jump to navigation

Research: Patient-Specific Stem-Cell Models for Long-QT Syndrome September 3, 2010

Posted by Peng-Sheng Chen, MD, FHRS in Science & Research.
Tags: ,
add a comment

Patient-Specific Stem-Cell Models for Long-QT Syndrome
Moretti et al (NEJM 2010; Epub, PMID: 20660394) screened a family affected by long-QT syndrome type 1 (LQT1) and identified an autosomal dominant missense mutation (R190Q) in the KCNQ1 gene. (more…)

HeartRhythm Journal: Share Your Thoughts September 1, 2010

Posted by Heart Rhythm Society in Science & Research.
Tags:
add a comment

Editor’s Note: Dr. Douglas P. Zipes, Editor-in-Chief of the HeartRhythm Journal, Past President of the Heart Rhythm Society, and a world-renowned EP, will serve as a guest blogger on EP Insights. First up: He would like your thoughts on the direction of the Journal.

As editor of HeartRhythm Journal, I strive to publish not only the most meritorious articles submitted, but also those that will appeal to our readers. I think most times we do get it right and, from the feedback I’ve received, most subscribers read or at least scan the issue from cover to cover. I am well aware that many clinicians are not interested in basic studies, and many basic scientists do not read the clinical publications, but I think there is sufficient overlap in the topics that some part of each can be of interest to most of you. With that said I welcome your views about HeartRhythm and have outlined several new features below.  (more…)

HRS: Building Credibility with Emerging EPs August 17, 2010

Posted by Craig Delaughter, MD, PhD in EP Physicians, Education.
Tags: ,
1 comment so far

It is sometimes said that perception is reality. And once a certain perception is in place, it can take a great deal of effort to change it.

A few years ago the Heart Rhythm Society (HRS) promoted an alternative certification pathway by which non-EP physicians would be encouraged to implant ICDs. It was believed that the seemingly infinite number of patients needing primary prevention ICDs, especially in underserved geographies, justified this measure. However, for many EP private practitioners, this was a clear indication of just how out of touch HRS was with one of its core constituencies. Feeling that their interests were not being represented, a few members “voted with their feet” and left the organization. Others, completing training during this time, never joined HRS. The alternative certification pathway was eventually closed and HRS was left to do some serious soul-searching about what had transpired. (more…)

The New Rules of Engagement, Part II: Tennis Anyone? August 12, 2010

Posted by Amit Shanker MD in Health Policy.
Tags: , , ,
1 comment so far

Back when I played competitive tennis, I learned that there were two distinct strategies between playing on grass and clay. On grass (a quick surface with lower ball bounces), a player needs to think at least one or two shots ahead– even though, despite the best efforts, most shots will be reflexive. To be successful on clay (a slower surface with higher, more unpredictable ball bounces), a player needs to think three to four shots ahead to win the point. We will need to use the clay court strategy with healthcare reform: Patient, but deliberately placed aggressive initiatives that ultimately build the foundation for self-sustaining policies. (more…)

Education, Disclosures, and Bias, Oh My! (Part One of Two) August 6, 2010

Posted by Joshua M. Cooper, MD, FACC in Education.
Tags:
2 comments

Part 1: The Case for In-Person, National Meetings

In this time of hyper-scrutiny of financial relationships between health care providers and industry, medical education is an arena that requires some reflection, as industry-sponsored programs may be at risk of extinction.

Before reaching the issue of what role industry should have in supporting medical education programs, the fundamental question is whether or not medical education programs should be continued at all. The answer is a resounding “Yes,” in my opinion. The practice of medicine is evolving at such a rapid pace, that only through discourse, teaching, and interaction, can health care providers (especially those with fewer opportunities for daily collaboration) attempt to maximize quality and keep up with the ever-changing standard of care (See my previous post, “Silo Busting“).  (more…)

Common Variants in KCNN3 are Associated with Lone AF August 3, 2010

Posted by Peng-Sheng Chen, MD, FHRS in Science & Research.
Tags:
add a comment

Editor’s Note: Dr. Peng-Sheng Chen, MD, Professor of Medicine at the The Krannert Institute of Cardiology, Indiana University, has agreed to serve as a blogger on EP Insights. In his posts, Dr. Chen will highlight and comment on new studies that affect the heart rhythm community.

Common variants in KCNN3 are associated with lone atrial fibrillation
Ellinor, et al (Nat Genet: 2010;42:240, PMID: 20173747) sought to identify common genetic variants underlying lone atrial fibrillation (AF). This condition affects a subset of individuals without overt heart disease and with an increased heritability of AF. (more…)

Health Care Policy: Let’s Work Together to Make a Difference! July 29, 2010

Posted by Andrea M. Russo, MD, FACC, FHRS in Health Policy.
Tags: ,
add a comment

Recent changes in U.S. health care policy and reimbursement will greatly affect how we deliver care to patients with arrhythmia disorders.  The Heart Rhythm Society (HRS) maintains a strong voice in Washington, D.C., with advocacy efforts focusing on issues of critical importance to heart rhythm specialists.  Our goal is to help promote a stronger health care system that provides patients with the care they need, when they need it. We recognize that the needs of health care specialists may differ from those of general practitioners when it comes to caring for patients with complex heart rhythm disorders, and that the care of these patients requires a “team approach.”  (more…)

Part II: Fundraiser Completes Triathlon to Combat Sudden Cardiac Death July 23, 2010

Posted by Heart Rhythm Society in Uncategorized.
Tags: , , ,
add a comment

This is Part II of fundraiser Maggie Finnerty’s post detailing her experience competing in a triathlon to combat Sudden Cardiac Death.  Read Part I of Maggie’s experience.

The Run  
Honestly, there’s only one word to describe the run: HOT. Thanks to my training, my legs felt totally fine when I exited T2. I expected them to feel heavy and jelly-like but I think the bricks I used during training helped them feel pretty fresh. Pacing my run was my biggest dilemma. I’d completed several mile tempo runs at paces of 8:40, and even six mile runs after 60+ mile rides at a 9:00 pace, but it was always cold and rainy, and I just had no idea how it would feel in the heat.  (more…)

Patient Blogger: Fundraiser Completes Triathlon to Combat Sudden Cardiac Death July 21, 2010

Posted by Heart Rhythm Society in Uncategorized.
Tags: , , ,
2 comments

Recently, I participated in the Pacific Crest Half Ironman in honor of my brothers, Kevin and Timmy, both of whom died more than 20 years ago due to sudden cardiac arrest. Both were athletes; neither had any prior arrhythmias and their deaths were a shock. Kevin died at only 20 years old, and 14 months later Timmy died at 15. Because they were both athletes, honoring their deaths with an athletic event seemed fitting to me. I have also made the Heart Rhythm Foundation the benefactor of my efforts because they have made great progress in diagnosing and treating sudden cardiac arrest over the last decade.  (more…)

The New Rules of Engagement Part I: A Call to Action July 14, 2010

Posted by Amit Shanker MD in Health Policy.
Tags: ,
6 comments

When Medicare was enacted in 1965, it promised not to interfere in the practice of medicine:

“Nothing in this title shall be construed to authorize any federal officer or employee to exercise any supervision or control over the practice of medicine, or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer, or employee, or any institution, agency or person providing health care services….” Section 1801, Medicare Act, 1965

Unfortunately, times have changed… (more…)