Heart Rhythm

Hearts should have normal rhythm to their beats, but when these beats are out of synch, it causes inefficient pumping of blood. Irregular heart arrhythmias occur when the electrical signals that coordinate the heart's beats do not work properly. This can cause beats that are too fast (tachycardia), or too slow (bradycardia). Tachycardias include atrial fibrillation (AFib), supraventricular tachycardia, ventricular fibrillation, and ventricular tachycardia (VT). Bradycardias include sick sinus syndrome and conduction block. Electrophysiology arrhythmia treatments include medications, life style changes, and the EP lab interventions of catheter ablation, and implantable pacemakers or defibrillators.

Some Canadians waiting more than a year for elective echos

People living in the Canadian province of Manitoba are facing up to 70-week waits for elective echocardiograms, CBC reported May 28—dozens of weeks longer than those living in neighboring Saskatchewan and Ontario provinces.

 

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Women less likely to be resuscitated than men during OHCA

Women are less likely to be resuscitated by bystanders than men in cases of out-of-hospital cardiac arrest, and when resuscitation is attempted they see lower survival rates, according to research published in the European Heart Journal May 21.

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Antibacterial envelope cuts risk of CIED infection by 40%

An absorbable, antibiotic-eluting mesh envelope significantly reduced the incidence of major cardiac implantable electronic device (CIED) infections in a recent study of nearly 7,000 patients, researchers reported in the New England Journal of Medicine May 16.

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How to alleviate patient anxiety about ICDs

A six-week online training course centered around living with an implantable cardioverter-defibrillator (ICD) helped alleviate anxiety in heart failure patients who were apprehensive about their devices.

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Algorithm optimizes catheter ablation in AFib patients

Researchers at Florida Atlantic University’s College of Engineering and Computer Science have developed an algorithm that can identify precise internal targets for ablation in atrial fibrillation patients—the first, they say, that can do so without the help of specialized catheters or 3D electroanatomic mapping.

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Grapefruit juice prolongs patients’ QT interval

A high intake of grapefruit juice—and other dietary flavonoids found in fruits, vegetables, tea and wine—could correspond to QT interval prolongation in healthy individuals and those with heart disease, leaving them vulnerable to serious arrhythmias like torsades-de-pointes.

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ICDs are underused in clinical practice—especially in women and minorities

A trio of studies presented at the Heart Rhythm Society’s 40th annual scientific sessions earlier this month highlight significant disparities in patient access to implantable cardiac devices—particularly in women and black patients.

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Azithromycin ‘Z-packs’ tied to potentially fatal arrhythmia

The FDA is updating azithromycin drug labels to reflect evidence that the medication can contribute to a rare heart rhythm abnormality known as torsades de pointes.