Issue Content

March 2, 2020
Amber Arnold, RN, BS, RCIS, EPS Invasive Lab Supervisor highlights this EP program in Orlando, Florida.
March 2, 2020
Permanent junctional reciprocating tachycardia is generally incessant and caused by AV reentry with the AV node as the antegrade limb and a slowly conducting, posteroseptal, accessory pathway as the retrograde limb. Gurmeet Singh, DO and colleagues present a case addressing the question: for older patients with persistent tachycardia, no obvious symptoms, and normal ventricular function, is the…
March 2, 2020
Jonathan S. Steinberg, MD and colleagues describe their “go to” procedure for patients who do not respond to initial ablation or have the most challenging substrate. The procedure is now accomplishable because of optimized ablation tools, combined complementary endocardial and epicardial approaches, and successful hybridization of cardiac surgery and electrophysiology services.
February 2, 2020
Newer implements designed to extract transvenous pacemaker and defibrillator leads have resulted in increased success and safety. Before the mid 1990s when laser lead extraction sheaths were introduced, lead extractions were performed using simple traction and primitive tools that included steel and Teflon mechanical sheaths.
February 2, 2020
In the next installment of The EP Edit podcast, we talk with DaMarcus E. Baymon, MD and Christopher W. Baugh, MD, MBA, who provide a review of strategies for achieving best outcomes for patients with atrial fibrillation in the emergency department.
February 2, 2020
Levio Quinto and colleagues present a brief case report demonstrating how Twiddler’s syndrome combined with subclavian crush syndrome may represent a challenging cause of lead failure and a potential cause of challenging transvenous lead extraction.
February 2, 2020
Angela Murphy, BS, RCIS evaluates whether peer-to-peer education and a mandatory leadership approach can build stronger teams and empower lab staff.
February 2, 2020
On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released the 2020 Medicare Physician Fee Schedule Final Rule, which provides an update on payment policies, rates, and other provisions for services on or after January 1, 2020. Jim Collins, CPC, CCC provides a review.
February 2, 2020
A recent report from the National Resident Matching Program showed that approximately 40% of the 130 clinical cardiac electrophysiology fellowship positions in the U.S. remain unfilled. Kamala P. Tamirisa, MD, FACC, FHRS shares a few points to ponder as we address this crisis.
February 2, 2020
EP Lab Digest speaks with Sandeep Jain, MD about the multidisciplinary team approach at the UPMC Center for Atrial Fibrillation, part of the UPMC Heart and Vascular Institute in Pittsburgh, Pennsylvania.