Atrial fibrillation treatment made easy by neurologists

Recent guidelines by American Association of Nuerology  published in their official journal  Neurology  have made treatment of atrial fibrillation to prevent stroke easy, they have made guideline for developing countries too, and these guideline do take account bleeding … Read the rest

Can resynchronization therapy reduces risk ventricular Arrhythmias?

Cardiac resynchronization therapy (CRT) has shown to improve quality of life, symptoms, and to reduce heart failure hospitalizations in moderate or severe heart failure patients.

There are few studies which say CRT increases arrhythmias and some studies say it reduces
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QT interval measurement, Which lead to use ?

Prolongation of QT interval is associated with increased incidence of Ventricular tachycardia and fibrillation (Torsedes de pointes). Prolongation of QT interval can occur secondary to electrolyte imbalance, drugs and congenital disease.

QT interval varies from lead to lead in 12
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Energy drink may increase blood pressure and cause dangerous rhythm disturbances of heart

In a presentation at Epidemiology and Prevention/Nutrition, Physical Activity and Metabolism 2013 Scientific Sessions (EPI|NPAM 2013) at New Orleans, LA by Dr Sachin Shah (University of the Pacific, Stockton, CA) a alarming results about energy  drink’s effects, on  Read the rest

Is dabigatran associated with really decreased bleeding risk?

RE-LY trial showed dabigatran 110mg bid was associated with decreased bleeding risk and similar efficacy as warfarin in preventing theombo-embolic events in non valvular AF and at dose 150 mg bid of dabigatran was associated with similar bleeding risk (for

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Digoxin versus Beta-blocker in Atrial Fibrillation, choice between two don’ts

Controlling rate in patients with atrial fibrillation is still a most preferred strategy by many cardiologists, and for controlling rate in atrial fibrillation, beta blockers or Digoxin is used. Any drug which has been used for long time is prone … Read the rest

Will Watchman device prevail? PREVAIL trial presentation yanked from ACC 13

In an unprecedented move, ACC 13 yanked the presentation of late breaking PREVAIAL study, because Boston Scientific broke the embargo. Due to an error in email system, at 6:30 am Pacific Time key results of PREVAIL trial were sent in

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Is Self management of INR for warfarin, better than dabigatran?

Dabigatran is indicated in non valvular AF and not advised in mechanical valves and valvular AF, this is one of the major limitations of dabigatran. In developing countries mitral stenosis is still one of the commonest causes of AF so

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Are Beta blockers useless in heart failure with reduced EF and AF?

Beta blockers are main stay in treatment of heart failure with reduced ejection fraction, numerous land mark trial have shown the benefit of beta blockers in heart  failure, but these studies have not made any distinction between sinus rhythm

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