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.

Meta-analysis: DOACs should be ‘default approach’ after AFib cardioversion

Direct oral anticoagulants (DOACs) can cut the short-term risk of thromboembolic events in half for patients who have undergone cardioversion of atrial fibrillation (AFib), suggests a meta-analysis published in the Journal of the American College of Cardiology.

October 10, 2018

AFib patients with cancer less likely to see cardiologist, receive anticoagulants

When cardiologists get involved in the treatment of patients with a history of cancer and newly diagnosed atrial fibrillation (AFib), those people see a subsequent 11 percent reduction in the risk of stroke, according to a new study in the Journal of the American College of Cardiology. But those visits occur less often for that subgroup of patients than in AFib patients without cancer.

October 9, 2018

Meta-analysis confirms digoxin is major threat to AF, HF patients

Digoxin, a cardiac glycoside popularly sold under the brand name Lanoxin, poses a major threat to the heart health of atrial fibrillation (AF) and heart failure (HF) patients, according to a review published in the American Journal of Cardiology Oct. 4. Even without confounding conditions, the drug can raise an individual’s risk of all-cause mortality.

October 9, 2018

Cardiologist highlights potential harms of Apple Watch’s EKG function

“The people most in need of it, those who might benefit from tests and distance monitoring, are the least likely to get (the Apple Watch),” Aaron E. Carroll, MD, wrote in the New York Times. “If we truly believed this was a medical test beneficial to the general population, insurance should pay for it."

October 8, 2018

Study debunks sudden cardiac arrest being more common during the workweek

The long-held belief that sudden cardiac arrests (SCAs) occur most commonly on weekday mornings has been debunked by a team in Portland, Oregon, whose recent study of more than 1,500 SCA victims failed to identify any peak windows during which heart patients were prone to sudden cardiac death.

October 8, 2018

DAPT plus DOAC cuts bleeding risk in AFib patients with history of MI, PCI

In patients with atrial fibrillation who have experienced MI or undergone percutaneous coronary intervention (PCI), treatment with a combination of direct oral anticoagulants (DOACs) and dual antiplatelet therapy (DAPT) could significantly decrease the risk of bleeding and other major thromboembolic events, according to research published ahead of print in the Journal of the American College of Cardiology.

October 3, 2018

Delayed transvenous lead removal may boost risk of tricuspid regurgitation

Increases in tricuspid regurgitation (TR) severity occurred in 11.5 percent of patients following transvenous lead extraction, according to a single-center study, which also identified lead age as an important predictor of acute TR increases and tricuspid valve injury.

October 2, 2018

OHCA survival varies 1.5-fold from one EMS agency to next

A patient’s odds of surviving out-of-hospital cardiac arrest (OHCA) fluctuate an average of 56 percent from one emergency medical services (EMS) agency to another, researchers reported Sept. 26 in JAMA Cardiology.

October 2, 2018

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."

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