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.

Medtronic study reveals significant heart rhythm disorders occurring in patients undergoing hemodialysis

Medtronic, Inc. today revealed the results of a new study which found that atrial fibrillation (AF) and bradycardia-two common heart rhythm disorders-occurred at higher than expected, and clinically significant, rates in patients with end-stage renal disease (ESRD) undergoing hemodialysis.

American College of Cardiology announces launch of JACC: Electrophysiology

The Journal of the American College of Cardiology collection continues to grow with the launch of JACC: Clinical Electrophysiology, which will feature original research and review articles regarding cardiac rhythm disorders. David J. Wilber, MD, FACC, will serve as Editor-in-Chief of the new journal, which will begin publishing in March 2015 on a bimonthly basis.

Patients perceive spectrum of risk with anticoagulants

Physicians try to balance the tradeoff between bleeding and stroke risks when prescribing anticoagulants to patients with atrial fibrillation. But from the patient’s perspective, it seems new trumps old and death by bleeding is the worst, according to one study.

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Robotic catheter ablation may face uphill battle

Robotic catheter ablation required less fluoroscopy time and appeared to reduce operator fatigue compared with manual procedures in a randomized trial. But a comparable success rate and technical problems may make uptake a rough slog.

Risk of cardiac death after PCI diminishes after 30 days

Cardiac mortality risks fell at the one-year mark for patients who underwent primary PCI following acute STEMI. A study published in the Nov. 18 issue of the Journal of the American College of Cardiology found that while 30-day risks for cardiac death were elevated, the longer a patient survived, the more risk moved away from cardiac toward noncardiac death.

Medtronic announces Japanese approval and launch of implantable cardioverter-defibrillator system to allow for full-body MRI scans

Medtronic today announced Japanese regulatory approval and launch of the Evera MRI(TM) SureScan® implantable cardioverter-defibrillator (ICD) System for magnetic resonance imaging (MRI) scans positioned on any region of the body. Reimbursement also was approved by Japan's Ministry of Health, Labor and Welfare (MHLW). The Medtronic Evera MRI ICD is currently limited to investigational use in the United States.

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Biotronik settles fraud case for $4.9M

The device maker Biotronik agreed to pay $4.9 million to settle a whistleblower lawsuit that alleged the company’s cardiac rhythm business committed fraud by “improperly inducing” cardiologists and electrophysiologists to implant its devices in patients.

Atrial fibrillation increases risk for asymptomatic brain lesions

Risks for silent cerebral infarctions were two times greater in patients with atrial fibrillation, according to a meta-analysis published Nov. 4 in Annals of Internal Medicine. Researchers noted that this increased risk remained regardless of whether the atrial fibrillation was paroxysmal or persistent.

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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