Radiofrequency ablation for premature ventricular contraction-induced cardiomyopathy complicating peripartum cardiomyopathy

2014 ◽  
Vol 176 (3) ◽  
pp. e77-e80 ◽  
Author(s):  
Jackson J. Liang ◽  
Lori A. Blauwet ◽  
Yong-Mei Cha
2016 ◽  
Vol 22 (9) ◽  
pp. S228
Author(s):  
Shun Hasegawa ◽  
Yoichi Ajiro ◽  
Masahiro Watanabe ◽  
Kyoichiro Yazaki ◽  
Kei Tsukamoto ◽  
...  

2015 ◽  
Vol 26 (4) ◽  
pp. 711-717 ◽  
Author(s):  
Zebulon Z. Spector ◽  
Stephen P. Seslar

AbstractBackgroundAdults with high premature ventricular contraction burden can develop left ventricular dilation, dysfunction, and strain, consistent with a cardiomyopathy, which is reversible with radiofrequency ablation of the premature ventricular contractions. Evidence in children with similar ectopy burden is limited. We performed a single-centre retrospective review to examine the prevalence of premature ventricular contraction-induced cardiomyopathy, natural history of ventricular ectopy, and progression to ventricular tachycardia in children with frequent premature ventricular contractions.MethodsChildren aged between 6 months and 18 years, with premature ventricular contractions comprising at least 20% of rhythm on 24-hour Holter monitor, were included in our study. Those with significant structural heart disease, ventricular tachycardia greater than 1% of rhythm at the time of premature ventricular contraction diagnosis, or family history of cardiomyopathy – except tachycardia-induced – were excluded. Cardiomyopathy was defined by echocardiographic assessment.ResultsA total of 36 children met the study criteria; seven patients (19.4%, 95% CI 6.2–32.6%) met the criteria for cardiomyopathy, mostly at initial presentation. Ectopy decreased to <10% of beats without intervention in 16.7% (95% CI 4.3–29.1%) of the patients. No patient progressed to having ventricular tachycardia as more than 1% of beats on follow-up Holter. Radiofrequency ablation was performed in three patients without cardiomyopathy.ConclusionsOur study demonstrates a higher prevalence of cardiomyopathy among children with high premature ventricular contraction burden than that previously shown. Ectopy tended to persist throughout follow-up. These trends suggest the need for a multi-centre study on frequent premature ventricular contractions in children. In the interim, regular follow-up with imaging to evaluate for cardiomyopathy is warranted.


2021 ◽  
Vol 77 (18) ◽  
pp. 579
Author(s):  
Yuichi Hori ◽  
Taro Temma ◽  
Christian Wooten ◽  
Christopher O Sobowale ◽  
Christopher Chan ◽  
...  

2021 ◽  
Vol 29 ◽  
pp. 475-486
Author(s):  
Bohdan Petryshak ◽  
Illia Kachko ◽  
Mykola Maksymenko ◽  
Oles Dobosevych

BACKGROUND: Premature ventricular contraction (PVC) is among the most frequently occurring types of arrhythmias. Existing approaches for automated PVC identification suffer from a range of disadvantages related to hand-crafted features and benchmarking on datasets with a tiny sample of PVC beats. OBJECTIVE: The main objective is to address the drawbacks described above in the proposed framework, which takes a raw ECG signal as an input and localizes R peaks of the PVC beats. METHODS: Our method consists of two neural networks. First, an encoder-decoder architecture trained on PVC-rich dataset localizes the R peak of both Normal and anomalous heartbeats. Provided R peaks positions, our CardioIncNet model does the delineation of healthy versus PVC beats. RESULTS: We have performed an extensive evaluation of our pipeline with both single- and cross-dataset paradigms on three public datasets. Our approach results in over 0.99 and 0.979 F1-measure on both single- and cross-dataset paradigms for R peaks localization task and above 0.96 and 0.85 F1 score for the PVC beats classification task. CONCLUSIONS: We have shown a method that provides robust performance beyond the beats of Normal nature and clearly outperforms classical algorithms both in the case of a single and cross-dataset evaluation. We provide a Github1 repository for the reproduction of the results.


Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S238-S239
Author(s):  
Kenichi Tokutake ◽  
Ikutaro Nakajima ◽  
Ansel P. Amaral ◽  
Jason Cook ◽  
Asad A. Aboud ◽  
...  

Author(s):  
Gurukripa N. Kowlgi ◽  
Arman Arghami ◽  
Juan A. Crestanello ◽  
Christopher J. François ◽  
Paul A. Friedman ◽  
...  

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