Category Archives: EP

This growing area will cover the management of arrhythmias and their complications.

Dr. Daniel Friedman discusses surgical ablation of atrial fibrillation with Dr. Marc Gillinov

Dr. Daniel Friedman talks with Dr. Marc Gillinov of the Cleveland Clinic about a study that randomized patients undergoing mitral valve surgery to atrial fibrillation ablation and left atrial appendage ligation or no ablation. The study concluded that atrial fibrillation ablation improves rhythm control in patients undergoing cardiac surgery, though more patients undergoing ablation required permanent pacemaker placement. The study did not look at clinical outcomes beyond rhythm control.

Duke Cardiology Grand Rounds: evolution of the ICD

We were delighted to have Duke alum Dr. Gust Bardy visit with us last week. He has previously helped conduct the landmark Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT).  His work with implantable defibrillators has continued wtih the development of an entirely subcutaneous ICD.  He presented the fascinating story of its development last week at Duke Cardiology Grand Rounds.

Tracking performance, improving quality, advancing research

US-based clinical registries, such as the National Cardiovascular Data Registry and Get With The Guidelines, have been instrumental in identifying and addressing gaps in quality of care for patients across the country. It is fascinating to see approaches in other countries who have developed nationwide clinical registries, inclusive of all citizens. In Sweden, clinical registries like SCAAR and SWEDEHEART, have not only been used to describe trends in nationwide clinical outcomes but are now being used as a platform for the conduct of randomized trials. With rich characterization of patients and longitudinal followup, clinical registries can be used to identify, enroll, and follow patients randomized to treatments or strategies of care that need more investigation. These innovative “randomized clinical registry studies” are being conducted in the US as well. We need more of them.