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Papers and articles

Assessing fitness to drive - Government

March 2016

The drivers’ medical section within the DVLA deals with all aspects of driver licensing when
there are medical conditions that impact, or potentially impact, on safe control of a vehicle.

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National Audit of Cardiac Ablation 2013-14

27 March 2015

The National Cardiac Rhythm Management Ablation Audit is managed by the National Institute for Cardiovascular Outcomes Research (NICOR), which is part of the National Centre for Cardiovascular Prevention and Outcomes, based at University College London. Specialist clinical knowledge and leadership is provided by the British Cardiovascular Society and British Heart Rhythm Society. The strategic direction and development of the audit is determined by the Audit Steering Group. This includes major stakeholders in the audit, including cardiologists, the professional societies, physiologists, commissioners and patient group representatives.

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2013-14 Cardiac Rhythm Management National Report published

ucl.ac.uk, February 2015

The latest annual report, Heart Rhythm Device Implants and Cardiac Ablation, is now available.

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Arrhythmia & Electrophysiology Review (AER)

AER is a tri-annual, peer reviewed journal aimed at assisting time-pressured general and specialist cardiologists to stay abreast of key advances and opinion in the arrhythmia and electrophysiology sphere.

Led by Editor-in-Chief Demosthenes Katritsis, supported by Section Editors Andrew Grace (Arrhythmia Mechanisms/Basic Science), Karl-Heinz Kuck (Clinical Electrophysiology and Ablation) and Angelo Auricchio (Implantable Devices) and underpinned by an editorial board of world-renowned physicians, AER comprises peer-reviewed articles that aim to provide timely update on the most pertinent issues in the field.

To access articles for free please visit www.aerjournal.com

Principles of External Defibrillators

By Hugo Delgado, Jorge Toquero, Cristina Mitroi, Victor Castro and Ignacio Fernandez Lozano

An open access publication on the importance of defibrillation and the development of external devices which charts everything from the history of the defibrillator through to the science of defibrillation and studies on the impact of early defibrillation on survival rates in cases of out-of-hospital cardiac arrest.

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Study of postural vasovagal syncope and neuropathic postural tachycardia syndrome

5 April 2013, Recruitment of participants

The Center for Hypotension is recruiting participants aged 14-29 years old for a study of postural vasovagal syncope (VVS, postural faint) and neuropathic postural tachycardia syndrome (POTS). Exact mechanisms of illness have remained elusive although our past work shows that with upright posture blood is excessively relocated from the central pool to the splanchnic vasculature in both VVS and neuropathic POTS. This occurs because blood vessel contraction (vasoconstriction) is impaired when upright. We hypothesize that impairment occurs because of excessive production of nitric oxide (NO) which reduces the ability of the nerves to produce vasoconstriction.

If you choose to participate, we will perform a type of testing called lower body negative pressure (LBNP) during which we use a vacuum to redistribute blood to your legs while you remain supine. This simulates many findings of upright postural stress. We will perform simple noninvasive tests. On other days we will also use a technique called intradermal microdialysis in which several tiny tubes are placed in the uppermost layer of the skin, while we simultaneously measure blood flow. Two 3mm biopsy samples will be obtained from the skin of your calf. In addition, we will be administering several drugs - L-NMMA, Phenylephrine, and Sodium Nitroprusside through an IV placed in your arm and combine this with LBNP, along with microneurography that measures Muscle Sympathetic Nerve Activity (MSNA) using an acupuncture-like needle placed in a nerve behind your knee. Testing will take place over 5 days and you will be reimbursed 0 per day.

Further information

Anatomy for Cardiac Electrophysiologists

A superbly illustrated new book by Sabine Ernst and S. Yen Ho that integrates cardiac anatomy and state-of-the-art imaging techniques to guide readers to a comprehensive understanding of both normal cardiac anatomy and the structures associated with complex heart disease.
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Catheter ablation of atrial fibrillation - patient satisfaction from a single-center UK experience

Background Patient satisfaction is an indicator of quality of care and a key factor for patients' healthcare choices. Although atrial fibrillation (AF) ablation is now common, there are no published data on patient satisfaction during this procedure. 
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DECIDE Survey on public awareness of NICE clinical guidelines and their implementation

Asking, are NICE guidelines of help? Do patients access them, act upon a guideline or receive improved patient care as a result? This executive summary considers the responses.

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Irish Medical Times - Clinical update on falls and syncope

The most common reasons for emergency room attendances among people aged over 75 are falls and syncope — short periods of “temporary and self-limited loss of consciousness”, due to low brain blood flow. These are significant because of the potentially fatal cardiac causes that underlie them, Prof Rose-Anne Kenny, Head of the Department of Gerontology at TCD, said.

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Heart - Underdrive pacing to terminate ventricular tachycardia

An 81 year old man was admitted in haemodynamically stable monomorphic ventricular tachycardia (VT).


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Heart - The clinical management of relatives of young sudden unexplained death victims; implantable defibrillators are rarely indicated

Objective - Following national guidance on management of sudden unexplained death (SUD) in the young, inherited cardiac conditions (ICC) clinics were established to identify and treat relatives thought to be at increased risk.


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