Frank Pelosi

Inducibility of Paroxysmal Atrial Fibrillation by Isoproterenol and its Relation to the Mode of Onset of Atrial Fibrillation

Background: Isoproterenol has been used to assess inducibility during catheter ablation for paroxysmal PAF. However, no studies have determined the sensitivity and specificity of isoproterenol for the induction of AF. It also is not clear whether isoproterenol is equally effective in inducing AF in the clinical subtypes of vagotonic, adrenergic, and random AF.

Effect of catheter ablation on progression of paroxysmal atrial fibrillation.

Ablation and Progression of Atrial Fibrillation. Objective: The objective was to determine the effect of radiofrequency catheter ablation (RFA) on progression of paroxysmal atrial fibrillation (AF).

Clinical Value of Noninducibility by High‐Dose Isoproterenol Versus Rapid Atrial Pacing After Catheter Ablation of Paroxysmal Atrial Fibrillation

Noninducibility by High‐Dose Isoproterenol. Objective: To determine the relative clinical value of noninducibility of atrial fibrillation (AF) by isoproterenol (ISO) and by rapid atrial pacing (RAP) in patients with paroxysmal AF (PAF).

Utility of atrial and ventricular cycle length variability in determining the mechanism of paroxysmal supraventricular tachycardia.

Introduction: No prior studies have systematically investigated the diagnostic value of cycle length (CL) variability in differentiating the mechanism of paroxysmal supraventricular tachycardia (PSVT).

Complex electrograms within the coronary sinus: time- and frequency-domain characteristics, effects of antral pulmonary vein isolation, and relationship to clinical outcome in patients with paroxysmal and persistent atrial fibrillation.

Background: The mechanistic and clinical significance of complex fractionated atrial electrograms (CFAE) in the coronary sinus (CS) has been unclear.

Prevalence of a Shared Isthmus in Postinfarction Patients with Pleiomorphic, Hemodynamically Tolerated Ventricular Tachycardias

Shared Isthmus. Introduction: Multiple forms of ventricular tachycardia (VT) after myocardial infarction may result from multiple reentrant circuits that share an isthmus or from separate reentrant circuits. The prevalence of a shared isthmus in patients with multiple hemodynamically tolerated VTs has not been determined.

Randomized comparison of anatomic and electrogram mapping approaches to ablation of typical atrial flutter.

Isthmus Ablation. Introduction: The cavotricuspid isthmus can be ablated using an anatomic approach or an electrogram mapping approach in which sites at which there is a gap in the line of block are targeted. The aim of this study was to compare the anatomic and electrogram mapping approaches for creating a line of block in the cavotricuspid isthmus after an initial, unsuccessful anatomically directed ablation line.

Effects of Verapamil and Ibutilide on Atrial Fibrillation and Postfibrillation Atrial Refractoriness

Verapamil and Ibutilide. Introduction: Early recurrence of atrial fibrillation (AF) after cardioversion may be related to shortening of the atrial effective refractory period (ERP). This study compared the effects of verapamil and ibutilide on AF cycle length (AFCL), atrial ERP, and susceptibility to recurrent AF.

Prevalence of fever in patients undergoing left atrial ablation of atrial fibrillation guided by barium esophagraphy.

Background: Real‐time esophageal imaging is critical in avoiding esophageal injury. However, the safety of esophageal imaging with barium has not been specifically explored.

Time- and Frequency-Domain Characteristics of Atrial Electrograms During Sinus Rhythm and Atrial Fibrillation

Ablation and Spectral Characteristics of Fibrillation. Background: Complex fractionated atrial electrograms (CFAE) have been considered to be helpful during catheter ablation of atrial fibrillation (AF). The purpose of this study was to analyze the characteristics of CFAEs recorded during sinus rhythm (SR) and AF, and to determine their relationship to perpetuation of AF and clinical outcome.