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  1. Book ; Online: Men and Arms

    Hunter, R.J

    2012  

    Abstract: The Muster Roll of the province of Ulster is a large, leather-bound volume in the British Library. The volume consists of 283 folio sheets on which are recorded the names of 13,147 males from the nine counties of ... ...

    Abstract The Muster Roll of the province of Ulster is a large, leather-bound volume in the British Library. The volume consists of 283 folio sheets on which are recorded the names of 13,147 males from the nine counties of Ulster
    Language English
    Size Online-Ressource (1852 p)
    Publisher Ulster Historical Foundation
    Publishing place Belfast
    Document type Book ; Online
    Note Description based upon print version of record
    ISBN 9781908448941 ; 1908448946
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  2. Book ; Online: The Ulster Plantation in the Counties of Armagh and Cavan 1608-1641

    Hunter, R. J

    2012  

    Abstract: Published for the first time is R.J. Hunter's MLitt dissertation, a fascinating study of two counties that were an integral part of the Plantation of ... ...

    Abstract Published for the first time is R.J. Hunter's MLitt dissertation, a fascinating study of two counties that were an integral part of the Plantation of Ulster
    Language English
    Size Online-Ressource (944 p)
    Publisher Ulster Historical Foundation
    Publishing place Belfast
    Document type Book ; Online
    Note Description based upon print version of record
    ISBN 9781903688960 ; 1903688965
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  3. Article: Management of atrial fibrillation: when are invasive approaches useful?

    Honarbakhsh, S / Finlay, M / Earley, M J / Lambiase, P D / Schilling, R J / Hunter, R J

    British journal of hospital medicine (London, England : 2005)

    2016  Volume 77, Issue 8, Page(s) 460–466

    Abstract: The management of atrial fibrillation extends from stroke prevention to rate or rhythm control strategies. The role of an invasive strategy is expanding and it remains important to identify suitable candidates early in the disease process. ...

    Abstract The management of atrial fibrillation extends from stroke prevention to rate or rhythm control strategies. The role of an invasive strategy is expanding and it remains important to identify suitable candidates early in the disease process.
    MeSH term(s) Anti-Arrhythmia Agents/therapeutic use ; Anticoagulants/therapeutic use ; Atrial Fibrillation/therapy ; Catheter Ablation ; Disease Management ; Electric Countershock ; Humans
    Chemical Substances Anti-Arrhythmia Agents ; Anticoagulants
    Language English
    Publishing date 2016-08-02
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2016.77.8.460
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Validation of a novel mapping system and utility for mapping complex atrial tachycardias.

    Honarbakhsh, S / Hunter, R J / Dhillon, G / Ullah, W / Keating, E / Providencia, R / Chow, A / Earley, M J / Schilling, R J

    Journal of cardiovascular electrophysiology

    2018  Volume 29, Issue 3, Page(s) 395–403

    Abstract: Introduction: This study sought to validate a novel wavefront mapping system utilizing whole-chamber basket catheters (CARTOFINDER, Biosense Webster). The system was validated in terms of (1) mapping atrial-paced beats and (2) mapping complex wavefront ... ...

    Abstract Introduction: This study sought to validate a novel wavefront mapping system utilizing whole-chamber basket catheters (CARTOFINDER, Biosense Webster). The system was validated in terms of (1) mapping atrial-paced beats and (2) mapping complex wavefront patterns in atrial tachycardia (AT).
    Methods and results: Patients undergoing catheter ablation for AT and persistent AF were included. A 64-pole-basket catheter was used to acquire unipolar signals that were processed by CARTOFINDER mapping system to generate dynamic wavefront propagation maps. The left atrium was paced from four sites to demonstrate focal activation. ATs were mapped with the mechanism confirmed by conventional mapping, entrainment, and response to ablation. Twenty-two patients were included in the study (16 with AT and 6 with AF initially who terminated to AT during ablation). In total, 172 maps were created with the mapping system. It correctly identified atrial-pacing sites in all paced maps. It accurately mapped 9 focal/microreentrant and 18 macroreentrant ATs both in the left and right atrium. A third and fourth observer independently identified the sites of atrial pacing and the AT mechanism from the CARTOFINDER maps, while being blinded to the conventional activation maps.
    Conclusions: This novel mapping system was effectively validated by mapping focal activation patterns from atrial-paced beats. The system was also effective in mapping complex wavefront patterns in a range of ATs in patients with scarred atria. The system may therefore be of practical use in the mapping and ablation of AT and could have potential for mapping wavefront activations in AF.
    MeSH term(s) Action Potentials ; Aged ; Cardiac Catheters ; Cardiac Pacing, Artificial ; Catheter Ablation ; Electrophysiologic Techniques, Cardiac/instrumentation ; Female ; Heart Rate ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Reproducibility of Results ; Tachycardia, Supraventricular/diagnosis ; Tachycardia, Supraventricular/physiopathology ; Tachycardia, Supraventricular/surgery ; Treatment Outcome
    Language English
    Publishing date 2018-02-23
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Validation Studies
    ZDB-ID 1025989-2
    ISSN 1540-8167 ; 1045-3873
    ISSN (online) 1540-8167
    ISSN 1045-3873
    DOI 10.1111/jce.13437
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Initial experience with the convergent procedure for longstanding persistent atrial fibrillation: A 5 year dataset

    Maclean, E. / Yap, J. / Saberwal, B. / Kolvekar, S. / Lim, W. / Wijesuriya, N. / Papageorgiou, N. / Dhillon, G. / Hunter, R.J. / Lowe, M. / Lambiase, P. / Chow, A. / Abbas, H. / Schilling, R. / Rowland, E. / Ahsan, S.

    Data in Brief. 2020 June, v. 30

    2020  

    Abstract: In patients with longstanding persistent atrial fibrillation (AF), outcomes from catheter ablation remain suboptimal. The convergent procedure combines minimally invasive surgical ablation with subsequent catheter ablation, and may contribute towards ... ...

    Abstract In patients with longstanding persistent atrial fibrillation (AF), outcomes from catheter ablation remain suboptimal. The convergent procedure combines minimally invasive surgical ablation with subsequent catheter ablation, and may contribute towards maintenance of sinus rhythm in this patient group. We performed the convergent procedure on 43 patients with longstanding persistent AF from 2013–2018. Patients underwent clinical review at 3, 6, and 12 months and thereafter as necessitated by their symptoms. Our dataset describes patients’ baseline characteristics and rhythm control protocols, as well as outcomes including arrhythmia recurrence, the need for antiarrhythmic drugs, requirement for repeat rhythm control procedures, and complications. These data provide a real world insight into the risks and benefits of the convergent procedure in patients with longstanding persistent AF.
    Keywords atrial fibrillation ; catheters ; data collection ; patients ; surgical ablation
    Language English
    Dates of publication 2020-06
    Publishing place Elsevier Inc.
    Document type Article
    ZDB-ID 2786545-9
    ISSN 2352-3409
    ISSN 2352-3409
    DOI 10.1016/j.dib.2020.105417
    Database NAL-Catalogue (AGRICOLA)

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  6. Article ; Online: Erratum for Long-term outcomes of index cryoballoon ablation or point-by-point radiofrequency ablation in patients with atrial fibrillation and systolic heart failure. J Cardiovasc Electrophysiol. 2021;32:941-948.

    Prabhu, S / Ahluwalia, N / Tyebally, S M / Dennis, A S C / Malomo, S O / Abiodun, A T / Tyrlis, A / Dhillon, G / Segan, L / Graham, A / Honarbakhsh, S / Sawhney, V / Sporton, S / Lowe, M / Finlay, M / Earley, M J / Lambiase, P / Schilling, R J / Hunter, R J

    Journal of cardiovascular electrophysiology

    2022  Volume 33, Issue 3, Page(s) 567

    Language English
    Publishing date 2022-02-15
    Publishing country United States
    Document type Published Erratum
    ZDB-ID 1025989-2
    ISSN 1540-8167 ; 1045-3873
    ISSN (online) 1540-8167
    ISSN 1045-3873
    DOI 10.1111/jce.15312
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Initial experience with the convergent procedure for longstanding persistent atrial fibrillation: A 5 year dataset.

    Maclean, E / Yap, J / Saberwal, B / Kolvekar, S / Lim, W / Wijesuriya, N / Papageorgiou, N / Dhillon, G / Hunter, R J / Lowe, M / Lambiase, P / Chow, A / Abbas, H / Schilling, R / Rowland, E / Ahsan, S

    Data in brief

    2020  Volume 30, Page(s) 105417

    Abstract: In patients with longstanding persistent atrial fibrillation (AF), outcomes from catheter ablation remain suboptimal. The convergent procedure combines minimally invasive surgical ablation with subsequent catheter ablation, and may contribute towards ... ...

    Abstract In patients with longstanding persistent atrial fibrillation (AF), outcomes from catheter ablation remain suboptimal. The convergent procedure combines minimally invasive surgical ablation with subsequent catheter ablation, and may contribute towards maintenance of sinus rhythm in this patient group. We performed the convergent procedure on 43 patients with longstanding persistent AF from 2013-2018. Patients underwent clinical review at 3, 6, and 12 months and thereafter as necessitated by their symptoms. Our dataset describes patients' baseline characteristics and rhythm control protocols, as well as outcomes including arrhythmia recurrence, the need for antiarrhythmic drugs, requirement for repeat rhythm control procedures, and complications. These data provide a real world insight into the risks and benefits of the convergent procedure in patients with longstanding persistent AF.
    Language English
    Publishing date 2020-03-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2786545-9
    ISSN 2352-3409 ; 2352-3409
    ISSN (online) 2352-3409
    ISSN 2352-3409
    DOI 10.1016/j.dib.2020.105417
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The convergent procedure versus catheter ablation alone in longstanding persistent atrial fibrillation: A single centre, propensity-matched cohort study.

    Maclean, E / Yap, J / Saberwal, B / Kolvekar, S / Lim, W / Wijesuriya, N / Papageorgiou, N / Dhillon, G / Hunter, R J / Lowe, M / Lambiase, P / Chow, A / Abbas, H / Schilling, R / Rowland, E / Ahsan, S

    International journal of cardiology

    2020  Volume 303, Page(s) 49–53

    Abstract: Background: Maintenance of sinus rhythm is challenging in patients with longstanding persistent atrial fibrillation (PeAF). Minimally invasive surgical AF ablation may improve outcomes when combined with catheter ablation (the 'convergent' procedure). ... ...

    Abstract Background: Maintenance of sinus rhythm is challenging in patients with longstanding persistent atrial fibrillation (PeAF). Minimally invasive surgical AF ablation may improve outcomes when combined with catheter ablation (the 'convergent' procedure). This study evaluates the safety and efficacy of the convergent procedure versus catheter ablation alone in longstanding PeAF.
    Methods: 43 consecutive patients with longstanding PeAF underwent subxiphoid endoscopic ablation of the posterior left atrium followed by catheter ablation from 2013 to 2018. The primary outcome was AF-free survival at 12 months; secondary outcomes included change in EHRA class, echocardiographic data, procedural complications, freedom from anti-arrhythmic drugs (AADs), and long term arrhythmia-free survival. Outcomes were compared with a matched group of 43 patients who underwent catheter ablation alone. Both groups underwent multiple catheter ablations as required. Baseline characteristics were similar between groups.
    Results: After 12 months, the convergent procedure was associated with increased AF-free survival on AADs (60.5% versus 25.6%, p = .002) and off AADs (37.2% versus 13.9%, p = .025), versus catheter ablation. Allowing for multiple procedures, after 30.5 ± 13.3 months' follow-up the convergent procedure was associated with increased arrhythmia-free survival on AADs (58.1% versus 30.2%, p = .016) and off AADs (32.5% versus 11.6%, p = .036) versus catheter ablation. There were more complications in the convergent procedure group (11.6% versus 2.3%, p = .2). Multivariate analysis identified only the convergent procedure (OR 3.06 (1.23-7.6), p = .017) as predictive of arrhythmia-free survival long term.
    Conclusions: In longstanding PeAF, the convergent procedure is associated with improved arrhythmia-free survival versus catheter ablation alone. Complication rates are significant but have been shown to depreciate with experience.
    MeSH term(s) Aged ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/physiopathology ; Atrial Fibrillation/surgery ; Catheter Ablation/methods ; Disease-Free Survival ; Echocardiography ; Female ; Follow-Up Studies ; Heart Atria/diagnostic imaging ; Heart Atria/physiopathology ; Heart Conduction System/physiopathology ; Heart Conduction System/surgery ; Humans ; Male ; Minimally Invasive Surgical Procedures/methods ; Propensity Score ; Recurrence ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2020-02-17
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2019.10.053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Long-term outcomes of index cryoballoon ablation or point-by-point radiofrequency ablation in patients with atrial fibrillation and systolic heart failure.

    Prabhu, S / Ahluwalia, N / Tyebally, S M / Dennis, A S C / Malomo, S O / Abiodun, A T / Tyrlis, A / Dhillon, G / Segan, L / Graham, A / Honarbakhsh, S / Sawhney, V / Sporton, S / Lowe, M / Finlay, M / Earley, M J / Lambiase, P / Schilling, R J / Hunter, R J

    Journal of cardiovascular electrophysiology

    2021  Volume 32, Issue 4, Page(s) 941–948

    Abstract: Catheter ablation is an established effective approach for the treatment of atrial fibrillation (AF) in patients with heart failure, however, the role of cryoablation in this setting is unclear. Procedural success and left ventricular systolic ... ...

    Abstract Catheter ablation is an established effective approach for the treatment of atrial fibrillation (AF) in patients with heart failure, however, the role of cryoablation in this setting is unclear. Procedural success and left ventricular systolic dysfunction (LVEF) improvement in patients with LVEF ≤ 45% undergoing index catheter ablation with cryoablation were evaluated. Freedom from AF recurrence was seen in 43% rising to 59% following repeat procedure. There were significant improvements in LVEF and functional status at long-term follow-up. Results were comparable to a contemporaneous cohort of heart failure patients undergoing index ablation with radiofrequency ablation. Cryoablation is an effective first-line AF ablation approach in the setting of heart failure.
    MeSH term(s) Atrial Fibrillation/diagnosis ; Atrial Fibrillation/surgery ; Catheter Ablation/adverse effects ; Cryosurgery/adverse effects ; Heart Failure, Systolic ; Humans ; Pulmonary Veins/surgery ; Recurrence ; Treatment Outcome
    Language English
    Publishing date 2021-02-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1025989-2
    ISSN 1540-8167 ; 1045-3873
    ISSN (online) 1540-8167
    ISSN 1045-3873
    DOI 10.1111/jce.14923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Left atrial scarring and conduction velocity dynamics: Rate dependent conduction slowing predicts sites of localized reentrant atrial tachycardias.

    Honarbakhsh, S / Schilling, R J / Orini, M / Providencia, R / Finlay, M / Keating, E / Lambiase, P D / Chow, A / Earley, M J / Sporton, S / Hunter, R J

    International journal of cardiology

    2018  Volume 278, Page(s) 114–119

    Abstract: Background: Low voltage zones (LVZs) are associated with conduction velocity (CV) slowing. Rate-dependent CV slowing may play a role in reentry mechanisms.: Methods: Patients undergoing catheter ablation for AT were enrolled. Aim was to assess the ... ...

    Abstract Background: Low voltage zones (LVZs) are associated with conduction velocity (CV) slowing. Rate-dependent CV slowing may play a role in reentry mechanisms.
    Methods: Patients undergoing catheter ablation for AT were enrolled. Aim was to assess the relationship between rate-dependent CV slowing and sites of localized reentrant atrial tachycardias (AT). On a bipolar voltage map regions were defined as non-LVZs [≥0.5 mV], LVZs [0.2-0.5 mV] and very-LVZs [<0.2 mV]. Unipolar electrograms were recorded with a 64-pole basket catheter during uninterrupted atrial pacing at four pacing intervals (PIs) during sinus rhythm. CVs were measured between pole pairs along the wavefront path. Sites of rate-dependent CV slowing were defined as exhibiting a reduction in CV between PI = 600 ms and 250 ms of ≥20% more than the mean CV reduction seen between these PIs for that voltage zone. Rate-dependent CV slowing sites were correlated to sites of localized reentrant ATs as confirmed with conventional mapping, entrainment and response to ablation.
    Results: Eighteen patients were included (63 ± 10 years). Mean CV at 600 ms was 1.53 ± 0.19 m/s in non-LVZs, 1.14 ± 0.15 m/s in LVZs, and 0.73 ± 0.13 m/s in very-LVZs respectively (p < 0.001). Rate-dependent CV slowing sites were predominantly in LVZs [0.2-0.5 mV] (74.4 ± 10.3%; p < 0.001). Localized reentrant ATs were mapped to these sites in 81.8% of cases (sensitivity 81.8%, 95% CI 48.2-97.9% and specificity 83.9%, 95% CI 81.8-86.0%). Macro-reentrant or focal ATs were not mapped to sites of rate-dependent CV slowing.
    Conclusions: Rate-dependent CV slowing sites are predominantly confined to LVZs [0.2-0.5 mV] and the resultant CV heterogeneity may promote reentry mechanisms. These may represent a novel adjunctive target for AT ablation.
    MeSH term(s) Aged ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/physiopathology ; Atrial Fibrillation/surgery ; Catheter Ablation/methods ; Catheter Ablation/trends ; Female ; Heart Atria/diagnostic imaging ; Heart Atria/physiopathology ; Heart Conduction System/diagnostic imaging ; Heart Conduction System/physiopathology ; Heart Conduction System/surgery ; Heart Rate/physiology ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Prospective Studies
    Language English
    Publishing date 2018-10-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2018.10.072
    Database MEDical Literature Analysis and Retrieval System OnLINE

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