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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Janssen ventures into antithrombin antibody-based drugs

Janssen Pharmaceuticals acquired a university spinout company that develops an antithrombin antibody, adding another potential therapy to its portfolio.

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FDA OKs pacemaker that allows for MRI scans

The FDA approved a pacemaker system that allows patients with single-chamber pacemakers to undergo full-body cardiac or thoracic MRI scans.

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FDA approves 2nd generation subcutaneous ICD

The FDA approved Boston Scientific’s Emblem subcutaneous implantable defibrillator (S-ICD) system, which is expected to be available in the U.S. by the third quarter of this year.

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ACC.15: Weight loss improves afib symptoms but fluctuation worsens them

Analyzing the link between obesity and arrhythmia, LEGACY confirmed that among obese patients, weight loss greatly influenced freedom from atrial fibrillation, particularly among those who lost weight and maintained it. However, more than 5 percent fluctuation in weight over one year increased patient risks.

ACC.15: Ablation with mitral valve surgery proves safe, effective

Performing an ablation along with mitral valve surgery is more likely to keep cardiac patients free of persistent atrial fibrillation (AF) at one year, according to results unveiled March 16 at the American College of Cardiology scientific session. But it also increased the risk of needing a pacemaker.

Findings to be presented at Annual Scientific Session of the American College of Cardiology (ACC) about an additional potential reversal strategy for and real-world safety performance of XARELTO

Full results from a Phase 3 study examining Portola Pharmaceutical's developmental compound andexanet alfa found it rapidly and significantly reversed the blood thinning (anticoagulant) effects of XARELTO (rivaroxaban). These results, from the first part of the ANNEXA-R (Andexanet Alfa a Novel Antidote to the Anticoagulant Effects of fXa Inhibitors – Rivaroxaban) study, will be presented at the 64th Annual Scientific Session of the American College of Cardiology (ACC) on March 16, 2015. Additional findings to be presented at the meeting include new 24-month results from an ongoing, five-year, observational study of people with non-valvular atrial fibrillation taking XARELTO, which showed the rates and patterns of major bleeding in routine clinical practice were generally consistent with those observed in Phase 3 clinical trials used to approve the medicine for this indication.

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ICD Threshold Testing: Time to Give Practice a Jolt?

To test or not to test? It’s a challenging question. With implantable cardioverter-defibrillator (ICD) technology now providing more efficacious and frequent shocks, some electrophysiologists have begun to question whether standard threshold testing is necessary for all implantations.

Modern treatment strategies change outlook for adults with hypertrophic cardiomyopathy from grim to good

Newly published research led by the Minneapolis Heart Institute Foundation (MHIF) and Tufts Medical Center in Boston shows that implantable defibrillators (ICDs), along with other modern treatments, have reduced mortality rates and are helping patients with hypertrophic cardiomyopathy (HCM) live longer, including normal life expectancy. This research “changes our perceptions of HCM from a grim, unrelenting, and largely untreatable condition to a contemporary disease with effective treatment options and a low rate of death,” states Dr. Barry Maron, lead researcher and Director of the HCM Center at MHIF. Dr. Maron will present the results of the study at the American College of Cardiology (ACC) conference in San Diego, CA on March 14.

Around the web

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

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

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