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.

Catheter ablation safer than surgery for paroxysmal or early persistent AFib

Catheter ablation was associated with better arrhythmia-free survival and lower complication rates than surgical ablation in patients with paroxysmal or early-onset persistent atrial fibrillation (AFib), according to a small, randomized study published in Circulation: Arrhythmia and Electrophysiology.

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Purdue introduces cardiology’s latest wearable: A paper-thin, plant-based sticker

A team at Purdue University in West Lafayette, Indiana, announced progress on its latest cardiology wearable: a plant-based, stretchable wrist sticker that has the ability to monitor physical activity and alert users to health risks in real-time.

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Researchers develop 1st mini pacemaker capable of long-term mouse studies

Harvard Medical School scientists have created a wirelessly programmed, miniaturized pacemaker which functions for weeks to months at a time, opening the door to “previously impossible investigations of arrhythmia and heart failure in the mouse.”

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Cardiogenic shock signals complexity in takotsubo patients

Preliminary results from the RETAKO trial, a study of takotsubo syndrome (TTS) in the Spanish population, have identified cardiogenic shock as an independent, strong predictor of mortality and complexities in TTS patients—a demographic that’s already at considerable risk for complications.

Meta-analysis: DOACs should be ‘default approach’ after AFib cardioversion

Direct oral anticoagulants (DOACs) can cut the short-term risk of thromboembolic events in half for patients who have undergone cardioversion of atrial fibrillation (AFib), suggests a meta-analysis published in the Journal of the American College of Cardiology.

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AFib patients with cancer less likely to see cardiologist, receive anticoagulants

When cardiologists get involved in the treatment of patients with a history of cancer and newly diagnosed atrial fibrillation (AFib), those people see a subsequent 11 percent reduction in the risk of stroke, according to a new study in the Journal of the American College of Cardiology. But those visits occur less often for that subgroup of patients than in AFib patients without cancer.

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Meta-analysis confirms digoxin is major threat to AF, HF patients

Digoxin, a cardiac glycoside popularly sold under the brand name Lanoxin, poses a major threat to the heart health of atrial fibrillation (AF) and heart failure (HF) patients, according to a review published in the American Journal of Cardiology Oct. 4. Even without confounding conditions, the drug can raise an individual’s risk of all-cause mortality.

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Cardiologist highlights potential harms of Apple Watch’s EKG function

“The people most in need of it, those who might benefit from tests and distance monitoring, are the least likely to get (the Apple Watch),” Aaron E. Carroll, MD, wrote in the New York Times. “If we truly believed this was a medical test beneficial to the general population, insurance should pay for it."

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.