BACKGROUND The conventional right ventricular (RV) lead position in cardiac resynchronization therapy pacemakers (CRT-P) is the RV apex (RV-A). Little is known about electrophysiological stability and associated complications of pacing leads in RV high posterior septal (RV-HS) position in CRT-P. METHODS Two hundred and thirty-five consecutive CRT-P patients were included from 1999-2010. Pacin...

An increase in cardiac radiofrequency catheter ablation for treating refractory atrial fibrillation has resulted in an increased prevalence of complications. Among numerous complications of radiofrequency catheter ablation, atrio-esophageal fistula, although rare, is known to have fatal results. We report a case of successful management of an atrio-esophageal fistula as a complication of cardia...

Massive intracerebral hemorrhage is reported as a complication of cardiac catheterization with ergonovine administration. Possible mechanisms relating stroke to cardiac catheterization are reviewed. Patients who suffer neurologic deterioration after this procedure require prompt evaluation including computed tomography.

OBJECTIVE To assess the prevalence of the bleeding complications in pacemaker implanted patients receiving different antiplatelet regimens, and the influence of each regimen on hospital stays after device implantation. METHODS We prospectively enrolled 364 patients receiving the cardiac rhythm device implantations in Fuwai Hospital from July 2012 to December 2013. Bleeding complications inclu...

BACKGROUND Postoperative non-cardiac complication rates are as high as 11-28% after high-risk abdominal procedures. Emerging evidence indicates that postoperative cardiac troponin T elevations are associated with adverse outcome in non-cardiac surgery. The aim of this study was to determine the relationship between postoperative high-sensitive cardiac troponin T elevations and non-cardiac compl...

Objective: Mesenteric ischaemia is an uncommon (,1%) but serious complication of cardiac surgery associated with a mortality .50%. Predictors of this complication are not well defined, and diagnosis can be difficult and prompt surgical intervention can be lifesaving. Methods and results: In a retrospective case-note analysis from May 1994 through to May 2000, we identified mesenteric ischaemia ...

BACKGROUND Cardiac rupture, an uncommon yet catastrophic complication after acute myocardial infarction (AMI), has been studied primarily in the prethrombolytic and thrombolytic therapy eras but not in the direct percutaneous coronary intervention (d-PCI) reperfusion therapy era. The aim of this study was to delineate the incidence, potential risks, timing of occurrence, clinical features, and ...

Yes – death directly due to anaesthesia is less than 1 in a few hundred thousand. However 30 day mortality and morbidity following surgery is common and much of it is cardiac. Worldwide more than 200 million adults have major non-cardiac surgical procedures annually. Millions of these patients will have a major vascular complication (vascular death, nonfatal myocardial infarction [MI], nonfatal...