Actualités médicales et scientifiques

Despite an extensive body of literature, there are still many gaps in the evidence surrounding the lifetime management of aortic stenosis (AS) and upstream interventions to prevent or slow down the progression of the disease are yet to be developed.

His bundle pacing is the most physiological form of pacing as it replicates the patient’s natural ventricular activation. Its adoption has significantly grown over the last years. However, the technique has several limitations, including suboptimal thresholds. Left bundle branch area pacing has been introduced more recently and has gained much interest as it also delivers physiological pacing but with more favorable electrical parameters. However, there are also several unresolved issues with this technique. This article compares these strategies and highlights their advantages and disadvantages to provide guidance on which technique to select for a specific patient.

Collectively, the reviewed articles form a coherent theory of dysfunctional emotion regulation in patients with BPD in the form of the fronto-limbic imbalance model, which is characterized by hypoactivity of the prefrontal region and hyperactivity of the limbic region. Thus, it appears that, compared to individuals without BPD, those with the diagnosis have a marked tendency to interpret their environment more negatively and to react with greater emotional intensity.

Atrial fibrillation (AF) has become the most common arrhythmia worldwide and its incidence is increasing. Treatment strategies for symptomatic patients include stroke prevention, management of cardiovascular comorbidities, and direct treatment of AF itself. With regard to interventional AF treatment, a novel technique called pulsed field ablation has emerged. Large registry data in more than 15,000 patients have demonstrated a high efficacy in reducing the burden of AF with a very high safety. This review provides an overview of the technical aspects of pulsed field ablation and the published clinical data.

Compte tenu de la charge de travail croissante, les soignantes et soignants sont de plus en plus nombreux à refuser les postes fixes. Si le travail temporaire n’a pas bonne presse dans les institutions, cette nouvelle tendance aura néanmoins permis de faire bouger les choses.