Stories

Exercise Testing In Ventricular Arrhythmia Assessment

Exercise testing provides a controlled way to observe how the heart’s electrical system responds to increasing sympathetic activity, rising heart rate, and…

Pacing in Chagas disease: unique clinical considerations

Chagas disease creates a distinctive substrate for bradyarrhythmia management. Infection with Trypanosoma cruzi may cause progressive myocardial fibrosis,…

Cardiac Memory: Reading ECG Changes After Pacing and Tachycardia

An electrocardiogram can remain altered after the rhythm that produced the change has ended. This phenomenon, known as cardiac memory, describes transient…

Hospital Readmission After Atrial Fibrillation Ablation

Catheter ablation has become an established treatment for symptomatic atrial fibrillation (AF), yet the procedure does not end the patient’s risk of acute care…

Lead-Related Tricuspid Regurgitation: How to Avoid and Manage

Transvenous pacemaker and implantable cardioverter-defibrillator (ICD) leads have transformed the treatment of bradyarrhythmias, heart failure, and sudden…

Imaging Atrial Fibrosis With Late Gadolinium Enhancement

Atrial fibrillation (AF) is shaped by electrical triggers and the structural environment in which those triggers arise. Fibrosis, collagen accumulation,…

Supraventricular Tachycardia Ablation in Older Adults

Supraventricular tachycardia (SVT) can become more disruptive with age. Episodes of atrioventricular nodal reentrant tachycardia, atrioventricular reentrant…

Recurrent Vasovagal Syncope: Cardiac Neuroablation Versus Pacemaker Implantation

Recurrent vasovagal syncope can be frightening, disabling, and difficult to manage when episodes continue despite education, hydration, medication review, and…

Three-Dimensional Printing for Preprocedural Planning in Complex Ablations

Complex catheter ablation depends on a precise understanding of anatomy before the first catheter enters the body. This is especially true when arrhythmogenic…

The Evolving Role of the Wearable Cardioverter-Defibrillator in Pediatrics

Sudden cardiac arrest in a child or adolescent is uncommon, yet its consequences are profound. A wearable cardioverter-defibrillator (WCD) offers temporary…