Assuntos
Fibrilação Atrial , Ablação por Cateter , Eletroporação , Fibrilação Atrial/cirurgia , Fibrilação Atrial/fisiopatologia , Humanos , Eletroporação/métodos , Ablação por Cateter/métodos , Pericárdio/cirurgia , Pericárdio/diagnóstico por imagem , Pericárdio/fisiopatologia , Masculino , Pessoa de Meia-Idade , Feminino , IdosoRESUMO
Embolic cerebral protection devices are not routinely used in clinical practice during electrophysiological interventions. We report a case series of patients with intracardiac thrombosis undergoing a percutaneous left atrial appendage (LAA) closure and a ventricular tachycardia (VT) catheter ablation supported by TriGuard 3 Cerebral Embolic Protection Device.
Assuntos
Apêndice Atrial , Fibrilação Atrial , Dispositivos de Proteção Embólica , Cardiopatias , Trombose , Humanos , Fibrilação Atrial/cirurgia , Resultado do Tratamento , Apêndice Atrial/cirurgia , Trombose/cirurgiaRESUMO
In December 2019, the world started to face a new pandemic situation, the severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2). Although coronavirus disease (COVID-19) clinical manifestations are mainly respiratory, major cardiac complications are being reported. Cardiac manifestations etiology seems to be multifactorial, comprising direct viral myocardial damage, hypoxia, hypotension, enhanced inflammatory status, ACE2-receptors downregulation, drug toxicity, endogenous catecholamine adrenergic status, among others. Studies evaluating patients with COVID-19 presenting cardiac injury markers show that it is associated with poorer outcomes, and arrhythmic events are not uncommon. Besides, drugs currently used to treat the COVID-19 are known to prolong the QT interval and can have a proarrhythmic propensity. This review focus on COVID-19 cardiac and arrhythmic manifestations and, in parallel, makes an appraisal of other virus epidemics as SARS-CoV, Middle East respiratory syndrome coronavirus, and H1N1 influenza.
Assuntos
Arritmias Cardíacas/complicações , Cardiomiopatias/complicações , Infecções por Coronavirus/complicações , Coronavirus , Miocardite/complicações , Pneumonia Viral/complicações , Arritmias Cardíacas/virologia , Betacoronavirus , COVID-19 , Cardiomiopatias/virologia , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Humanos , Masculino , Miocardite/virologia , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , SARS-CoV-2RESUMO
Transvenous extraction of Riata lead could be a challenging procedure due to insulation failure and conductor cables' externalization through the eroded outer insulation. In this case, a complete lead extraction was achieved through a combined LASER and femoral approach because of the massive conductors' externalization.