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.

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

Analog vs. digital stethoscopes: Is electronic really an improvement?

A side-by-side comparison of electronic and analog stethoscopes suggests a digital approach to auscultation is indeed superior to its predecessors, debunking the idea that electronic models might suffer from sound cutoffs and contact artifacts that decrease their utility.

January 8, 2019

Study: Secondhand smoke alters heart’s electrical stability

Chronic exposure to secondhand smoke in common settings like cars, homes and casinos may increase a person’s susceptibility to cardiac alternans, a precursor to ventricular arrhythmias, according to an animal study published in Environmental Health Perspectives.

January 7, 2019
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Fighting CIED Infections Starts with Prevention

With use of cardiac implantable electronic devices on the rise, experts stress device selection, prophylactic antibiotics, pre-procedural protocols and post-implementation vigilance.

January 7, 2019

AFib ablation boosts clinical outcomes for heart failure patients

Compared to drug therapy alone, catheter ablation nearly halved the risk of death and improved a range of clinical outcomes for patients with both heart failure and atrial fibrillation (AFib) in a meta-analysis.

January 4, 2019

Researchers recommend evaluating stroke risk annually in AFib patients

About 1 in 6 patients with newly diagnosed atrial fibrillation (AFib) who are considered at low risk of stroke advance to a higher risk category within one year, according to a registry study published in the Jan. 1 issue of Annals of Internal Medicine.

January 2, 2019

FDA approves multisite vessel closure system for EP procedures

The FDA has granted premarket approval to Cardiva Medical’s vascular closure system for use during electrophysiology procedures such as cardiac ablation and left atrial appendage closure, the company announced Dec. 18.

December 18, 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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