Volume 9 - Issue 8 - August 2009
Industry News and Products
- Wed, 8/12/09 - 4:29pm
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MADIT-CRT Trial Meets Primary Endpoint
Boston Scientific Corporation and the University of Rochester Medical Center announced that the landmark MADIT-CRT trial has met its primary endpoint. Preliminary results show Boston Scientific cardiac resynchronization therapy defibrillators (CRT-Ds) to be associated with a significant 29 percent reduction (p=0.003) in death or heart failure interventions when compared to traditional implantable cardioverter defibrillators (ICDs).
High risk,1 asymptomatic or mildly symptomatic, New York Heart Association (NYHA) Class I and II2 patients were enrolled in MADIT-CRT. The MADIT-CRT Executive Committee expects to present and publish the trial's full results later this year.
Overview of the New EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias: What You Need to Know
- Wed, 8/12/09 - 10:46am
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The management of ventricular arrhythmias by catheter ablation is a continually evolving field. A better understanding of arrhythmia mechanisms combined with the diverse range of technologies that have become available make this an exciting area of practice. The recently released EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias1 attempts to put the field into perspective. Experts brought their combined experience and the body of published knowledge together to present the current state of practice and recommendations for future directions. This article summarizes the contents of this excellent reference work.
Work of the Task Force
The Inherited Heart Rhythm Disease Clinic at Hotel Dieu Hospital
- Wed, 8/12/09 - 11:44am
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Canadian Genetic Heart Rhythm Network Provides Coordinated Approach to the Investigation of Inherited Heart Rhythm Disorders
Investigating inherited cardiac rhythm diseases is the focus of an innovative new clinic at Hotel Dieu Hospital. The Inherited Heart Rhythm Disease Clinic is one of the few places in Canada that offers genetic testing for arrhythmia patients and their families. Read more about this unique clinic here.
The Inherited Heart Rhythm Disease Clinic specializes in genetic testing of heart rhythm diseases for patients and their families. They test specifically for sudden arrhythmia death syndromes (SADS), which often go undetected because patient symptoms are commonly misdiagnosed or left untreated.
Spotlight Interview: The University of Kansas Hospital
- Wed, 8/12/09 - 2:07pm
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When was the EP lab started at your institution?
The University of Kansas Hospital first had an EP program briefly in the early 1980s. After a long hiatus, the program was re-established in June 2001. We have grown from one EP lab to three EP labs. In February 2007, we moved into our new space in the Richard and Annette Bloch Heart Rhythm Center, which is part of the Center for Advanced Heart Care.
What is the size of your EP lab facility and number of staff members? What is the mix of credentials at your lab?
In the last six years, the Richard and Annette Bloch Heart Rhythm Center at The University of Kansas Hospital has experienced continuous growth and development. We have a Stereotaxis suite, a second suite suitable for complex ablation and all other types of cases, and a third suite for device implantation and more straightforward EP studies and ablations.
Management of Lead Extraction: Interview with Bruce Wilkoff, MD
- Wed, 8/12/09 - 2:56pm
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In this interview, Dr. Bruce Wilkoff discusses the Lead Extraction in Contemporary Settings (LExICon) study data, the updated lead extraction guidelines, as well as his use of laser lead removal. Dr. Wilkoff is the principal investigator of the LExICon study and the Director of Cardiac Pacing and Tachyarrhythmia Devices at the Cleveland Clinic.
Tell us about the LExICon study. What was the purpose of the study, and what were the key results?
Right Bundle Branch Block Morphology of the Paced QRS Complex and Diaphragmatic Capture (Full title below)
- Wed, 8/12/09 - 3:05pm
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Right Bundle Branch Block Morphology of the Paced QRS Complex and Diaphragmatic Capture During Temporary Transvenous Pacing: Where is the Pacing Catheter?
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Advice on Preventing Device Implant Infections: Interview with Narendra K. Kanuru, MD
- Wed, 8/12/09 - 3:08pm
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Narendra K. Kanuru, MD is an electrophysiologist with Kennestone Hospital in Marietta, Georgia. In this interview with EP Lab Digest, he discusses his methods for preventing and managing possible device implant infections.
How many cardiac rhythm management device (CRMD) implants do you perform monthly, on average?
It varies, but I would say it most likely averages between 500-700 implants per year at our institution.
What is the rate, in general, of cardiac device infections or complications? Are there certain patients at higher risk for infection?
EP 101: Case Studies (Part 3)
- Wed, 8/12/09 - 3:15pm
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In a new installment of EP Lab Digest’s EP 101 series, the authors present three brief case overviews, then ask readers to test their knowledge in EP by answering questions about each case.
Case #1:
Figure 1 shows an intracardiac tracing obtained at the end of an ablation procedure. The patient is a 70-year-old male with a history of coronary artery disease and atrial fibrillation. He was symptomatic during this rhythm.
Question: What was the procedure?
A. Slow pathway ablation.
B. Cavo-tricuspid isthmus ablation.
C. Accessory pathway ablation.
D. Atrial tachycardia ablation.
E. Ventricular tachycardia ablation.
Heart Care in Sweden
- Wed, 8/12/09 - 3:31pm
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Arrhythmia Center Stockholm recently performed the first treatment of atrial fibrillation in their new facility. In this interview, we speak with Dr. Anders Englund from the Arrhythmia Center Stockholm about the new technology and innovation available at this facility in Stockholm, Sweden.
Tell us about the Arrhythmia Center Stockholm. When did it open? How large is it?
We opened on May 6, 2009. We plan on treating approximately 400 patients per year. We will also have an outpatient clinic. The Arrhythmia Center Stockholm is a private center owned by Global Health Partner. We are located in South Hospital (Södersjukhuset), which is a large public hospital with an extensive cardiology program, and this is where we will perform all medical services. We also have research programs together with the “host” hospital. We plan to treat patients referred from public hospitals and patients with private insurances.
Education & Training Survey
- Wed, 8/12/09 - 3:45pm
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