Letter from the Editor in Chief

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Dear Colleagues,

As we enter the heart of the summer season, we are excited to present the June 2025 issue of The Journal of Innovations in Cardiac Rhythm Management, which brings together timely research and clinical insights that reflect the increasingly interconnected world of cardiac electrophysiology.

This month’s issue features original contributions that shine a light on both evolving technologies and enduring challenges in arrhythmia care:

A New Era of Collaboration in Cardiovascular Care

This June also brought renewed attention to the strength of multidisciplinary partnerships, most notably at NY Valves 2025. This year’s meeting introduced the inaugural Left Atrial Appendage Closure (LAAC) Summit, a landmark moment emphasizing the collaborative future of cardiovascular care.

Electrophysiologists, structural cardiologists, imagers, and surgeons came together to explore shared challenges and co-develop strategies for left atrial appendage (LAA) closure—particularly in complex patients who will benefit from cross-specialty insight and procedural expertise. These interactions mark a broader transformation in how rhythm care is delivered: one grounded in teamwork, shared ownership, and common purpose.

Beyond LAA closure, we are seeing an expanding frontier of integration:

In tricuspid valve interventions, managing existing leads has become a core part of procedural planning. Whether deciding on extraction, alternate pacing, or valve-friendly implantation strategies, these decisions increasingly rely on early collaboration between electrophysiologists, structural operators, and heart failure specialists.In cardiac surgery, the role of the electrophysiologist is now central to intraoperative rhythm strategies, including hybrid ablation, mapping, and LAA management. These scenarios demand close coordination before, during, and after surgery to optimize outcomes.

This era of shared expertise is reshaping not just what we do—it is also shaping how we work together to do it better. The success of modern cardiovascular interventions depends as much on collaboration as on innovation.

Looking Ahead

We hope this issue offers both practical insight and deeper perspective as you care for patients, advance research, and contribute to our ever-evolving field. Thank you for your continued engagement with the journal. We welcome your submissions, your voices, and your partnership as we move forward together.

Warm regards,

Dr. Devi Nair, md, facc, fhrs

Editor-in-Chief

The Journal of Innovations in Cardiac Rhythm Management

Director of the Cardiac Electrophysiology & Research,

St. Bernard’s Heart & Vascular Center, Jonesboro, AR, USA

White River Medical Center, Batesville, AR, USA

President/CEO, Arrhythmia Research Group

Clinical Adjunct Professor, University of Arkansas for Medical Sciences

Governor, Arkansas Chapter of American College of Cardiology

drdgnair@gmail.com