January 2019 Br J Cardiol 2019;26:27–30 doi:10.5837/bjc.2019.004
Alexander J Gibbs, Andrew Potter
Introduction Palpitations are a common reason for presentation to the emergency department (ED),1,2 and can be extremely concerning to the patient and doctor. In the ED, clinical history, examination and basic investigations (including an electrocardiogram [ECG]) at the time of presentation often cannot elicit the cause for the symptoms. After ensuring that there is no acute rhythm disturbance necessitating a hospital admission, patients are routinely discharged back to their primary care doctor with advice for referral to a cardiology outpatient service for prolonged ECG recording and echocardiogram, as per National Institute for Health and
March 2016 Br J Cardiol 2016;23:16–20 doi:10.5837/bjc.2016.008
Theresia A M Backhuijs, Hilde Joosten, Pieter Zanen, Hendrik M Nathoe, Mathias Meine, Pieter A Doevendans, Frank J G Backx, Rienk Rienks
Introduction An implantable cardioverter defibrillator (ICD) is used for primary and secondary prophylaxis in the treatment of life-threatening arrhythmia. Guidelines for ICD patients, originally published in 2005, advise against any competitive sports more vigorous than ‘Class IA’ activities such as bowling or golf.1 American College of Cardiology (ACC)/American Heart Association (AHA)/European Society of Cardiology (ESC) embraced this advice stating “for legal and ethical reasons athletes receiving cardiovascular drugs and devices such as pacemakers and ICDs are generally not allowed to participate in high-grade competition.”2 For
August 2015 Br J Cardiol 2015;22:89–90
BJCardio Staff
Chair of the writing group Professor Christian Sticherling (Universitätsspital Basel, Switzerland) said: “Traditionally we interrupted anticoagulation during device implantation and restarted it afterwards. And we bridged with heparin around the time of the operation. The new recommendation is to continue to give the VKA and perform the operation without any bridging. That shows the lowest rate of perioperative bleeding.” He added: “Also new is the recommendation not to interrupt VKAs during ablation and particularly during pulmonary vein isolation which is the most common type of ablation nowadays.” The paper, produced by the EHRA,
May 2007 Br J Cardiol 2007;14:125-126
Kevin Jennings, Lewis Ritchie
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March 2007 Br J Cardiol 2007;14:66-67
Alan G Begg
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March 2005 Br J Cardiol 2005;12:139-41
Joanna N Tenkorang, Kevin F Fox, David A Wood
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