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.

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Trial: St. Jude's cardiac leadless pacemaker is safe and effective at 6 months

After six months of nonsurgical implantation with an active-fixation leadless cardiac pacemaker, 90 percent of patients had an acceptable pacing threshold and sensing amplitude, according to a prespecified analysis of an ongoing study. In addition, 6.7 percent of patients had device-related serious adverse events.

ACC plans to launch two atrial fibrillation registries

The American College of Cardiology (ACC) announced it plans on launching two clinical registry programs to track outcomes in patients with atrial fibrillation. The registries will be part of the National Cardiovascular Data Registry, which currently includes eight cardiovascular data registries.

FDA warns of deaths, adverse events with the Lariat device

The FDA issued a safety alert on July 13, warning of deaths and severe adverse events associated with the use of SentreHEART's Lariat suture delivery device for left atrial appendage (LAA) exclusion and preventing strokes in patients with atrial fibrillation.

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HRS Doesn’t Miss a Beat with Cutting-edge Trials

The Heart Rhythm Society focused on the latest developments in electrophysiology and the management of patients with rhythm disorders and heart failure at its 2015 meeting on May 13-16 in Boston. The event included 12 late-breaking clinical trials.

Study finds 7% malfunction rate in CIEDs attributable to radiotherapy

A retrospective analysis found 7 percent of patients with cardiovascular implantable electronic devices (CIEDs) had a malfunction attributed to radiotherapy. All of the cases occurred during neuron-producing radiotherapy, prompting lead researcher Jonathan D. Grant, MD, to recommend the use of non-neutron-producing radiotherapy when clinically feasible.

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Fewer than 10% of Medicare beneficiaries receive an ICD after MI

Fewer than 10 percent of older adults received an implantable cardioverter-defibrillator (ICD) following an MI, according to an analysis of Medicare beneficiaries who had low ejection fraction. Although the patients were at an increased risk of sudden cardiac death, only 8.1 percent were implanted with the device within a year of their MI event.

No anticoagulation bridging for elective procedures offers benefits

Here’s a bridge you may consider burning: anticoagulation bridging therapy for patients with atrial fibrillation who undergo an elective operation. A randomized clinical trial found no bridging after discontinuing warfarin led to no more thromboembolic events than bridging, with a lower risk of bleeding.

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Sudden cardiac deaths are rare with pacemakers or ICDs

A prospective analysis found 4.3 percent of sudden cardiac deaths in San Francisco were in patients with pacemakers or implantable cardioverter-defibrillators (ICDs). Half of the deaths were related to the devices, and the most common cause of death was ventricular tachycardia or ventricular fibrillation.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.