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.

2 hours in the ER enough to rule out risky arrhythmias in most syncope patients

The majority of patients who present to the emergency department (ED) after fainting likely don’t need to be monitored for more than two hours to rule out any dangerous underlying arrhythmias, Canadian researchers have found.

January 21, 2019

Post-TAVR conduction abnormalities tied to worse outcomes

A prospective, single-center study from Denmark suggests nearly half of patients develop a new conduction abnormality after transcatheter aortic valve replacement (TAVR), impacting their short-term and long-term prognosis.

January 21, 2019

Sudden cardiac arrest in young people linked to drugs, psychiatric ills

Young victims of sudden cardiac arrest (SCA) and death are more likely to have a history of cardiovascular disease and some relationship with drugs or psychiatric illness, according to research published Jan. 19 in the Journal of the American Heart Association.

January 21, 2019
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Women face higher risk of acute CIED complications than men

Women implanted with cardiac implantable electronic devices (CIEDs) like pacemakers, implantable cardioverter defibrillators and cardiac resynchronization therapy technologies are more likely to experience acute CIED complications than men who undergo the same procedures, according to work published Jan. 16 in the Journal of the American Heart Association.

January 18, 2019

New mobile app connects pacemakers to smartphones

Medtronic announced on Jan. 15 the launch of a mobile app that connects four of the company’s pacemakers to patients’ smartphones and tablets, removing the need for bedside monitors or other remote monitoring equipment.

January 15, 2019
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Unhappily married men 86% more likely to suffer sudden cardiac death

Men who are dissatisfied with their marriages are around 86 percent more likely to experience sudden cardiac death (SCD) than those who are very satisfied, according to research published in the Jan. 1 edition of the American Journal of Cardiology.

January 11, 2019

Even moderate alcohol consumption could spell trouble for AFib patients

A high-density electroanatomic mapping study of 75 patients with atrial fibrillation (AF) has concluded that even a regular alcohol intake—up to 14 standard drinks per week—is associated with impairments in electrical signaling and more electrical evidence of scarring, signaling worse outcomes.

January 10, 2019

AI-based EKG processing predicts early left ventricular dysfunction

AI applied to an electrocardiogram (EKG) test reliably detected asymptomatic left ventricular dysfunction (ALVD)—a precursor to heart failure—and predicted which patients were most at risk of developing the condition in the future, according to a Mayo Clinic study published in Nature Medicine.
January 9, 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."

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