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Volume 19 - Issue 11 - November 2019

Featured Article

Cover Story
Early Experience with a High Resolution Mapping System
11/02/2019
Christopher Cheung, MD, MPH; Jason G. Andrade, MD
Vancouver General Hospital (VGH), a tertiary care hospital in Vancouver, British Columbia, is the second largest hospital in Canada. The cardiac electrophysiology program at VGH was founded in 2012. Together with our partner program at St....
Vancouver General Hospital (VGH), a tertiary care hospital in Vancouver, British Columbia, is the second largest hospital in Canada. The cardiac electrophysiology program at VGH was founded in 2012. Together with our partner program at St....
Vancouver General Hospital...
11/02/2019
EP Lab Digest
Cover Story
Cardio-Oncology, From an Electrophysiologist’s Perspective
11/02/2019
Jodie Elrod
In the next episode of The EP Edit podcast, we speak with electrophysiologist Dr. Michael Fradley about the emergence, development and future of cardio-oncology. Dr. Fradley is the Director of the joint USF-Moffitt Cancer Center...
In the next episode of The EP Edit podcast, we speak with electrophysiologist Dr. Michael Fradley about the emergence, development and future of cardio-oncology. Dr. Fradley is the Director of the joint USF-Moffitt Cancer Center...
In the next episode of The EP...
11/02/2019
EP Lab Digest
Letter from the Editor
Differences in Perceptions and Cultures Between Doctors and Hospital Administrators Undermine Physician Engagement
11/02/2019
Bradley P. Knight, MD, FACC, FHRS
There has been tension between physicians and hospital administrators for years. This tension has been mostly related to limited resources and nonaligned goals. This problem is well documented in hospital surveys of physicians, and seems to...
There has been tension between physicians and hospital administrators for years. This tension has been mostly related to limited resources and nonaligned goals. This problem is well documented in hospital surveys of physicians, and seems to...
There has been tension between...
11/02/2019
EP Lab Digest
Feature Interview
Integrated Care of Patients with Atrial Fibrillation: Building an AFib Clinic Model
11/02/2019
Jodie Elrod
In this interview, we speak with Tara U. Mudd, MSN, APRN, NP-C, EP Nurse Practitioner, about the new Atrial Fibrillation (AFib) Clinic at Norton Heart & Vascular Institute’s Heart Rhythm Center.
In this interview, we speak with Tara U. Mudd, MSN, APRN, NP-C, EP Nurse Practitioner, about the new Atrial Fibrillation (AFib) Clinic at Norton Heart & Vascular Institute’s Heart Rhythm Center.
In this interview, we speak with...
11/02/2019
EP Lab Digest
Feature Interview
Considerations for a New EP Lab: Experience at Lenox Hill Hospital
11/02/2019
Jodie Elrod
In January 2019, the Lenox Hill Hospital Heart Rhythm Center opened a new EP laboratory, and in April 2019, opened a newly renovated reception area for patients and their families. In this interview, we speak to Nicholas Skipitaris, MD, MBA,...
In January 2019, the Lenox Hill Hospital Heart Rhythm Center opened a new EP laboratory, and in April 2019, opened a newly renovated reception area for patients and their families. In this interview, we speak to Nicholas Skipitaris, MD, MBA,...
In January 2019, the Lenox Hill...
11/02/2019
EP Lab Digest
Early Experience
Initial Experience with a New Device Used to Reduce Radiation Exposure for Patients and Healthcare
11/02/2019
Anil Rajendra, MD, FHRS; Gustavo X. Morales, MD; Joaquin Arciniegas, MD; Christopher Cooper, RN, MS; Jose Osorio, MD, FHRS
Although the field of electrophysiology has been transformed with the advent of intracardiac echocardiography and electroanatomical mapping, fluoroscopy is still the primary imaging modality used for our procedures. With the increasing...
Although the field of electrophysiology has been transformed with the advent of intracardiac echocardiography and electroanatomical mapping, fluoroscopy is still the primary imaging modality used for our procedures. With the increasing...
Although the field of...
11/02/2019
EP Lab Digest
Coding and Billing
Tips for Coding for WCD Patient Follow-Up and Management, Including Updates for 2020
11/02/2019
Jim Collins, CPC
The American Medical Association and Medicare introduced codes and coverage for remote monitoring of physiologic data with external devices in January 2019. Many organizations are providing remote monitoring with these devices but not...
The American Medical Association and Medicare introduced codes and coverage for remote monitoring of physiologic data with external devices in January 2019. Many organizations are providing remote monitoring with these devices but not...
The American Medical Association...
11/02/2019
EP Lab Digest
EP Research
Cardiology and Electrophysiology Considerations of Ehlers-Danlos Syndrome and Variants, Including Hypermobile Syndromes
11/02/2019
Diane Choi, BA; Adam Bitterman, DO; Hallie Zwibel, DO; Nancy A. Bono, DO; Todd J. Cohen, MD, FACC, FHRS; Bernadette Riley, DO
Patients with Ehlers-Danlos Syndrome and hypermobile conditions require a multidisciplinary approach for diagnosis and treatment. This article provides our approach to the cardiac and electrophysiologic management of these patients.
Patients with Ehlers-Danlos Syndrome and hypermobile conditions require a multidisciplinary approach for diagnosis and treatment. This article provides our approach to the cardiac and electrophysiologic management of these patients.
Patients with Ehlers-Danlos...
11/02/2019
EP Lab Digest
Clinical Images
Paroxysmal Heart Block Following Septal Alcohol Ablation: What is the Mechanism?
11/02/2019
Mark J. Shen, MD
A 79-year-old woman with hypertrophic obstructive cardiomyopathy and paroxysmal atrial fibrillation underwent alcohol septal ablation. She had a normal QRS complex at baseline, but immediately after the procedure, right bundle branch block...
A 79-year-old woman with hypertrophic obstructive cardiomyopathy and paroxysmal atrial fibrillation underwent alcohol septal ablation. She had a normal QRS complex at baseline, but immediately after the procedure, right bundle branch block...
A 79-year-old woman with...
11/02/2019
EP Lab Digest
Feature
Phrenic Nerve Pacing: A Revolution in the Treatment of Central Sleep Apnea
11/02/2019
Andrew Kao, MD, FACC, FHFSA; Sanjaya Gupta, MD, MBA, FACC, FHRS
Sleep apnea is increasingly recognized as a common comorbidity that contributes to adverse outcomes for patients with cardiovascular disease. While many cardiologists are aware of the need to screen and treat sleep apnea in their patients,...
Sleep apnea is increasingly recognized as a common comorbidity that contributes to adverse outcomes for patients with cardiovascular disease. While many cardiologists are aware of the need to screen and treat sleep apnea in their patients,...
Sleep apnea is increasingly...
11/02/2019
EP Lab Digest
Spotlight Interview
Spotlight Interview: The Second Hospital of Hebei Medical University
11/02/2019
Chenglong Miao, MD, PhD
The Second Hospital of Hebei Medical University is a 3,000-bed regional hospital located in the city of Shijiazhuang, the capital of Hebei Province, which is 280 kilometers south of Beijing, China. It is the largest comprehensive hospital in...
The Second Hospital of Hebei Medical University is a 3,000-bed regional hospital located in the city of Shijiazhuang, the capital of Hebei Province, which is 280 kilometers south of Beijing, China. It is the largest comprehensive hospital in...
The Second Hospital of Hebei...
11/02/2019
EP Lab Digest
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