Luca De Mattia

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Atrial fibrillation is a common arrhythmia in patients suffering from acute myocardial infarction, however its pathophysiological mechanisms are not fully understood. We describe the unusual case of a 76-year old woman admitted for non-ST-segment elevation myocardial infarction, who developed multiple episodes of paroxysmal atrial fibrillation triggered by(More)
Upgrading of a pacing system in the presence of a subclavian occlusion is technically challenging. We describe the case of a patient who underwent a successful upgrading procedure of an implantable cardioverter-defibrillator (ICD) to a biventricular defibrillator (ICD-CRT) in the presence of a suboccluded left subclavian vein, using a collateral vein that(More)
When performing epicardial ablation of ventricular tachycardia (VT), caution must be taken not to damage the coronary arteries. We report a case in which a new, nonfluoroscopic technique for incorporating an accurate, real-time reconstruction of the main coronary vessels into a three-dimensional electroanatomic map was used for epicardial VT ablation.
We report the case of a patient with a previously implanted pacemaker, who suffered cardiac arrest due to ventricular fibrillation requiring cardiopulmonary resuscitation (CPR) manoeuvres and electrical cardioversion to restore sinus rhythm. Analysis of the pacemaker's stored electrograms showed the arrhythmia progression from monomorphic ventricular(More)
Introduction The implantation of transvenous leads for pacemakers and defibrillators is traditionally performed using fluoroscopic guidance. When cardiac resynchronization therapy (CRT) is indicated, iodine contrast medium (ICM) infusion for coronary sinus (CS) branch visualization is also needed. Adverse reactions to ICM during cardiac catheterization and(More)
To the Editor: In the first part of his very interesting Clinician Update focused on digital clubbing (DC), Rutherford described the case of a patient presenting with a 3-month history of significant weight loss, occasional night sweats, and fatigue, in whom physical examination revealed a fast resting heart rate and bilateral DC. The author subsequently(More)
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