State of the Union: Cryoablation vs Radiofrequency Ablation for Atrial Fibrillation in the United States

Background The concept of catheter ablation for atrial fibrillation (AF) was pioneered by Michel Haissaguerre from Bordeaux, France. In their landmark paper, Haissaguerre et al. described that the majority of triggers for atrial fibrillation (AF) can be mapped in the sleeves of muscles that extend into the pulmonary veins, and ablating these triggers leads to … Read more

Can artificial intelligence save our lives?

The role of artificial intelligence (AI) in our life is advancing rapidly and is making strides in the early detection of diseases. The consumer market is composed of wearable health devices that enables continuous ambulatory monitoring of vital signs during daily life (at rest or physical activity), or in a clinical environment with the advantage … Read more

Can artificial intelligence save our lives?

The role of artificial intelligence (AI) in our life is advancing rapidly and is making strides in early detection of diseases. The consumer market is composed of wearable health devices that enables continuous ambulatory monitoring of vital signs during daily life (at rest or physical activity), or in a clinical environment with the advantage of … Read more

The Future of Wearable Technology & Detecting Atrial Fibrillation – An Update!

Last November at AHA18, I was lucky enough to catch a talk from one of the investigators, Dr. Marco Perez, working on the Apple Heart Study, where he described the goals of the project. I even wrote about it for the blog I wrote at AHA18 in Chicago, which you can find here. To quickly … Read more

AHA18: Notes From a Structural Heart Disease Specialist

How can one experience science and scenic beauty together? You know the answer to this, if you attended this year’s annual Scientific Sessions of the American Heart Association (AHA) in the beautiful city of Chicago. AHA18 showcased the latest advancements and studies in the field of cardiovascular medicine and stroke.   AHA Coming Back To … Read more

Management of Stroke Patients: A One Man Show or A Tag-Team?

Atrial fibrillation (AF) increases risk of stroke up to 5 folds, resulting in considerable physical, cognitive impairment and high mortality1. Thus, AF related strokes are very expensive to treat compared to non-AF strokes2. Oral anticoagulation is a well-established therapy in the majority of stroke cases3. Warfarin reduces the risk of stroke by 64% and mortality … Read more

The Future of Wearable Technology & Detecting Atrial Fibrillation at AHA18

Like many of us, I have several family members who experience atrial fibrillation (AFib) regularly, as between 2-6 million people in the United States have this disorder. My father-in-law in particular has experienced difficultly with AFib recently and because he knows I study the heart, he often asks me about different treatment options and advice … Read more

WATCHMAN: An Alternative to Warfarin for the High Risk Patient

“Wisdom consists of the anticipation of consequences” Norman Cousins I recently saw Mr. John Doe for atrial fibrillation (AF). Well into his eighties, he enjoys a good quality of life. This elderly gentleman is mostly unaware of his paroxysms of AF. However, he had also suffered a stroke in the past, and as such was … Read more

Deciphering the CABANA trial and what if anything do the results mean to the management of atrial fibrillation?

“The truth is rarely pure and never simple.” Oscar Wilde “Facts do not cease to exist because they are ignored.” Aldous Huxley As is apparent from my previous blogs, I am very passionate about atrial fibrillation (AF). Undoubtedly, the most common arrhythmia nationally, and likely worldwide, can cause disabling symptoms, lead to a stroke and … Read more

Shared Decision Making In Cardiac Care

Shared decision making (SDM) is an approach both patients and clinicians can use to improve patient education and discussion in decision making. Decision aids are tools that promote SDM by improving patient-clinician communication about all treatment options and how the risks and benefits fit with their personal values and preferences. Today, we’ll chat about SDM … Read more