December 2016

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Volume 16 Issue 12

Editorial Staff

Clinical Editor
Bradley Knight, MD
Executive Editor
Laurie Gustafson
Managing Editor
Jodie Elrod
Production Manager
Alexa Flinn

Editorial Correspondence

Jodie Elrod, Managing Editor, EP Lab Digest
HMP Communications, 70 E. Swedesford Rd
Suite 100, Malvern PA 19355
Telephone: (800) 371-0791

Fax: (866) 488-8273
Email: jelrod@hmpglobal.com
Reacting to a critical shortage of electrophysiology (EP) lab technicians and nurses who treat heart arrhythmias, SpringBoard Healthcare in collaboration with Duke Heart Center has launched an online education program to prepare EP workers for creden…
Data from several clinical trials should encourage the programming of higher-than-traditional rate cutoffs in most patients who undergo ICD implantation for primary prevention of sudden death to minimize shocks — not just at the time of implantation,…
James Kneller, MD, PhD, FHRS, CCDS shares his early experience with permanent His bundle pacing, which promises to transform pacemaker therapy, permitting high ventricular pacing burden with little concern for PICM relative to RV apical pacing.
The American Heart Association’s annual Scientific Sessions took place on November 12-16 in New Orleans, Louisiana. Enclosed below is a compilation of clinical news highlights from the meeting.
Kathy Glatter, MD, FACC, FHRS examines the usefulness of the implantable loop recorder in the evaluation of syncope. She also reviews the implantation procedure and covers novel uses and future directions for this technology. 
Mathias Lange, MD et al present a case demonstrating that closure of the LAA with a distally located thrombus can be safely performed with an Amplatzer Amulet LAA occluder without using an embolization protection system.
Jo Ann LeQuang describes a case of a patient with high DFTs who required an ICD for secondary prevention, and then elected for device revision when his initial subcutaneous system delivered four inappropriate shocks.
Kristen Pope, BSN, RN, and Cheri McConnell, RTR, RCES, RCIS highlight one of the first Convergent procedures performed at WakeMed Health & Hospitals, and discuss some of the initial challenges faced when implementing this program.
In this issue we talk with the EP program from Concord Hospital in Concord, New Hampshire.
James Reiss, MD, MPH, FACC describes how taking a careful approach that employs a handful of easily mastered steps (and which places safety first) can result in consistently successful implants with minimal complications and fluoroscopy use.