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Papers by Javier García-seara
Medicina clínica práctica, Jul 1, 2023
Revista Espanola De Cardiologia, Jul 1, 2017
European Heart Journal, Oct 1, 2022
European Heart Journal, Oct 1, 2022
JACC: Clinical Electrophysiology, Oct 1, 2017
Europace, Jun 1, 2020
Introduction and objectives Initial results of Leadless pacemakers (LPM) has been promising in wo... more Introduction and objectives Initial results of Leadless pacemakers (LPM) has been promising in worldwide, nevertheless there are still no long term experience published, so the objective of our study was to evaluate electrical parameters at mid and long term follow-up, describing as well total complications and mortality in a single center-study. Methods This was a prospective, observational clinical trial that included 183 consecutive patients, with an indication for a single-chamber pacemaker implantation. Results All successful implantation included a total of 183 patients with a mean age of 79,2 ±6,6 years (range 54-93y/o); 111 (60,6%) were men and more frequent rhythm was permanent atrial fibrillation (160), including those in which a node ablation was performed in the same procedure (22). Clinical and echocardiographyc characteristics are described in table 1.Mean follow-up was of 26 ±10 months including: 64 patient at 24 months, 46 at 36 months and 7 patients at 48 months. Electrical parameters are represented in figure 1, which were stable and flawless at long term follow-up. Total complications were 3,3%, with only 2 patient requiring surgery for resolution (1,7%), and all were acute during LPM implantation. A total of 17 patients (9,3%) died with no relation to pacemaker. Conclusions In our experience, leadless pacemakers electrical performance continues stable, appropriate at long term follow-up, and no other complications developed. Baseline Characteristics of Patients Age(years) 79.2 ± 6.6[54-93] Male gender, n (%) 118 (60.6%) Hypertension, n (%) 149 (81.7%) Diabetes mellitus, n (%) 64 (34.9%) COPD, n (%) 33(18.3%) Renal dysfunction, n (%) 30 (16.7%) Valvular disease, n (%) 74 (41.1%) Atrial Fibrillation, n (%) 161 (98.0%) LVEF(%) 60.0 ± 8 OAC, n (%) 123(67.2%) NOAC, n (%) 23 (10.0%) Abstract Figure. Electrical performance
Medicine - Programa De Formación Médica Continuada Acreditado, Sep 1, 2013
Revista portuguesa de cardiologia, 2016
Indian pacing and electrophysiology journal, Mar 1, 2021
Revista Espanola De Cardiologia, May 1, 2023
Revista Espanola De Cardiologia, 2021
Heartrhythm Case Reports, 2016
Biomedicine & Pharmacotherapy
Indian Pacing and Electrophysiology Journal, 2021
European Heart Journal, 2019
Background Real-world data reinforce positive results in different implant locations of leadless ... more Background Real-world data reinforce positive results in different implant locations of leadless pacemaker (LPM). LPM have special characteristics regarding accelerometer programmation. Purpose The purpose of the study was to describe our experience with LPM different implantation location and its programmation according the vector accelerometer. Methods We performed a prospective observational one center study including all patients with LPM implantation within 3 years (June 2015-December 2018). Location of deployment was classified as apicalseptal, midseptal or right ventricle outflow tract (RVOT). Vector programmation was performed from the second visit in patients with acceptable mobility and heart rate below 80 bpm, with the abbreviated protocol recommended by the brand. Clinical evaluation according to vector programmed was performed 3 to 6 months later. Results We include a total of 144 LPM, and exercise test was performed in 86 patients. There were 86 men (59.7%) with a mean...
Revista Española de Cardiología, 2019
Revista Española de Cardiología, 2017
Archivos de Cardiología de México, 2017
HeartRhythm Case Reports, 2016
Medicina clínica práctica, Jul 1, 2023
Revista Espanola De Cardiologia, Jul 1, 2017
European Heart Journal, Oct 1, 2022
European Heart Journal, Oct 1, 2022
JACC: Clinical Electrophysiology, Oct 1, 2017
Europace, Jun 1, 2020
Introduction and objectives Initial results of Leadless pacemakers (LPM) has been promising in wo... more Introduction and objectives Initial results of Leadless pacemakers (LPM) has been promising in worldwide, nevertheless there are still no long term experience published, so the objective of our study was to evaluate electrical parameters at mid and long term follow-up, describing as well total complications and mortality in a single center-study. Methods This was a prospective, observational clinical trial that included 183 consecutive patients, with an indication for a single-chamber pacemaker implantation. Results All successful implantation included a total of 183 patients with a mean age of 79,2 ±6,6 years (range 54-93y/o); 111 (60,6%) were men and more frequent rhythm was permanent atrial fibrillation (160), including those in which a node ablation was performed in the same procedure (22). Clinical and echocardiographyc characteristics are described in table 1.Mean follow-up was of 26 ±10 months including: 64 patient at 24 months, 46 at 36 months and 7 patients at 48 months. Electrical parameters are represented in figure 1, which were stable and flawless at long term follow-up. Total complications were 3,3%, with only 2 patient requiring surgery for resolution (1,7%), and all were acute during LPM implantation. A total of 17 patients (9,3%) died with no relation to pacemaker. Conclusions In our experience, leadless pacemakers electrical performance continues stable, appropriate at long term follow-up, and no other complications developed. Baseline Characteristics of Patients Age(years) 79.2 ± 6.6[54-93] Male gender, n (%) 118 (60.6%) Hypertension, n (%) 149 (81.7%) Diabetes mellitus, n (%) 64 (34.9%) COPD, n (%) 33(18.3%) Renal dysfunction, n (%) 30 (16.7%) Valvular disease, n (%) 74 (41.1%) Atrial Fibrillation, n (%) 161 (98.0%) LVEF(%) 60.0 ± 8 OAC, n (%) 123(67.2%) NOAC, n (%) 23 (10.0%) Abstract Figure. Electrical performance
Medicine - Programa De Formación Médica Continuada Acreditado, Sep 1, 2013
Revista portuguesa de cardiologia, 2016
Indian pacing and electrophysiology journal, Mar 1, 2021
Revista Espanola De Cardiologia, May 1, 2023
Revista Espanola De Cardiologia, 2021
Heartrhythm Case Reports, 2016
Biomedicine & Pharmacotherapy
Indian Pacing and Electrophysiology Journal, 2021
European Heart Journal, 2019
Background Real-world data reinforce positive results in different implant locations of leadless ... more Background Real-world data reinforce positive results in different implant locations of leadless pacemaker (LPM). LPM have special characteristics regarding accelerometer programmation. Purpose The purpose of the study was to describe our experience with LPM different implantation location and its programmation according the vector accelerometer. Methods We performed a prospective observational one center study including all patients with LPM implantation within 3 years (June 2015-December 2018). Location of deployment was classified as apicalseptal, midseptal or right ventricle outflow tract (RVOT). Vector programmation was performed from the second visit in patients with acceptable mobility and heart rate below 80 bpm, with the abbreviated protocol recommended by the brand. Clinical evaluation according to vector programmed was performed 3 to 6 months later. Results We include a total of 144 LPM, and exercise test was performed in 86 patients. There were 86 men (59.7%) with a mean...
Revista Española de Cardiología, 2019
Revista Española de Cardiología, 2017
Archivos de Cardiología de México, 2017
HeartRhythm Case Reports, 2016