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    Rhythm Disorders

    Explore the latest in rhythm disorders, including advances in treatment and recent guidelines for atrial fibrillation, SVT, VT/VF, and more.

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    • Analysis of Oral Anticoagulant Dosing and Adherence to Therapy Among Patients With Nonvalvular Atrial Fibrillation
      JAMA Network Open
      Research
      June 7, 2023

      This cohort study examines whether underdosing of direct oral anticoagulants not recommended by the Food and Drug Administration is associated with longitudinal adherence to anticoagulation treatment among patients with nonvalvular atrial fibrillation (NVAF).

      Cardiology Clinical Pharmacy and Pharmacology Treatment Adherence Pharmacy and Clinical Pharmacology Anticoagulation
      Full Text | pdf link PDF open access
    • Chest Pain and Wide QRS Tachycardia
      JAMA Internal Medicine
      Case Report
      June 1, 2023

      This case report presents the electrocardiogram findings of a patient in their 70s with diabetes who presented with 3 hours of chest pain.

      Acute Coronary Syndromes Cardiology Emergency Medicine Challenges in Clinical Electrocardiography Ischemic Heart Disease
      Full Text | pdf link PDF | CME & MOC is active quiz
    • An Unusual Cause of ST-Segment Elevation in the Right Precordial Leads—A Clue From the Humble Waves
      JAMA Internal Medicine
      Case Report
      June 1, 2023

      This case report describes a patient in their late teens who presented to the outpatient department stating that they had felt the implanted cardioverter defibrillator deliver a shock 3 times within the past 6 months.

      Cardiology Challenges in Clinical Electrocardiography Pediatrics Adolescent Medicine
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Preterm Birth, Small for Gestational Age, and Large for Gestational Age and the Risk of Atrial Fibrillation Up to Middle Age
      JAMA Pediatrics
      Research
      June 1, 2023

      This study investigates whether preterm birth, small for gestational age, or large for gestational age are associated with increased risks of atrial fibrillation later in life.

      Neonatology Pediatrics Equity, Diversity, and Inclusion Atrial Fibrillation Cardiology
      Full Text | pdf link PDF open access
    • A Pregnant Patient With Narrow QRS Tachycardia
      JAMA Internal Medicine
      Case Report
      May 30, 2023

      This case report describes a primigravid patient in their 20s during the eighth month of gestation who presented with history of regular nonexertional episodic palpitations that lasted for a few minutes and subsided spontaneously over the past several days.

      Cardiology Emergency Medicine Challenges in Clinical Electrocardiography Women's Health Obstetrics and Gynecology
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Wide Complex Tachycardia Observed During Pregnancy
      JAMA Internal Medicine
      Case Report
      May 22, 2023

      This case describes a 39-year-old pregnant woman with intermittent, transient but rapid palpitations, some with momentary lightheadedness.

      Cardiology Challenges in Clinical Electrocardiography Women's Health Obstetrics and Gynecology Obstetrics
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Age Dependency of Cardiovascular Outcomes With the Amyloidogenic pV142I Transthyretin Variant Among Black Individuals in the US
      JAMA Cardiology
      Research
      May 22, 2023

      This cohort study estimates age-dependent risks for cardiovascular events with the amyloidogenic pV142I variant.

      Cardiology Genetics and Genomics Heart Failure Atrial Fibrillation
      Full Text | pdf link PDF
    • Vigorous Exercise in Patients With Hypertrophic Cardiomyopathy
      JAMA Cardiology
      Research
      May 17, 2023

      This cohort study investigates if vigorous exercise is associated with an increased risk of mortality or ventricular arrhythmia in individuals with hypertrophic cardiomyopathy.

      Cardiology Lifestyle Behaviors Physical Activity
      Full Text | pdf link PDF has multimedia
    • A Woman With Syncope and Frequent Premature Ventricular Contractions
      JAMA Cardiology
      Case Report
      May 17, 2023

      A woman in her late 50s presents to the emergency department after several episodes of syncope in the past several weeks. What would you do next?

      Cardiology Emergency Medicine Clinical Challenge
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Extracorporeal Cardiopulmonary Resuscitation for Cardiac Arrest
      JAMA
      Review
      May 16, 2023

      This JAMA Insights Clinical Update discusses the newer treatment option of extracorporeal cardiopulmonary resuscitation, particularly for patients with cardiac arrest who are not responsive to initial treatment.

      Cardiology Critical Care Medicine Pulmonary Medicine Resuscitation
      Full Text | pdf link PDF | CME & MOC is active quiz
    • “Narrow-Wide-Narrow” QRS Complex Tachycardia—Beware the Smartwatch Monsters
      JAMA Internal Medicine
      Case Report
      May 15, 2023

      This case report describes an 18-year-old woman with palpitations associated with chest pain and lightheadedness.

      Cardiology Challenges in Clinical Electrocardiography
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Association Between Intensive vs Standard Blood Pressure Control and Incident Left Ventricular Conduction Disease: A Post Hoc Analysis of the SPRINT Randomized Clinical Trial
      JAMA Cardiology
      Research
      May 3, 2023

      This post hoc analysis of the SPRINT randomized clinical trial evaluates the association of intensive vs standard blood pressure control with incident left ventricular conduction disease.

      Hypertension Cardiovascular Risk Factors Cardiology
      Full Text | pdf link PDF
    • Standard vs Augmented Ablation of Paroxysmal Atrial Fibrillation for Reduction of Atrial Fibrillation Recurrence: The AWARE Randomized Clinical Trial
      JAMA Cardiology
      Research
      May 1, 2023

      This randomized clinical trial evaluates the superiority of an augmented double wide-area circumferential ablation vs a standard single wide-area circumferential ablation in preventing recurrent atrial arrhythmias in patients with paroxysmal atrial fibrillation.

      Cardiology Atrial Fibrillation
      Full Text | pdf link PDF
    • Time Trends in Patient Characteristics, Anticoagulation Treatment, and Prognosis of Incident Nonvalvular Atrial Fibrillation in the Netherlands
      JAMA Network Open
      Research
      April 25, 2023

      This cohort study investigates time trends in patient characteristics, anticoagulation treatment, and prognosis of patients with incident nonvalvular atrial fibrillation in the Netherlands.

      Cardiology Anticoagulation Pharmacy and Clinical Pharmacology Clinical Pharmacy and Pharmacology Atrial Fibrillation
      Full Text | pdf link PDF open access
    • Association of Dexmedetomidine With New-Onset Atrial Fibrillation in Patients With Critical Illness
      JAMA Network Open
      Research
      April 25, 2023

      This cohort study investigates the association of dexmedetomidine use with risk of new-onset atrial fibrillation among patients who are critically ill.

      Critical Care Medicine Clinical Pharmacy and Pharmacology Adverse Drug Events Pharmacy and Clinical Pharmacology Atrial Fibrillation
      Full Text | pdf link PDF open access
    • Patients and Their Physician’s Perspectives About Oral Anticoagulation in Patients With Atrial Fibrillation Not Receiving an Anticoagulant
      JAMA Network Open
      Research
      April 24, 2023

      This cohort study assesses the perceptions of patients with atrial fibrillation and their physicians about the benefits and risks of anticoagulation.

      Cardiology Anticoagulation Pharmacy and Clinical Pharmacology Clinical Pharmacy and Pharmacology Atrial Fibrillation
      Full Text | pdf link PDF open access
    • Acute Respiratory Distress Following Percutaneous Coronary Intervention of Osteal Occlusion of Left Main Coronary Artery
      JAMA Cardiology
      Case Report
      April 12, 2023

      A man in his late 50s had reduced left ventricle systolic function and hypokinesia of the anteroseptal, anterior, anterolateral, and septal walls. Lung ultrasound demonstrated multiple B-lines in both lung fields. What would you do next?

      Clinical Pharmacy and Pharmacology Pulmonary Medicine Adverse Drug Events Clinical Challenge Ischemic Heart Disease
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Cardiac Arrest Rates in Pregnancy Might Be Higher Than Expected
      JAMA
      News
      April 11, 2023
      Cardiology Emergency Medicine Health Disparities Women's Health Obstetrics and Gynecology
      Full Text | pdf link PDF free
    • A Universal Programmer for Cardiac Implantable Electrical Devices—Clinical, Technical, and Ethical Considerations
      JAMA Cardiology
      Opinion
      April 1, 2023

      This Viewpoint explores the clinical, technical, and ethical considerations arguing in favor of a universal platform for cardiac implantable electrical device communication.

      Cardiology Medical Devices and Equipment
      Full Text | pdf link PDF
    • Association of Left Atrial Strain With Ischemic Stroke Risk in Older Adults
      JAMA Cardiology
      Research
      April 1, 2023

      This cohort study investigates whether positive longitudinal left atrial strain and positive longitudinal left atrial strain rate are associated with new-onset ischemic stroke among older adults.

      Cerebrovascular Disease Neurology Cerebrovascular Infarction Geriatrics Stroke
      Full Text | pdf link PDF
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