The LifeVest — How much bubble wrap is too much…for LIfe?

Some facts: No caregiver wants his or her patient to die needlessly. Sudden cardiac death remains the number one killer of humans. The arrhythmia that causes sudden death occurs unpredictably. One minute you are fine and the next you are–in the absence of a shock–dead. When cardiac arrest occurs outside a hospital, or say, a […]

EuroPace 2013 Day 3 — Good news with ICD therapy — New post up at theHeart.org

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Good sleep finally found me. Nine hours total. That changes everything. I missed the free bus but that was OK because I got the best cab driver ever. He drove me to the fair two days ago. His Mercedes is spotless, his English good and his willingness to teach about Greece was welcome. I shared […]

Day 2 EuroPace 2013 — Two new posts up over at theHeart.org

Google image from StopAF.org

It must be the time change. Sound sleep is eluding me. The good news about waking at 0330 is you can get serious work done. The bad news is doing the (involuntary) nod during a nice lecture on molecular biologic causes of atrial fibrillation this afternoon. I really did want to get that whole intracellular […]

Heart Rhythm Society Meeting 2013 — Hyde Park Lecture

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Hi Everyone, This may be the longest I have ever gone between posts. As all bloggers do, I will tell you the reason. I was preparing for my invited lecture at HRS 2013. It was a Hyde Park Talk. This means you stand in one of the busiest parts of the convention, and just start […]

New post up at theHeart.org — The ethics of ICD decision-making

I’ve got a good one for you. Who is the better doctor? Is it the caregiver who–by whatever means–gets her patient on the best treatment, or, is it the doc who communicates the options most clearly? I ask because the Institute of Medicine has made shared-decision making (or patient-centered care) a major focus of quality […]

Notes from ACC — Day 3 (Final Day)

Sorry this took most of the week to get out. (There was a good reason.) Better late than never I suppose. On Day 3 of the 2013 American College of Cardiology meeting, I woke up well rested and inspired to squeeze in as much learning as possible. The first order of business was putting the […]

New post up over at theHeart.org — ICD deactivation and patient education

The Internal Cardiac Defibrillator (ICD) can be a life-saving device. Many scientifically robust studies have demonstrated that when these machines are implanted in carefully selected patients, mortality is reduced. That is the upside–a big one for sure. The downsides of these devices are many. Our ability to predict which patient will eventually need a shock […]

New post up at theHeart.org — Noticing the burden of our therapy.

It’s not normal for me to study the literature on pediatric cardiology. There’s more than enough medical science on adults to keep me busy. But this one on the quality of life in kids with cardiac devices caught my eye. Researchers found that kids with either pacemakers or ICDs (defibrillators) and their families reported significantly […]

Would you know what to do?

Making amends with Moms

At its core, this blog aims to do some good. I don’t like to ask for things. It’s not why I write. Today is an exception. I’m going to ask you to learn about and maybe support an important cause. The topic is sudden cardiac death–our number-one killer. There are a lot of folks working […]