Progress of clinical research in arrhythmias and pacing 2023
10.3969/j.issn.1004-8812.2024.01.005
- VernacularTitle:心律失常与起搏领域临床研究2023年度进展
- Author:
Cun-Cao WU
1
;
Xue-Bin LI
Author Information
1. 北京大学人民医院心内科 急性心肌梗死早期预警和干预北京市重点实验室,北京 100044
- Keywords:
Clinical trials;
Atrial fibrillation;
Cryoballoon ablation;
Pulse field ablation;
Left bundle branch area pacing;
CRT upgrade;
Leadless pacemaker;
Implantable defibrillator
- From:
Chinese Journal of Interventional Cardiology
2024;32(1):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Reviewing important clinical trials in the field of arrhythmia in 2023,involving atrial fibrillation,pacing,and other aspects.Both the CIRDA-DOSE study and the EARLY-AF study affirmed the efficacy of cryoballoon ablation in treating atrial fibrillation,alter its progression to persistent atrial fibrillation.The MANIFEST-PF study examined the success rate and safety of pulse field ablation in atrial fibrillation,and the ADVENT study also confirmed its safety and effectiveness not inferior to conventional thermal ablation.In the LBBAP study,LBBAP reduced the occurrence of sustained VT/VF and new-onset atrial fibrillation compared to BVP.For patients with a high right ventricular pacing burden and reduced ejection fraction in pacemakers or ICDs,the BUDAPEST CRT upgrade study affirmed the benefits of upgrading to CRT-D.The DANPACE Ⅱ study showed that minimizing atrial pacing in patients with sinus node dysfunction does not reduce the incidence of atrial fibrillation.The IDE study demonstrated the safety of Aveir DR dual-chamber leadless pacemaker at 3 months post-operation,providing reliable atrial pacing and atrioventricular synchrony.The iSUSI study is a registry study of subcutaneous implantable cardioverter-defibrillators,finding similar inappropriate and appropriate shock rates in patients with and without heart failure.
