Heart Rhythm

Hearts should have normal rhythm to their beats, but when these beats are out of synch, it causes inefficient pumping of blood. Irregular heart arrhythmias occur when the electrical signals that coordinate the heart's beats do not work properly. This can cause beats that are too fast (tachycardia), or too slow (bradycardia). Tachycardias include atrial fibrillation (AFib), supraventricular tachycardia, ventricular fibrillation, and ventricular tachycardia (VT). Bradycardias include sick sinus syndrome and conduction block. Electrophysiology arrhythmia treatments include medications, life style changes, and the EP lab interventions of catheter ablation, and implantable pacemakers or defibrillators.

Critics concerned FDA is playing cheerleader during Apple’s health push

The Apple Watch’s FDA-cleared electrocardiogram (ECG) feature has already helped some people uncover undiagnosed atrial fibrillation, leading to necessary medical treatment. But cardiologists fear false positives may be the more common occurrence in low-risk individuals, potentially leading to unnecessary testing and emotional strain in those users, according to Politico.

March 5, 2019

Consistent with ‘obesity paradox,’ overweight AF patients see lower odds of death, stroke

A study published Feb. 14 in the American Journal of Cardiology suggests obese patients with atrial fibrillation (AF) fare better in terms of mortality and stroke events than their non-obese counterparts—a finding that’s in line with the much-contested “obesity paradox."

February 20, 2019

Black patients see lower AFib risk with ICDs than whites

Black Medicare beneficiaries with implanted cardiac devices (ICDs) face a lower risk of atrial fibrillation (AF) than their white counterparts, despite a higher overall burden of vascular risk factors and a greater risk of stroke, researchers reported Feb. 11 in the Journal of the American Heart Association.

February 14, 2019

His-optimized CRT improves electrical resynchronization in advanced HF patients

His-optimized cardiac resynchronization therapy successfully narrowed QRS duration, improved left ventricular (LV) ejection fraction and heightened functionality in 27 patients with advanced heart failure (HF), according to a study published in Circulation: Arrhythmia and Electrophysiology.

February 12, 2019

Lifetime risk of sudden cardiac death ‘significantly higher’ in blacks than whites

The lifetime cumulative risk of sudden cardiac death (SCD) is much higher in black patients than in whites, according to an analysis of the Atherosclerosis Risk in Communities Study published in Circulation Feb. 4.

February 5, 2019

Dime-sized innovation harnesses heart’s energy to power implantable devices

Researchers from the Thayer School of Engineering at Dartmouth College have developed a dime-sized innovation they claim converts the heart’s energy into electricity to power implantable devices like pacemakers and defibrillators, potentially saving cardiovascular patients the time, money and stress of repeat surgery.

February 5, 2019

Older patients at increased risk for AFib during dobutamine stress echo

Atrial fibrillation (AF) is rare during dobutamine stress echocardiography (DSE), a routine exam for assessing coronary ischemia, but elderly patients and those with a history of paroxysmal AF are at an increased risk for arrhythmia during the test, a team of researchers from Boulogne, France, reported.

February 4, 2019

How trial results, guidelines affect the way physicians program CIEDs

A Journal of the American Heart Association study focused on the programming safety of cardiac implantable electronic devices (CIEDs) suggests the publication of clinically meaningful trial results and professional recommendations translates poorly into real-world practice, penetrating just a fraction of a field that might benefit from added guidance.

February 4, 2019

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

Trimed Popup
Trimed Popup