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.

Study: Diabetics at 40% greater risk for a-fib

For patients with diabetes, the risk of atrial fibrillation may be 40 percent greater, and even higher for patients who have been diagnosed with diabetes for long periods of time and who have uncontrolled glycemic levels, according to a study published in the April 22 issue of the Journal of General Internal Medicine.

Managing A-Fib: Expanding the Armamentarium of Therapies

Atrial fibrillation (AF) is the most common form of arrhythmia, and there are a plethora of new devices and drugs to treat this burgeoning condition, along with its associated stroke risk. Yet, how these therapies will manifest within clinical practice has yet to be seen.

Implantable Device Success: Volume Matters

Though clinical indications and insurance coverage of ICDs are expanding, researchers have only recently begun exploring the correlation between hospital and operator characteristics with procedural success.

First Word: A-Fib, ICDs and the Internet

Reverberations still are being felt from the enormous amount of scientific and educational material presented and discussed at ACC.10 in Atlanta in March. And this month, were readying for two more meetings: the Society of Cardiovascular Angiography and Interventions (SCAI) and the Heart Rhythm Society (HRS).

AIM: Are hospitals risking death for elderly by implanting ICDs?

Older patients may be more likely to die in the hospital following the implantation of implantable cardioverter-defibrillators (ICDs) or pacemakers, according to a study in the April 12 issue of Archives of Internal Medicine. More than one-fifth of cardiac devices appear to be implanted in individuals aged 80 and older, despite the fact that most clinical trials have not included adults in this age group.

Feature: Midwest cardiac arrest care model may save lives, money

Hypothermia therapy is a class II indication for post-cardiac arrest patients, based on the recommendations by the American Heart Association. Yet, U.S. hospitals are slow to adopt its routine use, says Scott Pham, MD, an electrophysiologist and chief of cardiology for Sanford USD Medical Center in Sioux Falls, S.D.

Radiology: VC finds cancers outside colon in asymptomatic patients

A study in the April issue of Radiology has found that one out of every 200 asymptomatic people who have been screened with virtual colonoscopy has a clinically unsuspected malignant cancer, and that half of those cancers were located outside of the colon.

Study: VC elucidates prevalence of urinary stone disease in asymptomatic patients

A study of 5,047 asymptomatic adults who underwent a virtual colonoscopy found that the prevalence of urolithiasisor urinary stone diseasein the study group was 8 percent, providing insight into the true prevalence of the disease, according to an article published in the March issue of the Journal of Urology

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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