In EP Lab Digest®’s December 2014 issue, we feature three fantastic case studies. Editor-in-Chief Emeritus Todd J. Cohen, MD and colleagues highlight the potential applications of the Reveal LINQ™ Insertable Cardiac Monitor (Medtronic, Inc.) for the diagnosis and treatment of syncope of unknown etiology. James Kneller, MD, MSc, PhD, FHRS, CCDS discusses his approach to PVC ablation and presents a successful case combining the principles of this workflow. Hanscy Seide, MD and Hae W. Lim, PhD examine the potential efficiencies that may be possible with the Arctic Front Advance cryoballoon system (Medtronic, Inc.) through short and predictable time usage to help maximize staff and EP lab utilization.
We also hear from an array of new voices! Michael McCullough, author of the blog Afibrunner.com, shares his experience living with persistent atrial fibrillation. Jerry W. Jones, MD, FACEP, FAAEM discusses courses available at the Medicus of Houston, a provider of continuing education for physicians and other medical personnel specializing in advanced ECG interpretation and dysrhythmia analysis. We also feature the EP program at Washington Regional Medical Center in a Spotlight Interview.
In addition, don’t miss our newly redesigned EP Lab Digest® website, including an online-exclusive multimedia section of videos from your favorite EP Lab Digest® articles. Take a look and let us know what you think!
EP Lab Live is a great resource for those in the cardiac electrophysiology field. It offers an extensive video library on EP topics from clinical experts. A listing of current topics can be found here:
• Conducting a Successful Screening and Implantation of the S-ICD System
• De Novo ICD Implant Using the Aquamantys® Bipolar Sealer for Pocket Hemostasis
• Reducing the Risk of CIED Infections – Welcome Reception
• Reducing the Risk of CIED Infections – Welcome and Introduction
• Reducing the Risk of CIED Infections – Latest Trends in CIED Infections
• Reducing the Risk of CIED Infections – Antibiotic Prophylaxis and Resistant Organisms
• Reducing the Risk of CIED Infections – Mortality with CIED Infections and Antibiotic Envelope RCT
• Reducing the Risk of CIED Infections – Impact of the Antimicrobial Pouch on CIED Infection Rates
• Reducing the Risk of CIED Infections – The Economics of a CIED Infection
• Reducing the Risk of CIED Infections – Wrap-Up and Q & A
• Biventricular ICD Upgrade and Capsulectomy with TYRX™ Absorbable Antibacterial Envelope and PEAK PlasmaBlade®
• Subcutaneous ICD (S-ICD™ System) Implant with Dr. Martin Burke
• Device Pocket Management How to Maximize Life of Leads
• CRT-D Pulse Generator Replacement/Capsulectomy Using PEAK PlasmaBlade
• Chronotropic Incompetence: Prevalent, Relevant, Treatable
• Advancements in Fluoro Reduction for the Electrophysiology Lab
• Arctic Front Advance™ Cardiac CryoAblation Catheter: Simply Cool
• Initial Experiences with the ThermoCool® SF Catheter Webinar
• Innovations in 3D Rotational Imaging
• Benefits of Advanced Technology in the EP Lab
• Hemodynamic Support During Complex VT Ablation: Use of Impella 2.5
• Maximizing integration with EP navigator’s real-time 3D image acquired in lab and Biosense Webster’s CARTO 3
• Philips Advanced Tools in Practice — Recorded Live Case with Pierre Jaïs MD in Bordeaux-Pessac, France
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
In a new article in EP Lab Digest®’s June 2014 issue, Dr. Nishant Verma and colleagues from Northwestern University discuss their recent opportunity to trial a smartphone-based wireless ECG monitor, the AliveCor© Heart Monitor, which resulted in a high level of physician and patient satisfaction. They conclude that the AliveCor Heart Monitor is an easy to use and convenient option for remote monitoring in patients with suspected arrhythmia.
In another technology-related article this month, Dr. Senthil K. Thambidorai and colleagues describe their use of Google Glass to transmit the images and videos of five simulated cases from the EP lab at Houston Northwest Hospital to a laptop at the UTH outpatient clinic. They note that using Google Glass in the EP lab helps them maintain a hands-free format as well as obtain an expert second opinion during cases.
In addition, in a new video series, Dr. Kevin R. Campbell with North Carolina Heart and Vascular, at the UNC Chapel Hill School of Medicine, talks about the AliveCor Heart Monitor and how it is revolutionizing EP care. He also provides commentary on how the Sunshine Act affects all of us, including physicians and industry.
In our new May 2014 issue of EP Lab Digest®, Dr. Monica Lo from Arkansas Heart Hospital in Little Rock, Arkansas, presents ten questions regarding the role of performance measures for allied health professionals to improve the quality of healthcare. She writes that with a concrete way to measure performance, clinical outcomes can be assessed and improved upon. In the article she discusses the lack of performance measures in electrophysiology and the measures that can be taken; she also provides advice on how allied professionals can apply potential measures and affect care.
On a similar note, Dr. Jeffrey L. Williams, a frequent contributor to EP Lab Digest® from The Good Samaritan Hospital in Lebanon, Pennsylvania, recently posted a blog on “Lessons Learned from Clinical Cardiology Performance Metrics.” Their single specialty practice and community hospital have been tracking performance measures for over three years. He shares several their lessons learned over the years, including 1) Only assessing metrics that can be directly controlled and on their patients; 2) Encouraging additional resources to track metrics; 3) The importance of verifying data; and 4) Remembering that although it’s impossible to produce an error-free measure of quality of care, every effort should be made to use state-of-the-art measures. We hope you’ll check out his informative blog!
This month, we check out Florida Hospital’s EP program in Orlando. Florida Hospital was named by U.S. News & World Report for 2013 as the #1 hospital in the state of Florida, scoring in the top 50 in eight different categories in the nation. It is currently the largest healthcare provider in the state. Their EP department consists of two biplane labs, two single-plane labs and one single-plane Stereotaxis lab, a cath lab/implant room, a pediatric hybrid lab, and two non-invasive procedural rooms. They have 25 EP team members which includes registered nurses (ASN, BSN), cardiovascular technicians (RCIS, RCES) and registered respiratory therapists; they also have 12 electrophysiologists and an array of implanting invasive cardiologists.
Would you be interested in having your lab showcased in EP Lab Digest@’s Spotlight Interview? Participating is easier than you think! If interested, please contact the editor at firstname.lastname@example.org to have the questionnaire sent to you. Please answer only those questions that are most relevant to your EP lab. When your interview responses are complete, please email us your completed questionnaire, along with 5-10 photos of the lab, staff and facility. We publish the Spotlight articles in the order they are received, so contact us at your soonest convenience if you’d like to have your lab featured this year. The remaining openings for 2014 will fill quickly!