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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St. Jude sets aside $15M to settle Riata cases

St. Jude Medical put aside $15 million to privately settle about 950 claims and other disputes over its Riata and Riata ST leads, the company reported in a filing with the Securities and Exchange Commission.

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Stepwise ablation controls some persistent afib up to 5 years

Long-term results from a French study on persistent atrial fibrillation suggest that a stepwise catheter ablation strategy may terminate atrial fibrillation in some patients for as long as five years after a procedure.

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High-resolution CT focuses VT treatment on tiny targets

High-resolution imaging may get physicians closer to the areas that most need epicardial ablation when addressing ventricular tachycardia (VT). Real-time multidetector CT to assist with epicardial ablation proved useful for determining optimal ablation while avoiding coronary arteries and phrenic nerves.

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FDA gives thumbs up to flex-tipped ablation catheter

The FDA approved St. Jude Medical’s FlexAbility Ablation Catheter for use in the U.S. This follows on the heels of last year’s CE mark approval of the device. 

Off-label dabigatran, rivaroxaban use with dialysis creates concerns

The number of atrial fibrillation patients on dialysis given novel oral anticoagulants is growing. Research shows that dabigatran and rivaroxaban are increasingly being used by patients with atrial fibrillation on dialysis, despite concerns about creatinine clearance in this population.

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J&J lets researchers peek into device data

Johnson & Johnson will give outside researchers access to clinical data on diagnostics and medical devices through Yale University, but the largesse applies only to products approved in 2014 or later. That makes the ThermoCool SmartTouch catheter available for scrutiny, the New York Times reports. 

Abbott completes Topera deal for $250M

Abbott wrapped up 2014 by completing its acquisition of Topera, a company that develops electrophysiology technologies to diagnose and treat patients with atrial fibrillation.

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Anticoagulation's benefits may outweigh risks for afib with chronic kidney disease

Anticoagulation therapy may have a greater benefit to patients with atrial fibrillation and chronic kidney disease than risk. However, balancing the two may be about finding the right course of treatment for the right duration.

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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