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EHRA Updates Its Popular Practical NOAC Guide

April 29, 2021 The European Heart Rhythm Association (EHRA) has come out with the fourth iteration of its practical guide on the use of non-vitamin K antagonist oral anticoagulants (NOACs) in patients with atrial fibrillation (AF), which has helped physicians deploy these medications since it first came out in 2013. Senior author Hein Heidbüchel, MD, PhD (Antwerp University Hospital, Belgium), past president of EHRA, explained that the guide is meant to supplement and not supplant clinical practice guidelines. The comprehensive document covers everything from dosing and drug-drug interactions to use in high-risk patient groups, management of bleeding, and what to do when patients undergo various procedures.

HIS bundle pacing as good as CRT, the catch is higher thresholds, HIS-Alternative study

HIS bundle pacing as good as CRT, the catch is higher thresholds, HIS-Alternative study
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His-Bundle Pacing Gains Support in Pilot Study

April 28, 2021 For patients with heart failure who require cardiac resynchronization therapy (CRT) to correct left bundle branch block (LBBB), His-bundle pacing may be a feasible alternative to traditional biventricular pacing, a pilot randomized trial suggests. His-CRT was possible in 72% of patients and provided improvements in echocardiographic parameters, symptoms, and physical function similar to those seen with biventricular-CRT, albeit with higher pacing thresholds, Michael Vinther, MD, PhD (The Heart Centre, Rigshospitalet, Copenhagen, Denmark), reported at the virtual European Heart Rhythm Association (EHRA) Congress 2021. The trial was limited by its small size (50 patients) and its conduct at a single center, but “we are confident to say that His-CRT holds promise as an alternative to biventricular pacing in selected heart failure patients,” Vinther concluded. “And we hope that our study, among others, can pave the way for a larger randomized study that can establ

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