Research Topics
| A D KrahnSummaryAffiliation: University of Western Ontario Country: Canada Publications
| Collaborators
|
Detail Information
Publications
Utility and cost effectiveness of temporary pacing using active fixation leads and an externally placed reusable permanent pacemakerStephen M Chihrin
The Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am J Cardiol 98:1613-5. 2006..In conclusion, temporary pacing using this technique is a reliable and comfortable alternative to traditional temporary pacing and appears to be a cost-effective temporary pacing option after 18 hours...
Empiric pacemaker compared with a monitoring strategy in patients with syncope and bifascicular conduction block--rationale and design of the Syncope: Pacing or Recording in ThE Later Years (SPRITELY) studyAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, ON, Canada
Europace 14:1044-8. 2012..This study seeks to identify the optimal management strategy for patients with syncope in the context of bifascicular block and preserved left ventricular systolic function...
Sentinel symptoms in patients with unexplained cardiac arrest: from the cardiac arrest survivors with preserved ejection fraction registry (CASPER)Andrew D Krahn
University of Western Ontario, London, Ontario, Canada Hamilton Health Sciences Center, Hamilton, Ontario, Canada
J Cardiovasc Electrophysiol 23:60-6. 2012..We explored the symptom history of patients with apparently unexplained cardiac arrest to determine the frequency of sentinel symptoms...
Using the net benefit regression framework to construct cost-effectiveness acceptability curves: an example using data from a trial of external loop recorders versus Holter monitoring for ambulatory monitoring of "community acquired" syncopeJeffrey S Hoch
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, Canada
BMC Health Serv Res 6:68. 2006..The net benefit regression framework (NBRF) allows cost-effectiveness analysis to be done in a simple regression framework. The objective of the paper is to illustrate how net benefit regression can be used to construct a CEAC...
Use of the implantable loop recorder in patients with unexplained syncopeA D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Minerva Cardioangiol 51:21-7. 2003....
The use of monitoring strategies in patients with unexplained syncope--role of the external and implantable loop recorderAndrew D Krahn
Division of Cardiology, University of Western Ontario, London ON, Canada
Clin Auton Res 14:55-61. 2004....
Detection of asymptomatic arrhythmias in unexplained syncopeAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am Heart J 148:326-32. 2004..We hypothesized that long-term monitoring of patients with syncope would yield significant asymptomatic abnormalities that might preclude waiting for recurrence of actual syncope...
Diminishing proportional risk of sudden death with advancing age: implications for prevention of sudden deathAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am Heart J 147:837-40. 2004..We sought to determine the effect of advancing age on the mode of death in the Amiodarone Trialists Metanalysis...
Insertable loop recorder use for detection of intermittent arrhythmiasAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Pacing Clin Electrophysiol 27:657-64. 2004..The implantable loop recorder is most useful in patients with infrequent unexplained syncope when noninvasive testing is negative...
Use of the implantable loop recorder in evaluation of patients with unexplained syncopeAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
J Cardiovasc Electrophysiol 14:S70-3. 2003....
Biventricular pacing improves quality of life and exercise tolerance in patients with heart failure and intraventricular conduction delayAndrew D Krahn
London Health Sciences Centre, University Campus, London, Canada
Can J Cardiol 18:380-7. 2002..Identification of patients most likely to respond to biventricular pacing was not possible...
Systematic assessment of patients with unexplained cardiac arrest: Cardiac Arrest Survivors With Preserved Ejection Fraction Registry (CASPER)Andrew D Krahn
University of Western Ontario, London, Ontario, Canada
Circulation 120:278-85. 2009..Provocative testing to unmask a phenotype is often necessary to detect primary electrical disease, direct genetic testing, and perform family screening...
Diagnosis of unexplained cardiac arrest: role of adrenaline and procainamide infusionAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Canada
Circulation 112:2228-34. 2005..Although these may be evident on the ECG, long-term monitoring or provocative testing is often necessary to unmask latent primary electrical disease...
Physiologic pacing in patients with obstructive sleep apnea: a prospective, randomized crossover trialAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
J Am Coll Cardiol 47:379-83. 2006..This study was designed to assess the impact of prevention of bradycardia with physiologic pacing on the severity of obstructive sleep apnea...
Cost of preimplantation cardiac imaging in patients referred for a primary-prevention implantable cardioverter-defibrillatorAndrew D Krahn
Division of Cardiology, Department of Medicine, University of Western Ontario, London, Ontario, Canada
Am J Cardiol 102:588-92. 2008..In conclusion, verification of ejection fraction identified a significant proportion of patients who were not eligible for an ICD...
Utilization of a national network for rapid response to the Medtronic Fidelis lead advisory: the Canadian Heart Rhythm Society Device Advisory CommitteeAndrew D Krahn
London Health Sciences Centre University Campus, London, Ontario, Canada
Heart Rhythm 6:474-7. 2009..The Canadian Heart Rhythm Society (CHRS) Device Advisory Committee was commissioned in 2006 to develop a mechanism for responding to advisories regarding cardiac rhythm device and lead performance...
Anticoagulation of patients on chronic warfarin undergoing arrhythmia device surgery: wide variability of perioperative bridging in CanadaAndrew D Krahn
University of Western Ontario, London, Ontario, Canada, Hamilton Health Sciences Center, Hamilton, Ontario, Canada
Heart Rhythm 6:1276-9. 2009..In patients undergoing cardiac rhythm device surgery, it is common practice to discontinue oral anticoagulation and to perform heparin bridging in order to reduce the risk of bleeding and minimize the risk of thromboembolic events...
Predictors of short-term complications after implantable cardioverter-defibrillator replacement: results from the Ontario ICD DatabaseAndrew D Krahn
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Circ Arrhythm Electrophysiol 4:136-42. 2011..In addition, replacement may be a discretionary decision in the context of an advisory or borderline device performance and patient, device, and implanter factors that predict adverse outcome may assist in clinical decision-making...
Derivation and validation of a simple exercise-based algorithm for prediction of genetic testing in relatives of LQTS probandsRaymond W Sy
University of Western Ontario, London, Canada
Circulation 124:2187-94. 2011..The accuracy of a simple algorithm that incorporates resting and exercise ECG parameters for screening LQTS in asymptomatic relatives was evaluated, with genetic testing as the gold standard...
Outcome of the Fidelis implantable cardioverter-defibrillator lead advisory: a report from the Canadian Heart Rhythm Society Device Advisory CommitteeAndrew D Krahn
London Health Sciences Center, University Campus, 339 Windermere Road, London, Ontario, Canada N6A 5A5
Heart Rhythm 5:639-42. 2008..The Medtronic Sprint Fidelis family of leads has recently been the subject of a widespread advisory. Lead failure rates are estimated at 2.3% at 30 months, 2.6 times the failure rate of the reference Medtronic 6947 lead...
Cost implications of testing strategy in patients with syncope: randomized assessment of syncope trialAndrew D Krahn
Division of Cardiology, Department of Medicine, University of Western Ontario, London, Ontario, Canada
J Am Coll Cardiol 42:495-501. 2003..We sought to assess the cost implications of two investigation strategies in patients with unexplained syncope...
Predictive value of presyncope in patients monitored for assessment of syncopeA D Krahn
Division of Cardiology, University of Western Ontario, London, Canada
Am Heart J 141:817-21. 2001..The purpose of this study was to assess the diagnostic value of recording the cardiac rhythm during presyncope in patients undergoing monitoring for undiagnosed syncope...
Rate-control versus conversion strategy in postoperative atrial fibrillation: a prospective, randomized pilot studyJ K Lee
Arrhythmia Monitoring Unit, University of Western Ontario, London Health Sciences Centre, Canada
Am Heart J 140:871-7. 2000..The optimal strategy to treat the condition has not been established. Several retrospective studies have suggested that a primary rate-control strategy may be equivalent to a strategy that restores sinus rhythm...
A randomized, double-blind, placebo-controlled evaluation of the efficacy and safety of intravenously administered dofetilide in patients with Wolff-Parkinson-White syndromeA D Krahn
Division of Cardiology, University of Western Ontario, London, Canada
Pacing Clin Electrophysiol 24:1258-60. 2001..046). Atrial fibrillation converted to sinus rhythm in 82% of patients who received dofetilide. Intravenous dofetilide was safe and effective at converting induced atrial fibrillation in patients with WPW syndrome...
Randomized assessment of syncope trial: conventional diagnostic testing versus a prolonged monitoring strategyA D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Circulation 104:46-51. 2001..005). CONCLUSIONS: A prolonged monitoring strategy is more likely to provide a diagnosis than conventional testing in patients with unexplained syncope. Consideration should be given to earlier implementation of a monitoring strategy...
Sevoflurane has no effect on sinoatrial node function or on normal atrioventricular and accessory pathway conduction in Wolff-Parkinson-White syndrome during alfentanil/midazolam anesthesiaM D Sharpe
Department of Anaesthesia, London Health Sciences Centre, University Campus, University of Western Ontario, Canada
Anesthesiology 90:60-5. 1999....
Rate-control versus conversion strategy in postoperative atrial fibrillation: trial design and pilot study resultsJohn K Lee
The Arrhythmia Service, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada
Card Electrophysiol Rev 7:178-84. 2003..Regardless of the strategy, majority of patients will be in sinus rhythm after two months. A larger randomized, controlled study is needed to assess the impact of restoration of sinus rhythm on length of stay...
Progression to chronic atrial fibrillation after pacing: the Canadian Trial of Physiologic Pacing. CTOPP InvestigatorsA C Skanes
Division of Cardiology, University of Western Ontario, London, Canada
J Am Coll Cardiol 38:167-72. 2001..This study examined the effect of physiologic pacing on the development of chronic atrial fibrillation (CAF) in the Canadian Trial Of Physiologic Pacing (CTOPP)...
Recurrent seizure diagnosed by the insertable loop recorderC S Simpson
Arrhythmia Service, London Health Sciences Centre London, Ontario, Canada
J Interv Card Electrophysiol 4:475-9. 2000..The Insertable Loop Recorder (ILR) has emerged as an important new tool in the diagnostic armamentarium for patients with syncope...
Use of an extended monitoring strategy in patients with problematic syncope. Reveal InvestigatorsA D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Circulation 99:406-10. 1999..A symptom-rhythm correlation is often difficult to obtain during spontaneous syncope because of its sporadic, infrequent, and unpredictable nature...
Progressive anterior ablation in the coronary sinus region: evidence to support the presence of a 'slow pathway' input in normal patients?A D Krahn
Division of Cardiology, University of Western Ontario, London, Canada
Circulation 96:3477-83. 1997..AV node modification is an emerging approach to rate control in patients with medically refractory atrial fibrillation. The mechanism of benefit of this procedure is not completely understood...
Workup of the cardiac arrest survivor: for the symposium on sudden cardiac death for progress in cardiovascular diseasesRajesh Subbiah
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Prog Cardiovasc Dis 51:195-203. 2008..Investigation strategies are directed at elucidating a cause or mechanism of sudden cardiac death and ultimately preventing recurrence. Detailed herein is a comprehensive approach to the assessment of a sudden cardiac death survivor...
Safety and feasibility of a novel rate-smoothed ventricular pacing algorithm for atrial fibrillationC S Simpson
Arrhythmia Service, Division of Cardiology, London Health Sciences Centre, London, Ontario, Canada
Am Heart J 142:294-300. 2001..The RSA may help to reduce symptoms in patients with medically refractory AF; more study is required to define its efficacy in reducing symptoms and morbidity in this population...
Hysteresis of the RT interval with exercise: a new marker for the long-QT syndrome?A D Krahn
Department of Medicine, University of Western Ontario, Canada
Circulation 96:1551-6. 1997..The diagnosis of the long-QT syndrome (LQTS) may be difficult to establish in patients with normal or borderline prolongation of the QT interval. Noninvasive markers are needed to identify patients with LQTS...
A novel mutation in KVLQT1, L122P, found in a family with autosomal dominant long QT syndromeA D Krahn
Division of Cardiology and the Blackburn Cardiovascular Genetics Laboratory, Robarts Research Institute, University of Western Ontario, London, Ontario, Canada
Am Heart J 140:146-9. 2000..Linkage and mutation analysis in long QT syndrome kindreds has demonstrated locus heterogeneity, with causative mutations reported in at least 5 different genes, including KVLQT1...
Supraventricular tachycardiaV S Chauhan
Division of Cardiology, Department of Medicine, University of Western Ontario, London, Ontario, Canada
Med Clin North Am 85:193-223, ix. 2001..The mechanism and clinical manifestation of SVTs, which is essential to their correct diagnosis, is reviewed. The therapeutic management of SVTs, including acute and chronic drug therapy and catheter ablation, is discussed also...
Comparison of patients with syncope with left ventricular dysfunction and negative electrophysiologic testing to cardiac arrest survivors and patients with syncope and preserved left ventricular function and impact of an implantable defibrillatorPaul Lelorier
London Health Sciences Center, University of Western Ontario, London, Ontario, Canada
Am J Cardiol 90:77-9. 2002
Outcome of advisory implantable cardioverter-defibrillator replacement: one-year follow-upPaul A Gould
University of Western Ontario, London, Ontario, Canada
Heart Rhythm 5:1675-81. 2008..There is currently a paucity of long-term data concerning the complications associated with advisory ICD replacement...
Current of injury predicts acute performance of catheter-delivered active fixation pacing leadsDamian P Redfearn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Pacing Clin Electrophysiol 30:1438-44. 2007..Continuously monitoring lead parameters during fixation might better identify predictors of acute lead stability and performance...
Predicting the outcome of patients with unexplained syncope undergoing prolonged monitoringAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Pacing Clin Electrophysiol 25:37-41. 2002..01). The etiology of recurrent syncope is diverse and cannot be predicted by baseline clinical variables. Empiric pacing appears to have little role in the management of this patient population...
Correlation of waiting time with adverse events in patients admitted for nonelective permanent pacemaker implantationC S Simpson
Division of Cardiology, University of Western Ontario, London
Can J Cardiol 14:817-21. 1998..To determine the effect of a dedicated permanent pacemaker implantation procedure room on waiting time and waiting time-related morbidity...
Cryothermal ablation of the slow pathway for the elimination of atrioventricular nodal reentrant tachycardiaA C Skanes
Arrhythmia Services, University of Western Ontario, Montreal, Quebec, Canada
Circulation 102:2856-60. 2000..We report the first successful slow pathway ablation using a novel catheter-based cryothermal technology for the elimination of atrioventricular nodal reentrant tachycardia (AVNRT)...
Time-dependent change in fast pathway refractoriness after slow pathway ablation in atrioventricular node reentrant tachycardia. Mansfield Polaris InvestigatorsA D Krahn
Division of Cardiology, University Hospital, University of Western Ontario, London
Can J Cardiol 13:583-8. 1997..To determine the time course of change in fast pathway refractoriness after slow pathway ablation...
Recurrent unexplained syncope: diagnostic and therapeutic approachA D Krahn
Department of Medicine, University of Western Ontario, London
Can J Cardiol 12:989-94. 1996..In the future, such a device may assume a prominent role in the investigation of syncope...
Use of medications in Wolff-Parkinson-White syndromeD P Redfearn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Expert Opin Pharmacother 6:955-63. 2005..An overview of the agents commonly used is provided together with recommendations...
Defibrillation testing at the time of ICD insertion: an analysis from the Ontario ICD RegistryJ S Healey
Population Health Research Institute and McMaster University, Hamilton, Canada
J Cardiovasc Electrophysiol 21:1344-8. 2010..increasingly, ICD implantation is performed without defibrillation testing (DT)...
Long-term outcome of cardiac resynchronization therapy in patients with severe congestive heart failureDarryl R Davis
Division of Cardiology, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada
Can J Cardiol 21:413-7. 2005..The significant morbidity and mortality found after CRT highlight the severity of the underlying cardiac pathology and concurrent illnesses...
Feasibility of magnetic resonance imaging in patients with an implantable loop recorderJorge A Wong
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Pacing Clin Electrophysiol 31:333-7. 2008..Our understanding of their functional and safety profile in interfering environments such as magnetic resonance imaging (MRI) becomes increasingly important as they become more prevalent...
Effect of defibrillation testing on management during implantable cardioverter-defibrillator implantationPeter Leong-Sit
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am Heart J 152:1104-8. 2006..Defibrillation threshold testing appears to be most useful for patients taking amiodarone...
Noninvasive assessment of atrial substrate change after wide area circumferential ablation: a comparison with segmental pulmonary vein isolationDamian P Redfearn
Arrhythmia Service, London Health Sciences Centre, London, Ontario, Canada
Ann Noninvasive Electrocardiol 12:329-37. 2007..We examined this prospectively by comparing WACA and segmental pulmonary vein isolation (PVI) using noninvasive surrogate markers...
Effect of change in posture and exercise on repolarization in patients with long QT syndrome with HERG channel mutationsBruce D Walker
Division of Cardiology and the Blackburn Genetics Laboratory, Roberts Research Institute, University of Western Ontario, London
Can J Cardiol 21:33-8. 2005..CONCLUSIONS: Abnormal repolarization in LQT2 is accentuated by a change in posture and exercise. Beta-blockers normalize the QTc prolongation elicited by such manoeuvres...
Irbesartan in patients with atrial fibrillationSalim Yusuf
Population Health Research Institute, McMaster University, Hamilton, ON, Canada
N Engl J Med 364:928-38. 2011..The risk of cardiovascular events among patients with atrial fibrillation is high. We evaluated whether irbesartan, an angiotensin-receptor blocker, would reduce this risk...
Images in cardiovascular medicine. Gastroesophageal reflux facilitates esophageal imaging during pulmonary vein ablationLorne J Gula
Department of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Circulation 114:e235-6. 2006
Beta blockers normalize QT hysteresis in long QT syndromeAndrew D Krahn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am Heart J 143:528-34. 2002..This study was performed to evaluate the impact of beta blockers on QT adaptation to heart rate during the exercise and recovery phases of exercise testing in long QT syndrome...
Ejection fraction assessment and survival: an analysis of the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT)Lorne J Gula
University of Western Ontario, London, Ontario, Canada
Am Heart J 156:1196-200. 2008..Evidence suggests that measures of EF by different imaging modalities may not be equivalent. In the SCD-HeFT (Sudden Cardiac Death in Heart Failure Trial), the type of imaging modality for EF assessment was not mandated...
Syncope and polymorphic ventricular tachycardiaBruce D Walker
Arrhythmia Service, London Health Sciences Center, Ontario, Canada
Pacing Clin Electrophysiol 25:1259-61. 2002
Utility of a simplified lidocaine and potassium infusion in diagnosing long QT syndrome among patients with borderline QTc interval prolongationVijay S Chauhan
Division of Cardiology, University of Western Ontario, London, ON, Canada
Ann Noninvasive Electrocardiol 9:12-8. 2004..This study compared the response of the QTc interval and QT dispersion to a sequential lidocaine/K+ infusion in LQTS patients with borderline QTc interval prolongation and control patients as a means of diagnosing LQTS...
When should we recommend catheter ablation for patients with the Wolff-Parkinson-White syndrome?Alexander Tischenko
Arrhythmia Service, London Health Sciences Centre, London, Ontario, Canada
Curr Opin Cardiol 23:32-7. 2008..Its application in asymptomatic individuals with WPW pattern remains controversial. This review will elaborate on the role of catheter ablation in symptomatic and asymptomatic patients with WPW pattern on ECG...
Is defibrillation testing still necessary? A decision analysis and Markov modelLorne J Gula
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
J Cardiovasc Electrophysiol 19:400-5. 2008..To assess the impact of defibrillation threshold (DFT) testing of implanted cardioverter-defibrillators (ICDs) on survival...
Transition from narrow to wide complex tachycardia: connection or coincidence?Manish D Assar
Arrhythmia Service, London Health Sciences Center, London, Ontario, Canada
Pacing Clin Electrophysiol 26:99-100. 2003
Does familiarity with technology predict successful use of an external loop recorder? The loop recorder technology cognition study (LOCO)Lorne J Gula
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Pacing Clin Electrophysiol 32:466-72. 2009..We prospectively assessed technological familiarity using a Technology Cognition Questionnaire to determine influence on proper and effective use of an external loop recorder (ELR)...
Cryoablation of atrial arrhythmiasAllan C Skanes
Arrhythmia Service, University of Western Ontario, London, Ontario, Canada
Card Electrophysiol Rev 6:383-8. 2002..The ultimate role of catheter-based cryoablation remains to be determined. A number of promising aspects of this ablation energy make it an exciting technology...
Survival rates as a guide to implanted cardioverter-defibrillator replacement strategies for device recalls--adding statistical insight to clinical intuitionLorne J Gula
Division of Cardiology, Department of Medicine, University of Western Ontario, London, Ontario, Canada
Am Heart J 153:253-9. 2007..The estimated risks are varied through a wide range to determine the potential range of outcomes...
Primary prophylaxis of sudden death in hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, and dilated cardiomyopathyGeorge J Klein
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
J Cardiovasc Electrophysiol 16:S28-34. 2005..A rational approach to these therapies, with emphasis on implanted cardiovertor defibrillators, is discussed...
Hybrid approach for minimally-invasive operative therapy of arrhythmiasAllan C Skanes
Arrhythmia Service, Division of Cardiology, University of Western Ontario, London Health Sciences Centre, University Campus, 339 Windermere Road, London, Ontario, Canada N6A 5A5
J Interv Card Electrophysiol 9:289-94. 2003..This step will be crucial in understanding why specific procedures ultimately fail to cure AF and other complex arrhythmias...
Implantation of cardiac rhythm devices without interruption of oral anticoagulation compared with perioperative bridging with low-molecular weight heparinAlex Tischenko
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am Heart J 158:252-6. 2009..We assessed the safety of device implantation without interruption of warfarin therapy...
Tachycardia with VA dissociation: an unusual tachycardia mechanismLorne J Gula
Department of Medicine, Division of Cardiology at London Health Sciences Centre, London, Ontario N6A 5A5, Canada
J Cardiovasc Electrophysiol 16:663-5. 2005
Impact of routine transoesophageal echocardiography on safety, outcomes, and cost of pulmonary vein ablation: inferences drawn from a decision analysis modelLorne J Gula
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Europace 12:1550-7. 2010....
A wide QRS tachycardia: what is the diagnosis?Basilios Petrellis
University of Western Ontario, London Health Sciences Centre, Arrhythmia Service, London, Ontario, Canada N6A 5A5
J Cardiovasc Electrophysiol 15:501-3. 2004
Unexpected AV block during cavotricuspid isthmus ablationEmoke Posan
Division of Cardiology, Department of Medicine, University of Western Ontario, London Health Sciences Center, 339 Windermere Road, London, Ontario, Canada N6A 5A5
Pacing Clin Electrophysiol 28:980-1. 2005
Reduction of complex ventricular ectopy and improvement in exercise capacity with flecainide therapy in Andersen-Tawil syndromeDavid J Fox
Department of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Europace 10:1006-8. 2008....
Differential ventricular entrainment: a maneuver to differentiate AV node reentrant tachycardia from orthodromic reciprocating tachycardiaOliver R Segal
Division of Cardiology, University Hospital, London Health Sciences Centre, London, Ontario, Canada
Heart Rhythm 6:493-500. 2009..A pacing maneuver that reliably distinguishes between the two would be of value...
Torsades de pointes during complete atrioventricular block: Genetic factors and electrocardiogram correlatesRajesh N Subbiah
University of Western Ontario, London
Can J Cardiol 26:208-12. 2010..It was hypothesized that patients with AV block-mediated QT-related arrhythmia may have latent congenital long QT syndrome or a vulnerable genetic polymorphism...
Optimal duration of monitoring in patients with unexplained syncopeManish D Assar
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am J Cardiol 92:1231-3. 2003..Syncope is most likely to occur in younger patients with less heart disease and more frequent syncope. There is a low risk of syncope after 1 year of monitoring without an event...
Utility of treadmill testing in identification and genotype prediction in long-QT syndromeJorge A Wong
Arrhythmia Service, Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Circ Arrhythm Electrophysiol 3:120-5. 2010..We sought to develop a provocative testing strategy to unmask the LQTS phenotype and relate this to the results of genetic testing...
Arrhythmia device lead extraction: factors that necessitate laser assistanceLorne J Gula
Department of Medicine, University of Western Ontario, London, Canada
Can J Cardiol 24:767-70. 2008..It is not an option at all centres and introduces an element of risk to the procedure. Anticipation of the need for laser assistance may be of benefit to procedure planning...
Predicting the cause of syncope from clinical history in patients undergoing prolonged monitoringSachin Sud
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Heart Rhythm 6:238-43. 2009..Although these correlate with morbidity and mortality in patients with syncope, their relationship with the mechanism of syncope has not been investigated...
Evaluation of early complications related to De Novo cardioverter defibrillator implantation insights from the Ontario ICD databaseDouglas S Lee
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada Toronto General Hospital, Toronto, Ontario, Canada
J Am Coll Cardiol 55:774-82. 2010..This study examined the predictors of early complications after defibrillator implantation...
Esophageal temperature monitoring during radiofrequency ablation of atrial fibrillationDamian P Redfearn
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
J Cardiovasc Electrophysiol 16:589-93. 2005..Ablation in close radiographic proximity (approximately 1 cm) to the esophagus as defined by a radio-opaque temperature probe can result in heating at the esophageal lumen...
Atrial response to ventricular antitachycardia pacing discriminates mechanism of 1:1 atrioventricular tachycardiaDaryl P Ridley
London Health Sciences Centre, London, Ontario N6A 5A5, Canada
J Cardiovasc Electrophysiol 16:601-5. 2005..CONCLUSION: Analysis of atrial response patterns during and after ventricular ATP can successfully discriminate tachycardia mechanism and may reduce inappropriate ICD shocks...
An unusual accessory pathway: anteroseptal to ventricular outflow region connectionBasilios Petrellis
University of Western Ontario, Arrhythmia Service, London, Ontario, Canada
J Cardiovasc Electrophysiol 16:546-51. 2005..This is the second such pathway observed at our institution over a 20-year period...
Isolation of pulmonary veins using a transvenous curvilinear cryoablation catheter: feasibility, initial experience, and analysis of recurrencesAllan C Skanes
Arrhythmia Service, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
J Cardiovasc Electrophysiol 16:1304-8. 2005..We hypothesized that a linear freezing segment could shorten fluoroscopic and procedure times. We report our initial experience with a novel circular cryothermal catheter...
Complications associated with implantable cardioverter-defibrillator replacement in response to device advisoriesPaul A Gould
Division of Cardiology, Department of Medicine, University of Western Ontario, London
JAMA 295:1907-11. 2006..These complications need to be considered in the development of guidelines determining the appropriate treatment of patients with advisory devices...
The garden pathPaul A Gould
Department of Medicine, Division of Cardiology, University of Western Ontario, London, Ontario N6A 5A5, Canada
J Cardiovasc Electrophysiol 17:440-2. 2006
Laser lead extraction: is there a learning curve?Nina Ghosh
Division of Cardiology and Cardiac Surgery, University of Western Ontario, London, Ontario, Canada
Pacing Clin Electrophysiol 28:180-4. 2005....
Sudden cardiac death despite an implantable cardioverter-defibrillator in a young female with catecholaminergic ventricular tachycardiaUwais Mohamed
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Heart Rhythm 3:1486-9. 2006
Differentiating arrhythmogenic right ventricular cardiomyopathy from right ventricular outflow tract ventricular tachycardia using multilead QRS duration and axisCraig D Ainsworth
Division of Cardiology, University of Western Ontario, London, Canada
Heart Rhythm 3:416-23. 2006..CONCLUSION: QRS duration is longer in ARVC compared with RVOT VT. An algorithm combining lead I QRS duration for sensitivity and axis for specificity is useful for differentiating the two tachycardia substrates...
Implications of mechanism of bradycardia on response to pacing in patients with unexplained syncopeSachin Sud
Division of Cardiology, University of Western Ontario, London Health Sciences Centre, University Campus, C6 113 339 Windermere road, London, Ontario N6A 5A5, Canada
Europace 9:312-8. 2007....
Pacing for vasovagal syncope after the second Vasovagal Pacemaker Study (VPS II): a matter of judgementGeoffrey M Trim
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Card Electrophysiol Rev 7:416-20. 2003..More needs to be learned about optimal pacing modalities...
Formation of a national network for rapid response to device and lead advisories: The Canadian Heart Rhythm Society Device Advisory CommitteeA D Krahn
London Health Sciences Centre, London, Canada
Can J Cardiol 25:403-5. 2009..The network is an ideal tool to collect specific data on implanted device system performance and allows for prompt reporting of clinically relevant data to front-line clinicians and patients...
Clinical relevance of arrhythmias during sleep: guidance for cliniciansL J Gula
Department of Medicine, University of Western Ontario, London, Ontario, Canada
Heart 90:347-52. 2004
Sudden intense exercise increases QT heart rate slope and T wave complexity in long QT syndrome and normal subjectsVijay S Chauhan
Division of Cardiology, University of Western Ontario, London, Canada
Pacing Clin Electrophysiol 27:1415-23. 2004....
Ciprofloxacin-induced acquired long QT syndromeManu Prabhakar
Division of Cardiology, University of Western Ontario, London, Canada
Heart Rhythm 1:624-6. 2004..This effect is of particular concern in patients with predisposing factors, such as concomitant medications or underlying heart disease reflecting decreased repolarization reserve...
External loop recorders: determinants of diagnostic yield in patients with syncopeLorne J Gula
Division of Cardiology, University of Western Ontario, London, Ontario, Canada
Am Heart J 147:644-8. 2004..Patients who are unfamiliar with technology, live alone, or have low motivation to reach a diagnosis have a lower diagnostic yield from ELRs for assessment of syncope...
Relationships between sinus rhythm, treatment, and survival in the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) StudyScott D Corley
Axio Research Corporation, Seattle, Wash, USA
Circulation 109:1509-13. 2004..If an effective method for maintaining SR with fewer adverse effects were available, it might be beneficial...
Is ambulatory monitoring for "community-acquired" syncope economically attractive? A cost-effectiveness analysis of a randomized trial of external loop recorders versus Holter monitoringMarie Antoinette Rockx
Division of Cardiology, Department of Medicine, University of Western Ontario, London, Ontario, Canada
Am Heart J 150:1065. 2005..The cost-effectiveness of 2 monitoring strategies was assessed in a prospective randomized trial...
A classic but uncommon principleEmoke Posan
Department of Medicine, Division of Cardiology at London Health Science Centre, London, Ontario, Canada
J Cardiovasc Electrophysiol 17:106-7. 2006
Asymptomatic Wolff-Parkinson-White syndrome: is it time to revisit guidelines?Derick M Todd
J Am Coll Cardiol 41:245-8. 2003
A sheep in wolf's clothing?Oliver R Segal
Department of Medicine, Division of Cardiology at London Health Science Centre, London, Canada
J Cardiovasc Electrophysiol 18:1338-9. 2007
Worsening of symptoms before presentation with vasovagal syncopeRobert S Sheldon
Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada
J Cardiovasc Electrophysiol 18:954-9. 2007..Much of the natural history of vasovagal syncope is unknown. We determined whether patients presenting for care have had a recently worsened syncope frequency...
Take heart: gone but not forgotten?David J Fox
Division of Cardiology, Department of Medicine, University of Western Ontario, London, Ontario, Canada
J Cardiovasc Electrophysiol 19:438-9. 2008
