HOME | EP LAB DIGESTABOUTISSUESONLINE ONLYEP LAB LIVESUBSCRIBEEDITORIAL BOARD Assessment and Management of Neurogenic Orthostatic Hypotension (nOH) and Postural Orthostatic Tachycardia Syndrome (POTS) Jacquie Baker, BSc, MSc, PhD et al discuss how recognizing the common clinical features of nOH and POTS has the potential to significantly improve the quality of life of patients. REMOTE INTERROGATION OF CARDIAC IMPLANTABLE ELECTRONIC Janet Gifford, MSN, NP and colleagues describe a nurse-managed remote CIED interrogation program for hospital patients. In 2017, they began using this remote technology at Edward Hospital, and have now performed over 300 interrogations. They since have trained approximately 20 charge nurses on the new technology. The following discussion includes personnel training, the ACUTE FLECAINIDE TOXICITY: A CASE REPORT Acute management of flecainide toxicity, which has mainly been studied through case reports, can be challenging due to nearly 90% oral bioavailability and slow rate of elimination. Moreover, dialysis is often ineffective during flecainide toxicity due to a large volume of distribution. High-dose sodium bicarbonate is the treatment of choice

to

THE VALUE OF A COMPREHENSIVE ATRIAL FIBRILLATION CLINIC EP Lab Digest speaks with Karen Martinelli, RN, CCRN, Atrial Fibrillation Nurse Navigator, Narendra K. Kanuru, MD, Michael J. Riley, MD, FACC, and Bryan T. Piedad, MD ACHIEVING EFFICIENT WORKFLOW IN THE EP LAB WITH HIGH Over the past decade, significant advances have been made in the realm of arrhythmia management due to expansion of interest in catheter-based solutions to reduce the morbidity associated with these disease states. Growth in this field has propelled research and development of force-sensing catheters as well as high-density mapping catheters such as the Advisor HD Grid Mapping Catheter, PREMATURE VENTRICULAR COMPLEXES AND THE ROLE OF CATHETERPREMATURE SUPRAVENTRICULAR COMPLEXES TREA…SUPRAVENTRICULAR PREMATURE COMPLEXES ON …VENTRICULAR PREMATURE COMPLEXES EKG Premature ventricular complexes (PVCs) are electrical activity originating within the ventricles leading to early depolarization of ventricles. PVCs are generally detected on electrocardiography (ECG), ambulatory monitoring devices, and hospital telemetry. PVCs are commonly found in patients with or without structural heart disease,

and their

SPOTLIGHT INTERVIEW: SCHULICH HEART CENTRE The EP program at Sunnybrook’s Schulich Heart Centre was developed by Dr. Eugene Crystal, director of arrhythmia services. He has demonstrated exemplary leadership and innovative skills in this role. Dr. Crystal was instrumental in introducing complex mapping and ablation, as well as having one of the first EP laboratories in Canada

with

THE NEWER ANTICOAGULANTS AND AGENTS USED FOR REVERSING The Newer Anticoagulants and Agents Used for Reversing Their Action. The development of novel anticoagulants (NOACs) has provided a great alternative to the cumbersome use of warfarin. There are now many choices with different dosing regimens as well as modes of metabolism and excretion to choose from. This has made it even more crucial to

know

DEVELOPING A MULTIDISCIPLINARY MODEL FOR ATRIAL Developing a Multidisciplinary Model for Atrial Fibrillation Management. Atrial fibrillation (AFib) is a leading cause of cardiovascular morbidity and mortality. Disease management is complex, as it includes the assessment and treatment of thromboembolic complications as well as treatment pathways for rate and rhythm

control.

CHANGE AND CHALLENGE: UNDERSTANDING THE FINANCES OF THE Change and Challenge: Understanding the Finances of the Electrophysiology Lab. The electrophysiology (EP) lab has become highly specialized over the past several years, leading to the subspecialty emerging as one of the fastest growing within the cardiovascular service line. Advanced technologies developed for diagnostic and interventional HOME | EP LAB DIGESTABOUTISSUESONLINE ONLYEP LAB LIVESUBSCRIBEEDITORIAL BOARD Assessment and Management of Neurogenic Orthostatic Hypotension (nOH) and Postural Orthostatic Tachycardia Syndrome (POTS) Jacquie Baker, BSc, MSc, PhD et al discuss how recognizing the common clinical features of nOH and POTS has the potential to significantly improve the quality of life of patients. REMOTE INTERROGATION OF CARDIAC IMPLANTABLE ELECTRONIC Janet Gifford, MSN, NP and colleagues describe a nurse-managed remote CIED interrogation program for hospital patients. In 2017, they began using this remote technology at Edward Hospital, and have now performed over 300 interrogations. They since have trained approximately 20 charge nurses on the new technology. The following discussion includes personnel training, the ACUTE FLECAINIDE TOXICITY: A CASE REPORT Acute management of flecainide toxicity, which has mainly been studied through case reports, can be challenging due to nearly 90% oral bioavailability and slow rate of elimination. Moreover, dialysis is often ineffective during flecainide toxicity due to a large volume of distribution. High-dose sodium bicarbonate is the treatment of choice

to

THE VALUE OF A COMPREHENSIVE ATRIAL FIBRILLATION CLINIC EP Lab Digest speaks with Karen Martinelli, RN, CCRN, Atrial Fibrillation Nurse Navigator, Narendra K. Kanuru, MD, Michael J. Riley, MD, FACC, and Bryan T. Piedad, MD ACHIEVING EFFICIENT WORKFLOW IN THE EP LAB WITH HIGH Over the past decade, significant advances have been made in the realm of arrhythmia management due to expansion of interest in catheter-based solutions to reduce the morbidity associated with these disease states. Growth in this field has propelled research and development of force-sensing catheters as well as high-density mapping catheters such as the Advisor HD Grid Mapping Catheter, PREMATURE VENTRICULAR COMPLEXES AND THE ROLE OF CATHETERPREMATURE SUPRAVENTRICULAR COMPLEXES TREA…SUPRAVENTRICULAR PREMATURE COMPLEXES ON …VENTRICULAR PREMATURE COMPLEXES EKG Premature ventricular complexes (PVCs) are electrical activity originating within the ventricles leading to early depolarization of ventricles. PVCs are generally detected on electrocardiography (ECG), ambulatory monitoring devices, and hospital telemetry. PVCs are commonly found in patients with or without structural heart disease,

and their

SPOTLIGHT INTERVIEW: SCHULICH HEART CENTRE The EP program at Sunnybrook’s Schulich Heart Centre was developed by Dr. Eugene Crystal, director of arrhythmia services. He has demonstrated exemplary leadership and innovative skills in this role. Dr. Crystal was instrumental in introducing complex mapping and ablation, as well as having one of the first EP laboratories in Canada

with

THE NEWER ANTICOAGULANTS AND AGENTS USED FOR REVERSING The Newer Anticoagulants and Agents Used for Reversing Their Action. The development of novel anticoagulants (NOACs) has provided a great alternative to the cumbersome use of warfarin. There are now many choices with different dosing regimens as well as modes of metabolism and excretion to choose from. This has made it even more crucial to

know

DEVELOPING A MULTIDISCIPLINARY MODEL FOR ATRIAL Developing a Multidisciplinary Model for Atrial Fibrillation Management. Atrial fibrillation (AFib) is a leading cause of cardiovascular morbidity and mortality. Disease management is complex, as it includes the assessment and treatment of thromboembolic complications as well as treatment pathways for rate and rhythm

control.

CHANGE AND CHALLENGE: UNDERSTANDING THE FINANCES OF THE Change and Challenge: Understanding the Finances of the Electrophysiology Lab. The electrophysiology (EP) lab has become highly specialized over the past several years, leading to the subspecialty emerging as one of the fastest growing within the cardiovascular service line. Advanced technologies developed for diagnostic and interventional THE EVOLVING ROLE OF THE NURSE PRACTITIONER IN CARDIAC The Evolving Role of the Nurse Practitioner in Cardiac Electrophysiology. Issue Number. Volume 20 - Issue 9 - September 2020. Interview by Jodie Elrod. Login or Register to download PDF. Interview by Jodie Elrod. In this interview, EP Lab Digest speaks with Julie Shea, MS, RNCS, FHRS, CCDS from Brigham and Women’s Hospital in

Boston

JOB BOARD | EP LAB DIGEST Staff RN – Cardiac Cath/ Electrophysiology Lab/Interventional Radiology. September 23, 2020. REMOTE INTERROGATION OF CARDIAC IMPLANTABLE ELECTRONIC Janet Gifford, MSN, NP and colleagues describe a nurse-managed remote CIED interrogation program for hospital patients. In 2017, they began using this remote technology at Edward Hospital, and have now performed over 300 interrogations. They since have trained approximately 20 charge nurses on the new technology. The following discussion includes personnel training, the COMPENSATORY VERSUS NON-COMPENSATORY PAUSES: IT’S ALL There is a great misunderstanding among those in the EP field regarding compensatory and non-compensatory pauses. This article aims to enlighten readers of any misconceptions. The terms compensatory and non-compensatory refer to the post-ectopic pause that follows a premature atrial, junctional, or ventricular impulse. These terms have a bit of a confusing history. MEDTRONIC INSERTABLE CARDIAC MONITOR DETECTS SIGNIFICANTLY Medtronic plc, the global leader in medical technology, announced clinical trial results from the STROKE AF trial demonstrating the superiority of the Reveal LINQ™ Insertable Cardiac Monitor (ICM) to detect abnormal heartbeats, otherwise known as atrial fibrillation (AF), in both large and small vessel stroke patients compared to

standard of care.

EP LAB DIGEST ENEWSLETTER EP Lab Digest eNewsletter. Please fill in a valid value for all required fields. Please ensure all values are in a proper format. Are you sure you want to leave this form and resume later? ATOS AND HUMA ENTER INTO FIVE-YEAR PARTNERSHIP TO IMPROVE Atos and Huma, the digital health innovator, have announced a 5-year strategic global partnership to shift healthcare and clinical trials from hospital to home. The partnership will focus on Huma's modular platform which can power digital 'hospitals at home' up to national scale, as well as support pharmaceutical and research industries to run complex global decentralized clinical trials. ALIVECOR ACQUIRES CARDIOLABS AND SETS THE STAGE FOR THE AliveCor, the global leader in FDA-cleared personal electrocardiogram (ECG) technology and services, announced that it has acquired the independent diagnostic testing facility (IDTF) CardioLabs, a leading monitoring and cardiac diagnostic service provider. CARDIAC INSIGHT ANNOUNCES EXPANSION INTO MORE THAN 20 ASIA Dreamtech distributes Cardea SOLO™ ECG System in Korea through its new healthcare organization iSigNal, and lead commercial expansion in 20+ other APAC countries. CARDIAC CATHETERIZATION TECHNOLOGIST

June 8, 2021

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ISSUE HIGHLIGHTS

Case Study

Direct Visualization, Speed, and Flexibility in Pulmonary Vein Isolation Using the New HeartLight X3 Endoscopic Ablation System: Interview with Dr. Mohamed Djelmami-Hani Mohamed Djelmami-Hani, MD, FHRS describes the latest version of the novel endoscopic laser balloon system (HeartLight X3 System, CardioFocus) for pulmonary vein isolation in a patient with

persistent…

Case Study

Repeat Ablation of Ventricular Tachycardia Using Robotic Magnetic

Navigation

Rachel V. Weise, RT(R)(ARRT), BSRS describes how with the installation of a robotic magnetic navigation system, they were able to perform a repeat ventricular tachycardiac ablation with successful results.

Case Study

Incessant Ventricular Tachycardia Terminated by Extracorporeal Life

Support

George S. Prousi, MD and colleagues describe a case of incessant ventricular tachycardia terminated by extracorporeal membrane oxygenation (ECMO) in the setting of pharmacologic refractoriness.

NEWS

Texas Cardiac Arrhythmia Institute Leader Participates in Clinical Trial for Catheter That May Reduce Complication Risk During Cardiac

Ablation

The Valley Hospital Offers New Advance for Patients with Heart Failure Innovative Health Partners with SxanPro to Increase EP Labs’ Financial Savings Beyond Reprocessing

YOU MAY HAVE MISSED

Sailing in the Lab

Disaster Preparedness in Medicine: Tips for Hospitals Intraoperative Epicardial Voltage Mapping to Guide Hybrid Convergent Ablation of Persistent Atrial Fibrillation

EP LAB LIVE

Computed Tomography and Late-Iodine Enhancement in Guiding Substrate Mapping and Ablation of Ventricular Tachycardias Listen to the Next Episode of The EP Edit! Discussion With the Course

Directors About…

An Unusual Substrate for Outflow Tract Ventricular Tachycardia: VT

Activation Map

Remote Programming of Cardiac Implantable Electronic Devices: Video

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