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Volume 15 - Issue 5 - May, 2015

Featured Article

Spotlight Interview
Spotlight Interview: Kalispell Regional Healthcare
05/02/2015
Ilyas K. Colombowala, MD, FHRS
Kalispell Regional Healthcare is a non-profit community hospital serving as the main regional referral center for Northwest Montana.
Kalispell Regional Healthcare is a non-profit community hospital serving as the main regional referral center for Northwest Montana.
Kalispell Regional Healthcare is...
05/02/2015
EP Lab Digest
Cover Story
Left Atrial Thrombus Aspiration Guided by ICE During Catheter Ablation for Atrial Fibrillation Utilizing Cerebral Protection Devices
05/02/2015
Adel Mina, MD, FACC, FHRS; Nicholas Warnecke, PA-C; Joel Kupfer, MD
Data is scarce for optimal strategies to help prevent thrombus formation. This case demonstrates the importance of utilizing heparin prior to transseptal puncture to avoid sheath thrombus formation.
Data is scarce for optimal strategies to help prevent thrombus formation. This case demonstrates the importance of utilizing heparin prior to transseptal puncture to avoid sheath thrombus formation.
Data is scarce for optimal...
05/02/2015
EP Lab Digest
Cover Story
Engagement of ICD Patients: Direct Electronic Messaging of Remote Monitoring Data via a Personal Health Record
05/02/2015
Rob Plant, PharmD, CCRC; Michael J. Mirro, MD, FACC; Carly N. Daley, BA, CCRC; Tina Allmandinger, RN, BSN; Lisa D. Heral, CCRC, RN, BA; Tammy Toscos, PhD
This research presents an innovative way to improve patient care and clinic workflow by enhancing patient engagement using a standardized technology that can be applied to remote monitoring data from devices regardless of vendor.
This research presents an innovative way to improve patient care and clinic workflow by enhancing patient engagement using a standardized technology that can be applied to remote monitoring data from devices regardless of vendor.
This research presents an...
05/02/2015
EP Lab Digest
Case Study
An Interesting Case of Arrhythmia-Induced Cardiomyopathy
05/02/2015
Rakesh Gopinathannair, MD, MA, FACC, FHRS
In this patient with pre-existing ischemic heart disease, two different arrhythmias — persistent atrial flutter and frequent PVCs — contributed to the development of cardiomyopathy and heart failure.
In this patient with pre-existing ischemic heart disease, two different arrhythmias — persistent atrial flutter and frequent PVCs — contributed to the development of cardiomyopathy and heart failure.
In this patient with...
05/02/2015
EP Lab Digest
Innovation
Development and Implementation of a Multidisciplinary Protocol for Magnetic Resonance Imaging in Patients with CIEDs: University of Michigan Experience
05/02/2015
Laura Horwood, MS, ACNP-BC; Frank Bogun, MD; Hakan Oral, MD
Laura Horwood, MS, ACNP-BC, et al describe their protocol for patients with a CIED undergoing MRI. This protocol is a modified version of the protocol used by the Johns Hopkins group, who pioneered the effort of scanning patients with CIEDs.
Laura Horwood, MS, ACNP-BC, et al describe their protocol for patients with a CIED undergoing MRI. This protocol is a modified version of the protocol used by the Johns Hopkins group, who pioneered the effort of scanning patients with CIEDs.
Laura Horwood, MS, ACNP-BC, et...
05/02/2015
EP Lab Digest
EP Tips & Techniques
Converging Towards an Effective Cure for Persistent AF: A Review of Techniques, and the Case for a First-Line Multidisciplinary Approach
05/02/2015
Felix Yang, MD, FACC, FHRS
Given the heterogeneity of AF sources and mechanisms, a consistently effective endocardially-based treatment strategy has been elusive. 
Given the heterogeneity of AF sources and mechanisms, a consistently effective endocardially-based treatment strategy has been elusive. 
Given the heterogeneity of AF...
05/02/2015
EP Lab Digest
Quiz
EP Quiz
05/02/2015
Ulhas M. Pandurangi, MD
Ready to test your basic EP knowledge? Take this brief quiz!
Ready to test your basic EP knowledge? Take this brief quiz!
Ready to test your basic EP...
05/02/2015
EP Lab Digest
PATIENT PERSPECTIVE
Weighing the Different Treatment Approaches for Afib: From One Patient’s Perspective
05/02/2015
Jon Darsee
Jon Darsee discusses his personal journey with atrial fibrillation.
Jon Darsee discusses his personal journey with atrial fibrillation.
Jon Darsee discusses his...
05/02/2015
EP Lab Digest
Feature Interview
Techniques in Robotic Catheter Manipulation: Interview with Gregory Feld, MD
05/02/2015
Jodie Elrod
EP Lab Digest speaks with Dr. Gregory Feld about his use of the Amigo Remote Catheter System (Catheter Robotics). Dr. Feld is a Professor of Medicine and the Director of the Cardiac Electrophysiology Program at UCSD Medical Center. 
EP Lab Digest speaks with Dr. Gregory Feld about his use of the Amigo Remote Catheter System (Catheter Robotics). Dr. Feld is a Professor of Medicine and the Director of the Cardiac Electrophysiology Program at UCSD Medical Center. 
EP Lab Digest speaks with Dr....
05/02/2015
EP Lab Digest
Education
So Far, So Fast and Ever Evolving: Loma Linda University Cardiac Electrophysiology Technology Program
05/02/2015
Joe Giron, RN, RT, RCES, CEPS; Janelle Guerrero, MS, RCES; David Lopez, EdD, RCP, RRT; Peter McBride, BS
Four years ago, Loma Linda University introduced the Cardiac Electrophysiology Technologist program, aiming to meet a growing demand for clinical EP staff and provide patients with quality care in the cardiac EP lab.
Four years ago, Loma Linda University introduced the Cardiac Electrophysiology Technologist program, aiming to meet a growing demand for clinical EP staff and provide patients with quality care in the cardiac EP lab.
Four years ago, Loma Linda...
05/02/2015
EP Lab Digest
Early Experience
Innovations in Electroanatomic Mapping: Ultra-High Density Mapping
05/02/2015
Jonathan P. Piccini, Sr., MD, MHS, FHRS
Ultra-high density high-resolution mapping should help facilitate the understanding of the underlying anatomic or mechanistic basis of arrhythmia by facilitating the visualization of arrhythmia circuits. 
Ultra-high density high-resolution mapping should help facilitate the understanding of the underlying anatomic or mechanistic basis of arrhythmia by facilitating the visualization of arrhythmia circuits. 
Ultra-high density...
05/02/2015
EP Lab Digest
Inside the EP Lab
Initial Human Experience of a Novel Steerable Sheath for AF Ablation With Circumferential PV Isolation
05/02/2015
Laura Minarsch, CCRP, CVT, RT, RT(R); Ian Crozier, MD; Iain Melton, MD; Matthew Daly, MD; Catherine Cruickshank
The Vado Sheath, a novel coaxial steerable sheath design without pull-wires, improved the authors' ability to target and isolate veins in patients with paroxysmal and persistent AF. 
The Vado Sheath, a novel coaxial steerable sheath design without pull-wires, improved the authors' ability to target and isolate veins in patients with paroxysmal and persistent AF. 
The Vado Sheath, a novel coaxial...
05/02/2015
EP Lab Digest
EP Research
Contribution of Sleep Apnea to AF, its Impact on Outcome of AF Ablation, and the Role of CPAP Therapy
05/02/2015
Elad Anter, MD
The presence of OSA with its associated atrial structural and electrical remodeling not only potentiates the risk of developing atrial fibrillation, but also limits the success of rhythm control strategies including ablation.
The presence of OSA with its associated atrial structural and electrical remodeling not only potentiates the risk of developing atrial fibrillation, but also limits the success of rhythm control strategies including ablation.
The presence of OSA with its...
05/02/2015
EP Lab Digest
Case Study
When Interventions Collide: Challenges in Ventricular Tachycardia Ablation After PARACHUTE Device Placement
05/02/2015
J. Jenkins Thompson, MD; Jayanthi N. Koneru, MD; Kenneth A. Ellenbogen, MD
Recently, additional investigational percutaneous therapies have been developed for patients with refractory heart failure and ischemic cardiomyopathy.
Recently, additional investigational percutaneous therapies have been developed for patients with refractory heart failure and ischemic cardiomyopathy.
Recently, additional...
05/02/2015
EP Lab Digest
Feature Interview
Advances in Lead Extraction Techniques: Interview With Roger A. Freedman, MD
05/02/2015
Jodie Elrod
EP Lab Digest speaks with Dr. Roger Freedman from the University of Utah about his advanced lead extraction techniques. 
EP Lab Digest speaks with Dr. Roger Freedman from the University of Utah about his advanced lead extraction techniques. 
EP Lab Digest speaks with Dr....
05/02/2015
EP Lab Digest
Case Study
A Case of Flecainide Toxicity
05/02/2015
Indrajeet Mahata, MD; Abraham G. Kocheril, MD, FHRS, FACC, FACP; Snigdha Kola, MD
A clinically important but infrequent consequence of flecainide toxicity is its organization of atrial fibrillation into atrial flutter, as seen in this case. With resolution of the toxicity, the atrial flutter converted back to AF.
A clinically important but infrequent consequence of flecainide toxicity is its organization of atrial fibrillation into atrial flutter, as seen in this case. With resolution of the toxicity, the atrial flutter converted back to AF.
A clinically important but...
05/02/2015
EP Lab Digest
Letter from the Editor
Practical Advice Related to Anticoagulation for Atrial Fibrillation: Beyond the Guidelines
05/02/2015
Bradley P. Knight, MD, FACC, FHRS
All providers of care to patients with anticoagulation should review the comprehensive “Practical Management of Anticoagulation in Patients With Atrial Fibrillation."
All providers of care to patients with anticoagulation should review the comprehensive “Practical Management of Anticoagulation in Patients With Atrial Fibrillation."
All providers of care to...
05/02/2015
EP Lab Digest
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Editorial Staff

Clinical Editor
Bradley Knight, MD

Managing Editor
Jodie Elrod

Design Operations Manager
Beth Vasil

Editorial Correspondence

Jodie Elrod, Managing Editor, EP Lab Digest
HMP Global, 70 E. Swedesford Rd.,
Suite 100, Malvern, PA 19355
Email: jelrod@hmpglobal.com

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