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.

AFib signals worse outcomes in patients with ICDs

Atrial fibrillation could be an independent predictor of worse outcomes in heart patients with implantable cardioverter-defibrillators (ICDs), according to a meta-analysis published this November in the Journal of the American Heart Association.

December 3, 2018

Blacks with AFib 37% less likely to receive DOACs

Regardless of clinical and socioeconomic factors, black patients with atrial fibrillation (AF) are significantly less likely than whites and Hispanics to receive appropriate treatment with oral anticoagulants (OACs), researchers reported Nov. 28 in JAMA Cardiology.

November 30, 2018

Direct transfer to resuscitation center doubles odds of OHCA survival

People who experience out-of-hospital cardiac arrest (OHCA) are nearly twice as likely to survive if they are transferred directly to a hospital with 24-hour capability to perform PCI or targeted temperature management (TTM) versus another center, according to a meta-analysis published Nov. 28 in the Journal of the American Heart Association.

November 30, 2018
Earbuds | Headphones

Forbes: ‘Hearables’ could be next wearable to revolutionize healthcare

When consumers think of wearable personal health devices, they likely picture smartwatches or other wrist-worn gadgets. But as Forbes pointed out in a Nov. 26 article, new headphone-type wearables—dubbed “hearables”—have already grown into a $5 billion market and offer unique capabilities.

November 27, 2018

Readmissions common, costly after ablation of MI-associated VT

Almost 1 in 5 patients are rehospitalized within 30 days of undergoing catheter ablation of MI-associated ventricular tachycardia (VT), according to a study from the Nationwide Readmissions Database. These patients rack up 38.9 percent higher cumulative hospital costs than those who aren’t readmitted, researchers reported in Circulation: Arrhythmia and Electrophysiology.

November 26, 2018

Digoxin concentration linked to platelet activation in AFib patients

Monitoring digoxin concentration and platelet activation in atrial fibrillation (AF) patients treated with vitamin K antagonists could be important for reducing those patients’ inherently elevated risk for CVD, according to a study published in the Journal of the American Heart Association Nov. 15.

November 21, 2018

Johns Hopkins marries cardiology, engineering in $5.5M ADVANCE center

Half a decade of planning and millions of dollars have culminated in the Alliance for Cardiovascular Diagnostic and Treatment Innovation (ADVANCE), a joint engineering and cardiology center launched by Johns Hopkins University in an attempt to improve the diagnosis and treatment of a range of arrhythmia disorders.

November 21, 2018

Risk factors fail to explain higher rates of sudden cardiac death in blacks

Even after adjusting for cardiovascular, behavioral and socioeconomic factors, black adults remain twice as likely to die from sudden cardiac death (SCD) as whites, suggests a study published in the Journal of the American College of Cardiology.

November 20, 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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