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Electrophysiology

November 14, 2019
Interesting succinct note on a major issue, noting a possible association between cardiopulmonary bypass and this common complication.
September 22, 2019
Investigators reported, in abstract form, promising results of a single dose of radiotherapy, delivered with electorphysiologic guidance, for managing ventricular tachycardia. Seventy-eight percent of patients had a clinically important reduction in ventricular tachycardia episodes. 
August 29, 2019
Using an approach that minimizes valve depth relative to the membranous septum, the authors reduced the need for permanent pacemaker placement to a reliable and predictable 3% compared to the accepted standard of 10%.
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%). 
August 5, 2019
In this 5-year review covering multiple centers in Australia and New Zealand, the overall major complication rate related to new implanation of a pacemaker or ICD was 8.2%.  Among hospitals performing implants there was a 3-fold range in the incidence of complications, indicating important variations in care quality.
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.
November 16, 2018
Patient Care and General Interest An accident during a sword swallowing trick was bad news for the performer’s esophagus.
February 2, 2018
An editorial from an influential source discussing the recent robust results of the CASTLE-AF RCT trial. It is likely that interventions for atrial fibrillation will be boosted by these results, in terms of insurance, industry, and clinical guideline support.
January 1, 2018
Incredible story about how American Heart Association President Dr John Warner suffered a cardiac arrest after his presidential address and was subsequently saved by two bystanders.  This story emphasizes the fortune of being in the right place at the right time, but more importantly, the public value of knowing CPR.

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