Tag: arrhythmias

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Many thanks to the faculty of the 2019 LRH Cardiovascular Symposium! We had over 200 registrants for 6 hours of great cardiovascular CME. From left to right, Dr. Parag Patel (Mayo Clinic), Dr. Anuja Dokras (University of Pennsylvania), Dr. Jeff Williams (LRH), Dr. Carl Pepine (University of Florida), Dr. Edward Tadajweski (WellSpan Health), Dr. Philip Owen (LRH), Dr. Matthew Martinez (Lehigh Valley Health Network), and Dr. Kathryn Lindley (Washington University). Dr. Denise Edwards (University of South Florida) is not pictured.

We had over 200 registrants to this year’s CV Symposium with physicians and nurses traveling from all over Florida. Our faculty was fantastic and their lectures are included below.

Anuja Dokras, MD, PhD, Associate Professor, Penn Fertility Care, University of Pennsylvania Medical Center, Philadelphia, PA. Dr. Dokras lectured about the role of obstetric and gynecologic issues and the future risk of heart disease in women.

CV Disease in Obstetrics and Gynecologic IssuesDownload

Denise Edwards, MD, Director, Healthy Weight Clinic, Assistant Professor of Internal Medicine and Pediatrics, USF Health. Dr. Edwards lectured about the assessment and treatment of obesity in adolescents and women.

Obesity Treatment in Women and AdolescentsDownload

Kathryn J. Lindley, MD, Assistant Professor of Medicine, Director, Center for Woman’s Heart Disease, Washington University School of Medicine. Dr. Lindley spoke about the risks of women’s heart disease in pregnancy.

Valvular Heart Disease in Pregnancy Download

Matthew W Martinez, MD FACC, Associate Professor of Medicine, University of South Florida, Medical Director – Sports Cardiology and Hypertrophic Cardiomyopathy Program, Lehigh Valley Health Network. Dr. Martinez discussed the current state-of-the-art in the management of cardiovascular disease in sports participation.

Sports CardiologyDownload

Phil Owen, MD, FACC, Interventional Cardiology, Lakeland Regional Health. Dr. Owen gave a nice summary on the potential risks and management of CV disease with cancer therapies.

Update in Cardio-OncologyDownload

Parag Patel, MD, Mayo Clinic, Program Director for the Advanced Heart Failure/Transplant Fellowship. Dr. Patel described issues and techniques to decrease readmission rates for congestive heart failure.

Reducing CHF ReadmissionDownload

Carl J Pepine, M.D., MACC, Professor Emeritus of Medicine, University of Florida Health. Dr. Pepine discussed the management of resistant hypertension including common treatment issues.

Treatment of Resistant HypertensionDownload

Edward Tadajweski, MD, FACC, Director of Cardiology, WellSpan Health (Good Samaritan Hospital, Lebanon, PA). Dr. Tadajweski spoke about acute coronary syndromes in women.

Acute Coronary Syndromes in WomenDownload

Jeffrey L. Williams, MD, MS, FACC, FHRS, Co-Director, LRH Heart Rhythm Center, Course Director, 2019 Lakeland Regional Health Cardiovascular Symposium. Dr. Williams lectured on the diagnosis and treatment of common supraventricular tachycardias.

Diagnosis and Treatment of Common Supraventricular TachycardiasDownload

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Join us on February 9, 2019 for 6 hours of free CME. You’ll have the chance to hear topics ranging from acute coronary syndromes and resistant hypertension in women to cardio-oncology as well as management of CHF. We will have speakers from Washington University, Lehigh Valley Health System, WellSpan Health, University of Florida, and others. To register, call 863-687-1190 or online at 2019cvsymposium.eventbrite.com

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Atrioventricular nodal tachycardia (AVNRT) is one of the most common supra ventricular tachycardias (SVT) that we find during electrophysiology studies. Fifteen to thirty percent of the population has “dual AV-node physiology.” Most day-to-day conduction is from “fast” AV node pathway. Patients with “dual AV node physiology” may occasional use the “slow” AV node pathway and this can set up the reentrant arrhythmia.

Atrioventricular nodal tachycardia (AVNRT) is one of the most common arrhythmias. This short video gives an introduction to the mechanism and treatment options that are available.

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This is the final podcast in the What are Palpitations? series and we will be discussing how patients can adjust to living with heart rhythm disorders. We will start with adjusting to life after being diagnosed with heart-rhythm abnormalities. Next, we’ll talk about the quality of life in heart-rhythm patients and how do arrhythmias affect you and your family. Arrhythmias in children and young adults can be challenging and we’ll spend time on this issue. Finally, we’ll examine patients that have palpitations without arrhythmias.

Please check back with the Heart Rhythm Center as we begin the new series What is a Defibrillator?

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This is the eleventh podcast in the What are Palpitations? series and we will be discussing the postoperative care following EP studies. We will cover care of the vascular access sites including showering/bathing restrictions. Other activity limitations including driving issues will be addressed. Finally, the first followup appointment after the EP study will be explained as well as lifestyle limitations that may be recommended.

Please check back with the Heart Rhythm Center for the final podcast in the What are Palpitations? series: Psychosocial Impact of Arrhythmias.

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This is the tenth podcast in the What are Palpitations? series and we will be discussing the complications that can occur during or after EP studies. We begin the discussion with an explanation of the types of complications and their treatment. We will end by discussing special EP studies and ablations that may have higher rates of complications and lower success rates.

Chest Radiograph Appearance of Large Pericardial Effusion after Cardiac Perforation. (A) Immediately following the implantation of a pacemaker, the chest x-ray (CXR) shows a normal appearance of the cardiac silhouette. (B) At two weeks postoperative, the CXR (performed because the patient reported symptoms of chest pressure) shows an enlarged cardiac silhouette. The patient responded to pericardiocentesis with no lead repositioning. (Figure originally published by Williams and Stevenson 2012.)

Please check back with the Heart Rhythm Center for future podcasts:

  • Postoperative Care after an EP Study (and possible ablation)
  • Psychosocial Impact of Arrhythmias

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This is the ninth podcast in the What are Palpitations? series and it focuses on the preparations necessary before proceeding with an electrophysiology study including elements of the preoperative workup. We will discuss the electrophysiology laboratory where the procedure is performed and steps involved in performing the procedure. We’ll talk about what happens if your doctor cannot find or ablate the arrhythmia as well as postoperative care. Finally, we will discuss advanced treatment options for atrial fibrillation. A brief outline includes:

  1. Preoperative risk assessment
  2. Use of contrast agents during EP studies or ablations
  3. Thyroid issues
  4. Allergies
  5. Registration and check-in
  6. Informed-consent process
  7. The procedure room
  8. The EP study
  9. How does the doctor place catheters inside the heart?
  10. What happens if my doctor cannot successfully find an arrhythmia?
  11. What happens if my doctor cannot successfully ablate the arrhythmia?
  12. Immediately after the EP study
  13. Day after the EP study
  14. Advanced treatment options for atrial fibrillation

Please check back with the Heart Rhythm Center for future podcasts:

Possible Complications of Electrophysiology Studies and Ablations
Postoperative Care after an EP Study (and possible ablation)
Psychosocial Impact of Arrhythmias

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This is the eighth podcast in the What are Palpitations? series and it focuses on the treatment options for arrhythmias. We will be discussing everything from lifestyle modifications that may help reduce arrhythmias as well as medications that are often used in arrhythmia treatment.  A brief outline includes:

  1. Lifestyle
  2. Can exercise cause heart-rhythm problems?
  3. Medications
  4. Anticoagulation
  5. Ablation
  6. Cardioversion

The Vaughan-Williams Classification (Classes 1, 2, 3, and 4) is a system used to classify antiarrhythmics based on their mechanism of action. This Table describes the different classes of antiarrhythmics and how they are used, as well as side effects.

Please check back with the Heart Rhythm Center for future podcasts to include:

  • The Electrophysiology Study and Ablation Procedure
  • Possible Complications of Electrophysiology Studies and Ablations
  • Postoperative Care after an EP Study (and possible ablation)
  • Psychosocial Impact of Arrhythmias

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This is the sixth podcast in the What are Palpitations? series and it focuses on the common ventricular arrhythmias that many patients may experience. We will be discussing premature ventricular contractions (called PVC’s) which are very common and thankfully usually quite harmless. We will also be discussing various types of ventricular tachycardias; many are easily treated though some may require defibrillator therapy. A brief outline includes:

  1. Premature ventricular contractions
  2. Ventricular tachycardia
  3. Non–coronary disease VT
  4. What are defibrillators?

Please check back with the Heart Rhythm Center for future podcasts to include:

  • Treatment Options for Arrhythmias
  • The Electrophysiology Study and Ablation Procedure
  • Possible Complications of Electrophysiology Studies and Ablations
  • Postoperative Care after an EP Study (and possible ablation)
  • Psychosocial Impact of Arrhythmias

 

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This is the sixth podcast in the What are Palpitations? series and it focuses on atrial fibrillation. We will be discussing the most common arrhythmia seen in clinical practice. The listener will be introduced to the mechanisms, causes of, and treatments for atrial fibrillation. There are extensive explanations about the noninvasive and invasive treatments available for atrial fibrillation. A brief outline includes:

  1. Normal electrical activation versus atrial fibrillation
  2. Signs and symptoms
  3. Causes of atrial fibrillation
  4. Understanding your risk of stroke
  5. Is there a difference between atrial fibrillation and ventricular fibrillation?
  6. Is there a cure for atrial fibrillation?
  7. What is atrial flutter?

Please check back with the Heart Rhythm Center for future podcasts to include:

  • What Are the Common Ventricular (Bottom-Chamber) Tachycardias?
  • Treatment Options for Arrhythmias
  • The Electrophysiology Study and Ablation Procedure
  • Possible Complications of Electrophysiology Studies and Ablations
  • Postoperative Care after an EP Study (and possible ablation)
  • Psychosocial Impact of Arrhythmias