New Video Commentary!

Dr. Kevin Campbell, a cardiac electrophysiologist with the University of North Carolina at Chapel Hill, is now a special contributor for EP Lab Digest®! Dr. Campbell will be providing weekly video commentary on recently published EP Lab Digest® articles. Check out some of the content already available:

VisualEP Virtual Training Environment

• Electrophysiology Clinicians on Twitter

• Utilizing Google Glass in the EP Lab

• Thoughts on the Subcutaneous ICD

• What the Sunshine Act Means for Healthcare Providers

• New Technologies for Electrophysiologists: The AliveCor Heart Monitor


Tips for Troubleshooting in the EP Lab

Two interesting articles this month discuss approaches for troubleshooting in the cardiac electrophysiology (EP) lab. In the first article, Luann Hallahan, RN, BSN, BC from UPMC Passavant in Pittsburgh, Pennsylvania, determined if a single, dedicated EP lab could improve its turnaround time efficiency to compare to the Operating Room turnaround time national average of 20-25 minutes. After process improvements were in place for three months, turnaround time tracking was done to compare with the baseline results. Turnaround time tracking involved a detailed study of each step of the process and the role of each member involved. It was found that small steps to cut off minutes became impressive in the end result. Three months after process implementation, the EP logbook tracking proved turnaround time improved between cases by 7.4 minutes.

In another article this month, authors Adel Mina, MD, FACC and Nicholas Warnecke, PA-C from UnityPoint Health Methodist in Peoria, Illinois, describe how cases must be individualized when it comes to stroke risk reduction prior to pursuing direct current cardioversion and/or ablation. They discuss five instances in which simply following current medical guidelines may not be enough to sufficiently reduce the risk of stroke. In these five cases, their patients were appropriately managed with therapeutic oral anticoagulation, yet atrial thrombus development still occurred. Their cases help to emphasize the importance of thorough evaluation for the presence of atrial thrombus prior to direct current cardioversion and/or ablation, especially in patients with a low ejection fraction, as this may represent an advanced hypercoagulable state.

Don’t Miss What’s New This Month!

We have a lot of great new features for you this month! In one of our cover stories for EP Lab Digest®’s July 2014 issue, Mary P. Orencole, MS, ANP-BC and colleagues provide information on the Multicenter Automatic Defibrillator Implantation Trial – Chemotherapy-Induced Cardiomyopathy (MADIT-CHIC). Led by Dr. Arthur Moss of the University of Rochester Medical Center as well as by Dr. Jagmeet Singh of Massachusetts General Hospital, MADIT-CHIC will be the first prospective study of the cardiac resynchronization therapy defibrillator in chemotherapy-induced cardiomyopathy.

In another special feature this month, we highlight two emerging technologies in EP. Daniel S. Goldman, MD, FACC, FHRS from The Cardiology Center, Inc. in Delray Beach, Florida, and Linda Moulton, RN, MSN, Owner of Critical Care ED and C.C.E. Consulting, and Faculty of the Order and Disorder Electrophysiology Training Program in New Berlin, Illinois, describe a new “non-invasive” device for skin closure (Zip® Surgical Skin Closure, ZipLine Medical, Inc.) that was recently approved for low-tension surgical wounds. According to the authors, the Zip® is easy to apply and remove, and produces excellent cosmetic results. Nicole Habel, MD also provides an overview article about VisibleEP, an interactive learning software that brings a virtual EP laboratory to your personal computer. This technology was conceived by Dr. Peter Spector and colleagues at the University of Vermont.

In addition, in a new article series in EP Lab Digest®, we are speaking with various EP clinicians who have more recently joined Twitter. In the first installment of this interview series, we’re speaking with Deb Halligan, RN, BSN, CCDS, Clinical Leader of the Pacemaker/ICD Clinic at North Shore Medical Center in Salem, Massachusetts. She can be found on Twitter at @debhalligan. In following issues we will be speaking with Dr. Suneet Mittal (@drsuneet) and Dr. Pasquale Santangeli (@Dr_Santangeli).

Finally, don’t miss out on the upcoming Kansas City Heart Rhythm Symposium 2014, taking place August 16-17 at the Sheraton Crown Center in Kansas City, Missouri. Included in our July issue is an overview of what to expect at the meeting.