Patients with nonischemic cardiomyopathy requiring cardiac resynchronization therapy should also undergo implantation of a primary prevention defibrillator: the con perspective [0.03%]
非缺血性心肌病患者接受心脏再同步治疗时应同时植入 primary 防止除颤器：反对意见
Francisco Leyva
Francisco Leyva
This article describes a 45-year-old lady with longstanding dilated cardiomyopathy, who has progressed to New York Heart Association class III and has failed to respond to optimal pharmacologic therapy. On the basis of gender and the presen...
Biventricular pacemaker/defibrillators versus biventricular pacemakers in patients with non-ischemic cardiomyopathy [0.03%]
双心室起搏除颤器与双心室起搏器在非缺血性心肌病患者中的应用比较
John Lacy Sturdivant,Michael R Gold
John Lacy Sturdivant
The decision to employ defibrillator therapy in patients with non-ischemic cardiomyopathy is driven by reduction in mortality. The strength of data supporting this therapy has led to its incorporation in medical guidelines and general pract...
Cardiac resynchronization therapy is appropriate for all patients requiring chronic right ventricular pacing: the con perspective [0.03%]
心脏再同步治疗适合所有需要长期右心室起搏的患者：论点方
Emile G Daoud
Emile G Daoud
There has been compelling evidence for the use of biventricular (BiV) pacing to reduce mortality and heart failure (HF) hospitalization in patients with HF symptoms, depressed ejection fraction (EF), and a broad QRS. Cardiac resynchronizati...
Cardiac resynchronization therapy is appropriate for all patients requiring chronic right ventricular pacing: the pro perspective [0.03%]
心脏再同步治疗适合所有需要长期右心室起搏的患者：赞成观点
Bengt Herweg,Robin Singh,S Serge Barold
Bengt Herweg
Long-term right ventricular pacing has deleterious effects on the left ventricle (LV). The risk of pacemaker-induced cardiomyopathy (PICM) seems to be lower in patients with a normal LV ejection fraction (LVEF). Patients developing PICM res...
Extraction of sterile leads is the preferred approach rather than implanting a new lead: the con perspective [0.03%]
取出无菌导线而非植入新导线：反对意见
Emilce Trucco,Lluis Mont
Emilce Trucco
Lead malfunction is a common problem in implantable cardiac device patients and is expected to increase with the aging of leads. There is a weak indication for extraction of superfluous leads with the potential for cardiac implantable elect...
To extract or retain a sterile, nonfunctional lead: the case for extraction [0.03%]
关于导管相关感染是拔除还是保留导管的决策：为什么选择拔除
Samir Saba
Samir Saba
Decision-making regarding extracting or abandoning sterile but nonfunctioning ICD leads has to be individualized. Providing recommendations to patients and their families requires a careful weighing of pros and cons and understanding of the...
Michael C Giudici,Prashant D Bhave
Michael C Giudici
The relationship of stroke and atrial fibrillation seems to become more complex as we gain more knowledge of the issue. Recent studies have questioned the temporal relationship between the two, which also questions causation. Left atrial ap...
Left atrial appendage closure is preferred to chronic warfarin therapy: the pro perspective [0.03%]
左心耳闭合优于长期华法林治疗：赞成的观点
Moustapha Atoui,Sampath Gunda,Dhanunjaya Lakkireddy
Moustapha Atoui
Atrial fibrillation (AF) is associated with increased rates of death, stroke, heart failure, hospitalization, degraded quality of life, reduced exercise capacity, and left ventricular dysfunction. An oral anticoagulant reduces the risk of s...
Patients with minimal atrial fibrillation events should not undergo concomitant atrial ablation during open heart procedures [0.03%]
孤立性肺结节的定义和处理：国际多学科专家共识意见书
Benzy J Padanilam,Jason Foreman,Eric N Prystowsky
Benzy J Padanilam
Several randomized controlled trials and meta-analyses have demonstrated improved freedom from atrial fibrillation with intraoperative atrial ablation. However, the increased bypass time and the risk for ablation-related complications shoul...
Catheter ablation of atrial fibrillation should be offered as primary therapy: what's your hurry? [0.03%]
导管消融应该作为房颤的一线治疗方法：你还在等什么？
Erich F Wedam,Mark C P Haigney
Erich F Wedam
The appropriate initial treatment of a middle-aged individual with symptomatic paroxysms of atrial fibrillation, diabetes, and hypertension should focus on eliminating the underlying causes of disease to safely reduce morbidity and prolong ...