Persistence of Atrial Septal Defect After Cryoballoon Ablation of Atrial Fibrillation

J Am Coll Cardiol: 10/1/13 Persistent iatrogenic atrial septal defect (iASD) after transseptal puncture for radiofrequency (RF) ablation of atrial fibrillation (AF) using 8-F sheaths has been reported at rates of 0 to 19% at medium-term follow-up, depending on the transseptal puncture technique, the follow-up interval, and whether transthoracic echocardiography (TTE) or transesophageal echocardiography was used for […]

Mitochondrial Dysfunction as an Arrhythmogenic Substrate

JACC: October 2013 A Translational Proof-of-Concept Study in Patients With Metabolic Syndrome in Whom Post-Operative Atrial Fibrillation Develops Objectives  This study sought to provide bedside evidence of the potential link between cardiac mitochondrial dysfunction and arrhythmia as reported in bench studies. Background  Atrial fibrillation (AF) is a frequent complication of cardiac surgery. Underlying mechanisms of post-operative atrial fibrillation (POAF) remain largely unknown. […]

Completeness of Reporting of Patient-Relevant Clinical Trial Outcomes: Comparison of Unpublished Clinical Study Reports with Publicly Available Data

PLOS: 10/8/13 Access to unpublished clinical study reports (CSRs) is currently being discussed as a means to allow unbiased evaluation of clinical research. The Institute for Quality and Efficiency in Health Care (IQWiG) routinely requests CSRs from manufacturers for its drug assessments. Our objective was to determine the information gain from CSRs compared to publicly available […]

Unipolar Signal Modification as a Guide for Lesion Creation during Radiofrequency Application in the Left Atrium: A Prospective Study in Humans in the Setting of Paroxysmal Atrial Fibrillation Catheter Ablation

CIRCEP: October 4, 2013 Background—In patients treated for paroxysmal atrial fibrillation (AF), the pulmonary vein (PV) reconnection rate is substantial and may be related to the lack of transmurality achievement while performing PV isolation (PVI). It has been experimentally demonstrated that positive unipolar atrial electrogram completion, when applying radiofrequency (RF) energy, was associated with transmural lesions. […]

A Randomized Controlled Trial to Prevent Post-Operative Atrial Fibrillation by Antioxidant Reinforcement

J Am Coll Cardiol:  10/1/13 Objectives  This study was designed to assess whether the reinforcement of the antioxidant system, through n-3 fatty acids plus antioxidant vitamin supplementation, could reduce the incidence of post-operative atrial fibrillation. Background  Therapy to prevent post-operative atrial fibrillation remains suboptimal. Although oxidative stress plays a key role in the pathogenesis of this arrhythmia, […]

A Randomized Controlled Trial to Prevent Post-Operative Atrial Fibrillation by Antioxidant Reinforcement

J Am Coll Cardiol:  10/1/13   Objectives  This study was designed to assess whether the reinforcement of the antioxidant system, through n-3 fatty acids plus antioxidant vitamin supplementation, could reduce the incidence of post-operative atrial fibrillation. Background  Therapy to prevent post-operative atrial fibrillation remains suboptimal. Although oxidative stress plays a key role in the pathogenesis of this […]

Management and Outcomes of Major Bleeding during Treatment with Dabigatran or Warfarin

CIRCULATIONAHA: September 30, 2013 Background—The aim of this study was to compare the management and prognosis of major bleeding in patients treated with dabigatran or warfarin. Methods and Results—Two independent investigators reviewed bleeding reports from 1,034 individuals with 1,121 major bleeds enrolled in 5 phase III trials comparing dabigatran with warfarin in 27,419 patients treated for […]

Neurorehabilitation: Motor recovery after stroke as an example

Wiley: 10/9/13 The field of neurorehabilitation aims to translate neuroscience research toward the goal of maximizing functional recovery after neurological injury. A growing body of research indicates that the fundamental principles of neurological rehabilitation are applicable to a broad range of congenital, degenerative, and acquired neurological disorders. In this perspective, we will focus on motor recovery […]

Endovascular treatment of intracranial aneurysms with detachable coils: correlation between aneurysm volume, packing, and angiographic recurrence

J NeuroIntervent Surg:  10.9.13 Background and purpose The relationship between dense packing and incidence of angiographic recurrence after endovascular treatment of intracranial aneurysms has been shown but remains controversial. We retrospectively analyzed intracranial aneurysms treated with detachable coils to determine the relation between aneurysm volume, packing, and recurrence. Methods We reviewed 221 aneurysms in 199 patients who […]

Synthesising practice guidelines for the development of community-based exercise programmes after stroke

Exerciselady

Implementation Science: October 1, 2013 Background Multiple guidelines are often available to inform practice in complex interventions. Guidance implementation may be facilitated if it is tailored to particular clinical issues and contexts. It should also aim to specify all elements of interventions that may mediate and modify effectiveness, including both their content and delivery. We conducted […]

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