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1. Spanish catheter ablation registry. 22nd official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2022)

Author

Alcalde-Rodríguez, Óscar, Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Álvarez-López, Miguel, Álvarez-Acosta, Luis, Anguera-Camos, Ignasi, Arce-León, Álvaro, Arenal, Ángel, Palomares, Miguel Ángel Arias, Arocha-Torres, María Fe, Asso-Abadía, Antonio, Barrera-Cordero, Alberto, Bastos-Amador, Pablo, Benezet-Mazuecos, Juan, Benito-Martínez, Eva María, Bochard-Villanueva, Bruno, Cabanas-Grandío, Pilar, Cabrera-Ramos, Mercedes, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Cerveró, Alba, Datino-Romaniega, Tomás, Díaz-Infante, Ernesto, Domínguez-Mafé, Eloy, Durán-Guerrero, Juan Manuel, Teja, Juliana Elices, Emilce-Trucco, María, Espinosa-Viamonte, Hildemari, Fabregat-Andrés, Óscar, Fernández-Palacios, Gonzalo, Fernández-Lozano, Ignacio, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, García-Cuenca, Enrique, García-Rodríguez, Daniel, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, González-Ferrer, Juan José, Grande-Morales, Carlos Eugenio, Guasch-Casany, Eduard, Guerra-Ramos, José María, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Jiménez-Díaz, Francisco Javier, Jiménez-López, Jesús, Jiménez-Candil, Javier, Lozano-Granero, Vanesa Cristina, Luque-Lezcano, Antonio Óscar, Martí-Almor, Julio, Martín-Sánchez, Gabriel, Martínez-Sande, José Luis, Martínez-Brotons, Ángel Miguel, Mazuelos-Bellido, Francisco, Mendoza-Lemes, Haridian, Menéndez-Ramírez, Diego, Merino-Llorens, José Luis, Moreno-Arribas, José, Moriña-Vázquez, Pablo, Mosquera-Pérez, Ignacio, Moya-Mitjans, Ángel, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Pedrote-Martínez, Alonso, Peinado-Peinado, Rafael, Peláez-González, Antonio, Peñafiel-Verdú, Pablo, Pérez-Roselló, Víctor, Porta-Sánchez, Andreu, Portales-Fernández, Javier, Quesada-Dorador, Aurelio, Ramos-Ardanaz, Pablo, Rivas-Gándara, Nuria, Rodríguez-Entem, Felipe José, Rodríguez-Font, Enrique, Rodríguez-Muñoz, Daniel, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Ruíz-Duthil, Ana Delia, Ruíz-Hernández, Pablo M., Sainz-Godoy, Íñigo, Salgado-Aranda, Ricardo, Salvador-Montañés, Óscar, Sánchez-Borque, Pepa, Sandín-Fuentes, María de Gracia, Sarquella-Brugada, Georgia, Sarrias-Mercè, Axel, Saurí-Ortiz, Assumpció, Segura-Villalobos, Federico, Valverde-André, Irene, Vázquez-Esmorís, Iván, Cano, Óscar, Bazán, Víctor, and Arana, Eduardo

Published
2023
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2. Registro español de ablación con catéter. XXII informe oficial de la Asociación del Ritmo Cardiaco de la Sociedad Española de Cardiología (2022)

Author

Alcalde-Rodríguez, Óscar, Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Álvarez-López, Miguel, Álvarez-Acosta, Luis, Anguera-Camos, Ignasi, Arce-León, Álvaro, Arenal, Ángel, Palomares, Miguel Ángel Arias, Arocha-Torres, María Fe, Asso-Abadía, Antonio, Barrera-Cordero, Alberto, Bastos-Amador, Pablo, Benezet-Mazuecos, Juan, Benito-Martínez, Eva María, Bochard-Villanueva, Bruno, Cabanas-Grandío, Pilar, Cabrera-Ramos, Mercedes, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Cerveró, Alba, Datino-Romaniega, Tomás, Díaz-Infante, Ernesto, Domínguez-Mafé, Eloy, Durán-Guerrero, Juan Manuel, Teja, Juliana Elices, Emilce-Trucco, María, Espinosa-Viamonte, Hildemari, Fabregat-Andrés, Óscar, Fernández-Palacios, Gonzalo, Fernández-Lozano, Ignacio, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, García-Cuenca, Enrique, García-Rodríguez, Daniel, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, González-Ferrer, Juan José, Grande-Morales, Carlos Eugenio, Guasch-Casany, Eduard, Guerra-Ramos, José María, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Jiménez-Díaz, Francisco Javier, Jiménez-López, Jesús, Jiménez-Candil, Javier, Lozano-Granero, Vanesa Cristina, Luque-Lezcano, Antonio Óscar, Martí-Almor, Julio, Martín-Sánchez, Gabriel, Martínez-Sande, José Luis, Martínez-Brotons, Ángel Miguel, Mazuelos-Bellido, Francisco, Mendoza-Lemes, Haridian, Menéndez-Ramírez, Diego, Merino-Llorens, José Luis, Moreno-Arribas, José, Moriña-Vázquez, Pablo, Mosquera-Pérez, Ignacio, Moya-Mitjans, Ángel, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Pedrote-Martínez, Alonso, Peinado-Peinado, Rafael, Peláez-González, Antonio, Peñafiel-Verdú, Pablo, Pérez-Roselló, Víctor, Porta-Sánchez, Andreu, Portales-Fernández, Javier, Quesada-Dorador, Aurelio, Ramos-Ardanaz, Pablo, Rivas-Gándara, Nuria, Rodríguez-Entem, Felipe José, Rodríguez-Font, Enrique, Rodríguez-Muñoz, Daniel, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Ruíz-Duthil, Ana Delia, Ruíz-Hernández, Pablo M., Sainz-Godoy, Íñigo, Salgado-Aranda, Ricardo, Salvador-Montañés, Óscar, Sánchez-Borque, Pepa, Sandín-Fuentes, María de Gracia, Sarquella-Brugada, Georgia, Sarrias-Mercè, Axel, Saurí-Ortiz, Assumpció, Segura-Villalobos, Federico, Valverde-André, Irene, Vázquez-Esmorís, Iván, Cano, Óscar, Bazán, Víctor, and Arana, Eduardo

Published
2023
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4. Spanish Catheter Ablation Registry. 18th Official Report of the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias (2018)

Author

Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Alonso-Martín, Concepción, Alvarenga-Recalde, Nelson María, Álvarez-Acosta, Luis, Álvarez-López, Miguel, Anguera-Camos, Ignasi, Arana-Rueda, Eduardo, Arcocha-Torres, María Fe, Arias-Palomares, Miguel Ángel, Asso-Abadía, Antonio, Ballesteros-Derbenti, Gabriel Alejandro, Barrera-Cordero, Alberto, Benezet-Mazuecos, Juan, Bodegas-Cañas, Andrés I., Brugada-Terradellas, Josep, Cabadés-Rumbeu, Claudia, Cabanas-Grandío, María del Pilar, Cabrera-Gómez, Sandra, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Castro-Urda, Víctor, Cózar-León, Rocío, Díaz-Infante, Ernesto, Durán-Guerrero, Juan Manuel, Elices-Teja, Juliana, Expósito-Pineda, María del Carmen, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, Fontenla-Cerezuela, Adolfo, García-Alberola, Arcadio, García-Bolao, J. Ignacio, García-Cuenca, Enrique, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, Grande-Ingelmo, Juan Manuel, Guasch-i-Casany, Eduard, Guerra-Ramos, José M., Heras-Herreros, Santiago, Hernández-Afonso, Julio, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Ibars-Campaña, Sonia, Jáuregui-Abularach, Miguel Eduardo, Jiménez-Candil, F. Javier, Jiménez-Díaz, Javier, Jiménez-López, Jesús I., Lázaro-Rivera, Carla, Lozano-Herrera, José Miguel, Macías-Gallego, Alfonso, Magnani-Ragamato, Santiago, Martínez-Basterra, Javier, Martínez-Brotons, Ángel, Martínez-Sande, José Luis, Martín-Sánchez, Gabriel, Matías-Francés, Roberto, Merino-Llorens, José Luis, Mont-Girbau, Josep Lluis, Moreno-Arribas, José, Moreno-Planas, Javier, Moya-i-Mitjans, Ángel, Ortega-Molina, Marta, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Peinado-Peinado, Rafael, Pérez-Álvarez, Luisa, Pérez-Castellano, Nicasio, Porro-Fernández, Rosa, Porta-Sánchez, Andreu, Punti-Sala, Jordi, Quesada-Dorador, Aurelio, Rivas-Gándara, Nuria, Rodrigo-Trallero, Gonzalo, Rodríguez-Entem, Felipe José, Rodríguez-Pérez, Juan Carlos, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Rubio-Sanz, Jerónimo, Ruiz-Hernández, Pablo M., Salgado-Aranda, Ricardo, Sánchez-Gómez, Juan Miguel, Sarquella-Brugada, Georgia, Sarrias-Mercé, Axel, Segura-Saint-Gerons, Jose María, Segura-Villalobos, Federico, Valverde-André, Irene, Ibáñez Criado, José Luis, Quesada, Aurelio, and Cózar, Rocío

Published
2019
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5. Registro Español de Ablación con Catéter. XVIII Informe Oficial de la Sección de Electrofisiología y Arritmias de la Sociedad Española de Cardiología (2018)

Author

Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Alonso-Martín, Concepción, Alvarenga-Recalde, Nelson María, Álvarez-Acosta, Luis, Álvarez-López, Miguel, Anguera-Camos, Ignasi, Arana-Rueda, Eduardo, Arcocha-Torres, María Fe, Arias-Palomares, Miguel Ángel, Asso-Abadía, Antonio, Ballesteros-Derbenti, Gabriel Alejandro, Barrera-Cordero, Alberto, Benezet-Mazuecos, Juan, Bodegas-Cañas, Andrés I., Brugada-Terradellas, Josep, Cabadés-Rumbeu, Claudia, Cabanas-Grandío, María del Pilar, Cabrera-Gómez, Sandra, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Castro-Urda, Víctor, Cózar-León, Rocío, Díaz-Infante, Ernesto, Durán-Guerrero, Juan Manuel, Elices-Teja, Juliana, Expósito-Pineda, María del Carmen, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, Fontenla-Cerezuela, Adolfo, García-Alberola, Arcadio, García-Bolao, J. Ignacio, García-Cuenca, Enrique, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, Grande-Ingelmo, Juan Manuel, Guasch-i-Casany, Eduard, Guerra-Ramos, José M., Heras-Herreros, Santiago, Hernández-Afonso, Julio, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Ibars-Campaña, Sonia, Jáuregui-Abularach, Miguel Eduardo, Jiménez-Candil, F. Javier, Jiménez-Díaz, Javier, Jiménez-López, Jesús I., Lázaro-Rivera, Carla, Lozano-Herrera, José Miguel, Macías-Gallego, Alfonso, Magnani-Ragamato, Santiago, Martínez-Basterra, Javier, Martínez-Brotons, Ángel, Martínez-Sande, José Luis, Martín-Sánchez, Gabriel, Matías-Francés, Roberto, Merino-Llorens, José Luis, Mont-Girbau, Josep Lluis, Moreno-Arribas, José, Moreno-Planas, Javier, Moya-i-Mitjans, Ángel, Ortega-Molina, Marta, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Peinado-Peinado, Rafael, Pérez-Álvarez, Luisa, Pérez-Castellano, Nicasio, Porro-Fernández, Rosa, Porta-Sánchez, Andreu, Punti-Sala, Jordi, Quesada-Dorador, Aurelio, Rivas-Gándara, Nuria, Rodrigo-Trallero, Gonzalo, Rodríguez-Entem, Felipe José, Rodríguez-Pérez, Juan Carlos, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Rubio-Sanz, Jerónimo, Ruiz-Hernández, Pablo M., Salgado-Aranda, Ricardo, Sánchez-Gómez, Juan Miguel, Sarquella-Brugada, Georgia, Sarrias-Mercé, Axel, Segura-Saint-Gerons, Jose María, Segura-Villalobos, Federico, Valverde-André, Irene, Ibáñez Criado, José Luis, Quesada, Aurelio, and Cózar, Rocío

Published
2019
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6. Registro español de ablación con catéter. XXII informe oficial de la Asociación del Ritmo Cardiaco de la Sociedad Española de Cardiología (2022)

Author

Cano, Óscar, primary, Bazán, Víctor, additional, Arana, Eduardo, additional, Alcalde-Rodríguez, Óscar, additional, Almendral-Garrote, Jesús, additional, Alonso-Fernández, Pau, additional, Álvarez-López, Miguel, additional, Álvarez-Acosta, Luis, additional, Anguera-Camos, Ignasi, additional, Arce-León, Álvaro, additional, Arenal, Ángel, additional, Palomares, Miguel Ángel Arias, additional, Arocha-Torres, María Fe, additional, Asso-Abadía, Antonio, additional, Barrera-Cordero, Alberto, additional, Bastos-Amador, Pablo, additional, Benezet-Mazuecos, Juan, additional, Benito-Martínez, Eva María, additional, Bochard-Villanueva, Bruno, additional, Cabanas-Grandío, Pilar, additional, Cabrera-Ramos, Mercedes, additional, Cano-Calabria, Lucas R., additional, del Castillo-Arrojo, Silvia, additional, Cerveró, Alba, additional, Datino-Romaniega, Tomás, additional, Díaz-Infante, Ernesto, additional, Domínguez-Mafé, Eloy, additional, Durán-Guerrero, Juan Manuel, additional, Teja, Juliana Elices, additional, Emilce-Trucco, María, additional, Espinosa-Viamonte, Hildemari, additional, Fabregat-Andrés, Óscar, additional, Fernández-Palacios, Gonzalo, additional, Fernández-Lozano, Ignacio, additional, Fernández-Gómez, Juan Manuel, additional, Ferrer-Hita, Julio Jesús, additional, Fidalgo-Andrés, María Luisa, additional, García-Cuenca, Enrique, additional, García-Rodríguez, Daniel, additional, García-Fernández, Francisco Javier, additional, Gil-Ortega, Ignacio, additional, Gómez-Pulido, Federico, additional, González-Ferrer, Juan José, additional, Grande-Morales, Carlos Eugenio, additional, Guasch-Casany, Eduard, additional, Guerra-Ramos, José María, additional, Herreros-Guilarte, Benito, additional, Hidalgo-Olivares, Víctor Manuel, additional, Ibáñez-Criado, Alicia, additional, Ibáñez-Criado, José Luis, additional, Jiménez-Díaz, Francisco Javier, additional, Jiménez-López, Jesús, additional, Jiménez-Candil, Javier, additional, Lozano-Granero, Vanesa Cristina, additional, Luque-Lezcano, Antonio Óscar, additional, Martí-Almor, Julio, additional, Martín-Sánchez, Gabriel, additional, Martínez-Sande, José Luis, additional, Martínez-Brotons, Ángel Miguel, additional, Mazuelos-Bellido, Francisco, additional, Mendoza-Lemes, Haridian, additional, Menéndez-Ramírez, Diego, additional, Merino-Llorens, José Luis, additional, Moreno-Arribas, José, additional, Moriña-Vázquez, Pablo, additional, Mosquera-Pérez, Ignacio, additional, Moya-Mitjans, Ángel, additional, Osca-Asensi, Joaquín, additional, Pastor-Fuentes, Agustín, additional, Pavón-Jiménez, Ricardo, additional, Pedrote-Martínez, Alonso, additional, Peinado-Peinado, Rafael, additional, Peláez-González, Antonio, additional, Peñafiel-Verdú, Pablo, additional, Pérez-Roselló, Víctor, additional, Porta-Sánchez, Andreu, additional, Portales-Fernández, Javier, additional, Quesada-Dorador, Aurelio, additional, Ramos-Ardanaz, Pablo, additional, Rivas-Gándara, Nuria, additional, Rodríguez-Entem, Felipe José, additional, Rodríguez-Font, Enrique, additional, Rodríguez-Muñoz, Daniel, additional, Romero-Garrido, Rafael, additional, Rubín-López, José Manuel, additional, Rubio-Caballero, José Amador, additional, Rubio-Campal, José Manuel, additional, Ruíz-Duthil, Ana Delia, additional, Ruíz-Hernández, Pablo M., additional, Sainz-Godoy, Íñigo, additional, Salgado-Aranda, Ricardo, additional, Salvador-Montañés, Óscar, additional, Sánchez-Borque, Pepa, additional, Sandín-Fuentes, María de Gracia, additional, Sarquella-Brugada, Georgia, additional, Sarrias-Mercè, Axel, additional, Saurí-Ortiz, Assumpció, additional, Segura-Villalobos, Federico, additional, Valverde-André, Irene, additional, and Vázquez-Esmorís, Iván, additional

Published
2023
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7. Clinical evolution of patients with AF and diabetes mellitus in the COVID-19 pandemic. REFADI Registry

Author

Agencia de Investigación de la Sociedad Española de Cardiología, Boehringer Ingelheim Fonds, Barón Esquivias, G., Esteve Ruiz, Iris, Gómez-Moreno, Silvia, Sainz-Hidalgo, Ignacio, Gómez-Barrado, José Javier, Martín-Santana, Antonio M., Sánchez-Brotons, Juan Antonio, Romero-Garrido, Rafael, Fernández-Romero, Antonio, Agencia de Investigación de la Sociedad Española de Cardiología, Boehringer Ingelheim Fonds, Barón Esquivias, G., Esteve Ruiz, Iris, Gómez-Moreno, Silvia, Sainz-Hidalgo, Ignacio, Gómez-Barrado, José Javier, Martín-Santana, Antonio M., Sánchez-Brotons, Juan Antonio, Romero-Garrido, Rafael, and Fernández-Romero, Antonio

Abstract

[EN] Introduction and objectives: To analyze the evolution of patients with atrial fibrillation (AF) and diabetes in the mid-term follow-up during the COVID-19 pandemic and to describe its impact on this population. Methods: Multicenter and prospective registry that included patients with AF and diabetes attended in cardiology clinics. A multivariate analysis was performed to determine the variables associated with the occurrence of clinical events and mortality. Recruitment was performed in February-December 2019. Results: The evolution of 633 patients, 96,2% of those included in the REFADI registry with a median follow-up of 835 days was analyzed (mean age 73.8 ± 8.5 years, 54.3% male, CHA2DS2-VASc 4,34 ± 1,4, HAS-BLED 2,47 ± 0,96) were analyzed. The proportion of anticoagulated patients remained constant (95.6% vs 94.5%; P = .24). There was a decrease in the prescription of vitamin K antagonists (from 31.4% to 19.7%; P < .01), and an increase in the use of direct anticoagulants (from 62.0% to 70.3%; P < .01). During the follow-up there was an increase in the prescription of SGLT2 inhibitors (from 20.0% to 25.5%; P < .01) and GLP1 agonists (from 4.2% to 9.1%; P < .01). During this period, 17.2% of patients died, the majority from cardiovascular causes, 6.4% from COVID-19, 2.8% from stroke, and 1.8% from hemorrhage. Older age, lower ejection fraction, lower hemoglobin levels, and especially lower direct anticoagulants prescription were associated with mortality. Conclusions: Patients with AF and diabetes have a high thromboembolic risk and a high risk of developing complications, especially of cardiovascular origin., [ES] Introducción y objetivos: Analizar la evolución de los pacientes que padecen fibrilación auricular (FA) y diabetes a medio plazo en una situación de pandemia de la COVID-19 y describir su influencia en esta población. Métodos: Registro multicéntrico y prospectivo que incluyó a pacientes con FA y diabetes atendidos en consultas de cardiología. Se realizó un análisis multivariante para determinar las variables asociadas a la aparición de eventos clínicos y mortalidad. La inclusión se realizó en febrero-diciembre de 2019. Resultados: Se analizó la evolución de 633 pacientes, 96,2% de los incluidos en el registro REFADI durante un seguimiento medio de 835 días (edad media 73,8 ± 8,5 años, 54,3% varones, CHA2DS2-VASc 4,34 ± 1,4, HAS-BLED 2,47 ± 0,96). La proporción de pacientes anticoagulados se mantuvo constante (95,6 frente a 94,5%; p = 0,24). Hubo un descenso de antagonistas de la vitamina K (del 31,4 al 19,7%; p < 0,01), y un aumento de los anticoagulantes directos (del 62,0 al 70,3%; p < 0,01). Durante el seguimiento hubo un aumento en la prescripción de inhibidores SGLT2 (del 20,0 al 25,5%; p < 0,01) y agonistas GLP1 (del 4,2 al 9,1%; p < 0,01). Falleció el 17,2% de los pacientes, la mayoría de causa cardiovascular, 6,4% por COVID-19, 2,8% por ictus y 1,8% por hemorragia. La mayor edad, la menor fracción de eyección, los niveles más bajos de hemoglobina y especialmente la menor prescripción de anticoagulantes directos se asociaron con la mortalidad. Conclusiones: Los pacientes con FA y diabetes tienen un elevado riesgo tromboembólico y de sufrir complicaciones, sobre todo de origen cardiovascular.

Published
2023

8. Impact of dual-chamber pacing with closed loop stimulation on quality of life in patients with recurrent reflex vasovagal syncope: results of the SPAIN study

Author

Sociedad Española de Cardiología, Biotronik, Barón Esquivias, G., Moya-Mitjans, Angel, Martinez-Alday, Jesús, Ruiz-Granell, Ricardo, Lacunza-Ruiz, Javier, Garcia-Civera, Roberto, Gutiérrez-Carretero, Encarnación, Romero-Garrido, Rafael, Morillo, Carlos A., Sociedad Española de Cardiología, Biotronik, Barón Esquivias, G., Moya-Mitjans, Angel, Martinez-Alday, Jesús, Ruiz-Granell, Ricardo, Lacunza-Ruiz, Javier, Garcia-Civera, Roberto, Gutiérrez-Carretero, Encarnación, Romero-Garrido, Rafael, and Morillo, Carlos A.

Abstract

[Aims]: Reflex vasovagal syncope (VVS) is the most common cause of syncope and patients with recurrent episodes may severely impair quality of life (QoL). This pre-specified analysis evaluated whether the clinically significant reduction in syncope burden demonstrated by dual-chamber pacing with closed loop stimulation (DDD-CLS) reported in the SPAIN trial translates into improved QoL., [Methods and results]: Patients aged ≥40 years with ≥5 VVS episodes and cardioinhibitory response induced by head-up tilt testing were included. Patients were randomized 1:1 to active DDD-CLS pacing algorithm for 12 months followed by sham DDI mode for the remaining 12 months (Group A) or vice versa (Group B). QoL was assessed using the Short Form-36 (SF-36) health survey, Physical Component Score (PCS), and Mental Component Score (MCS) before randomization (baseline) and at 12- and 24-month follow-up. Fifty-four patients were enrolled from 11 participating centres. No significant carryover effect was detected for any variable, and the only period effect was observed in the vitality subdomain (P = 0.033). Mean SF-36 scores were higher in the DDD-CLS group vs. the DDI group for the eight subdomains and significantly different in physical role, bodily pain, and vitality (P < 0.05). The analysis of component summary scores indicated that DDD-CLS benefited both mental and physical components with significant differences in PCS when compared with the DDI group., [Conclusion]: Dual-chamber pacing with closed loop stimulation determined a significant and clinically relevant improvement in QoL across both mental and physical components in patients with recurrent VVS.

Published
2020

9. Registro Español de Ablación con Catéter. XVIII Informe Oficial de la Sección de Electrofisiología y Arritmias de la Sociedad Española de Cardiología (2018)

Author

Ibáñez Criado, José Luis, primary, Quesada, Aurelio, additional, Cózar, Rocío, additional, Almendral-Garrote, Jesús, additional, Alonso-Fernández, Pau, additional, Alonso-Martín, Concepción, additional, Alvarenga-Recalde, Nelson María, additional, Álvarez-Acosta, Luis, additional, Álvarez-López, Miguel, additional, Anguera-Camos, Ignasi, additional, Arana-Rueda, Eduardo, additional, Arcocha-Torres, María Fe, additional, Arias-Palomares, Miguel Ángel, additional, Asso-Abadía, Antonio, additional, Ballesteros-Derbenti, Gabriel Alejandro, additional, Barrera-Cordero, Alberto, additional, Benezet-Mazuecos, Juan, additional, Bodegas-Cañas, Andrés I., additional, Brugada-Terradellas, Josep, additional, Cabadés-Rumbeu, Claudia, additional, Cabanas-Grandío, María del Pilar, additional, Cabrera-Gómez, Sandra, additional, Cano-Calabria, Lucas R., additional, del Castillo-Arrojo, Silvia, additional, Castro-Urda, Víctor, additional, Cózar-León, Rocío, additional, Díaz-Infante, Ernesto, additional, Durán-Guerrero, Juan Manuel, additional, Elices-Teja, Juliana, additional, Expósito-Pineda, María del Carmen, additional, Fernández-Gómez, Juan Manuel, additional, Ferrer-Hita, Julio Jesús, additional, Fidalgo-Andrés, María Luisa, additional, Fontenla-Cerezuela, Adolfo, additional, García-Alberola, Arcadio, additional, García-Bolao, J. Ignacio, additional, García-Cuenca, Enrique, additional, García-Fernández, Francisco Javier, additional, Gil-Ortega, Ignacio, additional, Gómez-Pulido, Federico, additional, Grande-Ingelmo, Juan Manuel, additional, Guasch-i-Casany, Eduard, additional, Guerra-Ramos, José M., additional, Heras-Herreros, Santiago, additional, Hernández-Afonso, Julio, additional, Herreros-Guilarte, Benito, additional, Hidalgo-Olivares, Víctor Manuel, additional, Ibáñez-Criado, Alicia, additional, Ibáñez-Criado, José Luis, additional, Ibars-Campaña, Sonia, additional, Jáuregui-Abularach, Miguel Eduardo, additional, Jiménez-Candil, F. Javier, additional, Jiménez-Díaz, Javier, additional, Jiménez-López, Jesús I., additional, Lázaro-Rivera, Carla, additional, Lozano-Herrera, José Miguel, additional, Macías-Gallego, Alfonso, additional, Magnani-Ragamato, Santiago, additional, Martínez-Basterra, Javier, additional, Martínez-Brotons, Ángel, additional, Martínez-Sande, José Luis, additional, Martín-Sánchez, Gabriel, additional, Matías-Francés, Roberto, additional, Merino-Llorens, José Luis, additional, Mont-Girbau, Josep Lluis, additional, Moreno-Arribas, José, additional, Moreno-Planas, Javier, additional, Moya-i-Mitjans, Ángel, additional, Ortega-Molina, Marta, additional, Osca-Asensi, Joaquín, additional, Pastor-Fuentes, Agustín, additional, Pavón-Jiménez, Ricardo, additional, Peinado-Peinado, Rafael, additional, Pérez-Álvarez, Luisa, additional, Pérez-Castellano, Nicasio, additional, Porro-Fernández, Rosa, additional, Porta-Sánchez, Andreu, additional, Punti-Sala, Jordi, additional, Quesada-Dorador, Aurelio, additional, Rivas-Gándara, Nuria, additional, Rodrigo-Trallero, Gonzalo, additional, Rodríguez-Entem, Felipe José, additional, Rodríguez-Pérez, Juan Carlos, additional, Romero-Garrido, Rafael, additional, Rubín-López, José Manuel, additional, Rubio-Caballero, José Amador, additional, Rubio-Campal, José Manuel, additional, Rubio-Sanz, Jerónimo, additional, Ruiz-Hernández, Pablo M., additional, Salgado-Aranda, Ricardo, additional, Sánchez-Gómez, Juan Miguel, additional, Sarquella-Brugada, Georgia, additional, Sarrias-Mercé, Axel, additional, Segura-Saint-Gerons, Jose María, additional, Segura-Villalobos, Federico, additional, and Valverde-André, Irene, additional

Published
2019
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10. Spanish Catheter Ablation Registry. 18th Official Report of the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias (2018)

Author

Ibáñez Criado, José Luis, primary, Quesada, Aurelio, additional, Cózar, Rocío, additional, Almendral-Garrote, Jesús, additional, Alonso-Fernández, Pau, additional, Alonso-Martín, Concepción, additional, Alvarenga-Recalde, Nelson María, additional, Álvarez-Acosta, Luis, additional, Álvarez-López, Miguel, additional, Anguera-Camos, Ignasi, additional, Arana-Rueda, Eduardo, additional, Arcocha-Torres, María Fe, additional, Arias-Palomares, Miguel Ángel, additional, Asso-Abadía, Antonio, additional, Ballesteros-Derbenti, Gabriel Alejandro, additional, Barrera-Cordero, Alberto, additional, Benezet-Mazuecos, Juan, additional, Bodegas-Cañas, Andrés I., additional, Brugada-Terradellas, Josep, additional, Cabadés-Rumbeu, Claudia, additional, Cabanas-Grandío, María del Pilar, additional, Cabrera-Gómez, Sandra, additional, Cano-Calabria, Lucas R., additional, del Castillo-Arrojo, Silvia, additional, Castro-Urda, Víctor, additional, Cózar-León, Rocío, additional, Díaz-Infante, Ernesto, additional, Durán-Guerrero, Juan Manuel, additional, Elices-Teja, Juliana, additional, Expósito-Pineda, María del Carmen, additional, Fernández-Gómez, Juan Manuel, additional, Ferrer-Hita, Julio Jesús, additional, Fidalgo-Andrés, María Luisa, additional, Fontenla-Cerezuela, Adolfo, additional, García-Alberola, Arcadio, additional, García-Bolao, J. Ignacio, additional, García-Cuenca, Enrique, additional, García-Fernández, Francisco Javier, additional, Gil-Ortega, Ignacio, additional, Gómez-Pulido, Federico, additional, Grande-Ingelmo, Juan Manuel, additional, Guasch-i-Casany, Eduard, additional, Guerra-Ramos, José M., additional, Heras-Herreros, Santiago, additional, Hernández-Afonso, Julio, additional, Herreros-Guilarte, Benito, additional, Hidalgo-Olivares, Víctor Manuel, additional, Ibáñez-Criado, Alicia, additional, Ibáñez-Criado, José Luis, additional, Ibars-Campaña, Sonia, additional, Jáuregui-Abularach, Miguel Eduardo, additional, Jiménez-Candil, F. Javier, additional, Jiménez-Díaz, Javier, additional, Jiménez-López, Jesús I., additional, Lázaro-Rivera, Carla, additional, Lozano-Herrera, José Miguel, additional, Macías-Gallego, Alfonso, additional, Magnani-Ragamato, Santiago, additional, Martínez-Basterra, Javier, additional, Martínez-Brotons, Ángel, additional, Martínez-Sande, José Luis, additional, Martín-Sánchez, Gabriel, additional, Matías-Francés, Roberto, additional, Merino-Llorens, José Luis, additional, Mont-Girbau, Josep Lluis, additional, Moreno-Arribas, José, additional, Moreno-Planas, Javier, additional, Moya-i-Mitjans, Ángel, additional, Ortega-Molina, Marta, additional, Osca-Asensi, Joaquín, additional, Pastor-Fuentes, Agustín, additional, Pavón-Jiménez, Ricardo, additional, Peinado-Peinado, Rafael, additional, Pérez-Álvarez, Luisa, additional, Pérez-Castellano, Nicasio, additional, Porro-Fernández, Rosa, additional, Porta-Sánchez, Andreu, additional, Punti-Sala, Jordi, additional, Quesada-Dorador, Aurelio, additional, Rivas-Gándara, Nuria, additional, Rodrigo-Trallero, Gonzalo, additional, Rodríguez-Entem, Felipe José, additional, Rodríguez-Pérez, Juan Carlos, additional, Romero-Garrido, Rafael, additional, Rubín-López, José Manuel, additional, Rubio-Caballero, José Amador, additional, Rubio-Campal, José Manuel, additional, Rubio-Sanz, Jerónimo, additional, Ruiz-Hernández, Pablo M., additional, Salgado-Aranda, Ricardo, additional, Sánchez-Gómez, Juan Miguel, additional, Sarquella-Brugada, Georgia, additional, Sarrias-Mercé, Axel, additional, Segura-Saint-Gerons, Jose María, additional, Segura-Villalobos, Federico, additional, and Valverde-André, Irene, additional

Published
2019
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11. Impact of dual-chamber pacing with closed loop stimulation on quality of life in patients with recurrent reflex vasovagal syncope: results of the SPAIN study

Author

Barón-Esquivias, Gonzalo, primary, Moya-Mitjans, Angel, additional, Martinez-Alday, Jesús, additional, Ruiz-Granell, Ricardo, additional, Lacunza-Ruiz, Javier, additional, Garcia-Civera, Roberto, additional, Gutiérrez-Carretero, Encarnación, additional, Romero-Garrido, Rafael, additional, and Morillo, Carlos A, additional

Published
2019
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12. Dual-Chamber Pacing With Closed Loop Stimulation in Recurrent Reflex Vasovagal Syncope: The SPAIN Study

Author

Baron-Esquivias, Gonzalo, Morillo, Carlos A, Moya-Mitjans, Angel, Martinez-Alday, Jesus, Ruiz-Granell, Ricardo, Lacunza-Ruiz, Javier, Garcia-Civera, Roberto, Gutierrez-Carretero, Encarnacion, and Romero-Garrido, Rafael

Subjects
Adult, Male, tilt table testing, Middle Aged, Severity of Illness Index, pacemaker, Cardiac Resynchronization Therapy, Treatment Outcome, Recurrence, Tilt-Table Test, syncope, Bradycardia, Syncope, Vasovagal, Humans, Female, asystole
Abstract

Pacing in vasovagal syncope remains controversial. The authors evaluated dual-chamber pacing with closed loop stimulation (DDD-CLS) in patients with cardioinhibitory vasovagal syncope. This randomized, double-blind, controlled study included Canadian and Spanish patients age ≥40 years, with high burden syncope (≥5 episodes, ≥2 episodes in the past year), and a cardioinhibitory head-up tilt test (bradycardia 3 s). Patients were randomized to either DDD-CLS pacing for 12 months followed by sham DDI mode pacing at 30 pulses/min for 12 months (group A), or sham DDI mode for 12 months followed by DDD-CLS pacing for 12 months (group B). Patients in both arms crossed-over after 12 months of follow-up or when a maximum of 3 syncopal episodes occurred within 1 month. A total of 46 patients completed the protocol; 22 were men (47.8%), and mean age was 56.30 ± 10.63 years. The mean number of previous syncopal episodes was 12 (range 9 to 20). The proportion of patients with ≥50% reduction in the number of syncopal episodes was 72% (95% confidence interval [CI]: 47% to 90%) with DDD-CLS compared with 28% (95% CI: 9.7% to 53.5%) with sham DDI mode (p = 0.017). A total of 4 patients (8.7%) had events during DDD-CLS and 21 (45.7%) during sham DDI (hazard ratio: 6.7; 95% CI: 2.3 to 19.8). Kaplan-Meier curve was significantly different between groups in time to first syncope: 29.2 months (95% CI: 15.3 to 29.2 months) versus 9.3 months (95% CI: 6.21 months, NA; p DDD-CLS pacing significantly reduced syncope burden and time to first recurrence by 7-fold, prolonging time to first syncope recurrence in patients age ≥40 years with head-up tilt test-induced vasovagal syncope compared with sham pacing. (Closed Loop Stimulation for Neuromediated Syncope [SPAIN Study]; NCT01621464).

Published
2017

13. Impact of dual-chamber pacing with closed loop stimulation on quality of life in patients with recurrent reflex vasovagal syncope: results of the SPAIN study.

Author

Barón-Esquivias, Gonzalo, Moya-Mitjans, Angel, Martinez-Alday, Jesús, Ruiz-Granell, Ricardo, Lacunza-Ruiz, Javier, Garcia-Civera, Roberto, Gutiérrez-Carretero, Encarnación, Romero-Garrido, Rafael, and Morillo, Carlos A

Subjects
SYNCOPE, RESEARCH, RESEARCH methodology, REFLEXES, MEDICAL cooperation, EVALUATION research, HEALTH surveys, DISEASE relapse, CARDIAC pacing, COMPARATIVE studies, QUALITY of life, VAGUS nerve diseases
Abstract

Aims: Reflex vasovagal syncope (VVS) is the most common cause of syncope and patients with recurrent episodes may severely impair quality of life (QoL). This pre-specified analysis evaluated whether the clinically significant reduction in syncope burden demonstrated by dual-chamber pacing with closed loop stimulation (DDD-CLS) reported in the SPAIN trial translates into improved QoL.Methods and Results: Patients aged ≥40 years with ≥5 VVS episodes and cardioinhibitory response induced by head-up tilt testing were included. Patients were randomized 1:1 to active DDD-CLS pacing algorithm for 12 months followed by sham DDI mode for the remaining 12 months (Group A) or vice versa (Group B). QoL was assessed using the Short Form-36 (SF-36) health survey, Physical Component Score (PCS), and Mental Component Score (MCS) before randomization (baseline) and at 12- and 24-month follow-up. Fifty-four patients were enrolled from 11 participating centres. No significant carryover effect was detected for any variable, and the only period effect was observed in the vitality subdomain (P = 0.033). Mean SF-36 scores were higher in the DDD-CLS group vs. the DDI group for the eight subdomains and significantly different in physical role, bodily pain, and vitality (P < 0.05). The analysis of component summary scores indicated that DDD-CLS benefited both mental and physical components with significant differences in PCS when compared with the DDI group.Conclusion: Dual-chamber pacing with closed loop stimulation determined a significant and clinically relevant improvement in QoL across both mental and physical components in patients with recurrent VVS.Registration: Closed Loop Stimulation for Neuromediated Syncope (SPAIN Study); NCT01621464. [ABSTRACT FROM AUTHOR]

Published
2020
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21. Impact of dual-chamber pacing with closed loop stimulation on quality of life in patients with recurrent reflex vasovagal syncope: results of the SPAIN study.

Author

Barón-Esquivias G, Moya-Mitjans A, Martinez-Alday J, Ruiz-Granell R, Lacunza-Ruiz J, Garcia-Civera R, Gutiérrez-Carretero E, Romero-Garrido R, and Morillo CA

Subjects
Cardiac Pacing, Artificial, Humans, Recurrence, Reflex, Spain, Quality of Life, Syncope, Vasovagal diagnosis, Syncope, Vasovagal therapy
Abstract

Aims: Reflex vasovagal syncope (VVS) is the most common cause of syncope and patients with recurrent episodes may severely impair quality of life (QoL). This pre-specified analysis evaluated whether the clinically significant reduction in syncope burden demonstrated by dual-chamber pacing with closed loop stimulation (DDD-CLS) reported in the SPAIN trial translates into improved QoL., Methods and Results: Patients aged ≥40 years with ≥5 VVS episodes and cardioinhibitory response induced by head-up tilt testing were included. Patients were randomized 1:1 to active DDD-CLS pacing algorithm for 12 months followed by sham DDI mode for the remaining 12 months (Group A) or vice versa (Group B). QoL was assessed using the Short Form-36 (SF-36) health survey, Physical Component Score (PCS), and Mental Component Score (MCS) before randomization (baseline) and at 12- and 24-month follow-up. Fifty-four patients were enrolled from 11 participating centres. No significant carryover effect was detected for any variable, and the only period effect was observed in the vitality subdomain (P = 0.033). Mean SF-36 scores were higher in the DDD-CLS group vs. the DDI group for the eight subdomains and significantly different in physical role, bodily pain, and vitality (P < 0.05). The analysis of component summary scores indicated that DDD-CLS benefited both mental and physical components with significant differences in PCS when compared with the DDI group., Conclusion: Dual-chamber pacing with closed loop stimulation determined a significant and clinically relevant improvement in QoL across both mental and physical components in patients with recurrent VVS., Registration: Closed Loop Stimulation for Neuromediated Syncope (SPAIN Study); NCT01621464., (Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2019. For permissions, please email: journals.permissions@oup.com.)

Published
2020
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22. EuroEco (European Health Economic Trial on Home Monitoring in ICD Patients): a provider perspective in five European countries on costs and net financial impact of follow-up with or without remote monitoring.

Author

Heidbuchel H, Hindricks G, Broadhurst P, Van Erven L, Fernandez-Lozano I, Rivero-Ayerza M, Malinowski K, Marek A, Romero Garrido RF, Löscher S, Beeton I, Garcia E, Cross S, Vijgen J, Koivisto UM, Peinado R, Smala A, and Annemans L

Subjects
Arrhythmias, Cardiac economics, Arrhythmias, Cardiac therapy, Costs and Cost Analysis, Defibrillators, Implantable economics, Fee-for-Service Plans, Female, Follow-Up Studies, Health Personnel economics, Health Personnel statistics & numerical data, Health Resources economics, Health Resources statistics & numerical data, Humans, Long-Term Care economics, Male, Middle Aged, Office Visits economics, Cardiac Pacing, Artificial economics, Home Care Services economics, Monitoring, Ambulatory economics, Remote Consultation economics
Abstract

Aim: Remote follow-up (FU) of implantable cardiac defibrillators (ICDs) allows for fewer in-office visits in combination with earlier detection of relevant findings. Its implementation requires investment and reorganization of care. Providers (physicians or hospitals) are unsure about the financial impact. The primary end-point of this randomized prospective multicentre health economic trial was the total FU-related cost for providers, comparing Home Monitoring facilitated FU (HM ON) to regular in-office FU (HM OFF) during the first 2 years after ICD implantation. Also the net financial impact on providers (taking national reimbursement into account) and costs from a healthcare payer perspective were evaluated., Methods and Results: A total of 312 patients with VVI- or DDD-ICD implants from 17 centres in six EU countries were randomised to HM ON or OFF, of which 303 were eligible for data analysis. For all contacts (in-office, calendar- or alert-triggered web-based review, discussions, calls) time-expenditure was tracked. Country-specific cost parameters were used to convert resource use into monetary values. Remote FU equipment itself was not included in the cost calculations. Given only two patients from Finland (one in each group) a monetary valuation analysis was not performed for Finland. Average age was 62.4 ± 13.1 years, 81% were male, 39% received a DDD system, and 51% had a prophylactic ICD. Resource use with HM ON was clearly different: less FU visits (3.79 ± 1.67 vs. 5.53 ± 2.32; P < 0.001) despite a small increase of unscheduled visits (0.95 ± 1.50 vs. 0.62 ± 1.25; P < 0.005), more non-office-based contacts (1.95 ± 3.29 vs. 1.01 ± 2.64; P < 0.001), more Internet sessions (11.02 ± 15.28 vs. 0.06 ± 0.31; P < 0.001) and more in-clinic discussions (1.84 ± 4.20 vs. 1.28 ± 2.92; P < 0.03), but with numerically fewer hospitalizations (0.67 ± 1.18 vs. 0.85 ± 1.43, P = 0.23) and shorter length-of-stay (6.31 ± 15.5 vs. 8.26 ± 18.6; P = 0.27), although not significant. For the whole study population, the total FU cost for providers was not different for HM ON vs. OFF [mean (95% CI): €204 (169-238) vs. €213 (182-243); range for difference (€-36 to 54), NS]. From a payer perspective, FU-related costs were similar while the total cost per patient (including other physician visits, examinations, and hospitalizations) was numerically (but not significantly) lower. There was no difference in the net financial impact on providers [profit of €408 (327-489) vs. €400 (345-455); range for difference (€-104 to 88), NS], but there was heterogeneity among countries, with less profit for providers in the absence of specific remote FU reimbursement (Belgium, Spain, and the Netherlands) and maintained or increased profit in cases where such reimbursement exists (Germany and UK). Quality of life (SF-36) was not different., Conclusion: For all the patients as a whole, FU-related costs for providers are not different for remote FU vs. purely in-office FU, despite reorganized care. However, disparity in the impact on provider budget among different countries illustrates the need for proper reimbursement to ensure effective remote FU implementation., (© The Author 2014. Published by Oxford University Press on behalf of the European Society of Cardiology.)

Published
2015
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23. Reel syndrome: a rare cause of pacemaker malfunction.

Author

Alvarez-Acosta L, Romero Garrido R, Farrais-Villalba M, and Hernández Afonso J

Subjects
Aged, 80 and over, Atrial Fibrillation diagnosis, Cardiac Pacing, Artificial adverse effects, Cardiac Pacing, Artificial methods, Female, Follow-Up Studies, Foreign-Body Migration physiopathology, Humans, Radiography, Thoracic methods, Rare Diseases, Syncope diagnosis, Syncope etiology, Syndrome, Atrial Fibrillation therapy, Electrocardiography, Equipment Failure, Foreign-Body Migration diagnostic imaging, Pacemaker, Artificial adverse effects
Published
2014
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