Early Intervention can Lead to Prevention Of Postoperative Atrial Fibrillation after Cardiac Surgery

Posterior left pericardiotomy can help reduce new-onset atrial fibrillation is suggested by a late-breaking science presented by prominent researchers and cardiothoracic surgeon Dr. Gaudino at American Heart Association 2021 virtual conference on November 14, 2021. Atrial fibrillation(AF) is the most common complication after cardiac surgery, and the incidence ranges from 15-50%.1 The incidence of postoperative … Read more

Anticoagulation in Subclinical Atrial Fibrillation and the Prevention of Stroke

May is National Stroke Awareness Month. This initiative began in May 1989 to promote public awareness and reduce the incidence and associated burden of stroke in the United States.1  Despite ongoing efforts, stroke remains a leading cause of death and long-term disability in the United States.2-4 Every year about 795,000 people in the United States … Read more

Catheter Ablation as First Line Therapy for Atrial Fibrillation: Are we there yet?

For the last two decades, the management of patients with atrial fibrillation (AF) had stayed in an “equipoise” between rate and rhythm control as shown by AFFIRM and RACE trials 1,2. However, rate control strategy remained the predominant mantra in AF management for the majority of patients in clinical practice. The most recent American College … Read more

Optimal Management of Periprocedural Anticoagulation for Catheter Ablation of Atrial Fibrillation

Catheter ablation (CA) of atrial fibrillation (AF) is a safe procedure and the overall complication rates are low. Periprocedural thromboembolic events are one of the most feared complications of this procedure. A large systematic review of 192 studies showed the pooled complication rate of stroke or transient ischemic attacks was only  0.6%1. Despite the low … Read more

Late-Breaking Highlights: “To Screen Or Not To Screen And Then What? Studies of Detection and Treatment of AF”

This was an exciting session at AHA 2020 which focused on clinical trials of screening, monitoring, and early intervention in Atrial Fibrillation (AF). Screening of AF is a controversial topic and for individuals >65 years, current AHA guidelines give a Grade 2a recommendation for screening whereas USPSTF guidelines suggest that there is insufficient evidence for … 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

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

Highlights of the 1st Annual Sex and Gender Conference at AHA18

Walking into the Palmer House Hotel, the longest continuously operating hotel in the United States, you can’t help but pause in awe at the intricate décor and take in the most photographed ceiling in the world. I make my way to the Honoré Ballroom, named after Bertha Honoré Palmer, the wife of Palmer and an … 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