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October 22, 2019
How familiar are you with the 2019 AHA/ACC/HRS Guideline for Management of Patients With Atrial Fibrillation? Take our one-question quiz to find out!
October 22, 2019
How familiar are you with the 2019 AHA/ACC/HRS Guideline for Management of Patients With Atrial Fibrillation? Take our one-question quiz to find out!
September 3, 2019
Central Washington Hospital is the major medical center serving an area of more than 12,000 square miles in north central Washington. Located in the heart of Washington, we provide a comprehensive range of primary and specialized care services with…
July 1, 2019
The Texas Cardiac Arrhythmia Institute (TCAI) at St. David’s Medical Center is an international treatment, training, and research center specializing in the care of heart rhythm disorders. TCAI’s team of physicians is one of the largest and most…
June 4, 2019
When was the EP program started at your institution? By whom? When the EP program started here in the mid 1990s, procedures such as device implantations and ablations were performed. Then for a while, only device implants and simple ablations such…
April 23, 2019
St. John’s Regional Medical Center (SJRMC) is a 230-bed hospital operated by Dignity Health, along with its sister hospital, the 180-bed St. John’s Pleasant Valley Hospital (SJPVH) in Camarillo, California. SJRMC was founded in 1912. St. John’s…
February 26, 2019
In 1932, a 29-year-old registered nurse named Garnett Lunsford Radin purchased a hotel in Vero Beach, Florida and opened Indian River Hospital. It had 21 beds, an artesian well water system, and a wood-burning stove that provided the building’s only…
January 3, 2019
Grandview Medical Center opened its doors in October 2015. As a new hospital, this gave us a chance to build our electrophysiology program from the ground up. Physicians worked closely with administration to design the EP labs, choose equipment, and…
December 2, 2018
When was the EP program started at your institution? What is considered historic about your EP program or hospital? Cardiac electrophysiology has been deeply enrooted at Columbia for over fifty years. In 1963, Dr. Brian Hoffman became chair of the…
November 1, 2018
Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital was established in 1962, and has since become the cornerstone of its region for cardiology and cardiovascular surgery. The center has 14 operation rooms, 56 intensive…
October 2, 2018
Two VIPs — not necessarily very important, but rather, very influential people — present with newly diagnosed atrial fibrillation (AFib). The first patient presented with palpitations to the Emergency Department and was found to be in AFib with a…
September 5, 2018
What is the size of your EP lab facility? When was the EP program started at your institution?  The electrophysiology program at St. Bernards Medical Center began in 2000. We have two fully functional EP labs and one hybrid cath/EP lab.…
August 5, 2018
Novant Health is an integrated network of physician clinics, outpatient facilities, and hospitals that delivers a seamless and convenient healthcare experience to communities in Virginia, North and South Carolina, and Georgia. Named in 2017 by…
July 2, 2018
Maine Medical Center (MMC), recognized as a Best Regional Hospital by U.S. News and World Report for 2017-2018, is a complete health care resource for the people of Greater Portland and the entire state, as well as northern New England. Incorporated…
May 1, 2018
Iowa Heart Center’s Heart Rhythm Center was established in 1989, performing ablations and device implants. In addition, we have been performing left atrial appendage occlusion device therapy for 6 years. Our program for atrial fibrillation ablation…
February 5, 2018
The University of Texas Southwestern Medical Center (UTSW) is relatively new; inaugurated in 1943, it was born of the desire to bring a medical school to Dallas. However, despite its short history, UT Southwestern has expanded into a world-class…
September 7, 2017
Northwestern Medicine Central DuPage Hospital is a 392-bed acute care facility that has provided quality healthcare to the residents of DuPage County and beyond for more than 50 years. The hospital has been recognized as a 100 Top Hospital by Truven…
July 7, 2017
Tell us about your EP program. What is the size of your EP lab facility?  Easton Hospital is a full-service, acute care hospital that provides inpatient, outpatient, diagnostic, surgical, and emergency medical care for the Greater Lehigh…
May 1, 2017
Founded in 1852, The Mount Sinai Hospital is a 1,171-bed, tertiary-care teaching facility acclaimed internationally for excellence in clinical care and ranked 8th nationally for Cardiology and Heart Surgery by U.S. News & World Report. The…
April 4, 2017
What is the size of your EP lab facility? When was the EP program started at your institution?  We have one dedicated EP lab as well as one combined hybrid OR room for lead extractions and device implants. Our first case took place in August…
January 1, 2017
UCSF Medical Center is the academic medical center of the University of California, San Francisco, the nation’s leading university exclusively focused on health. Consistently ranked among the top 10 hospitals in the United States by U.S. News &…
December 10, 2016
When taking care of a patient with an implantable defibrillator (ICD), it is important to program the device optimally to minimize the likelihood of an inappropriate shock without reducing the ability of the device to accurately detect and treat a…
December 10, 2016
Sinus node dysfunction (i.e., chronotropic incompetence) is the most common indication for pacemaker implantation,1 with remarkable potential to relieve associated symptoms. Based on the DAVID II trial, we are comfortable with high atrial pacing…
December 10, 2016
The American Heart Association (AHA) Scientific Sessions 2016 took place on November 12-16 in New Orleans, Louisiana. Below is a compilation of clinical news highlights from the meeting. Boston Scientific Announces Positive Results of HeartLogic™…
December 9, 2016
Introduction The patient is a 50-year-old male farmer who takes no medications and reports no medical problems. He admits to “dizziness” and even frank fainting spells on occasion. A complete work-up for these spells is negative, including a stress…
December 9, 2016
ABSTRACT: A 73-year-old patient with permanent atrial fibrillation presented for left atrial appendage (LAA) occlusion. Transesophageal echocardiography demonstrated a thrombus in the distal LAA. This image series illustrates a “no touch” technique…
December 9, 2016
Introduction With numerous implantable cardioverter-defibrillators (ICDs) available to the clinician, selecting the appropriate device for a given patient requires specific and individualized consideration. For example, if the patient requires a…
December 9, 2016
In the United States, there are roughly 2.7 million Americans living with atrial fibrillation (AF).1 Treatment for AF includes medical treatment, cardioversion, heart ablation, and/or any combination of treatments. The most important goal in…
December 9, 2016
What is the size of your EP lab facility? When was the EP program started at your institution? Nestled on a hillside in the Capital Region of New Hampshire is Concord Hospital. Established in 1953 as a community not-for-profit hospital, Concord…
November 7, 2016
A high-voltage electrical shock to the heart is highly effective in restoring a normal rhythm in a patient with either an atrial or ventricular tachyarrhythmia. The main limitation, however, is intense pain. The source of the pain is controversial,…
November 7, 2016
Background Cardiac resynchronization therapy (CRT), in its traditional form, utilizes simultaneous pacing of the right (RV) and left (LV) ventricles. This is usually achieved by placement of one lead in the RV apex and a second in the coronary…
November 7, 2016
Introduction Cardiac resynchronization therapy (CRT) is an established device treatment for patients with advanced heart failure.1 However, in randomized clinical trials, about 30% of the patients were identified as non-responders.2-3 Device…
November 7, 2016
Introduction Pulmonary vein isolation (PVI) has become the accepted and preferred method of catheter ablation when treating patients with drug-resistant atrial fibrillation (AF)1-3; the cryoballoon catheter has become a gold standard in this PVI…
November 7, 2016
Introduction There has been a significant transition in healthcare from highly invasive surgical procedures to minimally invasive image-guided therapies. These minimally invasive therapies have helped to move inpatient procedures to day care…
November 6, 2016
Case Study A 29-year-old woman presented with nonischemic dilated cardiomyopathy (diagnosed 5 years prior), atrial flutter, and persistent atrial fibrillation (AF). While using a wearable defibrillator (LifeVest, ZOLL Corporation), she had two…
November 6, 2016
Introduction Inappropriate sinus tachycardia (IST) is considered a benign condition with no known mortality. IST is characterized by resting heart rates greater than 100 beats per minute (bpm) and/or a mean heart rate greater than 90 bpm (on 24-…
November 6, 2016
The collaboration between electrophysiologists and cardiothoracic surgeons to treat cardiac arrhythmias in the operating room (OR) has existed since the late 1970s.1,2 During my fellowship (2005-2007) at Medical College of Virginia/Virginia…
November 6, 2016
In this feature interview, we speak with Roger Carrillo, MD, Chief of Surgical Electrophysiology at University of Miami Hospital, about his experience with Bridge™ Occlusion Balloon (Spectranetics) for lead extraction. Tell us about your medical…
November 6, 2016
What is the size of your EP lab facility? When was the EP program started at your institution?  The Center for Care and Discovery, a 10-story, 1.2 million square foot hospital, opened in 2013. The Heart and Vascular Center (HVC), which just…
November 6, 2016
Remote monitoring has evolved significantly since its inception. Not too long ago, remote monitoring represented a convenient alternative to frequent visits to the arrhythmia clinic. However, now remote monitoring is a class I recommendation across…
November 6, 2016
Catheter ablation for drug-refractory paroxysmal atrial fibrillation (AF) can be performed safely and effectively; however, efficacy is reduced in catheter ablation for persistent forms of AF.1-3 This is believed to be related to the more advanced…
October 5, 2016
A 33-year-old man is referred to you for implantable cardioverter-defibrillator (ICD) therapy for primary prevention of sudden death. He was healthy until one year ago, when he was diagnosed with a nonischemic dilated cardiomyopathy (NIDCM), and has…
October 5, 2016
The 8th annual Kansas City Heart Rhythm Symposium (KCHRS) took place on August 27-28th, 2016 at the Sheraton Hotel in Crown Center. Attendees were treated to lectures from EP experts and thought leaders from throughout the United States, including…
October 5, 2016
Do your patients know how to manually check their pulse? This simple, easy-to-use diagnostic tool (two fingers placed on the wrist for 30 seconds) could save their life.  With a rising global population aged over 65, the number of people with…
October 5, 2016
Selecting the optimal device for primary prevention patients has to be a carefully thought out process, particularly when the patient is relatively young with a larger body habitus. Selecting a state-of-the-art ICD with high-output capability and a…
October 5, 2016
For the last 20 years, we have enjoyed presenting educational content to thousands of EP professionals. Our hope is that we’re making a positive contribution to the specialty. Here is the story of the Order and Disorder EP Training Program, past and…
October 5, 2016
Jon Darsee shares his reflections on Mother Teresa, who he met in 1984 while working for a cardiac device company. She died on September 5th, 1997, at age 87. Pope Francis officially cleared Mother Teresa for sainthood on December 17th, 2015. The…
October 5, 2016
In this interview, we speak with Dana Rivera about her experience surviving a stroke in June 2009. She is now a recovery coach for stroke survivors and leader of a Stroke Support Group at UCLA, sharing the struggles she faced when trying to regain…
October 5, 2016
Novel embedded technologies have created the ability for devices to monitor their own function, record arrhythmias and other physiological parameters, and to communicate this information to healthcare providers without active participation of the…