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Heart Rhythm Jan 2022
Topics: Arrhythmias, Cardiac; Atrial Fibrillation; Cardiology; Committee Membership; Consensus; Heart Rate; Humans; Societies, Medical
PubMed: 34996585
DOI: 10.1016/j.hrthm.2021.11.002 -
Journal of the American College of... Mar 2009
Review
AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the...
Topics: Arrhythmias, Cardiac; Bundle-Branch Block; Electrocardiography; Heart Conduction System; Humans; Sensitivity and Specificity; Signal Processing, Computer-Assisted; Terminology as Topic; Wolff-Parkinson-White Syndrome
PubMed: 19281930
DOI: 10.1016/j.jacc.2008.12.013 -
Journal of the American College of... Mar 2009
Review
AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part IV: the ST segment, T and U waves, and the QT interval: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology;...
Topics: Arrhythmias, Cardiac; Bundle-Branch Block; Electrocardiography; Heart Conduction System; Heart Diseases; Humans; Image Processing, Computer-Assisted; Myocardial Ischemia
PubMed: 19281931
DOI: 10.1016/j.jacc.2008.12.014 -
Clinical Cardiology Mar 2017One of the most important roles for professional societies in medicine is assembling multiple stakeholders and experts to develop documents that can help guide and... (Review)
Review
One of the most important roles for professional societies in medicine is assembling multiple stakeholders and experts to develop documents that can help guide and define policies and strategies for best medical care. Each year the Heart Rhythm Society (HRS) develops several consensus documents that address critical clinical subjects that have been identified by input from HRS members and HRS committees. Over the past 5 years, HRS has produced documents with multiple professional societies from around the world, and although the topics chosen for exploration center around arrhythmia management, the reviews and recommendations made in the documents are important for clinical cardiologists and generalists who are not arrhythmia specialists. When an internist or other primary care provider identifies a patient who may be having symptoms from an arrhythmia, the referral first is made to the clinical cardiologist and only later, if necessary, does an arrhythmia specialist become involved. These expert consensus statements are developed for specific clinical questions regarding arrhythmia management where there is controversy or uncertainty, often with less data from randomized controlled trials to help guide recommendations, which must then be made by extrapolation of existing data, observational data, and expert opinion. In this 2-part review, the consensus statements developed by the HRS over the past 5 years that pertain to adults are discussed in part 1; part 2 focuses on consensus statements that HRS has developed in conjunction with the Pediatric and Congenital Electrophysiology Society that address arrhythmia issues in children and adults with congenital heart disease.
Topics: Arrhythmias, Cardiac; Cardiology; Consensus; Disease Management; Heart Rate; Humans; Policy Making; Societies, Medical; United States
PubMed: 28273405
DOI: 10.1002/clc.22665 -
Europace : European Pacing,... Apr 2023There is an increasing proportion of the general population surviving to old age with significant chronic disease, multi-morbidity, and disability. The prevalence of...
EHRA expert consensus document on the management of arrhythmias in frailty syndrome, endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Latin America Heart Rhythm Society (LAHRS), and Cardiac Arrhythmia Society of Southern Africa (CASSA).
There is an increasing proportion of the general population surviving to old age with significant chronic disease, multi-morbidity, and disability. The prevalence of pre-frail state and frailty syndrome increases exponentially with advancing age and is associated with greater morbidity, disability, hospitalization, institutionalization, mortality, and health care resource use. Frailty represents a global problem, making early identification, evaluation, and treatment to prevent the cascade of events leading from functional decline to disability and death, one of the challenges of geriatric and general medicine. Cardiac arrhythmias are common in advancing age, chronic illness, and frailty and include a broad spectrum of rhythm and conduction abnormalities. However, no systematic studies or recommendations on the management of arrhythmias are available specifically for the elderly and frail population, and the uptake of many effective antiarrhythmic therapies in these patients remains the slowest. This European Heart Rhythm Association (EHRA) consensus document focuses on the biology of frailty, common comorbidities, and methods of assessing frailty, in respect to a specific issue of arrhythmias and conduction disease, provide evidence base advice on the management of arrhythmias in patients with frailty syndrome, and identifies knowledge gaps and directions for future research.
Topics: Humans; Aged; Frailty; Frail Elderly; Consensus; Latin America; Arrhythmias, Cardiac; Cardiac Conduction System Disease
PubMed: 37061780
DOI: 10.1093/europace/euac123 -
Heart Rhythm Dec 2021
Topics: Arrhythmias, Cardiac; Cardiology; Heart Rate; Humans; Societies, Medical
PubMed: 34838241
DOI: 10.1016/j.hrthm.2021.09.035 -
Heart Rhythm May 2024
Review
Topics: Humans; Wearable Electronic Devices; Child; Heart Rate; Electrocardiography, Ambulatory; Arrhythmias, Cardiac; Equipment Design; Monitoring, Physiologic
PubMed: 38331305
DOI: 10.1016/j.hrthm.2024.02.003 -
Clinics in Perinatology Mar 2016Cardiac arrhythmias are an important aspect of fetal and neonatal medicine. Premature complexes of atrial or ventricular origin are the main cause of an irregular heart... (Review)
Review
Cardiac arrhythmias are an important aspect of fetal and neonatal medicine. Premature complexes of atrial or ventricular origin are the main cause of an irregular heart rhythm. The finding is typically unrelated to an identifiable cause and no treatment is required. Tachyarrhythmia most commonly relates to supraventricular reentrant tachycardia, atrial flutter, and sinus tachycardia. Several antiarrhythmic agents are available for the perinatal treatment of tachyarrhythmias. Enduring bradycardia may result from sinus node dysfunction, complete heart block and nonconducted atrial bigeminy as the main arrhythmia mechanisms. The management and outcome of bradycardia depend on the underlying mechanism.
Topics: Anti-Arrhythmia Agents; Arrhythmias, Cardiac; Atrial Flutter; Atrial Premature Complexes; Bradycardia; Electrocardiography; Fetal Diseases; Heart Block; Humans; Infant, Newborn; Infant, Newborn, Diseases; Sick Sinus Syndrome; Tachycardia, Sinus; Tachycardia, Supraventricular; Ventricular Premature Complexes
PubMed: 26876124
DOI: 10.1016/j.clp.2015.11.007 -
Veterinary Journal (London, England :... Sep 2020The identification of the heart rhythm during an episode of transient loss of consciousness (TLOC) is considered the reference standard method to elucidate the...
The identification of the heart rhythm during an episode of transient loss of consciousness (TLOC) is considered the reference standard method to elucidate the underlying aetiology. This study aimed to characterise heart rhythm in dogs during TLOC using Holter and external loop recorder monitoring. We retrospectively reviewed 24-h Holter monitoring and external loop recorder tracings from 8084 dogs. Heart rhythms from dogs that experienced TLOC during the recording was analysed to identify rhythm disturbances that occurred during episodes of TLOC. Electrocardiograms (ECGs) were subsequently categorised into Type 1 (ventricular arrest), Type 2 (sinus bradycardia), Type 3 (no/slight rhythm variations), and Type 4 (tachycardia). Transient LOC was documented in 92 dogs over 230 episodes of TLOC. Percentage of cases with ECGs compatible with each classification were as follows: 72.1%, Type 1; 6.1%, Type 2; 20.9%, Type 3; and 0.9%, Type 4. Cardiac rhythm during the TLOC could have been a consequence of a neurocardiogenic mechanism in 46.7% cases, while intrinsic rhythm disturbances of the sinus node or of the atrioventricular node were diagnosed in 31.5% cases. In two cases, tachycardia was the possible cause of the TLOC. ECG patterns in dogs presenting with multiple TLOC episodes were completely reproducible during each episode. TLOC in dogs was primarily caused by ventricular arrest. Most dogs with TLOC had electrocardiographic finding suggestive of a reflex or neurally-mediated syncope, but one third had an ECG more suggestive of a conduction disorder. Distinguishing these two entities could help inform diagnostic, therapeutic, and prognostic plans.
Topics: Animals; Arrhythmias, Cardiac; Dog Diseases; Dogs; Electrocardiography; Electrocardiography, Ambulatory; Female; Heart Rate; Male; Retrospective Studies; Syncope; Unconsciousness
PubMed: 32928492
DOI: 10.1016/j.tvjl.2020.105523 -
Heart Rhythm Jan 2021
Review
Topics: Arrhythmias, Cardiac; Cardiac Pacing, Artificial; Cardiology; Congresses as Topic; Female; Heart Rate; Humans; Male; Sex Factors; Societies, Medical
PubMed: 33413949
DOI: 10.1016/j.hrthm.2020.10.023