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From the Editor

Letter From the Editor
Development of an Improved End Point for Atrial Fibrillation Therapies: A Modified Atrial Fibrillation Burden Score to Account for Both Rhythm and Rate Control
01/24/2023
Future studies are needed to determine if a patient’s modified AF burden, which captures rhythm and rate control, correlates better than AF burden with AF-related symptoms, QOL, hospitalizations, and other clinically relevant end points.
Future studies are needed to determine if a patient’s modified AF burden, which captures rhythm and rate control, correlates better than AF burden with AF-related symptoms, QOL, hospitalizations, and other clinically relevant end points.
Future studies are needed to...
01/24/2023
EP Lab Digest

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Letter from the Editor
Hospital Staffing Shortages Will Hold Back Growth in Cardiac Electrophysiology Procedures in 2023
01/03/2023
The COVID-19 pandemic created a national nursing shortage and an increase in hospital labor costs. The volume of hospital-based heart rhythm procedures will not be able to grow unless hospital and EP lab staffing shortages improve.
The COVID-19 pandemic created a national nursing shortage and an increase in hospital labor costs. The volume of hospital-based heart rhythm procedures will not be able to grow unless hospital and EP lab staffing shortages improve.
The COVID-19 pandemic created a...
01/03/2023
EP Lab Digest
Letter From the Editor
Same-Day Sotalol Loading for Atrial Fibrillation
12/01/2022

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

Bradley P. Knight, MD, FACC, FHRS, Ed...
One solution to the resource challenges of the current FDA-approved IV sotalol protocol is to minimize the need for 1:1 staffing during IV drug infusion and discharge the patient same day after a single oral dose.
One solution to the resource challenges of the current FDA-approved IV sotalol protocol is to minimize the need for 1:1 staffing during IV drug infusion and discharge the patient same day after a single oral dose.
One solution to the resource...
12/01/2022
EP Lab Digest
Letter From the Editor
The Atrial Fibrillation Pandemic
10/26/2022

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

Bradley P. Knight, MD, FACC, FHRS, Ed...
As the COVID-19 pandemic recedes, more attention should be given to other worldwide noninfectious public health crises, including atrial fibrillation.
As the COVID-19 pandemic recedes, more attention should be given to other worldwide noninfectious public health crises, including atrial fibrillation.
As the COVID-19 pandemic...
10/26/2022
EP Lab Digest

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Letter From the Editor
The Extravascular Implantable Cardioverter-Defibrillator With a Lead Under the Sternum
10/01/2022

Bradley Knight, MD

Bradley Knight, MD
New study results demonstrate an extravascular ICD that requires a defibrillator lead to be placed under the sternum can be successfully placed in patients. Questions remain, however, about the real-world clinical application and adoption.
New study results demonstrate an extravascular ICD that requires a defibrillator lead to be placed under the sternum can be successfully placed in patients. Questions remain, however, about the real-world clinical application and adoption.
New study results demonstrate an...
10/01/2022
EP Lab Digest
Letter from the Editor
Pulsed Field Ablation: What We Do and Do Not Know
09/01/2022

Bradley Knight, MD

Bradley Knight, MD
What do we actually know and not know about pulsed field ablation (PFA) as an energy source for ablation of atrial fibrillation? It will take a lot more time before we fully appreciate the role of PFA in cardiac electrophysiology.
What do we actually know and not know about pulsed field ablation (PFA) as an energy source for ablation of atrial fibrillation? It will take a lot more time before we fully appreciate the role of PFA in cardiac electrophysiology.
What do we actually know and not...
09/01/2022
EP Lab Digest
Letter from the Editor
Abnormal Ventricular Mechanics Just Before a Premature Ventricular Contraction! Difficult to Predict What Will be Predictive
07/05/2022

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

Bradley P. Knight, MD, FACC, FHRS, Ed...
The observation that LV mechanical function is abnormal just before a PVC is fascinating. This implies that the PVC is not the original sin—it is the beat before it. Although it is difficult to predict how this discovery might lead to a...
The observation that LV mechanical function is abnormal just before a PVC is fascinating. This implies that the PVC is not the original sin—it is the beat before it. Although it is difficult to predict how this discovery might lead to a...
The observation that LV...
07/05/2022
EP Lab Digest

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Letter from the Editor
The Problem of Highlighting Benign Nonsustained Supraventricular Tachycardias on Heart Rhythm Monitoring Reports
07/04/2022

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

Bradley P. Knight, MD, FACC, FHRS, Ed...
Dr. Knight questions why 4-beat runs of atrial tachycardia are prominently displayed on Holter monitor reports, noting it has led to an overemphasis of these arrhythmias, meaningless diagnoses of SVT, and unnecessary referrals to specialists.
Dr. Knight questions why 4-beat runs of atrial tachycardia are prominently displayed on Holter monitor reports, noting it has led to an overemphasis of these arrhythmias, meaningless diagnoses of SVT, and unnecessary referrals to specialists.
Dr. Knight questions why 4-beat...
07/04/2022
EP Lab Digest
Letter from the Editor
Strategies to Minimize the Use of Iodinated Contrast in the Electrophysiology Lab
05/11/2022

Bradley P Knight, MD, FACC, FHRS, Editor-in-Chief, EP Lab Digest

Bradley P Knight, MD, FACC, FHRS, Edi...
One can only hope that no patients will be harmed by this contrast shortage, and that efforts such as those described here will be sufficient to ride out the storm.
One can only hope that no patients will be harmed by this contrast shortage, and that efforts such as those described here will be sufficient to ride out the storm.
One can only hope that no...
05/11/2022
EP Lab Digest
Letter from the Editor
Tip Sheet for Anesthesiologists Taking Care of EP Patients
04/20/2022

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

Bradley P. Knight, MD, FACC, FHRS Edi...
The following list can serve as a tip sheet for anesthesiologists when taking care of patients with a cardiac implantable electronic device during procedures in the EP lab or operating room.
The following list can serve as a tip sheet for anesthesiologists when taking care of patients with a cardiac implantable electronic device during procedures in the EP lab or operating room.
The following list can serve as...
04/20/2022
EP Lab Digest

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September 2024
Volume 24
Issue 9
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Clinical Images
An Antisepsis Misfortune: Povidone-Iodine-Induced Chemical Burn Near the Pacemaker Implantation Site
09/12/2024
A 76-year-old woman was scheduled for pacemaker implantation due to sick sinus syndrome. The skin was prepared with the usual povidone-iodine solution. During the procedure, she experienced intense burning and discomfort on the left upper...
A 76-year-old woman was scheduled for pacemaker implantation due to sick sinus syndrome. The skin was prepared with the usual povidone-iodine solution. During the procedure, she experienced intense burning and discomfort on the left upper...
A 76-year-old woman was...
09/12/2024
Journal of Invasive Cardiology
Clinical Images
An Antisepsis Misfortune: Povidone-Iodine-Induced Chemical Burn Near the Pacemaker Implantation Site
09/12/2024
A 76-year-old woman was scheduled for pacemaker implantation due to sick sinus syndrome. The skin was prepared with the usual povidone-iodine solution. During the procedure, she experienced intense burning and discomfort on the left upper...
A 76-year-old woman was scheduled for pacemaker implantation due to sick sinus syndrome. The skin was prepared with the usual povidone-iodine solution. During the procedure, she experienced intense burning and discomfort on the left upper...
A 76-year-old woman was...
09/12/2024
Journal of Invasive Cardiology
Clinical Images
A Novel Exit Strategy for Removal of a Mitraclip Device From the Left Atrium
08/29/2024
This case demonstrates an issue retrieving a MitraClip into the steerable guide catheter and presents a novel solution to facilitate an exit strategy.
This case demonstrates an issue retrieving a MitraClip into the steerable guide catheter and presents a novel solution to facilitate an exit strategy.
This case demonstrates an issue...
08/29/2024
Journal of Invasive Cardiology
Clinical Images
A Novel Exit Strategy for Removal of a Mitraclip Device From the Left Atrium
08/29/2024
This case demonstrates an issue retrieving a MitraClip into the steerable guide catheter and presents a novel solution to facilitate an exit strategy.
This case demonstrates an issue retrieving a MitraClip into the steerable guide catheter and presents a novel solution to facilitate an exit strategy.
This case demonstrates an issue...
08/29/2024
Journal of Invasive Cardiology
Brief Communication
Clinical Outcomes of the Post-Closure Technique for Arteriotomy Closure With the Impella Cardiac Power Percutaneous Left Ventricular Assist Device
08/26/2024
The authors share their institutional experience with the Perclose post-closure technique for vascular access closure after Impella removal.
The authors share their institutional experience with the Perclose post-closure technique for vascular access closure after Impella removal.
The authors share their...
08/26/2024
Journal of Invasive Cardiology

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