Pramod Janga

EFFECT OF ENDOEPICARDIAL PERCUTANEOUS LEFT ATRIAL APPENDAGE LIGATION (LARIAT) ON ARRHYTHMIA BURDEN IN PATIENTS WITH ATRIAL FIBRILLATION

Left atrial appendage is a very common non Pulmonary venous source of triggered activity. Electrical isolation of LAA seems to be effective in improving outcomes of RF ablation. It is not clear how ligation of the LAA impacts arrhythmia burden in patients with AF We prospectively followed AF

Alternative medicine in atrial fibrillation treatment—Yoga, acupuncture, biofeedback and more

The last decade has seen a significant improvement in the management of atrial fibrillation (AF) with the development of newer medications and improvement in catheter ablation techniques. Recurrence of AF remains a significant problem in these patients and medications offer limited supportive role. Complementary and alternative treatment strategies therefore remain a viable option for these AF patients. Several studies have shown improvement in AF symptoms with yoga therapy, acupuncture and biofeedback. There are also several herbal medicine and supplements such as omega-3 fatty acids, antioxidant vitamins, barberry, motherwort, cinchona, Shensongyangxin, hawthorn, Kella and Wenxin Keli that have been evaluated as potential therapeutic options in AF. These studies are however limited by small sample sizes with mixed results. Besides the pharmacological action, metabolism, interactions with other medications and the adverse effects of the herbal medications and supplements remain poorly understood. In spite of the above limitations, complementary therapies remain a promising option in the management of AF and further studies are necessary to validate their safety and efficacy.

Characterization of Pleural Effusion After Left Atrial Appendage Exclusion Using the Lariat Procedure

The Lariat procedure is increasingly used for the exclusion of the left atrial appendage (LAA) in atrial fibrillation (AF) patients. There are anecdotal reports of pleural effusions after the Lariat procedure. However, the incidence, demographics, and pathophysiology of these effusions are largely unknown.

TRICUSPID REGURGITATION IS AN INDEPENDENT PREDICTOR OF FAILURE OF AV NODE ABLATION

AV nodal (AVN) ablation is sometimes needed to control ventricular rate and/or to optimize biventricular pacing (BiVP) in patients with atrial tachyarrhythmias (ATa). Limited data is available on the predictors of failure of AV nodal ablation. We performed a retrospective study including all

IMPACT OF GENDER ON OUTCOME AFTER ATRIAL FIBRILLATION ABLATION: A META-ANALYSIS

Limited data suggests that females may have increased recurrence of atria fibrillation (AF) after AF ablation. We intended to confirm this by performing a meta-analysis of studies reporting gender specific outcomes after AF ablation. A PubMed search with term “Atrial Fibrillation Ablation”