Rick Veasey

Rick Veasey
East Sussex Healthcare NHS Trust · Department of Cardiology

MB BS, MD(Res), FRCP

About

51
Publications
4,509
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
316
Citations
Citations since 2016
24 Research Items
153 Citations
20162017201820192020202120220510152025
20162017201820192020202120220510152025
20162017201820192020202120220510152025
20162017201820192020202120220510152025
Additional affiliations
April 2015 - present
East Sussex Healthcare NHS Trust
Position
  • Consultant Cardiologist and Electrophysiologist

Publications

Publications (51)
Article
Introduction: There is limited data using continuous monitoring to assess outcomes of atrial fibrillation (AF) ablation. This study assessed long-term outcomes of AF ablation in patients with implantable cardiac devices. Methods: 207 patients (mean age 68.1 ± 9.5, 50.3% men) undergoing ablation for symptomatic AF were followed up for a mean period...
Article
Funding Acknowledgements Type of funding sources: None. OnBehalf Sven Knecht and the International Octogenarian AF ablation group Background Octogenarians are a fast-growing demographic with a high burden of atrial fibrillation (AF). There are limited data on procedural safety and acute outcomes of catheter ablation (CA) for AF in this group. Pu...
Article
Full-text available
Background Second-generation cryoballoon ablation is safe and effective in patients with paroxysmal (PAF) and persistent atrial fibrillation (AF). Objective This study aimed to assess the long-term clinical outcomes and freedom from AF in patients undergoing thermal-guided cryoablation without the use of an electrical mapping catheter. Methods Al...
Article
Full-text available
Background Second-generation cryoballoon ablation is safe and effective in patients with persistent atrial fibrillation (AF). The aim of this study is to report the real long-term AF burden and freedom from AF post-cryoablation using continuous monitoring, and to assess whether intraoperative confirmation of pulmonary vein isolation using electrica...
Article
Full-text available
Figure 1 as originally published is incorrect. On the published Fig. 1 it reads 3 patients Medtronic Sensia and 3 patients Medtronic Advisa. This should read 1 patient Medtronic Sensia and 1 patient Medtronic Advisa. Figure 1 has been corrected below.
Article
Full-text available
Background National Institute for Health and Care Excellence guidelines (NICE CG95) recommends computed tomography coronary angiography [CTCA] as the first line investigation for all patients with suspected typical or atypical angina irrespective of pre-test probability due to its excellent performance and cost effectiveness. However previous cost...
Article
Objectives This multicenter registry aimed to assess the reproducibility and safety of intentional coronary vein exit and carbon dioxide insufflation to facilitate subxiphoid epicardial access in the setting of ventricular tachycardia ablation. Background Epicardial ablation for ventricular tachycardia is not a widespread technique due to the sign...
Article
Background Increasing evidence exists suggesting that cardiac contractility modulation therapy (CCM) improves symptoms in heart failure patients if various selection criteria are fulfilled. The aim of this study is to analyse an unselected sample of heart failure patients to establish what percentage of patients would meet the current criteria for...
Article
Introduction Current UK and international guidelines advocate the need for multidisciplinary team (MDT) discussion of selected patients undergoing either percutaneous or surgical cardiac procedures to decide the optimal treatment strategy. To date it is unknown if using videoconference facilities is cost effective. Therefore we performed a cost ana...
Article
The COVID-19 pandemic has significantly altered working practices within hospitals. This includes surgical theatres and cardiac catheter laboratories. Here we describe how we have harnessed the use of video technology to improve the running of the cardiac catheter lab in our institution, reducing the exposure of staff members to COVID-19, reducing...
Article
Full-text available
OBJECTIVE: To investigate the accuracy of three non‐invasive blood pressure (BP) devices in atrial fibrillation (AF) compared with invasive arterial BP. METHODS: One hundred patients aged 45‐90 years, 63% male (50 in AF and 50 age matched controls in sinus rhythm [SR]) were identified with arterial lines measuring beat‐to‐beat BP fluctuation. Non‐i...
Conference Paper
Introduction Implanting of cardiac implantable electrical devices (CIEDs) has become routine practice in the majority of acute hospitals. The numbers of patients receiving CIEDs are increasing rapidly due to a growing elderly population and adherence to NICE guidance. CIEDs have been subject to safety advisories potentially resulting in intensive p...
Article
Full-text available
Background Sleep‐disordered breathing (SDB) and atrial fibrillation (AF) are associated. This study investigated the impact of AF intervention on 6 month home sleep testing data. Methods Sixty‐seven patients (aged 66 to 86, 53% male) with persistent AF were randomized (1:1:1) to direct current cardioversion (DCCV) (22 patients), permanent pacemake...
Article
Background: Right Ventricular Septal (RVS) pacing is often recommended as a more physiological alternative to Right Ventricular Apical (RVA) pacing. Objectives: This study aimed to determine the long-term outcomes in patients persistently paced following Atrioventricular Node (AVN) ablation. Materials and Methods: This study was conducted on 200 pa...
Article
Full-text available
Atrial fibrillation (AF) is associated with a multitude of adverse outcomes. The arrhythmia is associated with increased risk for stroke and heart failure (HF), reduced quality of life and increased shortness of breath. In addition, previous research has found a high prevalence of AF in patients with sleep-disordered breathing (SDB) and the two con...
Article
Introduction Blood pressure (BP) is routinely measured by the automated sphygmomanometer. Accurate assessment of BP in patients (pts) with atrial fibrillation (AF) is crucial but impossible due to beat-to-beat variability of stroke volume and significant BP fluctuation preventing consistent assessment of Korotkoff sounds. The PulseCor R6.5 (PC) det...
Article
Introduction Right ventricular septal (RVS) pacing is often recommended as a more physiological alternative to right ventricular apical (RVA) pacing. Most comparisons between the two sites have had short follow up and few trials have assessed the different pacing sites following atrioventricular node (AVN) ablation. We analysed 200 consecutive pati...
Article
Introduction Epidemiological data have demonstrated an independent association between sleep-disordered breathing (SDB) and atrial fibrillation (AF). We have developed an efficient and reliable screening service investigating SDB in patients (pts)>65 years with persistent AF. Polysomnography (PSG) in a sleep laboratory (lab) is the gold standard di...
Article
Atrial fibrillation (AF) is thought to be a progressive arrhythmia, starting with short paroxysmal episodes, until eventually, it becomes permanent. Evidence for this is limited to studies with short follow-up or with minimal cardiac rhythm monitoring. We utilised the continuous rhythm monitoring capabilities of implanted pacemakers to define bette...
Article
Full-text available
To describe the long-term patterns of atrial fibrillation (AF) in patients with permanent pacemakers. A total of 2092 pacemaker Holter downloads were analysed in 323 patients with dual chamber permanent pacemakers, describing a cumulative 1031 patient-years of beat-to-beat monitoring. Four subtypes of AF were applied: (i) non-progressive low-burden...
Article
Background: Resting echocardiographic measures of cardiac function such as left ventricular ejection fraction correlate poorly with exercise capacity. Assessment during exercise using measures less dependent on hemodynamic loading conditions, such as tissue Doppler imaging (TDI), may more accurately characterize the relationship between cardiac fu...
Article
Studies assessing radiofrequency ablation (RFA) for atrial fibrillation (AF) performed at the time of concomitant cardiac surgery have reported high success rates. The efficacy of this treatment has primarily been determined by a single electrocardiogram (ECG) or 24-h Holter monitor at follow-up. We sought to assess the true efficacy of this proced...
Article
IntroductionAtrial fibrillation (AF) is the most prevalent arrhythmia in primary and secondary healthcare settings. Thromboembolic (TE) risk assessment and initiation of anti-thrombotic or anticoagulation (AT/AC) therapy, according to level of risk, is recommended in both national and international guidelines. NICE guidance stratifies patients with...
Article
Introduction: Percutaneous coronary intervention (PCI) activity has increased more than 6 fold in the last 15 years. Increased demand has been met by PCI centres without on-site surgical facilities. To improve communication between cardiologists and surgeons at a remote centre, we have developed a video conferencing system using standard internet...
Article
Full-text available
In patients requiring permanent pacemaker implantation for sinus node disease (SND) or atrioventricular (AV) block, right ventricular (RV) pacing has been demonstrated to increase the risk of developing atrial fibrillation (AF). The effects of RV pacing in patients with paroxysmal AF are less well defined. Short- and medium-term studies have sugges...
Article
Full-text available
The practise of catheter ablation for atrial fibrillation (AF) is increasing rapidly and is recommended as the treatment of choice in many patient subgroups. At present, the efficacy of this procedure has been assessed by means of electrocardiographic recording, intermittent Holter monitoring and evaluation of patient symptoms. We sought to evaluat...
Article
Full-text available
The beneficial effects of atrial pacing on the incidence, duration and symptomatology of paroxysmal atrial fibrillation (PAF) may be negated by increased ventricular pacing. This prospective randomised study evaluates the effect of pacing algorithms that minimise ventricular pacing (MinVP) with and without anti-AF algorithms, on AF burden (AFB) in...
Article
A 63-year-old man with frequent unexplained syncope was implanted with a second generation remotely monitored implantable loop recorder for continuous electrocardiogram (ECG) monitoring. He had a subsequent syncopal episode and despite accidental destruction of his patient activator, vital ECG data from the event were transmitted wirelessly, enabli...
Article
Accurate atrial arrhythmia discrimination is important for dual chamber pacemakers and defibrillators. The aim was to assess the accuracy of atrial arrhythmia recording using modern devices and relate this to atrial tip-to-ring (TTR) distance. One hundred eighty-two patients (72 + or - 9 years, 55% male) with paroxysmal atrial fibrillation were enr...
Article
Full-text available
Right ventricular pacing increases the risk of persistent atrial fibrillation (AF) in the long term. The effects of right ventricular pacing on paroxysmal AF (PAF) are unknown. The aim was to examine the effect of right ventricular pacing on AF burden (AFB) in patients with symptomatic drug-resistant PAF. Pooled analysis of pacemaker-derived counte...
Article
Full-text available
The study aim was to validate the closed loop stimulation (CLS) vs. accelerometer (ACC) rate-responsive sensors with electrodes placed in the right ventricular high septal (RVHS) or right ventricular apical (RVA) lead positions in patients following 'ablate and pace' therapy for persistent atrial fibrillation. 'Ablate and pace' patients were random...
Article
Full-text available
The purpose of this study is to identify the electrophysiological factors affecting symptoms in paroxysmal atrial fibrillation (PAF) using patients with paroxysmal atrial fibrillation and pacemakers with advanced atrial fibrillation (AF) diagnostics. Seventy-nine patients (age 71.0 +/- 8.2, 54.4% male) with symptomatic PAF and AF burden of 1% to 50...
Article
Exercise-induced changes in the synchrony of left ventricular contraction may be an important therapeutic target in heart failure. There are limited data to support the feasibility of exercise assessments. In addition, the effect of exercise on synchrony in healthy individuals is undetermined. Eleven healthy young men underwent tissue Doppler asses...
Article
AngioSeal and StarClose are vascular closure devices (VCDs) that can be used following cardiac catheterisation via the femoral artery to achieve haemostasis. Both devices have been demonstrated to be superior to conventional manual pressure, which reduce time to haemostasis and time to patient ambulation. We sought to compare these devices in a pro...
Article
Full-text available
Miconazole is a broad spectrum antifungal agent. When co-administered with warfarin it may increase the anticoagulant effect of the warfarin by inhibiting hepatic microsomal cytochrome P-450 enzymes.1 Trace amounts of miconazole have been detected systemically after topical administration.2 An interaction of warfarin with miconazole oral gel and pe...
Article
A torsion Coulomb's apparatus is described which can be used to test Coulomb's law.

Network

Cited By