EUROPEAN JOURNAL OF ARRHYTHMIA & ELECTROPHYSIOLOGY – VOLUME 4 ISSUE 1 – SUMMER 2018

Dear Colleagues, Welcome to the spring 2018 edition of the European Journal of Arrhythmia & Electrophysiology. I hope that you will enjoy reading the selection of articles in this issue, which all offer insights into a range of pertinent topics in the arrhythmia and electrophysiology arenas. First, we have an interesting and timely editorial from […]

Undiagnosed atrial fibrillation (AF) is common, especially in older populations. The European Society of Cardiology (ESC) therefore recommends in its 2016 guidelines1 that AF should be screened in all patients >65 years old by taking their pulse and, if irregular, diagnosed by recording an electrocardiogram (ECG). Such measures detect previously unknown AF in 1–2% of […]

With the introduction of invasive and noninvasive phase mapping in humans, visualisation of rotor activity during atrial fibrillation has emerged as a new concept.1–3 However, phase maps rendered during human atrial fibrillation using noninvasive information from body-surface electrocardiograms (ECGs) versus data from unipolar electrograms (EGs) acquired during invasive contact mapping may show distinct differences. Thus, […]

Presentation A 73-year-old female with a history of recent bio-prosthetic aortic valve replacement, stroke, hypertension, breast cancer status post-lumpectomy and radiotherapy, and hyperlipidemia was admitted with shortness of breath and tachycardia. Her blood pressure (BP) was 147/65 and her pulse was 105/minute. Respiratory rate was 18 breaths per minute, and temperature was 97.7°F; oxygen saturation […]

Case Report We report on a 53-year-old man with a history of heart failure due to alcoholic dilated cardiomyopathy with severely depressed systolic left ventricular (LV) function. Initial LV ejection fraction was ~20% (Simpson’s biplane method, Loops 1 and 2). At the time of diagnosis his clinical status was New York Heart Association (NYHA) III-IV […]

Psychogenic nonepileptic seizures (PNES), or pseudoseizures, are paroxysmal episodes that resemble, and often misdiagnosed as, epileptic seizures; however, they are psychological (i.e., emotional, stress-related) in origin. Unlike epileptic seizures, PNES do not result from an abnormal electrical discharge from the brain; they are a physical manifestation of a psychological disturbance.1 PNES may be thought of […]