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To Screen or Not for AF: Is That the Question? (26 Jun 2014)

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Up to one third of ischemic strokes are of uncertain etiology or “cryptogenic,” meaning that there is no overt explanation such as severe carotid stenosis, intracranial stenosis, or documented atrial fibrillation (AF). For some of these patients, intermittent AF may be present and could explain the ischemic stroke. This issue has been addressed by two…

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Avatar of Larry Husten, PHD

Yet Another Delay for Boston Scientific’s Watchman Device (18 Jun 2014)

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Boston Scientific hopes the third time will be the charm. The company disclosed on Tuesday yet another obstacle in the path to approval for its novel Watchman left atrial appendage closure device for the prevention of stroke in patients with atrial fibrillation. Although it has already been before two FDA advisory panels, the company said…

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Avatar of Larry Husten, PHD

European Medicines Agency Initiates Review of Ivabradine (16 Jun 2014)

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There may be trouble on the horizon for ivabradine, a heart drug marketed by Servier under the brand names of Corlentor and Procoralan. The drug is widely available in Europe and elsewhere, though it is not available in the U.S., where it is under development by Amgen. Although it hasn’t been widely reported,  the European…

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Avatar of Larry Husten, PHD

Hospitalizations for AF Are on the Increase (19 May 2014)

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In recent years there has been an explosion of interest in atrial fibrillation (AF). Now a new study published in Circulation finds that hospitalizations for AF are on the increase, and this may have important implications for the delivery and economics of health care in the coming years. Researchers analyzed data  from nearly 4,000,000 hospitalizations in which…

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A Checklist for Leaving an EP Fellowship and Seeking a Job (14 May 2014)

Fellowship Training

Melissa R Robinson, M.D. and Michael Katz, M.D.

At the 2014 Heart Rhythm Society meeting, Michael Katz tweeted a compelling couple of slides presented by Melissa Robinson at a session titled “Emerging EP: Transition to Practice.” Review the slides here, and share what you think. Click on “Robinson Leaving EP Checklist” to see the slides. Robinson Leaving EP Checklist

Avatar of Larry Husten, PHD

Routine Defibrillation Testing Not Required During ICD Implantation (9 May 2014)

News

Although commonly performed, routine defibrillation testing has never been shown to be safe or necessary. Now a new study, presented yesterday at the Heart Rhythm Society meeting in San Francisco, offers evidence that although routine testing is generally safe it may increase complications without producing any improvement in outcomes. In the SIMPLE (Shockless Implant Evaluation) trial, sponsored…

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Physical Activity Improves Heart Rate Variability In The Elderly (5 May 2014)

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A new study in Circulation offers fresh evidence that physical activity is beneficial to the heart in people aged 65 and older. Benefits were observed both in elderly people who reported the highest amount of overall physical activity and in those who increased their physical activity over time. U.S. researchers evaluated heart rate variability (HRV)…

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Assessing the MRI Safety of New Pacemakers and ICDs (8 Apr 2014)

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Promporn Suksaranjit, M.D.

Promporn Suksaranjit provides an update on the safety of pacemakers and ICDs in an MRI environment.

Avatar of Arthur J. Moss, MD

Long-Term Follow-Up from MADIT-CRT: Guideline Implications (30 Mar 2014)

Voices

Arthur J. Moss, MD

Arthur J. Moss discusses his research group’s study of long-term survival for patients who received cardiac resynchronization therapy with a defibrillator in the MADIT-CRT trial.

Avatar of Larry Husten, PHD

MADIT-CRT Long-Term Follow-Up Shows Survival Benefit with CRT-D (30 Mar 2014)

News

MADIT-CRT was an influential trial that showed a reduction in heart failure complications — but not mortality — when cardiac resynchronization therapy (CRT) was added to an implantable defibrillator in patients with mild heart failure who also had left bundle-branch block (LBBB). Patients in the trial were followed for 2.4 years, raising questions about the long-term effects…

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