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.

Subcutaneous ICD system found to be safe, effective

A subcutaneous implantable cardioverter-defibrillator (S-ICD) that purportedly minimizes lead complications is safe to use and is effective at stopping episodes of ventricular tachycardia/ventricular fibrillation, according to a study published in the Aug. 27 issue of Circulation.

Report supports use of ICDs for primary prevention

An assessment of implantable cardioverter-defibrillators (ICDs) released by the Agency for Healthcare Research and Quality gave the devices a thumbs up for primary prevention of sudden cardiac death compared with no ICD therapy.

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Ablation catheter maker sells for $170 million

St. Jude paid $170 million to acquire a Swiss company that specializes in force-sensing ablation catheters.

Pacemaker coverage finalized

The Centers for Medicare & Medicaid Services (CMS) has finalized its proposal to eliminate the distinction in coverage criteria between single- and dual-chamber devices.

BIDMC cardiovascular institute researchers will lead $4 million NIH grant to study microRNAs

A cardiovascular research team from Beth Israel Deaconess Medical Center (BIDMC) and Brigham and Women's Hospital (BWH), led by BIDMC Principal Investigator Saumya Das, MD, PhD, has been awarded a $4 million Common Fund grant from the National Institutes of Health (NIH) as part of a newly formed program on Extracellular RNA Communication. The five-year grant will focus on identifying microRNA biomarkers in heart disease.

FDA OKs catheter system designed to minimize radiation exposure

St. Jude Medical announced that the FDA approved an ablation catheter system that the company says may reduce the duration of radiation exposure during procedures.

Longer-duration QRS with LBBB may have better CRT outcomes

The use of cardiac resynchronization therapy (CRT) may not be a one-size-fits-all option for heart failure and left ventricular dysfunction patients. A study published in the Aug. 14 issue of JAMA found that undergoing CRT debrillator (CRT-D) implantation with a QRS duration of 150 milliseconds or greater and left bundle-branch block (LBBB) is associated with better outcomes than undergoing CRT-D with a shorter QRS duration or no LBBB.

URMC heart research expands to Asia with launch of new device trial

Cardiologists at the University of Rochester Medical Center are launching a new study in an effort to improve the treatment of a very common form of heart disease in the Asian population.

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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