2 Feb 09
Letter from the Editor: “Off-label” Use of Ablation Catheters for Atrial Fibrillation
- Fri, 1/23/09 - 11:52am
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- 1488 reads
Dear Readers,
In the United States (U.S.), ablation catheters are required to be approved by the Food and Drug Administration (FDA) before they can be used for cardiac ablation. However, as most electrophysiologists realize, most ablation catheters are approved for limited indications such as ablation of atrial flutter, or generically for ablation of cardiac tissue. There are no catheters specifically approved for use during ablation of atrial fibrillation (AF). Instead, AF ablation procedures are performed using catheters that are labeled for use for other indications.
Email Discussion Group: February 2009
- Fri, 1/23/09 - 12:11pm
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- 854 reads
There are two new questions this month. Please take a look at the questions below and let us know if you can help answer any of them! You can respond by emailing us at eplabdigest@hotmail.com or visiting us online at www.eplabdigest.com. Remember, when responding to the discussion group, don’t forget to let us know if you would like your name and/or location listed.
New Questions:
EP and the Economy
Has your EP lab been affected by this economic downturn? How is your EP lab staff managing? What changes, if any, are being made?
(To reply to this question, please type “Economy” in your subject line.)
Industry News and Products
- Fri, 1/23/09 - 12:23pm
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- 2160 reads
Cameron Health Commences Clinical Trial of the Minimally Invasive Totally Subcutaneous Implantable Defibrillator for Treatment of Sudden Cardiac Arrest
Cameron Health, Inc. announces the first CE trial implants in Europe and New Zealand for Cameron Health’s Subcutaneous Implantable Defibrillator (S-ICD®) System.
The minimally invasive S-ICD System is prescribed for use in patients at risk of sudden cardiac arrest (SCA). The system is unique in that the implantation of the system is entirely subcutaneous; no leads are in or on the heart. Additionally, there is no imaging equipment required for placement of the S-ICD System, as all of the components may be positioned using anatomical landmarks.
Pediatric Cardiology Rehabilitation in an Adult World
- Mon, 1/26/09 - 5:01pm
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- 4321 reads
This article outlines Advocate Lutheran General Hospital’s innovative Pediatric Cardiac Rehabilitation Program, which is among only a few in the country.
Computer games, music, cell phones, movies, friends, lip gloss and homework: all things in a typical 10-year-old girl’s life that may be perceived as priorities or challenges. However, in one specific 10-year-old girl’s life, surviving a myocardial infarction and undergoing reconditioning was her priority and her challenge.
Outcome of Patient with Refractory Nonischemic Dilated Cardiomyopathy Treated with the First Biventricular Pacemaker in Cambodia
- Thu, 1/22/09 - 4:33pm
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- 4659 reads
Acute improvement in left ventricular function and mitral insufficiency has been reported using a biventricular pacemaker. In this article, we report on Cambodia’s first biventricular pacemaker implantation.
Case Report
The patient was a 45-year-old Cambodian male with one month of progressive dyspnea on exertion. He presented to Centre de Cardiologie de Phnom Penh in New York Heart Association Class IV congestive heart failure and cardiac cachexia on February 13, 2008. Initial physical examination revealed a blood pressure of 97/63, heart rate of 80 bpm, and elevated jugular venous pressure. Cardiac examination revealed a regular sinus rhythm, enlarged and laterally displaced cardiac point of maximal impulse, S4, S1, S2, and S3 gallop. A mitral systolic murmur with intensity of 4/6 was noted. Pulmonary examination revealed bilateral pulmonary rales. He also had hepatomegaly and 4+ peripheral edema.
Spotlight Interview: Duke University Medical Center
- Thu, 1/22/09 - 5:09pm
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- 6198 reads
What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab?
As an adult EP department, we currently operate 2.6 EP labs per day. During our construction/renovation phases, we are sharing one EP lab with the pediatric EP department. Our staff consists of 8 MD attendings, 8 RNs, 5 techs, 1 clinical lead and 1 equipment specialist.
When was the EP lab started at your institution?
The Duke EP Program began seeing patients in 1970.
What types of procedures are performed at your facility?
We perform all types of EP procedures. A large part of our service is focused on complex procedures, such as lead extraction, catheter ablation for atrial fibrillation (AF), atrial tachycardias and atypical atrial flutters, Bi-V device implantation, and catheter ablation for ventricular tachycardia (VT) in the setting of structural heart disease.
Approximately how many are performed each week?
Sheffield Hospitals and Trust Brings Translational Research to Clinical Practice
- Thu, 1/22/09 - 5:23pm
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- 3880 reads
Sheffield Hospitals and Trust are bringing translational research to clinical practice and using new technology to help staff deliver high quality care, no matter who responds to a patient in cardiac arrest. This article will discuss key research articles and how they have been brought to clinical practice in the Sheffield system. This article will also discuss the choice of a new defibrillator throughout the trust and how its adoption was guided by recent research in resuscitation.
Improving Sudden Cardiac Arrest Survival Rates in the U.S.: Interview with Nicholas J. Jouriles, MD, FACEP
- Thu, 1/22/09 - 5:27pm
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- 2055 reads
A new survey completed by the American College of Emergency Physicians (ACEP) shows that 90 percent of emergency physicians believe that resuscitation practices in the United States are not very effective. In this interview, we speak with Dr. Jouriles, ACEP President, about the findings.
When was the State of Resuscitation survey done? How many were surveyed?
The State of Resuscitation survey was conducted in September 2008 by Saperstein Associates, Inc., an independent opinion research company. It was commissioned by the ACEP. There were 1,056 questionnaires completed by ACEP members.
One finding from this survey showed that 90 percent of emergency physicians believe that resuscitation practices in the United States are not very effective. Were you surprised by these results? Why are these findings so significant?
All About the STARS Organization
- Thu, 1/22/09 - 5:34pm
- 0 Comments
- 2916 reads
An unexplained loss of consciousness can be a very scary experience, especially when its causes cannot be explained or diagnosed. Syncope affects a million and a half Americans each year, and unfortunately, more than 40% of cases are misdiagnosed or go undiagnosed. Therefore, the STARS (Syncope Trust and Reflex Anoxic Seizures) organization was created in order to offer patients, families, and medical staff with support and information.
STARS, a national non-profit organization, is committed to improving the quality of life for individuals and their families coping with blackouts, unexplained losses of consciousness, and syncope. This can include syncope disorders, reflex anoxic seizures (RAS), and postural tachycardia syndrome (POTS). Their main focus is educating and supporting sufferers, their families, the medical community and general public by offering a support system where they can obtain knowledge and understanding of these conditions.
Background
Boston Atrial Fibrillation Symposium 2009: News Highlights
- Thu, 1/22/09 - 5:52pm
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- 4296 reads
Hansen Medical Highlights Sensei Robotic Catheter System Alongside Cohesion 3-D Visualization Module at Boston Atrial Fibrillation Symposium
Hansen Medical, Inc. showcased its Sensei® Robotic Catheter System and the CoHesion™ 3-D Visualization Module at the 14th Annual Boston Atrial Fibrillation Symposium, Jan. 15-17, 2009. The integrated EP solution offers physicians a software interface between Hansen Medical's robotic catheter system and St. Jude Medical's EnSite™ System advanced mapping technology. It is designed to provide physicians with 3-D visualization to enhance their ability to move a catheter throughout the heart and is intended to optimize control over catheter placement in specific locations.
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