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Highlights The autonomic nervous system plays a critical role in the aetiopathogenesis of atrial fibrillation (AF). Neuromodulation of the autonomic nervous system has been a topic of increased interest in the management of AF. Ablation of ganglionated plexi, ethanol ablation of the vein of Marshall, renal denervation and pulmonary vein isolation have demonstrated promising results […]

Welcome to the 2023 edition of European Journal of Arrhythmia & Electrophysiology. We are delighted to open this issue with three exciting expert interviews on a range of topics, from the implementation of the ESC guidelines for syncope to the discussion of a national programme to optimize anticoagulation for patients with atrial fibrillation. We then […]

Welcome to the latest issue of the European Journal of Arrhythmia & Electrophysiology, the official journal of the Arrhythmia Alliance. We are honoured to present a series of compelling articles that reflect cutting-edge developments and diverse perspectives in this ever-evolving field. Richard Ang opens the edition with the first in a series of expert interviews […]

Vasovagal syncope (VVS), the most common cause of fainting, is predominantly caused by an overactive vagal tone, leading to asystole, sinus bradycardia, or atrioventricular block.1 This condition, a form of neurocardiogenic syncope, is characterized by a pronounced vagal reflex that causes reflex-induced hypotension and bradycardia. Traditional management strategies, including increased salt and water intake, physical counterpressure […]

The Leiden University Medical Centre, Netherlands, has been recognized worldwide as a Center of Excellence for syncope, a common and yet all too often misdiagnosed symptom. Roland Thijs has received this prestigious award in recognition of its pioneering work for Implementation of the ESC Syncope Guidelines in the emergency ward. His team reported an improvement in diagnostic yield, accuracy and societal costs […]

It’s World Heart Rhythm Week 2023! Learn about key considerations for managing and treating arrhythmias, ongoing research and the importance of seeking medical advice for syncope.

Hypertrophic cardiomyopathy (HCM), along with its more common subgroup, hypertrophic obstructive cardiomyopathy (HOCM), is the most common monogenic cardiovascular disorder, with a prevalence of about 1 in 500,1 and a dominant inheritance pattern, thus clustering in affected families. Patients with HCM often have significant limitations to their exercise capacity, and while there are several underlying pathomechanisms for […]

As clinicians and academics, we have at least three reasons for developing a simple stepwise algorithm for the management of atrial fibrillation (AF) with rapid ventricular response (RVR) in the emergency department (ED). First, AF is the most common rhythm disorder encountered by physicians, including in the acute cardiovascular care setting of the ED.1 The presentation […]

touchCARDIO caught up with Trudie Lobban (Founder of Arrhythmia Alliance, AF Association, STARS – Syncope Trust And Reflex anoxic Seizures) to discuss the importance of supporting women to pursue careers in cardiology and her own experiences of being a female in a leadership role. Questions Why is International Women’s Day important for medicine and clinical […]