Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias01:25

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias

472
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
472
Dysrhythmias II: Classification of Tachyarrhythmias01:28

Dysrhythmias II: Classification of Tachyarrhythmias

508
Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
508
Dysrhythmias III: Characteristics of Dysrhythmias01:29

Dysrhythmias III: Characteristics of Dysrhythmias

425
Dysrhythmias, also known as arrhythmias, are irregular heart rhythms that result from abnormal electrical activity in the heart, affecting its ability to circulate blood efficiently. Tachyarrhythmias, a subset of dysrhythmias, are characterized by abnormally fast heart rates exceeding 100 beats per minute. Here are some types of tachyarrhythmias with their distinct ECG features:Sinus Tachycardia:Sinus tachycardia presents a regular heart rhythm with an increased rate of 101-180 beats per...
425
Disturbances in Heart Rhythm01:29

Disturbances in Heart Rhythm

2.6K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
2.6K
Dysrhythmias IV: Characteristics of Bradyarrhythmias01:18

Dysrhythmias IV: Characteristics of Bradyarrhythmias

501
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
501
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

1.2K
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
1.2K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Repolarization and Activation Mapping in Ventricular Tachycardia Ablation: The REDEEM Study.

JACC. Clinical electrophysiology·2026
Same author

Incidence, Mechanistic Insights, and Ablation of Atrial Tachycardia Occurring After Pulsed Field Ablation for Atrial Fibrillation: Results From a Large International Registry.

JACC. Clinical electrophysiology·2026
Same author

Left Atrial Appendage Occlusion Versus Direct Oral Anticoagulation in Atrial Fibrillation Patients at Very High Risk of Stroke: A Budget Impact Analysis in Italy.

Journal of clinical medicine·2026
Same author

Bradyarrhythmias and Brugada syndrome: clinical features, long-term outcome and prognostic implications-the BruBra study.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology·2026
Same author

Edoxaban for atrial fibrillation in patients with atherosclerotic disease in daily clinical practice.

Journal of thrombosis and thrombolysis·2026
Same author

International expert consensus on a structured approach to training for cryoballoon-based ablation for atrial fibrillation procedure using performance metrics.

European heart journal open·2026

Related Experiment Video

Updated: Jan 18, 2026

Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice
08:05

Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice

Published on: June 29, 2022

3.4K

Rapid Atrial Pacing After TAVI for Pacemaker Prediction.

Leonidas Koliastasis1,2, Ioannis Doundoulakis3, Dimitrios Tsiachris2

  • 1Department of Cardiology, Université Libre de Bruxelles (ULB), Centre Hospitalier Universitaire Saint-Pierre, 1000 Brussels, Belgium.

Reviews in Cardiovascular Medicine
|September 10, 2025
PubMed
Summary

Transcatheter aortic valve implantation (TAVI) can lead to permanent pacemaker implantation (PPI). A new electrophysiological test, rapid atrial pacing post-TAVI, shows promise in predicting PPI risk, potentially reducing hospital stays.

Keywords:
TAVITAVRpacemakerpredictorsrapid atrial pacing

More Related Videos

Programmed Electrical Stimulation in Mice
07:29

Programmed Electrical Stimulation in Mice

Published on: May 26, 2010

21.2K
Transesophageal Atrial Burst Pacing for Atrial Fibrillation Induction in Rats
05:12

Transesophageal Atrial Burst Pacing for Atrial Fibrillation Induction in Rats

Published on: February 14, 2022

3.7K

Related Experiment Videos

Last Updated: Jan 18, 2026

Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice
08:05

Optimization of Transesophageal Atrial Pacing to Assess Atrial Fibrillation Susceptibility in Mice

Published on: June 29, 2022

3.4K
Programmed Electrical Stimulation in Mice
07:29

Programmed Electrical Stimulation in Mice

Published on: May 26, 2010

21.2K
Transesophageal Atrial Burst Pacing for Atrial Fibrillation Induction in Rats
05:12

Transesophageal Atrial Burst Pacing for Atrial Fibrillation Induction in Rats

Published on: February 14, 2022

3.7K

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Electrophysiology

Background:

  • Transcatheter aortic valve implantation (TAVI) is advancing, yet permanent pacemaker implantation (PPI) remains a significant complication.
  • Current methods for predicting PPI risk post-TAVI are limited, often involving temporary pacing and observation, leading to clinical uncertainty and prolonged hospitalizations.

Purpose of the Study:

  • To evaluate a novel electrophysiological method, rapid atrial pacing, for predicting the need for permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation (TAVI).
  • To assess the potential of rapid atrial pacing to identify patients at risk for high-degree atrioventricular (AV) block following TAVI, thereby optimizing patient management.

Main Methods:

  • The study investigated rapid atrial pacing as a diagnostic tool in patients undergoing TAVI.
  • An upper pacing threshold of 120 beats per minute was used as a cutoff to identify patients likely to require permanent pacing.
  • Two observational studies were analyzed to evaluate the technique's efficacy.

Main Results:

  • Preliminary findings indicate that rapid atrial pacing post-TAVI is cost-effective, technically simple, and time-efficient.
  • The technique demonstrated a high negative predictive value in identifying patients who will not require permanent pacing.
  • The method aims to predict susceptibility to Wenckebach-type atrioventricular (AV) block.

Conclusions:

  • Rapid atrial pacing is a promising, novel diagnostic method for predicting permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation (TAVI).
  • Further prospective studies are necessary to validate its clinical utility and establish standardized protocols for its implementation.
  • An upcoming clinical trial (NCT06189976) is expected to provide crucial data on this technique.