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 cover a range of topics in arrhythmia and syncope with our three review articles from key experts, all touching on various aspects of ablation.
We would like to take this opportunity to thank all who contributed towards the issue this year, in particular our authors, editorial board members and partners. We are now welcoming submissions for our 2024 editions. If you’re interested in submitting an article, please get in touch.
FOREWORD – EUROPEAN JOURNAL OF ARRHYTHMIA & ELECTROPHYSIOLOGY – VOLUME 9 ISSUE 1 – 2023
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 […]
An End-to-end Arrhythmia Nurse Specialist-led Pathway for Supraventricular Tachycardia Diagnosis, Assessment and Management
Supraventricular tachycardia (SVT) is an important cause of intrusive palpitation symptoms. This expert interview explores a nurse-led end-to-end pathway for the diagnosis, assessment and management of this condition. It was conducted at the Barts Heart Centre of Barts Health NHS Trust in the UK. Q. What are the current challenges and unmet clinical needs in supraventricular […]
A National Programme to Optimize Anticoagulation in Patients with Atrial Fibrillation
The landscape of managing atrial fibrillation (AF), the most common cardiac arrhythmia and leading cause of stroke, has undergone a period of change following the development of various treatment modalities and risk-modifying strategies designed to mitigate the risk of stroke in patients with AF.1,2 In this expert interview, Tony D Grayson and Carol Hughes highlight the role of direct […]
Implementation of the European Society of Cardiology Syncope Guidelines: An Improvement in Diagnostic Yield, Accuracy and Societal Costs
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 […]
A Review of Novel and Emerging Non-Radiofrequency Ablation Modalities for Ventricular Arrhythmias: Towards an Individualized Substrate-guided Choice of Ablation Technology
Highlights Failure to target and deliver durable radiofrequency lesions to all functionally critical areas has been identified as an important cause of ventricular tachycardia recurrence and is particularly challenging in deep midmyocardial or very extensive substrate where point-by-point radiofrequency ablation becomes impractical. Alternative approaches have been described to: improve radiofrequency energy delivery to the tissue […]
High-density Approaches to Ventricular Tachycardia Substrate Ablation
Ventricular tachycardia (VT) ablation presents a challenging and growing area of focus in the realm of complex ablation, with promises of improved patient’s quality of life and clinical outcomes.1,2 Classic approaches to VT ablation centered on arrhythmia induction and entrainment of the circuit in order to identify the components critical to arrhythmia propagation. Identification of mid-diastolic […]
Catheter Ablation as a Treatment for Vasovagal Syncope: The Time has Come to Shift Towards Placebo-controlled Trials
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 […]