2024-03-29T15:09:23Z
http://www.rhythmos.gr/index.php/Rhythmos/oai
oai:ojs.rhythmos.gr:article/29
2013-07-14T13:04:16Z
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Βέλτιστος Επανασυγχρονισμός μέσω της Μέσης Καρδιακής Φλέβας
Manolis, Antonis S
Athens University School of Medicine &
First Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Kappos, Kostas
Koulouris, Spyridon
Andrikopoulos, George
Tzeis, Stylianos
Politis, Panagiotis
Όταν η κλασική θέση του αριστερού κοιλιακού ηλεκτροδίου (αριστερή εικόνα) προκαλεί διέγερση του φρενικού νεύρου και επανειλλημμένες προσπάθειες ανεύρευσης εναλλακτικής θέσης αποτυγχάνουν, ο καθετηριασμός της μέσης καρδιακής φλέβας (MCV) μπορεί να πετύχει βέλτιστο επανασυγχρονισμό χωρίς διέγερση του φρενικού, όπως κατεδείχθη στον ασθενή της παρακάτω εικόνας, όπου το ηλεκτρόδιο προωθήθηκε μέσω της MCV σε οπισθιοπλάγια θέση (δεξιά εικόνα) με άριστο βηματοδοτικό αποτέλεσμα. Ο ασθενής μετά 10 μήνες παραμένει κλινικά βελτιωμένος (από class III-IV κατά NYHA σε I-II) με εξαιρετικές βηματοδοτικές και υπερηχοκαρδιογραφικές παραμέτρους... (excerpt)
Athens University School of Medicine
2013-07-14 16:04:16
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/29
Rhythmos; Vol. 2 No. 2 (2007)
ell
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/33
2013-07-14T14:05:48Z
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Απρόσφορες Εκφορτίσεις Εμφυτεύσιμου Απινιδωτή σε Ασθενή με Long QT Syndrome από Ηλεκτρομαγνητική Παρεμβολή κατά τη Διέλευσή της από Δημόσια Έργα
Pastromas, Sokratis
Athens University School of Medicine &
First Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Koulouris, Spyridon
Πρόκειται για γυναίκα ασθενή 33 ετών στην οποία εμφυτεύθηκε ICD τον Δεκέμβριο του 2006 λόγω επεισοδίου καρδιακής ανακοπής σε έδαφος συνδρόμου μακρού QT. Μέχρι το επεισόδιο που περιγράφουμε δεν είχε συμβεί εκφόρτιση του απινιδωτή, δόκιμη ή απρόσφορη. Η ασθενής περιγράφει τις εκφορτίσεις του απινιδωτή κατά την προσέλευσή της στην εργασία της περνώντας δίπλα από πεζοδρόμιο όπου εκτελούνταν δημόσια έργα και λειτουργούσαν διάφορα μηχανήματα (κομπρεσέρ, εκσκαφείς). Στην εικόνα παρατίθεται το ηλεκτρόγραμμα και το ΗΚΓ που καταγράφηκαν τη στιγμή των εκφορτίσεων του απινιδωτή. Είναι σαφές πως ο απινιδωτής αναγνωρίζει τα παράσιτα ως κοιλιακή μαρμαρυγή και εκφορτίζεται απρόσφορα σύμφωνα με τους προγραμματισμένους αλγόριθμους. Συνολικά η ασθενής υπέστη 5 απρόσφορες εκφορτίσεις με 18, 24, και 29,5 Joules... (excerpt)
Athens University School of Medicine
2013-07-14 17:05:48
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/33
Rhythmos; Vol. 2 No. 3 (2007)
ell
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/118
2013-07-17T17:53:40Z
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Catheter Ablation of Incessant Ventricular Tachycardia in a Patient With Coronary Artery Disease
Letsas, Konstantinos P
Second Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Efremidis, Michael
Evagelismos Hospital, Athens
Sideris, Antonios
Evagelismos Hospital, Athens
A 67-year-old male with known coronary artery disease was referred to our hospital for catheter ablation of incessant ventricular tachycardia (VT). Transthoracic echocardiography revealed severe wall motion abnormalities of the left ventricle along with an apical aneurysm. Left ventricular voltage mapping showed a region with low voltage (<1.5 mV) at the left ventricular apex. Propagation mapping revealed a macro-reentry circuit around the apical aneurysm. Mid-diastolic potentials were recorded during the VT (Fig. 1, left panel, arrows), while entrainment mapping was excellent. The first radiofrequency energy application terminated the tachycardia. A circumferential lesion around the aneurysm was finally performed (Fig. 1, right panel, red dots). Ventricular tachycardia became non-inducible, and the patient is free from arrhythmic events during the last six months... (excerpt)
Athens University School of Medicine
2013-07-17 20:53:40
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/118
Rhythmos; Vol. 6 No. 4 (2011)
eng
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/138
2013-10-20T11:54:40Z
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Echocardiographic Findings in Carcinoid Syndrome
Kakiouzi, Vassiliki
Hippokration University Hospital, Athens
Poulidakis, Emmanouil
Evagelismos Hospital, Athens
Lagoudakou, Stavroula
Hippokratio University Hospital, Athens
Scondra, Maria
Hippokratio Univerity Hospital, Athens
Aggeli, Constantina
Hippokration University Hospital, Athens
Manolis, Antonis S
Athens University School of Medicine &
First Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
A 57-year-old Caucasian female was referred to our Cardiology department due to hypertension, flushing, and diarrhea. She had a medical history of hypertension and paroxysmal atrial fibrillation. On physical examination, the patient had a heart rate of 70 bpm and a respiratory rate of 12 breaths/min. Her temperature was 37°C and her blood pressure was 120/80 mmHg. Cardiac examination revealed a left parasternal holosystolic murmur, and a palpable right ventricular heave. Lung auscultation was unremarkable. From the initial biochemical exam she had no specific abnormalities. The ECG showed sinus rhythm, negative T-waves in leads III, V1-5. The transthoracic echocardiography study revealed a left ventricle with normal size and normal systolic function and dilatation of the left atrium, whereas the right cardiac chambers were dilated with thickened, immobile leaflets of the tricuspid and pulmonic valve, leading to malcoaptation and severe tricuspid and pulmonic regurgitation. (Figures 1-5) The clinical and echocardiographic findings raised the suspicion of carcinoid heart disease. Abdominal CT demonstrated hepatic metastases and the patient was treated with chemotherapy and with the somatostatin analog octreotide... (excerpt)
Athens University School of Medicine
2013-10-20 14:54:40
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/138
Rhythmos; Vol. 8 No. 4 (2013)
eng
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/140
2013-08-30T19:54:49Z
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Vanishing Collaterals Immediately Post-Percutaneous Coronary Revascularization
Manolis, Antonis S
Athens University School of Medicine &
First Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Stalikas, Dimitris
Evagelismos Hospital, Athens
Baladima, Angela
Evagelismos Hospital, Athens
Pyrros, Ioannis
Evagelismos Hospital, Athens
A 74-year-old gentleman with history of diabetes mellitus, hypercholesterolemia, tobacco use and prior myocardial infarction, was admitted via the emergency room due to unstable angina. He had sustained a lateral non-ST elevation myocardial infarction 6 years earlier, when he was submitted to percutaneous coronary intervention (PCI) and stenting of the obtuse marginal branch of the left circumflex coronary artery, considered the culprit lesion and during the same session, stenting was also performed of a stenosis of borderline angiographic significance of the left anterior descending (LAD) coronary artery. During his current admission, urgent coronary angiography was performed, which revealed a total proximal occlusion of the LAD (panel A, arrow); full collateral supply of the LAD was noted from the right coronary artery (panel B, arrows). A significant proximal lesion of the right coronary artery was also detected (not shown).The patient consented to an attempt to revascularize the occluded vessel via PCI, which was successfully accomplished with implantation of 3 coronary stents (panel C, thick arrow). Successful direct stenting was also performed of the proximal lesion of the right coronary artery. Upon completion of the PCI procedure, contrast injection of the right coronary artery revealed the disappearance of the collateral vessels supplied to the LAD (panel D, dashed arrows). Echocardiographic examination showed a near-normal systolic function of the left ventricle (ejection fraction ~55%).
Athens University School of Medicine
2013-08-30 22:54:02
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/140
Rhythmos; Vol. 8 No. 3 (2013)
eng
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/150
2014-08-14T14:04:32Z
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Catheter Ablation of Right Ventricular Outflow Tract Ventricular Tachycardia
Vlachos, Konstantinos
Second Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Letsas, Konstantinos P
Second Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Efremidis, Michael
Second Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Sideris, Antonios
Second Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Α 57-year-old female with repetitive monomorphic ventricular tachycardia was referred for an electrophysiological study. ECG during sinus rhythm was normal. ECG during tachycardia revealed a left bundle branch block (LBBB) pattern with inferior axis suggestive of an outflow tract tachycardia (Fig. 1). Structural heart disease was excluded. Transthoracic echocardiography and coronary angiography were unremarkable. The tachycardia was easily induced by atrial pacing (Fig. 2). This was suggestive of cyclic adenosine monophosphate (c-AMP) triggered activity as the pathophysiological basis of the arrhythmia. Activation mapping revealed the earliest activity at the posteroseptal region of the right ventricular outflow tract. A systolic pre-potential was recorded in this area, which is rarely seen in these type of arrhythmias (Fig. 3)... (excerpt)
Athens University School of Medicine
2014-08-14 17:04:32
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/150
Rhythmos; Vol. 9 No. 2 (2014)
eng
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/157
2015-01-17T09:30:41Z
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A Case of Anomalous Origin of the Right Coronary Artery from the Left Anterior Descending Artery
Papadimitriou, Prokopis
Evagelismos General Hospital of Athens, Athens, Greece
Koumoulidis, Anastasis
Evagelismos Hospital, Athens
Stalikas, Dimitris
Evagelismos Hospital, Evagelismos Hospital, Athens
A 34-year-old man, ex-smoker, with family history of coronary artery disease presented to the emergency room complaining of an episode of chest discomfort at rest, radiating to the arms, accompanied with palpitations, that started several hours earlier, lasted for several minutes and resolved with a syncopal episode. He did not mention any prior similar episodes and did not have angina or dyspnea on exertion, orthopnea or paroxysmal nocturnal dyspnea. At the time of presentation he was asymptomatic. His physical examination was unremarkable. However, his electrocardiogram revealed sinus rhythm with mild ST depression and T-wave inversion in leads I, avL, V4-V6. The patient was admitted to the coronary care unit with a possible diagnosis of an acute coronary syndrome. Cardiac markers remained normal in consecutive measurements. His echocardiogram was normal and a 24-hour Holter recording did not reveal any significant arrhythmic events. Coronary angiography was performed for further evaluation of the episode; it displayed normal courses of the left main coronary artery (LMCA), dominant left circumflex (LCX), and left anterior descending artery (LAD). An anomalous right coronary artery (RCA) as a separate small branch arose from the distal LAD with subsequent anterior course (Fig. 1 & 2)... (excerpt)
Athens University School of Medicine
2015-01-17 11:30:41
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/157
Rhythmos; Vol. 9 No. 4 (2014)
eng
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/161
2015-02-04T10:34:17Z
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Typical Atrial Flutter Ablation: Demonstration of Cavo-Tricuspid Isthmus Block Aided by a Halo Catheter
Manolis, Antonis S
Athens University School of Medicine &
First Department of Cardiology, Evagelismos General Hospital of Athens, Athens, Greece
Tsiachris, Dimitris
Ippokratio Hospital, Athens
A 61-year-old gentleman with one-year history of atrial flutter (see typical saw-tooth appearance of flutter –F waves in the inferior ECG leads in Panel A) refractory to antiarrhythmic agents was submitted to cavotricuspid isthmus ablation. During the procedure, use of an eicosapolar halo catheter (Panel B, arrow) helped to demonstrate the counterclockwise direction of activation (from proximal pole pairs Halo 10 toward Halo 1, Panel D). Upon completion of the ablation line along the isthmus, conversion of atrial flutter into sinus rhythm was noted (Panel C, arrow). With the aid of the halo catheter, bidirectional block could be easily determined by pacing near the coronary sinus os (Panel E, arrow) and recording the late activation of Halo 1, which was withdrawn to the lateral wall of the low right atrium, and finally pacing at the low lateral wall (Panel F, arrow) and recording late activation by the catheter near the coronary sinus os... (excerpt)
Athens University School of Medicine
2015-02-01 23:52:15
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/161
Rhythmos; Vol. 10 No. 1 (2015)
eng
Copyright (c) 2015 Rhythmos
oai:ojs.rhythmos.gr:article/165
2016-03-04T11:47:50Z
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Left Idiopathic Ventricular Tachycardia Amenable to Radiofrequency Ablation
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Pastromas, Sokratis
Henry Dunant Hospital, Athens, Greece
A case of idiopathic left posterior fascicular ventricular tachycardia is presented in a young patient, who was finally cured by radiofrequency ablation applied at the left inferoapical area of the left ventricle.
Athens University School of Medicine
2016-03-04 13:47:50
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/165
Rhythmos; Vol. 10 No. 2 (2015)
eng
Copyright (c) 2016 Rhythmos
oai:ojs.rhythmos.gr:article/169
2016-03-04T12:24:06Z
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Right Ventricular Septal Pacing: In Lieu of Biventricular Pacing for Cardiac Resynchronization in a Patient With Right Bundle Branch Block?
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Tolis, Panagiotis
Ippokratio Hospital, Athens
A 71-year-old male with ischemic cardiomyopathy, severe systolic left ventricular dysfunction and symptomatic heart failure was not considered a good candidate for implantation of a biventricular pacing system to effect cardiac resynchronization due to underlying right bundle branch block (RBBB). He received instead a dual-chamber implantable cardioverter defibrillation with the ventricular lead placed at an alternate site position at the high right ventricular septum. This resulted in significant narrowing of the QRS duration (resynchronization) with a good clinical response over short-term. The case illustrates a possible alternative approach to biventricular pacing for cardiac resynchronization in patients with RBBB.
Athens University School of Medicine
2016-03-04 14:24:06
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/169
Rhythmos; Vol. 10 No. 3 (2015)
eng
Copyright (c) 2016 Rhythmos
oai:ojs.rhythmos.gr:article/173
2016-03-04T19:32:19Z
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Atrial Flutter Mimicking Acute Myocardial Infarction
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Koutagiar, Iosif
Ippokratio Hospital, Athens
A case of ST-elevation myocardial infarction (STEMI) mimic produced by prominent atrial flutter waves is being presented and discussed.
Athens University School of Medicine
2016-03-04 21:32:19
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/173
Rhythmos; Vol. 10 No. 4 (2015)
eng
Copyright (c) 2016 Rhythmos
oai:ojs.rhythmos.gr:article/177
2016-07-17T20:01:38Z
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Improved Cardiac Output with Right Ventricular Septal Pacing in a Patient with Right Bundle Branch Block and Left Ventricular Dysfunction
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Voyiantzakis, Nikolaos
Ippokratio Hospital, Athens
Lazaros, George
Ippokratio Hospital, Athens
Alternate site pacing improved the left ventricular outflow tract velocity time integral (surrogate of cardiac output) compared to native rhythm in a patient with ischemic cardiomyopathy and severe left ventricular dysfunction with underlying right bundle branch block.
Athens University School of Medicine
2016-03-04 22:00:13
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/177
Rhythmos; Vol. 11 No. 1 (2016)
eng
Copyright (c) 2016 Rhythmos
oai:ojs.rhythmos.gr:article/388
2017-08-01T20:22:37Z
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“Warm-up” and “Cool-Down” Phenomenon
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Polytarchou, Kali
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Anninos, Hector
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
A 14-year-old was diagnosed with recurrent bouts of narrow-QRS complex tachycardia displaying the phenomenon of “warm-up” and “cool-down” that aided in the differential diagnosis. Rhythmos 2017;12(3):52.
Athens University School of Medicine
2017-08-01 23:20:32
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/388
Rhythmos; Vol. 12 No. 3 (2017)
eng
Copyright (c) 2017 Rhythmos
oai:ojs.rhythmos.gr:article/392
2017-12-28T19:34:23Z
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Sequential Activation of Vulnerable Plaques Endorsing the Inflammatory Hypothesis of Atherosclerosis
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Toskas, Pantelis
Athens University School of Medicine, Athens
Aznaouridis, Konstantinos
Athens University School of Medicine, Athens
A case of sequential activation of vulnerable plaques in two different coronary vessels over the course of 2 days is being presented probably related to inflammation inciting these acute coronary events. Rhythmos 2017;12(4): 69-70.
Athens University School of Medicine
2017-12-28 21:34:23
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/392
Rhythmos; Vol. 12 No. 4 (2017)
eng
Copyright (c) 2017 Rhythmos
oai:ojs.rhythmos.gr:article/396
2018-01-14T15:27:48Z
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Cardiac Resynchronization Via Left Ventricular Anterior Wall Pacing
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Kalos, Theodore
Athens University School of Medicine, Athens
Mourouzis, Iordanis
Athens University School of Medicine, Athens
Pantos, Costas
Athens University School of Medicine, Athens
A case of cardiac resynchronization is presented with paced-QRS narrowing effected via a left ventricular (LV) lead placed at an anterior cardiac vein after failed implantation at the lateral wall due to phrenic nerve stimulation. Data are presented indicating that an anterior LV pacing site selection may not be that bad after all, particularly when biventricular pacing from this position produces a QRS that is narrower than the baseline native QRS. Rhythmos 2018;13(1):10-11.
Athens University School of Medicine
2018-01-14 17:22:42
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/396
Rhythmos; Vol. 13 No. 1 (2018)
eng
Copyright (c) 2018 Rhythmos
oai:ojs.rhythmos.gr:article/418
2018-04-07T10:21:11Z
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2:1 and Mobitz Type II Atrioventricular Block: A Common Fallible Diagnosis
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Mourouzis, Iordanis
Athens University School of Medicine, Athens, Greece
Pantos, Costas
Athens University School of Medicine, Athens, Greece
A patient with Wenckebach phenomenon followed by runs of 2:1 atrioventricular (AV) block, labeled as Mobitz type II AV block by the referring physician, was referred for permanent pacemaker implantation. Apropos with this case and similar publications with this fallible diagnosis, the correct diagnosis of second degree AV block is revisited. It is pointed out that an ECG diagnosis of 2:1 AV block is by no means synonymous to Mobitz type II AV block, as two successive PR intervals are required to make a distinction between Mobitz type I and type II, which is never the case with a constant 2:1 AV block recording. On the other hand, the correct diagnosis can only be made by association. When longer ECG recordings are available and at least two consecutive PR intervals are seen, as in the present case, and one can discern a definite pattern of Mobitz type I (with progressive PR prolongation) or type II block (with stable PR intervals), then one can conclude that the 2:1 AV block is a consequence of one of the two types. Rhythmos 2018;13(2): 35-37.
Athens University School of Medicine
2018-04-07 13:21:11
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/418
Rhythmos; Vol. 13 No. 2 (2018)
eng
Copyright (c) 2018 Rhythmos
oai:ojs.rhythmos.gr:article/430
2018-06-30T11:38:21Z
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Ventricular Pace Suppression Function: Prophylaxing from Iatrogenic Dyssynchrony
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Bei, Evangelia
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Antoniou, Christos
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Stathopoulos, Christos
Patras, Greece
A patient with an implanted dual-chamber pacemaker (DDDR) for sick sinus syndrome had a pulse generator exchange due to battery depletion. Apropos with the procedure, it was noted that the patient had continuous ventricular pacing via a pacing lead located at the right ventricular apex. In order to avoid possible deleterious effects of the iatrogenic dyssynchrony conferred by this kind of pacing, the algorithm of ventricular pace suppression function was activated in the new device that practically led to functional AAI pacing, deemed a more physiologic mode of pacing that could prevent the potential harmful effects of right ventricular apical pacing. Rhythmos 2018;13(3):59-61.
Athens University School of Medicine
2018-06-30 14:38:21
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/430
Rhythmos; Vol. 13 No. 3 (2018)
eng
Copyright (c) 2018 Rhythmos
oai:ojs.rhythmos.gr:article/438
2018-10-31T20:20:20Z
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Impasse During Cardiac Implantable Electronic Device Lead Extraction: Only Patience, Endurance and the Right Tools Can Bail You Out
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Koumeli, Areti
Ippokrateio Hospital, Athens, Greece
Soulaidopoulos, Stergios
Ippokrateio Hospital, Athens, Greece
Konstantinou, Konstantinos
Ippokrateio Hospital, Athens, Greece
A case of complex and arduous percutaneous cardiac implantable electronic device (CIED) lead extraction is presented that illustrates several aspects of technical challenges that may emerge during the procedure requiring a change of strategy, appropriate tool selection, and operator and patient endurance. Rhythmos 2018;13(4):78-80.
Athens University School of Medicine
2018-10-31 22:20:20
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/438
Rhythmos; Vol. 13 No. 4 (2018)
eng
Copyright (c) 2018 Rhythmos
oai:ojs.rhythmos.gr:article/449
2019-01-08T14:15:36Z
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Successful Percutaneous Coronary Intervention in Tandem Coronary Lesions with Subtotal and Chronic Total Occlusion
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece http://orcid.org/0000-0002-0336-4745
Bei, Evangelia
Athens University School of Medicine, Athens
Stavrou, Petros Z
Athens University School of Medicine, Athens
Percutaneous coronary intervention and stenting of tandem lesions of the left anterior descending coronary artery, one of which was a chronic total occlusion, was successfully performed in a symptomatic patient with extensive ischemia on myocardial scintigraphy with use of a standard antegrade approach and routine tools without the need to resort to elaborate techniques and sophisticated tools. Rhythmos 2018;14(1):10-12.
Athens University School of Medicine
2019-01-08 16:15:35
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http://www.rhythmos.gr/index.php/Rhythmos/article/view/449
Rhythmos; Vol. 14 No. 1 (2019)
eng
Copyright (c) 2019 Rhythmos
oai:ojs.rhythmos.gr:article/467
2019-07-20T19:32:01Z
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Programmed Ventricular Stimulation in Brugada Syndrome: An Irrefusable Offer or an Inaccurate Tool for Patients with Absent or Doubtful Symptoms?
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Avlonitis, Sokratis
Private Practice, Kavala, Greece
A case of a patient with Brugada pattern on ECG is presented with dubious symptoms whose management was guided by an electrophysiology (EP) study where programmed ventricular stimulation easily induced ventricular fibrillation with only two ventricular extrastimuli and facilitated a decision to implant a defibrillator for sudden death protection. Images of the EP tracings are provided that illustrate the findings and the pros and cons of such an approach are herein discussed. Rhythmos 2019;14(3):55-57.
Athens University School of Medicine
2019-07-20 22:32:01
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/467
Rhythmos; Vol. 14 No. 3 (2019)
eng
Copyright (c) 2019 Rhythmos
oai:ojs.rhythmos.gr:article/472
2019-10-09T17:07:27Z
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Twelve-Year Outcome of Multi-Lesion PCI with Coronary Stenting: Very Late Non-Target Lesion Progression Amidst Durable Patency of Multiple Stents
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Patsouras, Nikolaos
Patras University School of Medicine
Flordellis, Christodoulos
A case of a 72-year-old gentleman with very late non-target lesion revascularization is presented illustrating late atherosclerosis progression despite long-term statin therapy, while at the same time long-lasting patency of drug-eluting stents implanted 12 years earlier is pictorially exemplified. Rhythmos 2019;14(4):77-79.
Athens University School of Medicine
2019-10-09 20:07:27
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/472
Rhythmos; Vol. 14 No. 4 (2019)
eng
Copyright (c) 2019 Rhythmos
oai:ojs.rhythmos.gr:article/475
2020-01-30T16:39:28Z
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Post-PVI Left Atrial Flutter Managed with Pulmonary Vein Re-Isolation Using Cryoballoon Ablation
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Damasiotis, John
Athens University Medical School
Avlonitis, Sokratis
Kavala, Greece
A case of left atrial flutter occurring after pulmonary vein isolation effected via cryothermic balloon ablation for atrial fibrillation is presented, which was successfully managed with pulmonary vein re-isolation. Rhythmos 2020; 15(1):77-79.
Athens University School of Medicine
2020-01-30 00:00:00
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/475
Rhythmos; Vol. 15 No. 1 (2020)
eng
Copyright (c) 2020 Rhythmos
oai:ojs.rhythmos.gr:article/479
2020-04-07T07:41:54Z
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Right Bundle Branch Block Pattern During Right Ventricular Pacing: Inadvertent Pacing Lead Placement or a False Alarm? / Just a Need for a Lower Relocation of V1/2 ECG Lead Placement!
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Kalantzis, Charalampos
Athens University School of Medicine
A case of right bundle branch block pattern of right ventricular pacing is presented wherein a simple maneuver of precordial V1/2 ECG lead relocation clarified the problem. Rhythmos 2020; 15(2):33-34.
Athens University School of Medicine
2020-04-07 09:39:23
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/479
Rhythmos; Vol. 15 No. 2 (2020)
eng
Copyright (c) 2020 Rhythmos
oai:ojs.rhythmos.gr:article/485
2020-07-15T12:50:45Z
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Successful Electrical Cardioversion of Long-Standing Persistent Atrial Fibrillation: Tips and Tricks
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Kalos, Theodore
Athens University School of Medicine
A case of electrical cardioversion of long-standing persistent atrial fibrillation (AF) is presented along with tips and tricks for a successful strategy to restore and maintain sinus rhythm. Rhythmos 2020; 15(3):52-54.
Athens University School of Medicine
2020-07-15 08:50:13
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/485
Rhythmos; Vol. 15 No. 3 (2020)
eng
Copyright (c) 2020 Rhythmos
oai:ojs.rhythmos.gr:article/495
2020-10-02T11:13:41Z
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Left Bundle Branch Block (LBBB) Induced Angina / Painful LBBB Syndrome
Manolis, Antonis S
Third Department of Cardiology, Athens University School of Medicine, Athens, Greece
Dry, Eirini
Athens University School of Medicine
A case of painful left bundle branch block (LBBB) syndrome is presented where anginal symptoms developed during periods of rate-dependent LBBB associated with stress or exertion. Rhythmos 2020; 15(4):78-79.
Athens University School of Medicine
2020-10-02 14:13:36
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/495
Rhythmos; Vol. 15 No. 4 (2020)
eng
Copyright (c) 2020 Rhythmos
oai:ojs.rhythmos.gr:article/503
2021-04-15T11:11:28Z
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Cavotricuspid Isthmus Ablation Using a Novel High-Density Automated Electroanatomical Contact Mapping System
Manolis, Antonis S
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Tsirimokos, Nikolaos
Boston Scientific Hellas, S.A.
A case of atrial flutter ablation is presented with use of a novel high-density automated electroanatomic contact mapping system that was employed for guidance of the procedure. Rhythmos 2021; 16(2):39-40.
Athens University School of Medicine
2021-04-15 13:55:41
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/503
Rhythmos; Vol. 16 No. 2 (2021)
eng
Copyright (c) 2021 Rhythmos
oai:ojs.rhythmos.gr:article/507
2021-07-17T17:31:40Z
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False Negative Myocardial Perfusion Imaging: Regular Exercise Tolerance Test Coming to the Rescue
Manolis, Antonis S
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Manolis, Antonis A.
Patras University School of Medicine
Stavrou, Petros Z.
Department of Nuclear Medicine, Evagelismos Hospital, Athens
A case of a patient with critical coronary artery disease is presented where a regular exercise tolerance test was positive whereas myocardial perfusion imaging was (false) negative. Rhythmos 2021; 16(3):62-64.
Athens University School of Medicine
2021-07-03 10:55:32
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/507
Rhythmos; Vol. 16 No. 3 (2021)
eng
Copyright (c) 2021 Rhythmos
oai:ojs.rhythmos.gr:article/511
2021-10-30T15:36:21Z
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Chronic Atrial Overdrive Pacing to Suppress Recurrences of Atrial Fibrillation
Manolis, Antonis S
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Manolis, Antonis A
Patras University School of Medicine
Manolis, Theodora A
Aghia Sofia Hospital
A case of a patient with persistent atrial fibrillation is presented who was electrically cardioverted and was subsequently maintained on chronic overdrive atrial pacing and remained free of arrhythmia recurrences. Rhythmos 2021; 16(4):82-83.
Athens University School of Medicine
2021-10-30 18:36:18
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/511
Rhythmos; Vol. 16 No. 4 (2021)
eng
Copyright (c) 2021 Rhythmos
oai:ojs.rhythmos.gr:article/515
2022-01-10T16:05:33Z
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Eggshell Calcification of the Heart
Manolis, Antonis S
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Lazaridis, Kyriakos
NIMTS Hospital, Athens
A case of a patient with extensive egg-shell calcification of the pericardium is presented without signs of constriction. This was imaged by fluoroscopy during an ablation procedure performed for persistent atrial fibrillation. Rhythmos 2022; 17(1):105-106.
Athens University School of Medicine
2022-01-10 18:05:27
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/515
Rhythmos; Vol. 17 No. 1 (2022)
eng
Copyright (c) 2022 Rhythmos
oai:ojs.rhythmos.gr:article/519
2022-04-04T15:55:21Z
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Midventricular Obstructive Hypertrophic Cardiomyopathy with Apical Aneurysm: Left Ventricular Hemodynamic and Angiographic Findings
Manolis, Antonis S
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Manolis, Antonis A.
Patras University School of Medicine
A case of a 50-year-old patient with a midventricular obstructive hypertrophic cardiomyopathy is presented and the left ventricular hemodynamic and angiographic findings are depicted and discussed. Rhythmos 2022; 17(2):36-38.
Athens University School of Medicine
2022-04-04 12:01:39
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/519
Rhythmos; Vol. 17 No. 2 (2022)
eng
Copyright (c) 2022 Rhythmos
oai:ojs.rhythmos.gr:article/524
2022-07-15T05:09:56Z
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Portable/Wearable ECG Recording Gadgets
Manolis, Antonis S
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Manolis, Antonis A
Patras University School of Medicine
Several portable devices for ECG acquisition are already available in the market and have provided valuable information regarding various cardiac arrhythmias, most commonly atrial fibrillation (AF). Such gadgets are easy to use and can impact health care for both diagnosis and management in a variety of clinical settings, such as in patients complaining of palpitations, patients presenting with unexplained presyncope or syncope, patients with heart failure and suspected tachycardiomyopathy, those afflicted by cryptogenic stroke, and/or patient groups who are at high arrhythmic risk (e.g., older persons, individuals with obesity, sleep apnea, hypertension, diabetes or structural heart disease). Rhythmos 2022; 17(3):58-61.
Athens University School of Medicine
2022-07-15 08:09:54
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/524
Rhythmos; Vol. 17 No. 3 (2022)
eng
Copyright (c) 2022 Rhythmos
oai:ojs.rhythmos.gr:article/528
2022-10-15T16:49:28Z
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Electroanatomical Mapping to Curtail Heart Block Occurrence and Enhance Safety During Slow Pathway Ablation in Patients with Atrioventricular Nodal Reentrant Tachycardia
Manolis, Antonis S
First Department of Cardiology, Athens University School of Medicine, Athens, Greece
Tsirimokos, Nikolaos
Boston Scientific
Mikos, Evripidis
Boston Scientific
Manolis, Antonis A
Patras University School of Medicine
Manolis, Theodora A
Athens University School of Medicine
A case is presented of use of electro-anatomical mapping (EAM)-guided ablation of a slow pathway in a patient with symptomatic atrioventricular (AV) nodal reentrant tachycardia (AVNRT) as a safeguard against inadvertent AV block. Rhythmos 2022;17(4):79-80.
Athens University School of Medicine
2022-10-15 19:49:25
application/pdf
http://www.rhythmos.gr/index.php/Rhythmos/article/view/528
Rhythmos; Vol. 17 No. 4 (2022)
eng
Copyright (c) 2022 Rhythmos