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Volume 19 - Issue 12 - December 2019

Featured Article

Cover Story
Stereotactic Radioablation for the Non-Invasive Treatment of Cardiac Arrhythmias: From the Perspective of the Cardiac SBRT Program at Brigham and Women’s Hospital
12/02/2019

Pierre C. Qian,BSc(Med) Hons MBBS1,2; William H. Sauer,MD1,2; Ray Mak,MD2,3; Usha B. Tedrow,MD, MS1,2; and Paul C. Zei,MD, PhD1,2

1Cardiovascular Division, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts

2Harvard Medical School, Boston, Massachusetts

3Department of Radiation Oncology, Dana-Farber Cancer Institute and Brigham and Women’s Hospital, Boston, Massachusetts

Pierre C. Qian,BSc(Med) Hons MBBS1,2;...
The birth of cardiac catheter ablation in the late 1970s was an inflection point in the world of cardiac electrophysiology. No longer did simple arrhythmias treatable by focal ablation require open surgery. With the advent of radiofrequency...
The birth of cardiac catheter ablation in the late 1970s was an inflection point in the world of cardiac electrophysiology. No longer did simple arrhythmias treatable by focal ablation require open surgery. With the advent of radiofrequency...
The birth of cardiac catheter...
12/02/2019
EP Lab Digest
Cover Story
The Promise of Pulsed Field Ablation
12/02/2019

David E. Haines, MD, FHRS, FACC and Christopher J. Bradley, DO

Department of Cardiovascular Medicine, Beaumont Hospital, Oakland University William Beaumont School of Medicine

Royal Oak, Michigan

David E. Haines, MD, FHRS, FACC and C...
Pulsed field ablation (PFA) employs trains of high voltage in very short duration electrical pulses to injure tissue by the mechanism of irreversible electroporation.
Pulsed field ablation (PFA) employs trains of high voltage in very short duration electrical pulses to injure tissue by the mechanism of irreversible electroporation.
Pulsed field ablation (PFA)...
12/02/2019
EP Lab Digest

Column

Letter from the Editor
Delay in Insurance Preauthorization for a Defibrillator Nearly Costs Patient with Hypertrophic Cardiomyopathy Her Life
12/02/2019

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

Bradley P. Knight, MD, FACC, FHRS, Ed...
A 47-year-old woman, mother of two, was diagnosed with hypertrophic cardiomyopathy (HCM) during family screening after her sister and brother were found to have HCM. She had no symptoms other than mild palpitations. She had no syncope and no...
A 47-year-old woman, mother of two, was diagnosed with hypertrophic cardiomyopathy (HCM) during family screening after her sister and brother were found to have HCM. She had no symptoms other than mild palpitations. She had no syncope and no...
A 47-year-old woman, mother of...
12/02/2019
EP Lab Digest
Spotlight Interview
Spotlight Interview: Stadtspital Triemli
12/02/2019

Dr. Christine Franzini

Zurich, Switzerland

Dr. Christine Franzini Zurich, Switz...
When was the EP program started at your institution? By whom? The first ablation at our clinic was performed in 2006 by an external consultant. Then in 2008, Dr. Thomas Stuber joined the clinic and started today’s EP program with great...
When was the EP program started at your institution? By whom? The first ablation at our clinic was performed in 2006 by an external consultant. Then in 2008, Dr. Thomas Stuber joined the clinic and started today’s EP program with great...
When was the EP program started...
12/02/2019
EP Lab Digest

Feature

Case Study
Central Sleep Apnea: A Team-Based Approach to Recognition and Therapy
12/02/2019

Anish Amin, MD, Anupam Basuray, MD, Eugene Fu, MD, Adam Pleister, MD, Asim Roy, MD

OhioHealth Heart and Vascular Physicians, Columbus, Ohio; Ohio Sleep Medicine Institute, Columbus, Ohio

Anish Amin, MD, Anupam Basuray, MD, E...
The role of sleep-disordered breathing is well recognized as a comorbid condition in heart and vascular patients. Assessment and therapy of sleep apnea is considered part of the “standard of care” for patients with heart failure and atrial...
The role of sleep-disordered breathing is well recognized as a comorbid condition in heart and vascular patients. Assessment and therapy of sleep apnea is considered part of the “standard of care” for patients with heart failure and atrial...
The role of sleep-disordered...
12/02/2019
EP Lab Digest
Case Study
An Atypical “Isthmus”-Dependent Atrial Flutter Case
12/02/2019

Sok-Sithikun Bun, MD, PhD; Pamela Moceri, MD, PhD; Emile Ferrari, MD

Pasteur University Hospital, Cardiology Department

Nice, France

Sok-Sithikun Bun, MD, PhD; Pamela Moc...
Introduction Cavotricuspid isthmus-dependent atrial flutter may be one of the best examples for which there is a high correlation between electrocardiogram morphology and circuit mechanism/location. Nevertheless, some important variations...
Introduction Cavotricuspid isthmus-dependent atrial flutter may be one of the best examples for which there is a high correlation between electrocardiogram morphology and circuit mechanism/location. Nevertheless, some important variations...
Introduction Cavotricuspid...
12/02/2019
EP Lab Digest
Case Study
Premature Ventricular Complexes and the Role of Catheter Ablation in Current Times
12/02/2019

Amit Rout, MD, Paresh M. Shah, MD, Yousuf Kanjwal, MD, FACC, 

Department of Cardiology, Sinai Hospital of Baltimore, 

Baltimore, Maryland

Amit Rout, MD, Paresh M. Shah, MD, Yo...
In this article, authors Amit Rout, MD, and colleagues present 2 cases of PVC ablation, briefly discussing PVCs and their management, including catheter ablation.
In this article, authors Amit Rout, MD, and colleagues present 2 cases of PVC ablation, briefly discussing PVCs and their management, including catheter ablation.
In this article, authors Amit...
12/02/2019
EP Lab Digest
Case Study
Approach to High-Risk Lead Extraction in a Community Setting
12/02/2019

Jonathan Salcedo, MD and Amir Schricker, MD, MS

Cardiac Electrophysiology

Palo Alto Medical Foundation – Sutter Health

Mills Peninsula Medical Center

Burlingame, California

Jonathan Salcedo, MD and Amir Schrick...
Background Transvenous lead extraction of fractured or infected cardiac implantable electronic devices (CIEDs) remains a necessary skill set for cardiac electrophysiologists in both academic and private practices. Avoiding catastrophic...
Background Transvenous lead extraction of fractured or infected cardiac implantable electronic devices (CIEDs) remains a necessary skill set for cardiac electrophysiologists in both academic and private practices. Avoiding catastrophic...
Background Transvenous lead...
12/02/2019
EP Lab Digest
Case Study
Using a Novel Cardiac Monitor to Find the Cause of Syncope: The Diagnosis is Only as Good as the Data
12/02/2019

James Stone, MD

North Mississippi Medical Center

Tupelo, Mississippi

James Stone, MD North Mississippi Me...
Syncope can be one of the most challenging symptoms to manage because its etiology is wide ranging. In some cases, syncope resolves on its own with little problem. In other cases, it may indicate imminent cardiac arrest or be the harbinger of...
Syncope can be one of the most challenging symptoms to manage because its etiology is wide ranging. In some cases, syncope resolves on its own with little problem. In other cases, it may indicate imminent cardiac arrest or be the harbinger of...
Syncope can be one of the most...
12/02/2019
EP Lab Digest
Case Study
Radiofrequency Ablation of Atrial Fibrillation: Modern Tools and Techniques for a Safe, Effective, and Efficient Procedure
12/02/2019

Daniel Friedman, MD, FACC, FHRS and Lei Xu, DO, 

Clinical Cardiac Electrophysiology, 

Bradenton Cardiology Center, 

Manatee Memorial Hospital, 

Bradenton, Florida

Daniel Friedman, MD, FACC, FHRS and L...
This case presentation is an example of the technologies currently being used by a single operator in a private, medium sized, general hospital to accomplish safe, effective, and efficient atrial fibrillation ablations.
This case presentation is an example of the technologies currently being used by a single operator in a private, medium sized, general hospital to accomplish safe, effective, and efficient atrial fibrillation ablations.
This case presentation is an...
12/02/2019
EP Lab Digest

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December 2019 Volume 19 Issue 12

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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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