The Effect of Foreign Direct And Portfolio Investments on Stock Market Returns in E7 Countries

As a result of financial liberalization boundaries between financial markets have been disappeared and capital movements have accelerated which leads to rise of financial flows from developed to developing countries. Foreign investments can be realized as foreign direct investments indicating the ownership of physical assets in another country or as portfolio investments in assets for the sake of maximum return at minimum risk. The aim of this paper is to investigate the effects of foreign direct and portfolio investments on stock returns in E7 countries (Brazil, China, Indonesia, India, Mexico, Russia, Turkey) for the time period from 2005 to 2016 using panel data analysis. Results indicate a significant and positive relation between foreign portfolio investments and stock market returns whereas a negative relation between foreign direct investment and stock market returns. It is concluded that foreign portfolio investments have very crucial effect in increasing the stock returns in E7 countries

Inadvertent right ventricular apical exit after stereotactic body radiotherapy for ventricular tachycardia: Every cloud has a silver lining

A 78-year-old man suffering from gastric cancer with ischemic cardiomyopathy and recurrent ICD shocks consented to ventricular tachycardia (VT) ablation. He had a previous endocardial VT ablation 1 year ago, and a stereotactic radioablation for his recurrent VT 4 months ago. We planned again left ventricular endocardial mapping for his incessant slow VT suggesting an apical exit site (Figure 1A). However, the activation mapping of LV did not cover the whole VT cycle length, and we decide to map the right ventricular septal side instead of the epicardial access due to the patient's poor frailty. Fortunately, the mid-diastolic potential (MDP) was acquired in an unusual position (Figures 1A and 1B); however, the pericardial location of the mapping catheter was confirmed fluoroscopically (Figures 1C and 1D). An urgent surgical consultation was called for, and operative preparations were initiated. However, since no pericardial tamponade occurred and blood pressure remained stable, we continued the endo-epicardial ablation by ablating the MDP (Video 1)

Transient changes in QRS morphology during a narrow complex tachycardia: What is the mechanism?

A22‐year‐old man with recurrent episodes of tachycardia inthe absence of structural heart disease underwent an electro-physiological evaluation. A narrow complex tachycardia (NCT)was induced by programmed by ventricular pacing. A transientchange in QRS morphology and H‐V interval in the middle of thetracing was noted during ongoing tachycardia (Figure1). What arethepossiblemechanismsoftachycardia and changes in QRS morphology

Reply to letter to the editor: '2D LGE or 3D high-resolution LGE: Role of cardiovascular magnetic resonance imaging in the treatment of ventricular arrhythmias'

We are pleased that our paper raised interest among readers of the Anatolian Journal of Cardiology. Even though the late gadolinium enhancement cardiac magnetic resonance (LGE-CMR) imaging was first established for ventricular tissue characterization in localizing ventricular tachycardia (VT) ablation targets (CMR-aided), it is by now widely used as a clinical tool to guide VT ablation (CMR-guided) through the detection of the arrhythmogenic substrate and conducting channels. While the CMR-derived information has been used alongside electroanatomic mapping (EAM) data to aid VT ablation (CMR-aided), the CMR-guided approaches, where EAM acquisition is completely avoided, make procedures faster, and the operator relies solely on imaging data.1 As the authors reported, the analysis of CMR images with software, which is known as ADAS (ADAS 3D, Barcelona, Spain), is very helpful for identifying these conducting channels.2 The preliminary results showed that the mean procedure duration was lower in CMR-guided when compared to CMR-aided and No-CMR substrate ablation (109 ± 61 vs. 206 ± 70 and 233 ± 48 minutes, respectively; P <.001 for both comparisons).1 VOYAGE is a prospective, randomized, multicenter controlled open-label study designed to compare in terms of efficacy, efficiency, and safety of a CMR-aided or guided workflow to standard EAM-guided VT ablation

Cardiac magnetic resonance-guided conducting channel delineation of an aneurysmal ventricular tachycardia with the same circuit in the reverse direction

A 54-year-old male patient with remote inferior wall myocardial infarction with inferoseptal left ventricular (LV) aneurysm (Figure 1A, Video 1) was referred for ablation of hemodynamically tolerated ventricular tachycardia (VT). Image processing (ADAS 3D Galgo Medical, Barcelona, Spain) was used to reconstruct myocardial scar from cardiac magnetic resonance (CMR) and to identify channels of heterogeneous tissue that could be directly involved in the VT reentry circuit (Figure 1B, Videos 2-4). Then, this 3-dimensional (3D) CMR analysis was uploaded into 3D electroanatomic mapping system (CARTO® Biosense Webster Inc., Diamond Bar, CA, USA)

The width of life is more important than the length of life

A 58-year-old man with previous inferior myocardial infarction (MI) was referred for cardiac resynchronization therapy pacemaker (CRT-P) for decreased left ventricular ejection fraction (LVEF; 45%) and left bundle branch block (LBBB) (Figure 1). He had New York Heart Association Class I functional classification but palpitation for 3 months. General physical and cardiac examinations were normal. On the admission day, the electrocardiogram showed a narrow QRS rhythm with and without tachycardia (Figures 2 and 3). Would you recommend or consider a CRT-P device or a CRT defibrillator or only an implantable cardioverter defibrillator (ICD) based on these clinical and electrocardiographic findings, or ablation or medical therapy only

Change in atrial activation patterns during narrow complex tachycardia: What is the mechanism?

A change in the coronary sinus (CS) activation pattern from an eccentric to a concentric pattern during the ablation of an orthodromic reciprocating tachycardia might falsely suggest the presence of a second (septal) accessory pathway (AP) during tachycardia or the successful ablation of the left lateral AP under ventricular pacing despite persistent and unaffected AP conduction. Complete or partial intra-atrial block should be suspected when an abrupt change in the atrial activation sequence is noted during catheter ablation at the posterolateral and lateral aspects of the mitral annulus. The correct anatomical position of the CS catheter plays a vital role in the differential diagnosis of this situation

Convergent double coronary sinus potentials during atrial tachycardia

The analysis of the patterns and timing of coronary sinus activation provides a rapid stratification of the most likely macro-re-entrant atrial tachycardias and points toward the likely origin of centrifugal ones by comparing the left atrial and coronary sinus activation sequence and morphology during sinus rhythm and atrial tachycardia. The analysis of both the near- and far-field electrogram morphology of atrial signals also gives important clues in determining the mechanism of the arrhythmia

Transhepatic left ventricular only pacing after left bundle branch area pacing attempt with high pacing threshold

A 50-year-old male with a permanent dual chamber pacemaker (DDD) 23 years ago was referred for a rapid increase in right ventricular (RV) pacing impedance. His left ventricular (LV) ejection fraction was 45%. Since the patient was pacemaker-dependent, the insertion of a new RV lead was planned. However, the venography and imaging studies revealed both left and right subclavian veins to be occluded/non-accessible. We failed also to cross the lesion by percutaneous approach. Then, we planned the extraction procedure as a first stage with the thought that it can provide a new venous route via extraction sheath; however, the patient did not accept the procedure as its high risk. Therefore, the surgical epicardial LV lead was implanted and connected to the left subpectoral pocket by using the previous functional right atrial (RA) lead for DDD pacing. Unfortunately, 1 month later, the patent presented with a left-sided pocket infection, and we had to remove all endocardial RA and RV leads using the lead extraction system. We could not again pass the calcified superior vena cava despite the successful lead extraction. Due to an active pocket infection, the surgically placed pacemaker was removed from the skin leaving the epicardial LV lead in place to remove or drain the infected fluid. A leadless pacemaker was an option, but due to financial constraints could not be done for this patient. The femoral venous access could not be taken due to the non-availability of 69 cm RV lead. The hepatic vein was the only available access to implant a DDD pacemaker

Paradoxical para-hisian pacing response

Para-Hisian pacing (PHP) is among the most useful maneuvers in cardiac electrophysiology during sinus rhythm and identifies whether retrograde conduction is dependent on the atrioventricular (AV) node. In this maneuver, the retrograde activation time and pattern are compared during capture and loss of capture of the His bundle while pacing from a paraHisian position. A common misconception about PHP is that it is useful only for septal accessory pathways (APs). However, even with left or right lateral pathways, as long as pacing from the para-Hisian region conducts to the atrium with the activation sequence being analyzed, it can be used to determine whether that activation is AV node–dependent or AP-dependent