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View article: Cardiac magnetic resonance to evaluate 3D ventricular substrate depth: Prognostic implications for VT ablation approach
Cardiac magnetic resonance to evaluate 3D ventricular substrate depth: Prognostic implications for VT ablation approach Open
In patients with left-scar-related VT, the maximal depth of CMR channels predicts VT recurrence after endocardial ablation. The maximal CMR channel depth could represent a parameter to guide endocardial-only approach avoiding unnecessary e…
View article: 2025 ESC Guidelines for the management of myocarditis and pericarditis
2025 ESC Guidelines for the management of myocarditis and pericarditis Open
View article: 2025 ESC Clinical Consensus Statement on mental health and cardiovascular disease: developed under the auspices of the ESC Clinical Practice Guidelines Committee
2025 ESC Clinical Consensus Statement on mental health and cardiovascular disease: developed under the auspices of the ESC Clinical Practice Guidelines Committee Open
ESC Clinical Consensus Statements, developed under the auspices of the ESC Clinical Practice Guidelines Committee, evaluate and summarize available evidence with the aim of assisting health professionals in proposing the best diagnostic or…
View article: 2025 ESC/EACTS Guidelines for the management of valvular heart disease
2025 ESC/EACTS Guidelines for the management of valvular heart disease Open
International audience
View article: The Clinical Significance of Atrial Fibrillation in Non–High-Risk Brugada Syndrome
The Clinical Significance of Atrial Fibrillation in Non–High-Risk Brugada Syndrome Open
The presence of AF in non-high-risk BrS does not identify patients with higher risk of VAs. However, early-onset AF (<20 years) defines a distinct subgroup with elevated risk. Patients with AF and BrS have a significantly higher risk of SS…
View article: Atrial cardiomyopathy: From healthy atria to atrial failure. A clinical consensus statement of the Heart Failure Association of the <scp>ESC</scp>
Atrial cardiomyopathy: From healthy atria to atrial failure. A clinical consensus statement of the Heart Failure Association of the <span>ESC</span> Open
The importance of atrial cardiomyopathy (AtCM) as a specific clinical entity is increasingly recognized. Past definitions have varied, and the lack of consistent cut‐offs for imaging parameters and biomarkers have limited clinical utility …
View article: Behavioural insights in the underuse of cardiac resynchronisation therapy in heart failure: a pilot survey on incentive perceptions among referring cardiologists.
Behavioural insights in the underuse of cardiac resynchronisation therapy in heart failure: a pilot survey on incentive perceptions among referring cardiologists. Open
View article: EHRA perspective on the digital data revolution in arrhythmia management: insights from the association’s annual summit
EHRA perspective on the digital data revolution in arrhythmia management: insights from the association’s annual summit Open
The 2024 European Heart Rhythm Association (EHRA) Summit in Warsaw focused on the digital transformation of arrhythmia management, convening over 130 stakeholders from academia, industry, and policy. This review summarises the current stat…
View article: Left Bundle Branch Versus Apical Pacing in Atrioventricular Block and Normal Cardiac Function Post-transcatheter Aortic Valve Implantation: PhysTAVI Trial
Left Bundle Branch Versus Apical Pacing in Atrioventricular Block and Normal Cardiac Function Post-transcatheter Aortic Valve Implantation: PhysTAVI Trial Open
View article: Head-to-head comparison of pulsed-field ablation, high-power short-duration ablation, cryoballoon and conventional radiofrequency ablation by MRI-based ablation lesion assessment
Head-to-head comparison of pulsed-field ablation, high-power short-duration ablation, cryoballoon and conventional radiofrequency ablation by MRI-based ablation lesion assessment Open
Background Novel concepts for pulmonary vein isolation (PVI) like pulsed-field ablation (PFA) or high-power short-duration ablation (HPSD) promise favorable profiles of safety and efficacy. However, clinical comparisons of those novel conc…
View article: Diagnostic Criteria and Disease Staging for Desmoplakin Cardiomyopathy
Diagnostic Criteria and Disease Staging for Desmoplakin Cardiomyopathy Open
Background Desmoplakin (DSP) cardiomyopathy, caused by variants in the gene DSP , is a unique subtype of cardiomyopathy distinct from typical dilated or arrhythmogenic right ventricular cardiomyopathies. Specific diagnostic and disease sta…
View article: Left bundle branch vs right ventricular pacing in AV-block and preserved LVEF post-TAVI (Phys-TAVI randomized trial)
Left bundle branch vs right ventricular pacing in AV-block and preserved LVEF post-TAVI (Phys-TAVI randomized trial) Open
Background There is currently no evidence of the best pacing mode for high-degree atrioventricular (AV) block occurring after transcatheter aortic valve implant (TAVI) in patients with preserved left ventricular systolic ejection fraction …
View article: Patient-reported outcome measures for atrial fibrillation: systematic review and evaluation of psychometric properties of symptom severity measures
Patient-reported outcome measures for atrial fibrillation: systematic review and evaluation of psychometric properties of symptom severity measures Open
Background The International Consortium for Health Outcome Measurement (ICHOM) and EHRA advocate collection of patient-reported outcomes (PROs) for benchmarking AF care. However, concerns over the robustness of available patient-reported o…
View article: Non-invasive identification of ventricular deceleration zones using electrocardiographic imaging
Non-invasive identification of ventricular deceleration zones using electrocardiographic imaging Open
Background Catheter ablation is the most effective technique for treating ventricular tachycardia (VT). However, accurately identifying target regions is challenging. The gold standard relies on finding deceleration zones (DZs) through inv…
View article: aTrial arrhythmias in inhEriTed aRrhythmIa Syndromes: results from the TETRIS study
aTrial arrhythmias in inhEriTed aRrhythmIa Syndromes: results from the TETRIS study Open
Background Little is known about the distribution and clinical course of patients with inherited arrhythmia syndrome (IAS) and concomitant atrial arrhythmias (AAs). Aim 1) To characterize the distribution of AAs in patients with IAS and 2)…
View article: Conduction system pacing vs biventricular pacing in patients with left bundle branch block and resynchronization therapy indication. CONSYST-CRT trial secondary findings
Conduction system pacing vs biventricular pacing in patients with left bundle branch block and resynchronization therapy indication. CONSYST-CRT trial secondary findings Open
Background Randomized studies comparing conduction system pacing (CSP) with biventricular pacing (BiVP) are scarce and do not include clinical outcomes. Moreover, the percentage of crossover from CSP to BiVP is high. Crossover rate in the …
View article: The diagnostic role of pharmacological provocation testing in cardiac electrophysiology: a clinical consensus statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC, the ESC Working Group on Cardiovascular Pharmacotherapy, the Association of European Paediatric and Congenital Cardiology (AEPC), the Paediatric & Congenital Electrophysiology Society (PACES), the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS)
The diagnostic role of pharmacological provocation testing in cardiac electrophysiology: a clinical consensus statement of the European Heart Rhythm Association and the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the ESC, the ESC Working Group on Cardiovascular Pharmacotherapy, the Association of European Paediatric and Congenital Cardiology (AEPC), the Paediatric & Congenital Electrophysiology Society (PACES), the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS) Open
The pharmacological provocation test is a pivotal tool in cardiac electrophysiology for the diagnosis of potential causes of sudden cardiac death, sudden cardiac arrest (SCA), arrhythmias, symptoms, or ECG abnormalities. The 2022 European …
View article: 2024 Revision of the level of evidence grading system for ESC clinical practice guideline recommendations I: therapy and prevention
2024 Revision of the level of evidence grading system for ESC clinical practice guideline recommendations I: therapy and prevention Open
The level of evidence (LOE) grading system for ESC Clinical Practice Guidelines classifies the quality of the evidence supporting a recommendation. However, the current taxonomy does not fully consider the optimal study design necessary to…
View article: Postablation Arrhythmogenic Channels Predict Atrial Fibrillation Recurrence
Postablation Arrhythmogenic Channels Predict Atrial Fibrillation Recurrence Open
View article: Key priorities for the implementation of the 2023 ESC Guidelines for the management of cardiomyopathies in low-resource settings
Key priorities for the implementation of the 2023 ESC Guidelines for the management of cardiomyopathies in low-resource settings Open
ESC Guidelines provide best practice, evidence-based recommendations for diagnosing and treating patients with cardiovascular diseases. It is not always possible for best practices to be followed, however, particularly in low-resource sett…
View article: aTrial arrhythmias in inhEriTed aRrhythmIa Syndromes: results from the TETRIS study
aTrial arrhythmias in inhEriTed aRrhythmIa Syndromes: results from the TETRIS study Open
Aims Little is known about the distribution and clinical course of patients with inherited arrhythmia syndrome (IAS) and concomitant atrial arrhythmias (AAs). The aim of the study is (i) to characterize the distribution of AAs in patients …
View article: Actionable Variants of Unknown Significance in Inherited Arrhythmogenic Syndromes: A Further Step Forward in Genetic Diagnosis
Actionable Variants of Unknown Significance in Inherited Arrhythmogenic Syndromes: A Further Step Forward in Genetic Diagnosis Open
Background/Objectives: Inherited arrhythmogenic syndromes comprise a heterogenic group of genetic entities that lead to malignant arrhythmias and sudden cardiac death. Genetic testing has become crucial to understand the disease etiology a…
View article: Clinical and economic impact of first-line or drug-naïve catheter ablation and delayed second-line catheter ablation for atrial fibrillation using a patient-level simulation model
Clinical and economic impact of first-line or drug-naïve catheter ablation and delayed second-line catheter ablation for atrial fibrillation using a patient-level simulation model Open
Increased first-line or drug-naïve catheter ablation, and shorter AAT, could increase the proportion of patients with controlled AF and reduce AEs, offsetting the small investment required in total AF costs over 10 years in Italy and Franc…
View article: 2024 ESC Guidelines for the management of peripheral arterial and aortic diseases
2024 ESC Guidelines for the management of peripheral arterial and aortic diseases Open
peer reviewed
View article: 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)
2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) Open
Guidelines on the management of atrial fibrillation.
View article: Continuous Rhythm Monitoring With Implanted Loop Recorders in Children and Adolescents With Brugada Syndrome
Continuous Rhythm Monitoring With Implanted Loop Recorders in Children and Adolescents With Brugada Syndrome Open
View article: A narrative review of inherited arrhythmogenic syndromes in young population: role of genetic diagnosis in exercise recommendations
A narrative review of inherited arrhythmogenic syndromes in young population: role of genetic diagnosis in exercise recommendations Open
Sudden cardiac death is a rare but socially devastating event, especially if occurs in young people. Usually, this unexpected lethal event occurs during or just after exercise. One of the leading causes of sudden cardiac death is inherited…
View article: Impact of a myocardial infarction emergency management network on population 28-day myocardial infarction case-fatality trends 2008-2019
Impact of a myocardial infarction emergency management network on population 28-day myocardial infarction case-fatality trends 2008-2019 Open
Introduction The implementation of emergency care networks (Codi IAM, in our case) has reduced time to treatment of ST-elevation acute myocardial infarction (AMI). Purpose We analyzed the hypothesis that the implementation of the Codi IAM …
View article: Emergency department management of atrial fibrillation: 2023 consensus from the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Thrombosis and Hemostasis (SETH)
Emergency department management of atrial fibrillation: 2023 consensus from the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Thrombosis and Hemostasis (SETH) Open
La fibrilación auricular (FA) es la arritmia sostenida de mayor prevalencia en los servicios de urgencias (SU), y en España presenta una frecuentación elevada y creciente. Esta arritmia es una enfermedad grave, que incrementa la mortalidad…
View article: Longitudinal comparison of dyssynchrony correction and ‘strain’ improvement by conduction system pacing: LEVEL-AT trial secondary findings
Longitudinal comparison of dyssynchrony correction and ‘strain’ improvement by conduction system pacing: LEVEL-AT trial secondary findings Open
Aims Longitudinal dyssynchrony correction and ‘strain’ improvement by comparable cardiac resynchronization therapy (CRT) techniques is unreported. Our purpose was to compare echocardiographic dyssynchrony correction and ‘strain’ improvemen…