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Volume 19 - Issue 8 - August 2019

Featured Article

Cover Story
Cardioneuroablation: Cardiac RF Catheter Vagal Denervation – Concept, Method, and Results
08/02/2019

José Carlos Pachón-M., MD, PhD, CCDS1-3; Enrique I. Pachón-M., MD, PhD1-3; Christian Higuti, MD2,3; Tomas G. Santillana-P., MD2; Tasso J. Lobo, MD2; Carlos Thiene C. Pachón, MD2; Juán Carlos Pachón-M., MD, PhD1-3; Juán Carlos Zerpa-A., MD2; Felipe Ortencio, MD2; Ricardo C. Amarante, MD, PhD1-3; Thiago G. Osorio, MD, PhD4

1São Paulo University, São Paulo, Brazil; 2São Paulo Heart Hospital, São Paulo, Brazil; 3São Paulo Dante Pazzanese Cardiology Institute, São Paulo, Brazil; 4Vrije Universiteit Brussel, Brussel, Belgium

José Carlos Pachón-M., MD, PhD, CCDS1...
Cardiac Innervation The heart has a dense innervation that permanently regulates its activity, composed by the autonomic visceral nervous system. However, unlike skeletal muscle, the cardiac nervous system has the sympathetic partition that...
Cardiac Innervation The heart has a dense innervation that permanently regulates its activity, composed by the autonomic visceral nervous system. However, unlike skeletal muscle, the cardiac nervous system has the sympathetic partition that...
Cardiac Innervation The heart...
08/02/2019
EP Lab Digest
Cover Story
Updates in Long QT Syndrome: Experience from the Stanford Inherited Cardiac Arrhythmia Clinic
08/02/2019

Interview by Jodie Elrod

Interview by Jodie Elrod
In the next episode of The EP Edit podcast, we speak with Dr. Marco Perez, a cardiac electrophysiologist and associate professor of cardiovascular medicine at the Stanford University Medical Center in California. As director of the Stanford...
In the next episode of The EP Edit podcast, we speak with Dr. Marco Perez, a cardiac electrophysiologist and associate professor of cardiovascular medicine at the Stanford University Medical Center in California. As director of the Stanford...
In the next episode of The EP...
08/02/2019
EP Lab Digest

Column

Letter from the Editor
The 2019 Updated AF Guidelines
08/03/2019

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

Bradley P. Knight, MD, FACC, FHRS, Ed...
In July 2019, the American Heart Association, American College of Cardiology, and Heart Rhythm Society published a focused update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation (AF).1 The authors...
In July 2019, the American Heart Association, American College of Cardiology, and Heart Rhythm Society published a focused update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation (AF).1 The authors...
In July 2019, the American Heart...
08/03/2019
EP Lab Digest
Women in Electrophysiology
Career Advice for Female Electrophysiologists: Lessons Learned Thus Far
08/03/2019

Jennifer M. Wright, MD

UW Health

Madison, Wisconsin

Jennifer M. Wright, MD UW Health Ma...
I am thankful for the opportunity and platform to write about my personal experience on “lessons learned” as a female electrophysiologist. The fact that there is a “Women in EP” series in EP Lab Digest speaks volumes — not only to the growing...
I am thankful for the opportunity and platform to write about my personal experience on “lessons learned” as a female electrophysiologist. The fact that there is a “Women in EP” series in EP Lab Digest speaks volumes — not only to the growing...
I am thankful for the...
08/03/2019
EP Lab Digest
Feature Interview
The Benefits of RF for Transseptal Procedures
08/02/2019

A Q&A with Dr. Bradley Knight, Director of Cardiac Electrophysiology at the Bluhm Cardiovascular Institute at Northwestern Memorial Hospital

A Q&A with Dr. Bradley Knight, Di...
Tell us about your EP program. What types of procedures do you most commonly perform? What is the case volume? I’ve been at Northwestern for 10 years. We have seven faculty members, six of which are independently performing atrial...
Tell us about your EP program. What types of procedures do you most commonly perform? What is the case volume? I’ve been at Northwestern for 10 years. We have seven faculty members, six of which are independently performing atrial...
Tell us about your EP program....
08/02/2019
EP Lab Digest
Spotlight Interview
Spotlight Interview: Schulich Heart Centre – Sunnybrook Hospital
08/02/2019

Benedict M. Glover, MD, MRCP

Schulich Heart Centre, Sunnybrook Hospital

Toronto, Ontario, Canada

Benedict M. Glover, MD, MRCP Schulic...
When was the EP program started at your institution? By whom? 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...
When was the EP program started at your institution? By whom? 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...
When was the EP program started...
08/02/2019
EP Lab Digest

Feature

Case Study
Physiologic Ventricular Pacing with Conventional Pacing Leads: A Preferred Approach?
08/03/2019

James Kneller, MD, PhD, FHRS, CCDS

Astria Heart Institute,

Yakima, Washington

James Kneller, MD, PhD, FHRS, CCDS A...
His bundle pacing (HBP) is increasingly preferred for ventricular pacing.1 Despite the surging popularity among electrophysiologists, available tools dedicated to HBP remain limited. In this report, we discuss how HBP is feasible without...
His bundle pacing (HBP) is increasingly preferred for ventricular pacing.1 Despite the surging popularity among electrophysiologists, available tools dedicated to HBP remain limited. In this report, we discuss how HBP is feasible without...
His bundle pacing (HBP) is...
08/03/2019
EP Lab Digest
Case Study
An Alternative Pacemaker Site in Patient With Poland Syndrome
08/03/2019

Samuel O. Jones, MD, MPH, FACC, FHRS, and Newton B. Wiggins, MD, FACC, 

Chattanooga Heart Institute, 

Memorial Hospital, 

Chattanooga, Tennessee

Samuel O. Jones, MD, MPH, FACC, FHRS,...
The authors report a case of a patient who underwent device system extraction due to infection and required reimplantation in an alternative site due to congenital absence of the pectoralis muscle.
The authors report a case of a patient who underwent device system extraction due to infection and required reimplantation in an alternative site due to congenital absence of the pectoralis muscle.
The authors report a case of a...
08/03/2019
EP Lab Digest
EP Research
From Idea to Reality: A Brief Tour Inside Our Research Lab
08/03/2019

Payam Safavi-Naeini, MD1, Alison Post, PhD1, Mathews M. John, MEng1, Brian D. Greet, MD2, David Burkland, MD2, Ashley Rook, BS1, Abdi Rasekh, MD2, Mohammad Saeed, MD2, Joanna Esther Molina Razavi, MD2, Mehdi Razavi, MD1,2

1Department of Cardiology, Texas Heart Institute, Houston, Texas;

2Department of Internal Medicine, Section of Cardiology, Baylor College of Medicine, Houston, Texas

Payam Safavi-Naeini, MD1, Alison Post...
Background The concept of evaluating pulses as a mechanical indicator of heart activity has ancient roots; the first clinical arrhythmia studies were a part of traditional Chinese medicine in the 5th century BC.1 In 1902, a significant...
Background The concept of evaluating pulses as a mechanical indicator of heart activity has ancient roots; the first clinical arrhythmia studies were a part of traditional Chinese medicine in the 5th century BC.1 In 1902, a significant...
Background The concept of...
08/03/2019
EP Lab Digest
Clinical Images
Noise Artifacts Detected in a Pacemaker: What is the Source?
08/03/2019

Christine Chiu-Man, MSc, Jessie Salway, BSc, Chant Sleiman, RCT, Elizabeth A. Stephenson, MD, MSc

Department of Cardiology, The Hospital for Sick Children

Toronto, Ontario, Canada

Christine Chiu-Man, MSc, Jessie Salwa...
Case Description A 10-year-old girl with an epicardial VVI pacemaker system for cardioinhibitory syncope was seen in routine follow-up, and the high rate counter showed multiple detections from three months prior. Figures 1 and 2 are...
Case Description A 10-year-old girl with an epicardial VVI pacemaker system for cardioinhibitory syncope was seen in routine follow-up, and the high rate counter showed multiple detections from three months prior. Figures 1 and 2 are...
Case Description A 10-year-old...
08/03/2019
EP Lab Digest

Department

EP 101
Ten Tips for Performing Fluoroless Catheter Ablation
08/03/2019

Takeki Suzuki, MD, MPH, PhD, FHRS, FACC

University of Mississippi Medical Center

Jackson, Mississippi

Takeki Suzuki, MD, MPH, PhD, FHRS, FA...
As a cardiac electrophysiologist, I have been working on reducing fluoro time since my EP fellowship. Thanks to the support of my attending physicians, EP lab staff members, and support staff members, I am now doing zero fluoro ablation for...
As a cardiac electrophysiologist, I have been working on reducing fluoro time since my EP fellowship. Thanks to the support of my attending physicians, EP lab staff members, and support staff members, I am now doing zero fluoro ablation for...
As a cardiac...
08/03/2019
EP Lab Digest
Imaging Corner
Successful LAAC Using 3D TEE
08/02/2019
Images courtesy UC Davis Medical Center, Sacramento, California This case involving a left atrial appendage closure (LAAC) demonstrates the advantages of 3D transesophageal echocardiography (TEE) over 2D imaging. An 81-year-old female with a...
Images courtesy UC Davis Medical Center, Sacramento, California This case involving a left atrial appendage closure (LAAC) demonstrates the advantages of 3D transesophageal echocardiography (TEE) over 2D imaging. An 81-year-old female with a...
Images courtesy UC Davis Medical...
08/02/2019
EP Lab Digest

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August 2019 Volume 19 Issue 8

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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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