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.

HRS: Statins help reduce AF risk in elderly

Statin therapy in elderly patients with hypertension reduces the risk of new-onset atrial fibrillation (AF), according to results of a study presented May 9 during a poster session at the 33rd annual scientific sessions of the Heart Rhythm Society. The research team from Taiwan also found that the CHADS2 score could predict the preventive effect of statins in their study population.

MetroHealth electrophysiologist Rosenbaum passes away

David S. Rosenbaum, MD, chief of the division of cardiology and director of Heart & Vascular Center for the MetroHealth System, passed away on May 5 in Cleveland, after battling pancreatic cancer. He was 54.

HRS: CRT-D reduces risk for women with nonischemic heart disease

BOSTONWomen with ischemic heart disease on defibrillator therapy were half as likely as their male counterparts to develop arrhythmic events, regardless of the device implanted, according to a study presented May 9 at the 33rd annual scientific sessions of the Hearty Rhythm Society (HRS). In addition, nonischemic women who received cardiac resynchronization therapy (CRT-D) fared better than nonischemic women who received only implantable cardioverter-defibrillators.

JAMA: Older women with afib have greatest risk of stroke

Atrial fibrillation (AF) patients have a five-fold increase in the risk of stroke; however, older women diagnosed with AF may fare worse than men, despite warfarin use, according to a study published in the May 9 issue of the Journal of the American Medical Association.

Pradaxa sales give Boehringer a lift

Buoyed by sales of its anticoagulant drug dabigatran (Pradaxa), Boehringer Ingelheim recorded a 6.2 percent increase in net sales for the fiscal year 2011, the pharmaceutical company reported.

Heart: Dabi cost-effective in U.K. analysis

Dabigatran, like other novel drugs, has upped the ante for the anticoagulant market due its ability to prevent stroke in atrial fibrillation (AF) patients without the need for continuous monitoring, like warfarin. However, while dabigatran has become a hit with some clinicians, many wonder whether the drug is cost-effective.

JAMA: Cardiac device infective endocarditis leads to infection, mortality

As patients age, the number requiring cardiac implantable electronic devices continues to grow. And while these devices are life-sustaining treatment options, they come with a hefty price tag and are prone to infection. Patients with cardiac device infective endocarditis have high rates of concomitant valve infection and mortality, according to a study published April 24 in the Journal of the American Medical Association.

Stroke: Fewer fatal bleeds with dabigatran than warfarin

The clinical spectrum of intracranial hemorrhage was similar for patients given warfarin and dabigatran (Pradaxa, Boehringer Ingelheim); however, the absolute rates at all sites and both fatal and traumatic intracranial hemorrhages were lower with dabigatran than with warfarin, based on an analysis of the RE-LY trial, published online April 5 in Stroke. In addition, concomitant aspirin use was the most important modifiable independent risk factor for intracranial hemorrhage.

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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