Malcolm Barlow
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View article: Fasting vs. no fasting prior to catheterization laboratory procedures: the SCOFF trial
Fasting vs. no fasting prior to catheterization laboratory procedures: the SCOFF trial Open
Background and Aims Current guidelines recommend 6 h of solid food and 2 h of clear liquid fasting for patients undergoing cardiac procedures with conscious sedation. There are no data to support this practice, and previous single-centre s…
View article: Manual Chest PRESSURE during Direct Current Cardioversion for Atrial Fibrillation: A Randomised Control Trial (PRESSURE-AF)
Manual Chest PRESSURE during Direct Current Cardioversion for Atrial Fibrillation: A Randomised Control Trial (PRESSURE-AF) Open
Background Direct current cardioversion is frequently used to return patients with atrial fibrillation (AF) to sinus rhythm. Chest pressure during cardioversion may improve the efficacy of cardioversion through decreasing transthoracic imp…
Investigating the efficacy of chest pressure for direct current cardioversion in atrial fibrillation: a randomised control trial protocol (Pressure-AF) Open
Introduction Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide. Direct current cardioversion is commonly used to restore sinus rhythm in patients with AF. Chest pressure may improve cardioversion success through de…
Complete Heart Block Complicating Takotsubo Syndrome: Case Report and Literature Review Open
An 81-year-old woman presents with shortness of breath resulting in a diagnosis of picornavirus and complete heart block. Troponin was elevated and there was concern about acute coronary syndrome. The final diagnosis after echocardiogram a…
Effect of outcome measures on the apparent efficacy of ablation for atrial fibrillation: Why “success” is an inappropriate term Open
INTRODUCTION: Different endpoint criteria, different durations of follow up and the completeness of follow up can dramatically affect the perceived benefits of Atrial Fibrillation (AF) ablation. METHODS: We defined three endpoints for recu…
Clinical problem solving: Maneuvering around a narrow complex tachycardia in a patient with Mustard repair for transposition of the great arteries Open
Tabled 1KEY TEACHING POINTS•Owing to atrial dilatation and fibrosis following surgical incisions and baffle creation, intra-atrial reentrant tachycardia is by far the most common arrhythmia seen following Mustard repair for dextro-transpos…