Cardiac Electrophysiology
Questions discussed in this category
To further elaborate, what level of obstruction with a normal stress test would be acceptable, and what would be too high risk? Would you consider an ...
Watchman device deployed with therapeutic ACT but required multiple recaptures. Patient went into afib during the procedure and after final deployment...
If so, what diastolic parameters do you look at?
For additional context, work up with TTE and exercise stress testing have all been reassuring and normal.
It seems clear that longer monitoring yields more AF detected. What is less clear to me is whether all ILR-detected AF is relevant and merits anticoag...
Would you recommend left atrial appendage occlusion with or without continuing anticoagulation? In light of Maarse et al., JAMA Neurology 2024.
How do you counsel patients about any potential risk?
Patient is not a candidate for ablation or resection. Would you consider induction systemic therapy to hopefully shrink the disease away from the pace...
If PVC burden exceeded 10-15%, would you offer ablation in the absence of specific symptoms?
Can sotalol initiation for atrial fibrillation be performed safely outpatient, and if so, what would be a reasonable approach to accomplishing this?&n...
How would you balance the stroke risk against the bleeding risk? And how would the AF burden play into your decision- would you treat 6 minutes of AF ...
Do you have a preference on type of adjunct AV nodal blocker to use, and do propafenone and flecainide have similar safety profiles?
Would you then opt for double vector DCCV to deliver 2, 360J shocks simultaneously, and/or bolus with amiodarone?
Marcus et al., PMID 34775507
Is there a percent change in QTc in which you would consider stopping amiodarone, especially in patients who have baseline wide QRS complexes?
For example, for younger patients on amiodarone or those who wish to come off antiarrhythmics because of medication side effects.
Individual times in the therapeutic range while on VKA treatment was not registered in FRAIL-AF.
Joglar et al., PMID 38033089
Marcus et al., PMID 34775507
What are the real-life implications of the MONITOR-AF study to the routine management of AF?
Do you include the amount of IV amiodarone already administered as part of the loading dose?
In FRAIL-AF, participants were switched from VKA to dabigatran, rivaroxaban, apixaban, and edoxaban.
And how do patient characteristics affect your decisions?
Specifically, what is your approach to outpatient monitoring to assess atrial fibrillation burden for patients with CHADS2Vasc score>2?
And if so, what is a reasonable length of time for outpatient cardiac monitoring?
(Assuming that the patient would require V-pacing almost all the time)
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Papers discussed in this category
American heart journal, 2010-07
Lancet, 2021 Aug 27
J Am Coll Cardiol, 2019 Jan 28
Stroke, 2019-06
J Am Coll Cardiol, 2014 Mar 28
N Engl J Med, 2019 Mar 18
JACC Cardiovasc Interv, 2017 Jul 19
Struct Heart, 2022 Mar 17
J Am Coll Cardiol, 2019 Aug 27
Heart rhythm, 2019-11
Heart Rhythm, 2015 Sep 30
J Am Coll Cardiol, 2009 Aug 25
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Circulation, 2011-08-09
British journal of sports medicine, 2017-05
Circulation, 2020 Dec 17
Herz, 2014 Dec
J Am Coll Cardiol, 2018 Nov 06
N Engl J Med, 2013 Apr 25
Circulation, 2022 Apr 01
European heart journal, 2017-05-01
Circulation, 2018-01-16
N Engl J Med, 2012 Jan 12
Journal of the American College of Cardiology, 2013-07-23
N Engl J Med, 2018 Feb 01
Cardiovasc Drugs Ther, 2021 Sep 07
Circulation. Arrhythmia and electrophysiology, 2014-04
Circulation. Arrhythmia and electrophysiology, 2015-12
Heart Rhythm, 2020 Jun 01
J Geriatr Cardiol, 2017 Oct
Journal of the American College of Cardiology, 2014-09-09
J Am Coll Cardiol, 2014 Apr 09
JAMA, 2001-05-09
The American journal of cardiology, 2015-12-15
Journal of electrocardiology, 2018
J Am Coll Cardiol, 2023 Apr 04
Heart rhythm, 2020 Jul 25
JACC. Clinical electrophysiology, 2022 Apr 28
The New England journal of medicine, 2000-06-29
The New England journal of medicine, 2011-09-15
The New England journal of medicine, 2011 Aug 10
The New England journal of medicine, 2009 Aug 30
Circulation, 2011 Jul 25
The New England journal of medicine, 2023 Aug 27
JACC. Clinical electrophysiology, 2021 Feb 24
Circulation, 2023 Nov 13
Circulation, 2023 Nov 11
Circulation. Cardiovascular quality and outcomes, 2023 Nov 06
American heart journal, 2017 Apr 24
The New England journal of medicine, 2023 Nov 11
American heart journal, 2023 Mar 25
JAMA, 2023 Nov 11
The Journal of innovations in cardiac rhythm management, 2020 May 15
Cardiology, 2021 Nov 29
The New England journal of medicine, 2023 Aug 25
Journal of the American College of Cardiology, 1998-07
Circulation, 2020 Apr 27
Indian pacing and electrophysiology journal, 2019 Feb 26
Heart rhythm O2, 2021 Feb 26
Heart rhythm O2, 2021 Feb 26
Heart rhythm, 2019-01
Pacing and clinical electrophysiology : PACE, 2019-07
Heart rhythm, 2015 Apr 11
Circulation, 2023 Nov 30
The New England journal of medicine, 2023 Nov 12
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2012 Mar
The New England journal of medicine, 1991-03-21
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2022 Apr 02
Journal of clinical medicine, 2021 Apr 02
American heart journal, 2020 Oct 13
The New England journal of medicine, 2024 Apr 07
Circulation, 2016-12-13
American heart journal, 2022 May 17
The New England journal of medicine, 2024 Apr 06
JAMA, 2003-05-07
Circulation. Arrhythmia and electrophysiology, 2013 Dec 12
European heart journal, 2021 Feb 01
Journal of the American College of Cardiology, 1992-03-15
Archives of internal medicine, 1995-07-10
The New England journal of medicine, 2001-05-10
Cerebrovascular diseases extra, 2017
The American journal of cardiology, 2009 Dec 01
Clinical medicine (London, England), 2017 Oct
Journal of the American Heart Association, 2023 Jun 10
Journal of the American Heart Association, 2021 Aug 13
The New England journal of medicine, 2021 May 15
Journal of the American Heart Association, 2023 May 15
Congenital heart disease, 2019-05
Open heart, 2019
Cardiovasc Drugs Ther, 2022 Jan 13
The Canadian journal of cardiology, 2014 Oct
Heart rhythm, 2016 Feb 02
The Journal of innovations in cardiac rhythm management, 2018 Mar 15
Frontiers in endocrinology, 2022 Aug 11
Journal of the American Heart Association, 2021 Aug 28
Texas Heart Institute journal, 2024 Apr 30
Circulation, 2019-08-20
European heart journal, 2021 Sep 14
J Am Coll Cardiol,