Clinical Advances in Arrhythmology

Dear Colleagues,

In the last few years, Arrhythmology has made amazing progress.

New technologies such as left bundle branch area pacing or zero-fluoroscopy device implantations are revolutionizing Cardiac Stimulation, probably for the first time in over several decades.

Imaging techniques are fundamental not only as a guide to implantation, but also to evaluate cardiac performance with myocardial work analysis and other new indexes.

On the other hand, Electrophysiology has seen the establishment of three-dimensional electro-anatomical mapping systems, with new systems, now also combined with intracardiac echocardiography. Furthermore, new forms of energy delivery for transcatheter ablation, such as electroporation, are emerging and being used together with traditional ones such as radiofrequency and cryoablation.

The availability of modern interventive techniques and tools in recent years prompted a rapid evolution of those themes.

In addition to technological advancements, there has been a growing emphasis in Arrhythmology on personalized medicine with new treatment options becoming available to clinicians and tailoring treatment plans based on the unique genetic profile of patients. Specific populations (i.e., genetic conduction disorders, congenital heart diseases, hemoglobinopathies, inherited channelopathies and many others) have probably been previously under-considered but are not comparable to the general population and deserve specific evidence.

It is with great enthusiasm that we follow these advances.

We hope that our Special Issue can contribute to spreading the great progresses of Arrhythmology.

Dr. Michele Malagù
Guest Editor

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