Arrhythmia & EP Perspective

• Off to College: Safe to Stop His Antiepileptic Drug? A young man is adamant about stopping his AED before he goes to college; his parents are worried. Are you the tie-breaker?
  Medscape Family Medicine, March 23, 2020
• Is Sirolimus the Superior Heart Transplant Antirejection Therapy?   With 20 years of experience with sirolimus, two Mayo Clinic experts describe the advantages and disadvantages of this antiproliferative drug in patients after heart transplant.
  Mayo Clinic, March 18, 2020
• ECG Challenge: Feeling Tired and Lightheaded A 76-year-old man with a history of hypertension reports occasional fatigue and lightheadedness to his primary care physician. What clues can be found in the patient's ECG?
  Medscape Cardiology, March 16, 2020
• Will the Coronavirus Pandemic Trim the Nonsense? 'From the beginning of this pandemic, I have felt a smallness to much of what I do in electrophysiology,' admits John Mandrola, MD.
  Medscape, March 12, 2020
• Is Hyperkalemia Always Bad in Patients With HF?   Dr Ileana Piña discusses facilitating RAAS inhibitors with potassium binders for patients with renal dysfunction.
  theheart.org on Medscape, March 12, 2020
• Alcohol, AFib, and Women: A Hazardous Mix?   The first randomized trial evidence of a link between AFib and alcohol.
  Medscape Ob/Gyn, February 18, 2020
• ECG Challenge: Post-op Cramping and Spasms in Cancer Patient Two days after surgery, a man with laryngeal cancer has severe muscle spasms and cramps. What does his ECG reveal?
  Medscape Cardiology, February 18, 2020
• Malpractice Case: You're at Risk When Your Patient Fails to See the Specialist Just because a physician makes a referral doesn't mean that a patient will visit that specialist. To protect themselves, doctors should be sure to document the request.
  Cooperative of American Physicians, February 07, 2020
• Dropping Aspirin Post PCI: Are We There Yet?   Is P2Y12 inhibitor monotherapy post PCI ready to go mainstream? Michelle O'Donoghue considers the question of when to drop aspirin in the context of recent trials on antiplatelet therapy.
  theheart.org on Medscape, January 30, 2020
• Amal Mattu -- Top 3 Articles in Emergency Medicine Amal Mattu's picks include tips on recognizing posterior circulation stroke, identifying problematic airways before intubation, and how to interpret troponin assays.
  Medscape Emergency Medicine, January 29, 2020
• ECG Challenge: Cardiac Abnormalities After Aortic Valve Replacement At a routine follow-up after an aortic valve replacement, a 56-year-old woman complains of fatigue and chest discomfort. What does her ECG show?
  Medscape Cardiology, January 21, 2020
• Cardiology's Hottest Trial of 2019 and Healthcare 2020   Bob Harrington and Mike Gibson continue their review of 2019 with the 'hottest trial of the year' and what to expect in healthcare in 2020.
  theheart.org on Medscape, January 15, 2020
• Epinephrine for Cardiac Arrest: Guidance Inflated? Dr Amal Mattu reviews the AHA update on cardiac life support and questions the current recommendations for using epinephrine in cardiac arrest.
  Medscape Emergency Medicine, January 13, 2020
• The War on Shock: Is Industry Leading the Charge? Protocols for patients in cardiogenic shock encourage use of mechanical circulatory support and play down palliative care, despite limited supporting data, writes interventional cardiologist Jaya Mallidi.
  theheart.org on Medscape, January 06, 2020
• Malpractice Case: Who Monitors Medication -- The Specialist or the PCP? When it comes to a patient's medication, specialists and primary care physicians need to agree on who monitors the effects of the prescription.
  Cooperative of American Physicians, January 06, 2020
• Bringing Humanity Back Is the 'Greatest Gift AI Can Give'   In this episode of Medicine and the Machine, Drs Topol and Verghese discuss the loss of humanity in medicine, and how AI offers an exciting opportunity to bring time and presence back to patient care.
  Medscape, January 02, 2020
• Hold This Drug? Perioperative Medication Management   The Curbsiders, a trio of practicing internists, share tips they've learned about the tricky issue of perioperative medication management.
  The Curbsiders, December 27, 2019
• ECG Challenge: A Post–Cardiac Arrest Pattern As part of his recovery from cardiac arrest, a 69-year-old man is put under a cooling blanket. See if you can spot a signature wave on his ECG.
  Medscape Cardiology, December 20, 2019
• Mandrola's Top 10 Cardiology Stories of 2019 It's probably no surprise that ISCHEMIA and the EXCEL controversy make John Mandrola's annual list for 2019. He also found good news in heart failure and has words of caution for TAVR expansion.
  theheart.org on Medscape, December 19, 2019
• Cardiology 2019: Top Trials in Review   'It's like we're in the '90s again.' Drs Gibson and Harrington review top cardiology trials on revascularization, lipid management, and antithrombotics in part 1 of their annual wrap-up.
  theheart.org on Medscape, December 17, 2019