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.

Aussies slap safety warning on dabigatran

Australias Therapeutic Goods Administration approved dabigatran (Pradaxa, Boehringer Ingelheim Pharmaceuticals) in April for the indications to prevent stroke and other blood clots in atrial fibrillation patients; however, on Oct. 5, the department put out a safety advisory due to an increased risk of bleeding linked to the drug.

NEJM: Should FDA approve rivaroxaban based on ROCKET-AF?

In September, rivaroxaban (Xarelto, Bayer/Johnson & Johnson) received a thumbs up at the FDAs Cardiovascular and Renal Drug Committee meeting, recommending the drug's approval for the prevention of stroke and systemic embolism in non-valvular atrial fibrillation patients. In a New England Journal of Medicine perspective Oct. 5, two editorialists evaluated the FDA committees decision.

Radiology: Quantitative MRI may assess ovarian cancer treatment response

Apparent diffusion coefficient histograms derived from quantitative diffusion-weighted MRI helped predict chemotherapy response in patients with metastatic ovarian or primary peritoneal cancer, according to a study published in this month's issue of Radiology.

JCE: Dabigatran proves safe, effective post-AF ablation

To add to the slew of information regarding anticoagulants, a study published online Sept. 28 in the Journal of Cardiovascular Electrophysiology found that dabigatran (Pradaxa, Boehringer Ingelheim) may be safe and well tolerated in atrial fibrillation (AF) patients after ablation. Dabigatran also was safe in terms of bleeding complications and thromboembolic events, leaving the authors to conclude that the drug may be a good alternative to warfarin.

Biotronik's home monitoring offers access to patient data

Biotronik has released an online Quick View report to provide physicians with information on patients using the company's home monitoring technology.

AJN: What is appropriate end-of-life care for ICD patients?

Implantable cardioverter-defibrillators (ICDs) are standard treatment for patients at risk for life-threatening cardiac arrhythmias, but what happens when these patients are delivered high-energy, painful electric shocks, particularly during end of life? While device deactivation is an option, no standard protocols are in place to address this issue. Policies must be developed to help guide providers on best practices during end-of-life care, according to a research published in this month's American Journal of Nursing.

Survey: Only half of AFib patients think they are at risk for stroke

Despite the fact that one in four atrial fibrillation (AF) patients named stroke as a major health concern, only 50 percent understand that their disease burden, AF, puts them at a heightened risk for stroke, according to a survey put forth by the American Heart Association (AHA), and prepared by Synovate.

FDA: Rivaroxaban may not stir up anticoagulant market after all

As rivaroxaban (Xarelto, Bayer/Johnson & Johnson) waits to take center stage at the FDAs Cardiovascular and Renal Drugs Advisory Committee meeting Thursday, Sept. 8, the FDA has stated that it will argue against approval for the oral factor Xa inhibitor due to concerns about lacking data. Briefing documents outlined the FDAs concerns, which centered on the fact that data surrounding rivaroxaban may be insufficient in terms of the proposed labelingto prevent stroke in nonvalvular atrial fibrillation patients.

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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