Electrophysiologic assessment of conduction abnormalities and atrial arrhythmias associated with amyloid cardiomyopathy.

BACKGROUND Arrhythmias in cardiac amyloidosis (CA) result in significant comorbidity and mortality but have not been well characterized. OBJECTIVE The purpose of this study was to define intracardiac conduction, atrial arrhythmia substrate, and ablation outcomes in a group of advanced CA patients referred for electrophysiologic study. METHODS Electrophysiologic study with or without catheter ablation was performed in 18 CA patients. Findings and catheter ablation outcomes were compared to age- and gender-matched non-CA patients undergoing catheter ablation of persistent atrial fibrillation (AF). RESULTS Supraventricular tachycardias were seen in all 18 CA patients (1 AV nodal reentrant tachycardia, 17 persistent atrial tachycardia [AT]/AF). The HV interval was prolonged (>55 ms) in all CA patients, including 6 with normal QRS duration (≤100 ms). Thirteen supraventricular tachycardia ablations were performed in 11 patients. Of these, 7 underwent left atrial (LA) mapping and ablation for persistent AT/AF. Compared to non-CA age-matched comparator AF patients, CA patients had more extensive areas of low-voltage areas LA (63% ± 22% vs 34% ± 22%, P = .009) and a greater number of inducible ATs (3.3 ± 1.9 ATs vs 0.2 ± 0.4 ATs, P <.001). The recurrence rate for AT/AF 1 year after ablation was greater in CA patients (83% vs 25%), and the hazard ratio for postablation AT/AF recurrence in CA patients was 5.4 (95% confidence interval 1.9-35.5, P = .007). CONCLUSION In this group of patients with advanced CA and atrial arrhythmias, there was extensive conduction system disease and LA endocardial voltage abnormality. Catheter ablation persistent AT/AF in advanced CA was associated with a high recurrence rate and appears to have a limited role in control of these arrhythmias.

La ratificación constitucional : discurso pronunciado en la Ca��mara de Representantes /

"El Club 'Cnel. Gerónimo de Amilivia' a los nacionalistas de la 19a. Sección."

Report of Her Majesty's Commissioners appointed to inquire into the state, discipline, studies, and revenues of the University of Dublin, and of Trinity College : together with appendices, containing evidence, suggestions, and correspondence. /

Title is preceded on title page by: Dublin University Commission.

The Aleut language, the elements of Aleut grammar with a dictionary in two parts containing basic vocabularies of Aleut and English,

"Aleut-English dictionary, compiled by Richard Henry Geoghegan. A vocabulary of the Aleutian or Unangan language as spoken on the eastern Aleutian Islands and on the Alaska Peninsula, being a translation of the Russian, 'Slovarʹ aleutsko-lisʹevskago yazyka' or 'Dictionary of the Aleut-Fox language', by Ivan Veniaminov, 1834, with additions and annotations by the compiler": p. 89-124.

Pythagorean politics in southern Italy; an analysis of the sources,

Bibliographical footnotes.

The legend of Cathleen and Kevin : a poem /

Sometimes attributed to H.J.M. Mason.

In defense of Harriet Shelley : and other essays /

In defense of Harriet Shelley.--Fenimore Cooper's literary offenses.--Traveling with a reformer.--Private history of the "Jumping frog" story.--Mental telegraphy.--Mental telegraphy again.--What Paul Bourget thinks of us.--A little note to M. Paul Bourget.--The invalid's story.--Stirring times in Austria.--The German Chicago.--Concerning the Jews.--About all kinds of ships.--From the "London times" of 1904.--A majestic literary fossil.--At the appetite cure.--Saint Joan of Arc.--In memoriam.--A biographical sketch.

Innocentii Quinti pontificis maximi, ex ordine praedicatorum assumpti, qui antea Petrus de tarantasia dicebatur, in IV librum sententiarum commentaria.

Reprint of 1649-1652 edition.

La règle de Saint Benoît.

Latin and French texts on opposite pages.

Un inédit de saint Anselme? : le traité De unitate divinae essentiae et pluralitate creaturarum d'après Jean de Ripa /

"Le manuscrit B. N. lat. 15.369 nous fournira notre texte de base." - p. 16.

Débat entre un luciférien et un orthodoxe = Altercatio luciferiani et orthodoxi /

Published with the help of the Conseil général du Rhône; the GDR 2135, "Textes pour l'histoire de l'Antiquité tardive" and l'Institut des "Sources Chretiennes" (U.M.R. 5035 du Centre National de la Recherche Scientifique).

La Controverse de 1270 à l'Université de Paris et son retentissement sur la pensée de s. Thomas d'Aquin ..

On cover: L'homme en discussion à l'Université de Paris en 1270

Reports on the violation of the rights of nations and of the laws ans customs of war in Belgium.

[Vol. I] includes a preface by J. van den Heuvel, minister of state, reports 1-12, and extracts from the pastoral letter of Cardinal Mercier, archbishop of Malines; vol. II includes reports 13-22, with facsimiles of German soldiers' diaries, correspondence between Cardinal Mercier and the German authorities, the protest of Mgr. Heylen, bishop of Namur, etc., etc., appended.

Homilias de S. Basilio Magno /

Mode of access: Internet.

Tertius tomus operum D. Basilii Magni Caesariae Capadociae episcopi /

Mode of access: Internet.