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From the Editor

Letter from the Editor
Reducing the Rate of Serious Adverse Events in the Cardiac Electrophysiology Laboratory From 2% to 1%
07/25/2024
It is unrealistic to expect zero complications from an invasive procedure. It is also important to learn that trying to lower the rate of serious adverse events from 2% to 1% in the EP lab can require much more than twice the effort.
It is unrealistic to expect zero complications from an invasive procedure. It is also important to learn that trying to lower the rate of serious adverse events from 2% to 1% in the EP lab can require much more than twice the effort.
It is unrealistic to expect zero...
07/25/2024
EP Lab Digest
Letter from the Editor
Are Disease-Modifying Treatments on the Horizon for Patients With Arrhythmogenic Right Ventricular Cardiomyopathy?
07/02/2024
Gene therapy targeting the underlying desmosomal mutation and approaches to prevent myocardial fibrosis independent of the specific genetic defect by increasing cardiac levels of FGF21 may be on the horizon for patients with ARVC.
Gene therapy targeting the underlying desmosomal mutation and approaches to prevent myocardial fibrosis independent of the specific genetic defect by increasing cardiac levels of FGF21 may be on the horizon for patients with ARVC.
Gene therapy targeting the...
07/02/2024
EP Lab Digest
Letter from the Editor
Question: Which Antiarrhythmic Drugs Carry a Class I Recommendation for Rhythm Control in the 2023 AHA/ACC/ACCP/HRS Atrial Fibrillation Guideline? Answer: None.
05/29/2024
Bradley P Knight, MD, FACC, FHRS Editor-in-Chief, EP Lab Digest
It is surprising that in the latest atrial fibrillation guideline, not a single antiarrhythmic drug is considered to have a class I indication.
It is surprising that in the latest atrial fibrillation guideline, not a single antiarrhythmic drug is considered to have a class I indication.
It is surprising that in the...
05/29/2024
EP Lab Digest

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Letter from the Editor
Complete Spontaneous Resolution of Very Frequent Premature Ventricular Contractions
05/17/2024
Bradley P Knight, MD, FACC, FHRS
The indications for catheter ablation of idiopathic PVCs should remain limited to patients with significant symptoms or baseline left ventricular dysfunction.
The indications for catheter ablation of idiopathic PVCs should remain limited to patients with significant symptoms or baseline left ventricular dysfunction.
The indications for catheter...
05/17/2024
EP Lab Digest
Letter from the Editor
The Key Reason Why Pulsed Field Ablation Will be Embraced: Fear of an Atrio-Esophageal Fistula After Thermal Ablation
04/14/2024
Bradley P Knight, MD, FACC, FHRS
Avoiding an atrio-esophageal fistula remains a concern during atrial fibrillation ablation procedures.
Avoiding an atrio-esophageal fistula remains a concern during atrial fibrillation ablation procedures.
Avoiding an atrio-esophageal...
04/14/2024
EP Lab Digest
Letter from the Editor
Smartwatch-Guided “Pill-in-a-Pocket” Anticoagulation for Atrial Fibrillation: The REACT-AF Trial
03/07/2024

Bradley P Knight, MD, FACC, FHRS, 

Editor-in-Chief, EP Lab Digest

Bradley P Knight, MD, FACC, FHRS,  E...
The advent of numerous wearable devices, including AF-sensing smartwatches that are capable of detecting AF, has opened the possibility that direct oral anticoagulation could be prescribed for only a few days after an episode of AF.
The advent of numerous wearable devices, including AF-sensing smartwatches that are capable of detecting AF, has opened the possibility that direct oral anticoagulation could be prescribed for only a few days after an episode of AF.
The advent of numerous wearable...
03/07/2024
EP Lab Digest

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Letter From the Editor
False-Positive Patient Activations and Why Reviewing the Results of Ambulatory Monitoring With Patients is Critical
02/12/2024

Bradley P Knight, MD, FACC, FHRS, 

Editor-in-Chief, EP Lab Digest

Bradley P Knight, MD, FACC, FHRS,  E...
Despite improvements in ambulatory monitoring, it is still critical that findings be reviewed directly with the patient to accurately interpret the results and to correlate any symptoms with their rhythm at the time.
Despite improvements in ambulatory monitoring, it is still critical that findings be reviewed directly with the patient to accurately interpret the results and to correlate any symptoms with their rhythm at the time.
Despite improvements in...
02/12/2024
EP Lab Digest
Letter From the Editor
Approach to Left Atrial Appendage Closure Takes a Turn
12/31/2023

Bradley P Knight, MD, FACC, FHRS, 

Editor-in-Chief, EP Lab Digest

Bradley P Knight, MD, FACC, FHRS,  E...
The approved LAAC plug devices have evolved significantly over the years in ways that have greatly increased the rate of successful occlusion, minimized the risk of embolization, and reduced the incidence of procedural complications.
The approved LAAC plug devices have evolved significantly over the years in ways that have greatly increased the rate of successful occlusion, minimized the risk of embolization, and reduced the incidence of procedural complications.
The approved LAAC plug devices...
12/31/2023
EP Lab Digest
Letter From the Editor
Major Declines in Physician Reimbursement in Electrophysiology
12/01/2023

Bradley P Knight, MD, FACC, FHRS, 

Editor-in-Chief, EP Lab Digest

Bradley P Knight, MD, FACC, FHRS,  E...
With cuts by the federal government in EP reimbursement and the demonstration that reimbursement for invasive EP procedures such as pacemaker implantation has declined by over 50% in the past 20 years, it is difficult to stand by.
With cuts by the federal government in EP reimbursement and the demonstration that reimbursement for invasive EP procedures such as pacemaker implantation has declined by over 50% in the past 20 years, it is difficult to stand by.
With cuts by the federal...
12/01/2023
EP Lab Digest

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Letter From the Editor
A Reflection on Cardiac Ablation Energy Sources
10/31/2023

Bradley P Knight, MD, FACC, FHRS, 

Editor-in-Chief, EP Lab Digest

 

Bradley P Knight, MD, FACC, FHRS,  E...
Now is an important time to consider the pros and cons of energy sources as the EP field moves forward. Included is a summary of radiofrequency, cryoballoon, and pulsed field ablation as energy sources for cardiac ablation.
Now is an important time to consider the pros and cons of energy sources as the EP field moves forward. Included is a summary of radiofrequency, cryoballoon, and pulsed field ablation as energy sources for cardiac ablation.
Now is an important time to...
10/31/2023
EP Lab Digest

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August 2024
Volume 24
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Clinical Images
Redo Transcatheter Aortic Valve Replacement in a Young Patient With Congenital Aortic Valve Disease
08/07/2024
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone...
08/07/2024
Journal of Invasive Cardiology
Clinical Images
Redo Transcatheter Aortic Valve Replacement in a Young Patient With Congenital Aortic Valve Disease
08/07/2024
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone...
08/07/2024
Journal of Invasive Cardiology
Clinical Images
Stentectomy by an Entrapped Rotational Atherectomy Burr
08/05/2024
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with...
08/05/2024
Journal of Invasive Cardiology
Clinical Images
Stentectomy by an Entrapped Rotational Atherectomy Burr
08/05/2024
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with...
08/05/2024
Journal of Invasive Cardiology
Clinical Images
Calcium Is Not an Issue for Transcatheter Therapy in the Mitral Valve: The Role of Independent Leaflet Grasping
07/30/2024
A 75-year-old woman with a history of heart failure was referred for dyspnea upon exertion due to severe mitral regurgitation.
A 75-year-old woman with a history of heart failure was referred for dyspnea upon exertion due to severe mitral regurgitation.
A 75-year-old woman with a...
07/30/2024
Journal of Invasive Cardiology

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