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Special Issue:
Advances in Cardiac Electrophysiology and Device Innovation
The field of cardiac electrophysiology continues to evolve rapidly, driven by technological breakthroughs and innovative therapeutic approaches. This theme issue presents cutting-edge developments spanning from novel pacing strategies to artificial intelligence applications in device programming.
Contemporary challenges in cardiac device management are addressed through diverse perspectives, including the clinical transition from traditional ventricular pacing to physiological His bundle pacing, advanced defibrillation techniques for refractory arrhythmias, and the integration of machine learning algorithms in device optimization. The collection explores both technical innovations and practical implementation challenges.
Remote monitoring technologies are revolutionizing patient care, enabling real-time assessment of device function and patient outcomes. Ethical considerations in device therapy underscore the importance of patient-centered approaches in this rapidly advancing field.
Together, these contributions highlight the dynamic intersection of clinical practice, technological innovation, and patient care that defines modern cardiac electrophysiology and device therapy.
This theme issue was organized in collaboration with the Cardiovascular Disease Committee.
Contents
Research Article
Replacing Ventricular Pacing with His Bundle Pacing: Why is it taking so long?
Our study shows that His bundle pacing is safe and has a high success rate provided specialized methods for intracardiac recording are used instead of systems for routine pacemaker implants. The lower all-cause mortality of His bundle pacing makes it imperative that we adapt available recording methods, in use for electrophysiology studies, to simplify His bundle pacing and increase its adoption.
By Rehan Mahmud et al. - McLaren Bay Region Hospital
Research Article
Ethical Considerations in Cardiac Pacemaker Therapies
Cardiac pacemaker therapies, such as implantable cardioverter-defibrillators and cardiac resynchronization devices, have transformed the management of cardiac arrhythmias and heart failure, improving patient outcomes. However, these therapies raise significant ethical challenges, including conflicts of interest, dilemmas in pacing mode choices, and decisions surrounding device deactivation at end-of-life.
By Manuel Palomo Navarro & Elena Parreño Rodríguez - Medicina Intensiva, Hospital de Sagunto
Case report
Case Reports on Successful Use of Two Defibrillators Sequentially for Refractory Ventricular Fibrillation
Double Sequence Defibrillation (DSD) is a proposed management strategy for refractory ventricular fibrillation that involves using two defibrillators rapidly in sequence at their maximum permitted energy level.
By Weerasingha H. M. et al. - National Hospital Galle, Sri Lanka
Case Series
Utilizing Remote Patient Monitoring Tools to Evaluate Novel Implanted Cardiac Devices for Heart Failure Patients - A Case Series
In this case series, we review remote patient monitoring tools and their ability to evaluate novel implanted cardiovascular devices.
By Pratik Doshi et al. - Keck School of Medicine
Research Article
Strategies and Considerations for Safe Reinforcement Learning in Programming Cardiac Implantable Electronic Devices
The programming of cardiac implantable electronic devices, such as pacemakers and implantable defibrillators, represents a promising domain for the application of automated learning systems.
By John Komp et al. - University of Colorado
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