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Volume 20 - Issue 4 - April 2020

Featured Article

Mapping and Ablation of Challenging Atypical Atrial Flutters
Cover Story
04/02/2020

Senthil Thambidorai, MD, FHRS; Regional Director of Cardiac Electrophysiology, HCA North Texas; Associate Professor of Medicine, Texas Christian University (TCU), UNTHSC School of Medicine; Fort Worth, Texas

Senthil Thambidorai, MD, FHRS; Region...
We present our experience with the Coherent module and CARTO 3 V7 (Biosense Webster, Inc., a Johnson & Johnson company), which has allowed us to rapidly collect accurate high-density maps of complex arrhythmias.
We present our experience with the Coherent module and CARTO 3 V7 (Biosense Webster, Inc., a Johnson & Johnson company), which has allowed us to rapidly collect accurate high-density maps of complex arrhythmias.
We present our experience with...
04/02/2020
EP Lab Digest
Aortic Unfolding Complicating Typical Atrial Flutter Ablation in the Elderly: A Case of Anatomic Intrusion Where Seeing is Believing
Cover Story
04/01/2020

Sahitya Allam, BS,1 Jacques Rizkallah, MD,2 Nishaki K. Mehta, MD1 

1Division of Cardiovascular Medicine, University of Virginia Health System, Charlottesville, Virginia; 2Division of Cardiovascular Medicine, Foothills Campus, University of Calgary, Alberta, Canada

Sahitya Allam, BS,1 Jacques Rizkallah...
To our knowledge, this is the first case in which age-associated aortic unfolding led to abortion of a CTI-dependent atrial flutter ablation procedure owing to high perceived risk of AV block.
To our knowledge, this is the first case in which age-associated aortic unfolding led to abortion of a CTI-dependent atrial flutter ablation procedure owing to high perceived risk of AV block.
To our knowledge, this is the...
04/01/2020
EP Lab Digest

Column

COVID-19 Exposes the Good and the Bad in Health Care
Letter from the Editor
04/07/2020

Bradley P. Knight, MD, FACC, FHRS, Editor-in-Chief

Bradley P. Knight, MD, FACC, FHRS, Ed...
At the time of this writing, COVID-19 has been declared a pandemic by the World Health Organization, hospitals in the United States are scrambling to take action as new cases are occurring exponentially, viral testing abilities are scarce,...
At the time of this writing, COVID-19 has been declared a pandemic by the World Health Organization, hospitals in the United States are scrambling to take action as new cases are occurring exponentially, viral testing abilities are scarce,...
At the time of this writing,...
04/07/2020
EP Lab Digest
Spotlight Interviews Revisited
Spotlight Interview
04/02/2020

Interviews with Kent R. Nilsson, Jr., MD, FACC, Piedmont Athens Regional Medical Center, Athens, Georgia;

and Steven Zweibel, MD, FACC, FHRS, CCDS, Director of Cardiac Electrophysiology, and Jonathan Farlow, RN, BSN, Hartford Healthcare Heart and Vascular Institute, Hartford, Connecticut

Interviews with Kent R. Nilsson, Jr.,...
This month, we feature updates of Spotlight Interviews from our previous issues! Athens Regional Medical Center originally appeared in EP Lab Digest’s April 2014 issue; we follow-up with them here. Following this interview, we feature an...
This month, we feature updates of Spotlight Interviews from our previous issues! Athens Regional Medical Center originally appeared in EP Lab Digest’s April 2014 issue; we follow-up with them here. Following this interview, we feature an...
This month, we feature updates...
04/02/2020
EP Lab Digest

Feature

Sealing a Multilobe Left Atrial Appendage With Kissing-Watchman Technique
Clinical Images
04/07/2020

Jie Zeng, MD, Cong Lu, MD, Hui Huang

Division of Cardiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu, China

Jie Zeng, MD, Cong Lu, MD, Hui Huang ...
A 72-year-old man was admitted because of persistent atrial fibrillation after suffering a stroke 4 months prior. CHA2DS2-VASc score was 4 and HAS-BLED score was 2. Considering the potentially life-threatening bleeding complications, the...
A 72-year-old man was admitted because of persistent atrial fibrillation after suffering a stroke 4 months prior. CHA2DS2-VASc score was 4 and HAS-BLED score was 2. Considering the potentially life-threatening bleeding complications, the...
A 72-year-old man was admitted...
04/07/2020
EP Lab Digest
Review of Remote Cardiac Implanted Electronic Device Interrogation Used in a Hospital Setting
Review
04/07/2020

Janet Gifford, MSN, NP,1 Karen Larimer, PhD, NP, FAHA,2 and Kendra Blalock, MS3 

1Edward-Elmhurst Health; Naperville, Illinois;
2physIQ, Chicago, Illinois; 3Seattle, Washington

Janet Gifford, MSN, NP,1 Karen Larime...
The purpose of this study was to identify actionable events, measure time from transmission to analysis, and determine ease of use after remote CIED interrogation.
The purpose of this study was to identify actionable events, measure time from transmission to analysis, and determine ease of use after remote CIED interrogation.
The purpose of this study was to...
04/07/2020
EP Lab Digest
Management of Inadvertent Pacemaker Lead Misplacement: Sometimes Less May Be More
Case Study
04/06/2020

Jonathon A. Wertz, MD

University of Pittsburgh Medical Center (UPMC) Hamot; Erie, Pennsylvania

Jonathon A. Wertz, MD University of ...
In this case, we report a case of superior vena cava perforation in an elderly woman diagnosed 10 days after device implantation.
In this case, we report a case of superior vena cava perforation in an elderly woman diagnosed 10 days after device implantation.
In this case, we report a case...
04/06/2020
EP Lab Digest
Sailing in the Lab
04/07/2020

Geoffrey Rubin, MD

Columbia University Medical Center; New York, New York

Geoffrey Rubin, MD Columbia Universi...
As the son of an electrophysiologist who was also an avid sailor, I grew up hearing stories of not only resuscitations, but also of the open sea. My father taught me how to properly treat a typical counterclockwise atrial flutter and also how...
As the son of an electrophysiologist who was also an avid sailor, I grew up hearing stories of not only resuscitations, but also of the open sea. My father taught me how to properly treat a typical counterclockwise atrial flutter and also how...
As the son of an...
04/07/2020
EP Lab Digest
COVID-19 Perspectives: Dr. David Singh from The Queen's Medical Center in Hawaii
04/02/2020
In this brief interview, we get an update on COVID-19 preparations from David Singh, MD, electrophysiologist at the Queen’s Medical Center in Honolulu, Hawaii.
In this brief interview, we get an update on COVID-19 preparations from David Singh, MD, electrophysiologist at the Queen’s Medical Center in Honolulu, Hawaii.
In this brief interview, we get...
04/02/2020
EP Lab Digest

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