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October 4, 2016
INTRODUCTION On April 6, 2016, the U.S. Food and Drug Administration approved an entirely self-contained leadless pacemaker in the Medtronic Micra Transcatheter Pacing System™ (Figure 1). The Micra system is a VVIR pacemaker that is delivered…
October 4, 2016
The Heart Hospital Baylor Denton in Texas is now performing zero fluoro atrial fibrillation (AF) ablations. In this interview we speak with Matthew Evans, MD, an electrophysiologist with Arrhythmia Management Heart Rhythm Specialists, a Baylor Scott…
September 8, 2016
Abstract: The CardioMEMS heart failure system is a recent Food and Drug Administration approved device that can be implanted in patients with New York Heart Association class III heart failure and allows remote monitoring of pulmonary artery…
September 8, 2016
Physicians today are required to spend more and more time doing administrative work — including checking off electronic boxes in the electronic medical record (EMR) — which results in less quality time with patients. Now, some in Washington, DC…
September 8, 2016
Among the most common clinical issues we face as electrophysiologists involve decisions surrounding the initiation and continuation of anticoagulation therapy for our patients with atrial fibrillation (AF). Unfortunately, some of our approaches are…
September 8, 2016
In this feature interview, EP Lab Digest speaks with Dr. Daniel Friedman, an electrophysiologist with Manatee Memorial Hospital in Bradenton, Florida.  Tell us about your medical background. How long have you been practicing? Where have you…
September 8, 2016
Scripps Health is the leading provider of cardiac care in San Diego County. The Scripps Prebys Cardiovascular Institute (SPCI), San Diego’s first comprehensive “heart hospital,” opened in 2015 on the campus of Scripps Memorial Hospital, La Jolla.…
September 7, 2016
There has been much progress in the development of nonpharmacological therapeutic options for patients with atrial fibrillation (AF) to prevent stroke focused on removal or exclusion of the left atrial appendage (LAA). For example, after many years…
September 7, 2016
In this interview, we speak with cardiovascular patient researcher and advocate Debbe McCall about her experience with atrial fibrillation (AFib). Debbe is the owner at Rowan Tree Perspectives Consulting, a patient representative to the FDA’s…
September 7, 2016
The Bob and Patty Edwards Arrhythmia Center at Overlake Medical in Bellevue, Washington, was recently the first on the West Coast and only the ninth in the nation to receive national accreditation by the Society of Cardiovascular Patient Care (SCPC…
August 4, 2016
Sometimes the goal in medicine is to push the envelope to drive sophisticated advances in patient care. At other times, the goal is simply to make sure that everyone is providing the minimal level of expected care. In an effort to “accelerate…
August 4, 2016
Question 1:  Based on this ECG strip, what does this ECG show? 1. Electrode problem or lead change  2. Ventricular standstill (phase-4 block) 3. Sick Sinus Syndrome (SSS) 4. None of the above Question 2:  Based on this ECG strip,…
August 4, 2016
With the growing number of arrhythmias accounting for millions of deaths each year in the United States, the need for cardiac electrophysiology (EP) studies has increased. Normal cardiac function relies on its electrical activity and the outcome of…
August 4, 2016
Introduction Cardiovascular diseases requiring the implantation of cardiac implantable electronic devices (CIEDs) are increasing each year. In North America, an estimated 560,000 pacemakers were implanted in the year 2007.1 During the years 1993 to…
August 4, 2016
The field of electrophysiology (EP) provides an ever-changing environment for the EP nurse. Managing the day-to-day problems that arise in a busy EP practice can be challenging at times.  The EP nurses, alongside the EP physicians, feel a…
August 4, 2016
Cardiac implantable electronic devices (CIEDs) with wireless technology include pacemakers, implantable cardioverter-defibrillators (ICDs), cardiac resynchronization devices, and implantable loop recorders. These devices store clinically valuable…
August 4, 2016
Wondering about who of your colleagues are on Instagram, or what this social media site is all about? Find out here from various EP professionals in the field.  “I began my social media experiment as a health care provider shortly before the…
August 4, 2016
EP Lab Digest speaks with David Lee Scher, MD, FACC, FHRS (@dlschermd), a cardiologist, consultant, award-winning blogger, and Director of DLS Healthcare Consulting, a company specializing in digital health technology and social media. So much has…
August 3, 2016
What is the size of your EP program? When was it started? We have 2 fully equipped, dedicated EP labs. Our program was formed in July 1989. What is the number of staff members and mix of credentials?  We have 10 full-time staff members,…
August 3, 2016
The Anthony Bates Foundation (ABF) is a non-profit organization formed in 2002 that promotes heart health education and awareness of hypertrophic cardiomyopathy (HCM) through public outreach programs and heart screening events. In this interview, we…
August 3, 2016
In this feature interview we speak with Dr. Kevin Campbell (@DrKevinCampbell), a nationally recognized cardiologist, on-air medical expert, consultant, and frequent contributor to EP Lab Digest, about the future of social media and healthcare. A…
July 14, 2016
The recent publication of FIRE AND ICE, a large randomized trial comparing the cryoballoon (CB) to radiofrequency catheter (RF) ablation to perform pulmonary vein isolation (PVI) in patients with paroxysmal atrial fibrillation (PAF), demonstrated…
July 14, 2016
This month, interventional cardiologist Peter J. Fitzgerald, MD, PhD, Professor, Medicine - Cardiovascular Medicine; Professor (by courtesy), Electrical Engineering; Director, Center for Cardiovascular Technology and Innovation and Director, Core…
July 14, 2016
In this interview we speak with Monica Pammer, PA-C, in electrophysiology at the Hospital of the University of Pennsylvania, about her recent research examining the use of novel oral anticoagulants (NOACs) on an “as needed basis” and guided by…
July 13, 2016
Atrial fibrillation (AF) is one of the most common abnormal heart rhythms in the United States. It is estimated between 3 to 6 million Americans suffer from AF, and as the U.S. population ages, this will only increase. Along with its other symptoms…
July 13, 2016
In the last installment of this article series, we explore what it’s like to be a travel tech in the cardiac electrophysiology laboratory. Here we speak with Tyler Duntsch, RCIS, RCES about his experience as a travel tech with Soliant Health.…
July 13, 2016
In this interview we speak with Meaghan Coneybeare, Community Manager with NewLifeOutlook.com, about this resource.  Tell us about NewLifeOutlook. What is the purpose of this organization? Founded in 2014, NewLifeOutlook (NLO) operates a…
July 13, 2016
In this interview we speak with Dr. Daniel J. Penny, chief of pediatric cardiology at Texas Children’s Hospital, about an innovative video series created for pediatric patients at the hospital. Tell us about the Texas Children’s Heart Center. How…
July 13, 2016
Sanford Health is an integrated health system headquartered in the Dakotas. It is one of the largest health systems in the nation, with locations in 126 communities, 9 states, and 4 countries. Sanford’s USD Medical Center in Sioux Falls provides…
July 13, 2016
In this feature interview, we speak with Alicia Burns about living with Brugada syndrome. After her diagnosis, she began sharing her story in a blog and later on Twitter (@BrugadaGirl). Her cardiac symptoms went misdiagnosed for years, until her dad…
July 13, 2016
The concept of change is especially important in healthcare. Without change, cardiovascular implantable electronic devices (CIEDs) would not exist today. Without change, we would also still accept sudden cardiac death as a tragic and untreatable…
June 19, 2016
A 56-year-old man with multiple defibrillator therapies for recurrent post-infarct monomorphic ventricular tachycardia presents for an outpatient ablation procedure under general anesthesia. He takes warfarin for infrequent paroxysmal atrial…
June 19, 2016
Atrial fibrillation (AF) is the most commonly diagnosed arrhythmia in the United States (US), with an annual incidence of 1.2 million in 2010, which is expected to increase to 2.6 million by 2030.1 Similarly, the prevalence of AF is expected to…
June 19, 2016
In the second installment of this article series, we explore what it’s like to be a travel nurse in the cardiac electrophysiology laboratory. Here we speak with Kristen English, RN about her experience as a travel RN with Soliant Health.  Tell…
June 19, 2016
Introduction Wireless remote monitoring (RM) has fundamentally changed the paradigm of how physicians and allied professionals manage patients with cardiovascular implantable electronic devices (CIEDs). Multiple randomized clinical trials, as well…
June 19, 2016
As electrophysiologists, we desire optimal health for our patients and maximum benefit from the procedures we perform. The ARREST-AF study demonstrated how aggressive risk factor modification (RFM) may improve atrial fibrillation (AF) ablation…
June 19, 2016
The 4th International Symposium on Left Atrial Appendage (ISLAA), sponsored by the ISLAA Foundation, was held March 11-12, 2016 in New York City. ISLAA is supported by the University of Kansas Hospital, Texas Cardiac Arrhythmia Institute, Cedars-…
June 19, 2016
A confluence of new trends is directly impacting cardiac implantable electronic device (CIED) therapy in the U.S. Expanding device indications, shifts in population demographics (the graying of America), and new technological innovations have…
June 17, 2016
Banner University Medical Center-Phoenix campus, formerly Banner Good Samaritan Medical Center, is a 733-bed, non-profit academic medical center in Phoenix, with approximately 1600 physicians on medical staff, 8 residency programs, and 9 fellowships…
June 17, 2016
Introduction The advent of automaticity in device diagnostics and evaluation of leads has been a relatively new way of monitoring device patients. Having the ability to reprogram left ventricular (LV) pacing parameters for the best possible…
June 16, 2016
Complex electrophysiology procedures, including atrial fibrillation (AF) ablation, can account for a large percentage of cases being performed in many EP labs worldwide. Since the inception of the original procedure, evolutionary changes have…
May 4, 2016
A variety of cardiac implantable electronic devices (CIEDs) are used routinely in clinical practice. These include implantable loop recorders (ILRs), permanent pacemakers (PPMs), implantable cardioverter-defibrillators (ICDs), cardiac…
May 4, 2016
Debate continues regarding the relative pros and cons of cryoballoon ablation (CBA) compared to point-by-point radiofrequency ablation (RFA) to achieve pulmonary vein isolation (PVI) as a treatment for paroxysmal atrial fibrillation (PAF). The…
May 4, 2016
Arrhythmia localization in the EP laboratory has improved from simple recording of electrograms to cataloging electrograms on a 3D geometry, and now high temporal and spatial resolution within that geometry.1 With the advent of electroanatomic…
May 3, 2016
CASE HISTORY The patient is a 79-year-old male with previous history of atrial fibrillation (AF). He was admitted for fatigue and weakness, and was found to have runs of sustained ventricular tachycardia (VT). Echo showed a mildly dilated left…
May 3, 2016
Introduction The goals of treating atrial fibrillation (AF) are to reduce symptoms, to improve and preserve cardiac output by controlling the ventricular rate or restoring and maintaining sinus rhythm, and to reduce the risk of cerebral and…
May 3, 2016
Over the past decade, many hospitals across the United States have focused on expanding and enhancing existing services. From fully integrated diagnostic cardiac centers to therapeutic cardiac catheterizations with cutting-edge access techniques, to…
May 3, 2016
Background Cardiac resynchronization therapy (CRT) device implants have historically been one of the more complex procedures in the electrophysiology lab. Factors such as limitations in available tools, clinical/technical expertise, and anatomical…
May 3, 2016
The WiCS®-LV system (EBR Systems, Inc.) is a leadless endocardial pacing system for cardiac resynchronization therapy (CRT) that uses ultrasound-based technology to transfer energy acoustically from a subcutaneously implanted pulse generator (…
May 3, 2016
The third edition of Practical Electrophysiology is being published this May. Previous editions of the book were published in 2005 and 2009, respectively. In this special interview, Dr. Todd Cohen from Winthrop University Hospital talks about some…