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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Maternal cardiac arrest more common than originally thought

The proportion of women who have cardiac arrest while in the hospital to give birth is much higher than previously believed, based on an analysis of 13 years of data published in the April issue of Anesthesiology. The research found that 1 in 12,000 pregnant women hospitalized for delivery experience cardiac arrest. Most women survive, and survival is increasing over time. 

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Federal ORI charges cardiologist with misconduct

The federal Office of Research Integrity (ORI) ruled that an Illinois cardiologist engaged in misconduct by bullying fellows and asking attending physicians to falsify information in research records.

Boston Scientific announces CE Mark approval and first implants of Ingevity MRI pacing leads

Boston Scientific Corporation (NYSE: BSX) announces CE Mark approval and European market launch of the INGEVITY™ family of magnetic resonance imaging (MRI) compatible pacing leads. Pacing leads are insulated wires that connect an implantable pacemaker to the heart for treatment of bradycardia, a condition in which the heart beats too slowly.  Pacemakers work in conjunction with leads to sense and stimulate (or pace) the heart.

FDA approves first ICD to be evaluated in US clinical trials for use in MRIs

BIOTRONIK, a leading manufacturer of cardiovascular medical devices, announced today that the Food and Drug Administration (FDA) has approved the expansion of BIOTRONIK's ongoing ProMRI® trial. The new phase of the trial (Phase C) will study the company's ProMRI® technology in implantable cardioverter-defibrillator (ICD) devices. BIOTRONIK is the only company in the world with an ICD that is approved for investigational use in an MRI (magnetic resonance imaging) scanner. The ongoing ProMRI® study is the first step in making this standalone technology available in the United States.

2 antibiotics linked to increased risk of death and serious arrhythmia

Physicians may want to consider prescribing antibiotics other than azithromycin and levofloxacin to older patients, based on the findings of a study published in the March/April issue of Annals of Family Medicine. Researchers found that both antibiotics increase the risk of mortality and arrhythmia during different time frames.

Newer cryoballoon scores on efficacy but with higher complication rate

A newer generation cryoballoon allowed for shorter ablation procedures with a high success rate in patients with paroxysmal atrial fibrillation compared with the first-generation device but it also had a higher rate of phrenic nerve palsy, a serious complication, in a study published in the March issue of HeartRhythm.

Thoratec issues safety advisory after 4 deaths

Four patients who received the HeartMate II left ventricular assist system pocket system controller have died and five more patients have either lost consciousness or experienced other problems, Thoratec announced in a safety advisory.

Warfarin may benefit CKD patients without adding bleeding risk

Compared with non-users, Swedish patients with advanced chronic kidney disease (CKD) and atrial fibrillation who received warfarin therapy were less likely to die, have an MI or stroke at no added risk of bleeding in an observational study published March 5 in JAMA.

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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