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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Take the lead

A recent analysis of Optim-insulated leads for implantable cardioverter-defibrillators (ICDs) reported reassuring results. The study also highlights shortcomings—not with devices, but with people.

Medtronic Receives FDA Approval and Launches Two New Cardiac Resynchronization Therapy Quadripolar Leads

Medtronic  today announced the U.S. Food and Drug Administration (FDA) approval and commercial launch of two additional Attain Performa left ventricular (LV) quadripolar leads, which can be paired with the Medtronic Viva Quad XT and Viva Quad S cardiac resynchronization therapy defibrillators (CRT-D) to treat patients with heart failure. The newest additions to the Attain Performa lead portfolio, the S-shape and Straight leads, are designed to accommodate patients' varying vessel sizes and curvatures to enhance successful lead placement. Quadripolar leads (leads with four electrodes) help physicians optimize cardiac resynchronization therapy, which uses an implantable device to improve the pumping efficiency of the heart.

Review shows minimal mechanical failures in newer St. Jude leads

Analysis of St. Jude Medical’s Optim-insulated leads reveals low rates of mechanical failures, conductor fractures and all-cause abrasions by five years. “The bottom line of it all is that the results are very good,” the lead researcher told Cardiovascular Business.

ICD's shock history may inform next steps after battery fades

For patients who received no shocks from an implantable cardioverter-defibrillator (ICD) before the end of its battery life, it may be worth considering a new risk-benefit analysis.

Cedars-Sinai Heart Institute physician-researcher awarded NHLBI grant

One of medicine's most prominent experts in sudden cardiac arrest has received a new $2.36 million grant to study how to better predict the deadly heart condition that kills an estimated 300,000 Americans each year.

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Aggressively managing risk factors improves outcomes after ablations

Aggressive management of risk factors may be the key to improving patient outcomes following ablation for atrial fibrillation. Findings published Dec. 2 in the Journal of the American College of Cardiology suggest that in patients with a high body mass index and more than one cardiovascular risk factor, improved long-term outcomes are possible when several risk factors were addressed.

Mortality findings raise more concerns over digoxin's use

Atrial fibrillation patients taking digoxin may have a 71 percent higher risk of dying, according to a study published online Nov. 20 in Circulation: Arrythmia and Electrophysiology.

Draft report: Jury’s still out on catheter ablation

The official position for catheter ablation as a treatment for atrial fibrillation in a draft technology assessment report for the Agency for Healthcare Research and Quality (AHRQ) is “can’t tell yet.” The draft report is open for review through Dec. 8. 

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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