Abstract： @@ It is a great honor to introduce the first arrhythmia issue of the Journal of Geriatric Cardiology. One goal of this Issue is to encourage discourse between East and West and to provide contrasts in management philosophies. The contributors representing some of the prominent in their field from the East and from the West do just this. Several contributors from the West have had prior experience in the East so they can understand cultural difference that might affect medical management approaches.