Róbert Pap
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View article: Utility of Pharmacologic Conversion of Persistent Atrial Fibrillation by Amiodarone as a Predictor of Outcome After Pulmonary Vein Isolation
Utility of Pharmacologic Conversion of Persistent Atrial Fibrillation by Amiodarone as a Predictor of Outcome After Pulmonary Vein Isolation Open
Introduction Restoration and maintenance of sinus rhythm (SR) before pulmonary vein isolation (PVI) by antiarrhythmic drug (AAD) therapy can lead to a better outcome in persistent atrial fibrillation (AF). It is unknown, however if pharmac…
View article: Head-to-Head Comparison of Single- Versus Dual-Chamber ICD Discriminators for Tachyarrhythmia Detection: A Single-Manufacturer, Remote Monitoring-Based Bicentric Study
Head-to-Head Comparison of Single- Versus Dual-Chamber ICD Discriminators for Tachyarrhythmia Detection: A Single-Manufacturer, Remote Monitoring-Based Bicentric Study Open
Background: Modern implantable cardioverter-defibrillators (ICDs) utilize single-chamber (SC) or dual-chamber (DC) discrimination algorithms to differentiate between tachyarrhythmias and minimize the risk of inappropriate therapies. While …
View article: Interventions to Address Potentially Inappropriate Prescribing for Older Primary Care Patients
Interventions to Address Potentially Inappropriate Prescribing for Older Primary Care Patients Open
Importance Prescriptions for potentially inappropriate medications are common and, by definition, may carry risks that outweigh benefits. Objective To determine whether interventions to address potentially inappropriate prescribing for old…
View article: Single- versus dual-chamber ICD discriminators for tachyarrhythmia detection: a remote monitoring based, single-center study
Single- versus dual-chamber ICD discriminators for tachyarrhythmia detection: a remote monitoring based, single-center study Open
Background Implantable cardioverter defibrillator (ICD) systems are available in both single-chamber (SC) and dual-chamber (DC) configurations, with discrimination functions varying accordingly. Although expert opinion generally suggests t…
View article: Advancements in ablation technology lead to improved durability and outcome of pulmonary vein isolation using radiofrequency energy
Advancements in ablation technology lead to improved durability and outcome of pulmonary vein isolation using radiofrequency energy Open
Introduction During the last decade, pulmonary vein isolation (PVI) has become the most effective treatment for patients with atrial fibrillation. However, success rates after the first interventions were less favourable, creating durable …
View article: Restoration, but not maintenance of sinus rhythm during amiodarone pretreatment predicts the success of pulmonary vein isolation in persistent atrial fibrillation
Restoration, but not maintenance of sinus rhythm during amiodarone pretreatment predicts the success of pulmonary vein isolation in persistent atrial fibrillation Open
Introduction Restoration and maintenance of sinus rhythm (SR) in the months before pulmonary vein isolation (PVI) by antiarrhythmic drug (AAD) therapy may lead to a better outcome in persistent atrial fibrillation (AF). Amiodarone is the o…
View article: Does organized atrial tachycardia after a pulmonary vein isolation‐only procedure portend better outcome of repeat ablation compared to recurrent atrial fibrillation?
Does organized atrial tachycardia after a pulmonary vein isolation‐only procedure portend better outcome of repeat ablation compared to recurrent atrial fibrillation? Open
Background Better outcome has been suggested for repeat procedures after atrial fibrillation (AF) ablation, when recurrence presented as organized atrial tachycardia (OAT) compared to recurrent AF. However, this contradicts the finding of …
View article: Screening for breast cancer: a systematic review update to inform the Canadian Task Force on Preventive Health Care guideline
Screening for breast cancer: a systematic review update to inform the Canadian Task Force on Preventive Health Care guideline Open
Protocol available on the Open Science Framework: https://osf.io/xngsu/.
View article: Arrhythmia Detection in Atrioventricular, Single-Lead, Floating Atrial Dipole ICD Systems Compared with Conventional Single- and Dual-Chamber Defibrillators
Arrhythmia Detection in Atrioventricular, Single-Lead, Floating Atrial Dipole ICD Systems Compared with Conventional Single- and Dual-Chamber Defibrillators Open
Background: An atrioventricular defibrillator system with a floating atrial dipole (VDD ICD) can provide atrial sensing by a single lead. Our aim was to compare the arrhythmia detection efficacy of VDD ICDs with conventional single- (VVI) …
View article: Effects of muscle strength training combined with aerobic training versus aerobic training alone on cardiovascular disease risk indicators in patients with coronary artery disease: a systematic review and meta-analysis of randomised clinical trials
Effects of muscle strength training combined with aerobic training versus aerobic training alone on cardiovascular disease risk indicators in patients with coronary artery disease: a systematic review and meta-analysis of randomised clinical trials Open
Objective To compare the effects of aerobic training combined with muscle strength training (hereafter referred to as combined training) to aerobic training alone on cardiovascular disease risk indicators in patients with coronary artery d…
View article: The effects of muscle strengthening training combined with aerobic training versus aerobic training alone on cardiovascular disease risk factors in coronary artery disease: a systematic review
The effects of muscle strengthening training combined with aerobic training versus aerobic training alone on cardiovascular disease risk factors in coronary artery disease: a systematic review Open
Background Aerobic training reduces the risk of secondary cardiovascular events and mortality in patients with coronary artery disease (CAD). While the long-term effects of aerobic interval training (AIT) are less clear, AIT has been shown…
View article: Screening for breast cancer: A systematic review update to inform the Canadian Task Force on Preventive Health Care guideline
Screening for breast cancer: A systematic review update to inform the Canadian Task Force on Preventive Health Care guideline Open
Objective This systematic review update synthesized recent evidence on the benefits and harms of breast cancer screening in women aged ≥ 40 years and aims to inform the Canadian Task Force on Preventive Health Care’s (CTFPHC) guideline upd…
View article: 7 Which affects reduced aerobic power more in patients with CHD and atrial fibrillation, age or bodyweight?
7 Which affects reduced aerobic power more in patients with CHD and atrial fibrillation, age or bodyweight? Open
Background Obesity is a key risk factor for atrial fibrillation (AF) and CHD patients with AF are normally older than those patients without AF. Ageing and body mass both have an impact on an individual's aerobic functional capacity (aerob…
View article: Screening for hypertension in adults: protocol for evidence reviews to inform a Canadian Task Force on Preventive Health Care guideline update
Screening for hypertension in adults: protocol for evidence reviews to inform a Canadian Task Force on Preventive Health Care guideline update Open
Purpose: To inform updated recommendations by the Canadian Task Force on Preventive Health Care on screening in a primary care setting for hypertension in adults aged 18 years and older. This protocol outlines the scope and methods for a s…
View article: Ultrasound guidance for femoral venous access in patients undergoing pulmonary vein isolation: A quasi‐randomized study
Ultrasound guidance for femoral venous access in patients undergoing pulmonary vein isolation: A quasi‐randomized study Open
Introduction Routine ultrasound (US) guidance for femoral venous access to decrease vascular complications of atrial fibrillation (AF) ablation procedures has been advocated. However, the benefit has not been unequivocally demonstrated by …
View article: Inability to perform ‘en bloc’ pulmonary vein isolation requiring ablation of the intervenous carina increases recurrence of atrial fibrillation: A meta‐analysis
Inability to perform ‘en bloc’ pulmonary vein isolation requiring ablation of the intervenous carina increases recurrence of atrial fibrillation: A meta‐analysis Open
Introduction Failure to isolate ipsilateral pulmonary veins (PV) “en bloc” by wide‐area circumferential ablation (WACA) may necessitate ablation at the intervenous carina. It is unknown how this scenario impacts rates of atrial fibrillatio…
View article: Is prophylactic ablation of the cavotricuspid and peri‐incisional isthmus justified in patients with postoperative atrial flutter after right atriotomy?
Is prophylactic ablation of the cavotricuspid and peri‐incisional isthmus justified in patients with postoperative atrial flutter after right atriotomy? Open
Background The two most common postoperative atrial flutter (AFL) circuits after right atriotomy are the cavotricuspid isthmus (CTI) dependent and the lateral, peri‐incisional. We investigated whether radiofrequency ablation (RFA) of both …
View article: Emergence of inferior Q‐waves during tachycardia
Emergence of inferior Q‐waves during tachycardia Open
A case is presented where the emergence of inferior, pathologic Q-waves aids in the differential diagnosis.
View article: Quality of coordination in 5-6 years-old girls, in relation to nutritional status
Quality of coordination in 5-6 years-old girls, in relation to nutritional status Open
Most research indicates that obese children are in general, physically inactive and their motor skills are underdeveloped. The aim of this study was to determine the differences in the quality of coordination in girls aged 5-6 years, takin…
View article: Wide and narrow QRS complexes during flutter. What’s the mechanism?
Wide and narrow QRS complexes during flutter. What’s the mechanism? Open
Intermittent wide QRS complexes with left bundle branch block (LBBB) morphology during atrial flutter usually represent aberration. However, an open mind should be kept with regard to less common mechanisms as presented in this unusual cas…
View article: Dekompenzált aortabillentyű-szűkület: egy nem elkésett TAVI esete
Dekompenzált aortabillentyű-szűkület: egy nem elkésett TAVI esete Open
In this article, we present the case of an 81-year-old male patient having left ventricular systolic dysfunction partly due to chronic myocardial ischaemia who was diagnosed with true severe aortic valve stenosis. After treatment of corona…
View article: Intracardiac echocardiography from the right ventricular outflow tract confirms an accessory pathway in the aortomitral continuity
Intracardiac echocardiography from the right ventricular outflow tract confirms an accessory pathway in the aortomitral continuity Open
A 40-year-old man presented to our clinic with occasional short episodes of palpitations. Twelve-lead electrocardiogram showed sinus rhythm (SR) with preexcitation. The delta wave was positive in V2-V6, I, II, III, aVF and negative in augm…
View article: Unchanged QRS morphology with atrial pacing in a case of WPW syndrome: What is the mechanism?
Unchanged QRS morphology with atrial pacing in a case of WPW syndrome: What is the mechanism? Open
We present the case of a 55‐year‐old female who presented for a short episode of palpitation and an electrocardiogram consistent with Wolff‐Parkinson‐White syndrome. She underwent an electrophysiological study showing that during increment…