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Electrophysiology - Arrhythmias

September 22, 2019
Investigators reported, in abstract form, promising results of a single dose of RT, delivered with electorphysiologic guidance, for managing ventricular tachycardia.  78% of patients had a clinically important reduction in VT episodes. 
August 19, 2019
A standardized perioperative management protocol for pts taking direct oral anticoagulants for atrial fibrillation entailed no bridging with other anticoagulants.  It resulted in low and acceptable rates of major bleeding (<2%) and stroke (<1%). 
July 11, 2019
An important update on the evolving landscape of surgery for atrial fibrillation.
April 9, 2019
Boersma and associates reported the outcomes of left atrial appendage (LAA) closure with the Watchman device in international registry (EWOLUTION), which recruited 1,020 patients from 47 different centers. Mean age was 73.4 years and 49% had a CHA2DS2-VASc score of 5 or higher—indicating a high risk of stroke.
January 18, 2019
A good attempt to shed some light into the somewhat challenging concept of heart failure with preserved ejection fraction, on the occasion of a small randomized controlled trial on albuterol.
August 31, 2018
A balanced editorial discussing the relevant RCT from Britain. The esteemed authors are correct to highlight the overall discouraging survival from out-of-hospital cardiac arrest WITHOUT NEUROLOGICAL DEFICIT. What does need to be done to improve a 3% acceptable outcome?
May 22, 2018
This review of over 75,000 patients from a large administrative database found that occlusion of the left atrial appendage during cardiac surgery was associated with a reduced risk of subsequent stroke and all-cause mortality.
March 23, 2018
Patient Care A teen in Chicago, Illinois, USA, awaiting a heart transplant received the news that a heart was available from his pediatric cardiologist, who dressed up as Chewbacca from Star Wars just for the occasion.
March 19, 2018
A medium-size RCT comparing full sternotomy to limited sternotomy for conventional aortic valve replacement, presented at the SCTS Annual Meeting in Glasgow. The 7-10% one year attrition rate seems quite disappointing, and will most probably be discussed. We will await the full paper to see what was the learning curve for the innovative approach.

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