrhythmias triggered by surges in sympathetic activity.…

Oral Anticoagulation in Atrial Fibrillation With Bioprosthetic Valves

Atrial fibrillation (AF) and bioprosthetic heart valves frequently coexist in contemporary practice. Patients who have undergone surgical aortic or mitral…

Left Atrial Strain And Outcomes After Atrial Fibrillation Ablation

Atrial fibrillation ablation is increasingly guided by an understanding of atrial substrate rather than pulmonary vein triggers alone. Left atrial size, rhythm…

Ventricular arrhythmia storm in ischaemic heart disease

When a patient with coronary artery disease develops recurrent ventricular tachycardia or ventricular fibrillation within a short window, the clinical…

Conduction System Pacing in Atrial Fibrillation with Heart Failure

Patients with atrial fibrillation and reduced ejection fraction represent one of the most challenging cohorts in contemporary cardiology, particularly when…

Lead Extraction Strategies for Cardiac Implantable Electronic Device Infections

Cardiac implantable electronic devices, including permanent pacemakers, implantable cardioverter-defibrillators, and cardiac resynchronisation therapy systems,…

Finding Silent Atrial Fibrillation After Cryptogenic Stroke

A cryptogenic stroke is diagnosed when standard investigations do not identify a convincing cause. Yet an apparently unexplained ischaemic stroke may reflect…

Cardioneuroablation for vasovagal syncope: an evidence update

Vasovagal syncope remains one of the commonest causes of transient loss of consciousness encountered in emergency departments and outpatient cardiology…

Pacemaker implantation after transcatheter aortic valve replacement

Transcatheter aortic valve replacement (TAVR), also called transcatheter aortic valve implantation (TAVI), has changed the treatment pathway for severe aortic…

Cardiac MRI in ventricular tachycardia ablation planning

Ventricular tachycardia remains a leading cause of sudden cardiac death in patients with ischaemic and non-ischaemic cardiomyopathies, and recurrent arrhythmia…