Electrophysiology

The cardiac subspecialty of electrophysiology (EP) diagnoses and treats arrhythmias. This includes use of pacemakers to treat bradycardia, implantable cardioverter defibrillators (ICD) for tachycardia, heart failure and patients at risk of sudden cardiac arrest, and cardiac ablation treatments to treat heart rhythm disorders.

Watchman FLX left atrial appendage closure (LAAC)

Boston Scientific gains a new FDA approval for Watchman FLX LAAC device

The company can now update its labeling instructions for the device to include a new 45-day dual anti-platelet therapy treatment option when treating non-valvular atrial fibrillation. 

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New expert guidelines highlight the importance of quickly diagnosing and treating CIED infections

Though removal of the affected CIED is typically the smartest treatment option—and one supported by specialty groups all over the world—a majority of patients keep living with the device, often resulting in hospitalization or even death.

Affera Inc Medtronic $925 million catheter ablation atrial fibrillation (AFib)

Medtronic completes acquisition of heart rhythm tech company in a deal reportedly worth $925M

Affera’s portfolio includes interventional solutions such as the Affera Prism-1 mapping and navigation platform, designed to help electrophysiologists diagnose heart rhythm issues, and the Sphere-9 cardiac ablation catheter. 

Christine Albert, MD, MPH, cardiology chair for the Smidt Heart Institute at Cedars-Sinai Medical Center

Rethinking arrhythmias: Women may face a higher AFib risk than men

New research, published in JAMA Cardiology, challenges the common belief that AFib is more likely to develop among men than women. The key problem, it seems, is that prior research teams did not understand the significance of certain risk factors.

Medtronic EV ICD clinical trial safety endpoints ESC Congress 2022

Medtronic’s first-of-its-kind ICD meets safety endpoints in global clinical trial

The promising results were presented at ESC Congress 2022 and published in the New England Journal of Medicine. Medtronic's new-look device is not yet approved for sale or distribution. 

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Very low doses of edoxaban are safe and effective for frail, elderly AFib patients

Elderly patients are often not eligible for oral anticoagulant therapy due to the risk of bleeding events or other adverse outcomes. A very low dose of edoxaban, however, appears to be a safe treatment option, even for especially frail patients.

Bruce Wilkoff

Reducing CIED Infections and the Cost of Care: Lessons from Cleveland Clinic

Sponsored by Medtronic

Thinking has changed: Cardiac implantable electronic device (CIED) infections are a bigger deal than we thought.

FDA announces recall of nearly 88,000 implantable cardiac devices due to risk of serious injury or death

The recall is related to short circuit protection (SCP) alerts that were causing the devices to send reduced-energy electric shocks. There have been 27 customer complaints about the issue so far.