keyword
https://read.qxmd.com/read/38646093/ongoing-cpr-with-an-onboard-physician
#21
JOURNAL ARTICLE
Alfredo Echarri Sucunza, Patricia Fernández Del Valle, Jose Antonio Iglesias Vázquez, Youcef Azeli, Jose María Navalpotro Pascual, Juan Valenciano Rodriguez, Cristian Fernández Barreras, Sonia Royo Embid, Carmen Gutiérrez-García, María Isabel Ceniceros Rozalén, Cesar Manuel Guerra García, Carmen Del Pozo Pérez, María José Luque-Hernández, Silvia Sola Muñoz, Ana Belén Forner Canos, María Isabel Herrera Maíllo, Marcos Juanes García, Natividad Ramos García, Belén Muñoz Isabel, Junior Jose García Mendoza, José Antonio Cortés Ramas, Faustino Redondo Revilla, Inmaculada Mateo-Rodríguez, Félix Rivera Sanz, Emily Knox, Antonio Daponte Codina, José Ignacio Ruiz Azpiazu, Fernando Rosell Ortiz
INTRODUCTION: Recent data are not available on ongoing CPR for emergency services with an onboard physician. The aim of the present study was to identify factors associated with the decision to transport patients to hospital with ongoing CPR and examine their survival to hospital discharge with good neurological status. METHODS: An observational study based on a registry of out-of-hospital cardiac arrests attended to by emergency services with an onboard physician...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38642847/navigating-the-landscape-of-medical-device-advisories-a-special-report-from-the-canadian-heart-rhythm-society-device-advisory-committee
#22
JOURNAL ARTICLE
Jason G Andrade, Alice Virani, Amelia Staunton, Marc Bains, Derek S Chew, Nathaniel M Hawkins, Jacqueline Joza, Clarence Khoo, Jaimie Manlucu, Francois Philippon, Calum Redpath, Laurence Sterns
Cardiac implantable electronic devices (CIED) are often important for regulating cardiac rate and rhythm. Pacemakers and defibrillators are among the top 10 most-implanted medical devices, with >1.5 million devices implanted annually. While millions of patients have benefited with improved quality of life and survival, CIED-systems are increasingly complex and do not always perform according to expectations. Advisory notices communicate important information about the safety and performance of a medical device to healthcare providers and patients...
April 18, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38636928/the-impact-of-clinical-radiation-audits-on-patient-radiation-exposure-in-cardiac-implantable-electronic-device-procedures
#23
JOURNAL ARTICLE
Lorraine Sazgary, Eleni Theano Samara, Anja Stüssi, Natalia Saltybaeva, Matthias Guckenberger, Frank Ruschitzka, Thomas Wolber, Nadine Molitor, Daniel Hofer, Fu Guan, Gonca Suna, Julia Hermes-Laufer, Alexander Breitenstein, Corinna B Brunckhorst, Firat Duru, Ardan M Saguner
No abstract text is available yet for this article.
April 16, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38634311/evaluation-of-the-introduction-of-a-single-lead-ecg-device-and-digital-cardiologist-consultation-platform-among-general-practitioners-in-the-netherlands
#24
JOURNAL ARTICLE
Evert P M Karregat, Marlou A de Koning, Jelle C L Himmelreich, David W Koetsier, Jonas S S G de Jong, Eric P Moll van Charante, Ralf E Harskamp, Wim A M Lucassen
AIM: To evaluate the use of a single-lead electrocardiography (1L-ECG) device and digital cardiologist consultation platform in diagnosing arrhythmias among general practitioners (GPs). BACKGROUND: Handheld 1L-ECG offers a user-friendly alternative to conventional 12-lead ECG in primary care. While GPs can safely rule out arrhythmias on 1L-ECG recordings, expert consultation is required to confirm suspected arrhythmias. Little is known about GPs' experiences with both a 1L-ECG device and digital consultation platform for daily practice...
April 18, 2024: Primary Health Care Research & Development
https://read.qxmd.com/read/38631796/cardiac-arrest-in-special-populations
#25
REVIEW
Ravi W Sumer, William A Woods
Best practices in cardiac arrest depend on continuous high-quality chest compressions, appropriate ventilatory management, early defibrillation of shockable rhythms, and identification and treatment of reversible causes. Although most patients can be treated according to highly vetted treatment guidelines, some special situations in cardiac arrest arise where additional skills and preparation can improve outcomes. Situations covered in this section involve cardiac arrest in context of electrical injuries, asthma, allergic reactions, pregnancy, trauma, electrolyte imbalances, toxic exposures, hypothermia, drowning, pulmonary embolism, and left ventricular assist devices...
May 2024: Cardiology Clinics
https://read.qxmd.com/read/38630867/real-world-validation-of-smartphone-based-photoplethysmography-for-rate-and-rhythm-monitoring-in-atrial-fibrillation
#26
JOURNAL ARTICLE
Henri Gruwez, Daniel Ezzat, Tim Van Puyvelde, Sebastiaan Dhont, Evelyne Meekers, Liesbeth Bruckers, Femke Wouters, Michiel Kellens, Hugo Van Herendael, Maximo Rivero-Ayerza, Dieter Nuyens, Peter Haemers, Laurent Pison
AIMS: Photoplethysmography- (PPG) based smartphone applications facilitate heart rate and rhythm monitoring in patients with paroxysmal and persistent atrial fibrillation (AF). Despite an endorsement from the European Heart Rhythm Association, validation studies in this setting are lacking. Therefore, we evaluated the accuracy of PPG-derived heart rate and rhythm classification in subjects with an established diagnosis of AF in unsupervised real-world conditions. METHODS AND RESULTS: Fifty consecutive patients were enrolled, 4 weeks before undergoing AF ablation...
March 30, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/38630494/atrial-shunt-device-effects-on-cardiac-structure-and-function-in-heart-failure-with-preserved-ejection-fraction-the-reduce-lap-hf-ii-randomized-clinical-trial
#27
JOURNAL ARTICLE
Ravi B Patel, Frank E Silvestry, Jan Komtebedde, Scott D Solomon, Gerd Hasenfuß, Sheldon E Litwin, Barry A Borlaug, Matthew J Price, Rami Kawash, Scott L Hummel, Donald E Cutlip, Martin B Leon, Dirk J van Veldhuisen, Andreas J Rieth, Scott McKenzie, Heiko Bugger, Jeremy A Mazurek, Samir R Kapadia, Marc Vanderheyden, Bonnie Ky, Sanjiv J Shah
IMPORTANCE: Although the results of A Study to Evaluate the Corvia Medical Inc IASD System II to Reduce Elevated Left Atrial Pressure in Patients with Heart Failure (REDUCE LAP-HF II) trial were neutral overall, atrial shunt therapy demonstrated potential efficacy in responders (no latent pulmonary vascular disease and no cardiac rhythm management device). Post hoc analyses were conducted to evaluate the effect of shunt vs sham stratified by responder status. OBJECTIVE: To evaluate the effect of atrial shunt vs sham control on cardiac structure/function in the overall study and stratified by responder status...
April 17, 2024: JAMA Cardiology
https://read.qxmd.com/read/38617758/impact-of-atrial-fibrillation-on-1-year-outcome-in-patients-with-implantable-cardioverter-defibrillator-or-cardiac-resynchronization-therapy-with-defibrillator-results-from-the-german-device-registry
#28
JOURNAL ARTICLE
Sebastian Feickert, Niels Christian Ewertsen, Julia Köbe, Thomas Kleemann, Joachim Jehle, Jochen Senges, Matthias Hochadel, Dietrich Andresen, Christoph Stellbrink, Lars Eckardt, Stefan Spitzer, Johannes Brachmann, Hüseyin Ince, Giuseppe D'Ancona
BACKGROUND: Atrial fibrillation (AF) is a cardiac arrhythmia frequently documented in patients requiring implantable cardioverter defibrillators (ICDs) and/or cardiac resynchronization therapy with defibrillator (CRT-D). Patients with diagnosed AF at the point of ICD or CRT-D implantation may have an impaired follow-up outcome. METHODS: The German DEVICE I-II registry is a nationwide prospective multicentre database of patients implanted with ICD and CRT-D with clinical follow-up data...
March 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38610667/landmark-evolutions-in-time-and-indication-for-cardiac-resynchronization-therapy-results-from-a-multicenter-retrospective-registry
#29
JOURNAL ARTICLE
Jeroen Bijnens, Sander Trenson, Gabor Voros, Pieter Martens, Sebastian Ingelaere, Pascal Betschart, Jens-Uwe Voigt, Matthias Dupont, Alexander Breitenstein, Jan Steffel, Rik Willems, Frank Ruschitzka, Wilfried Mullens, Stephan Winnik, Bert Vandenberk
Background: Cardiac resynchronization therapy (CRT) has evolved into an established therapy for patients with chronic heart failure and a wide QRS complex. Data on long-term outcomes over time are scarce and the criteria for implantation remain a subject of investigation. Methods: An international, multicenter, retrospective registry includes 2275 patients who received CRT between 30 November 2000 and 31 December 2019, with a mean follow-up of 3.6 ± 2.7 years. Four time periods were defined, based on landmark trials and guidelines...
March 25, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38608918/feasibility-and-efficacy-of-real-time-ultrasound-guided-venous-closure-with-suture-mediated-vascular-closure-device
#30
JOURNAL ARTICLE
Masaya Tachi, Akihito Tanaka, Tsubasa Teraoka, Tappei Furuta, Etsushi Matsushita, Kazunori Hayashi, Masafumi Shimojo, Satoshi Yanagisawa, Yasuya Inden, Toyoaki Murohara
BACKGROUND: Complications of venous vascular access are usually non-fatal but are the most common complications after transvenous catheter intervention. Vascular closure devices (VCD) have recently become available for venous closure. OBJECTIVE: This study aimed to evaluate the feasibility and efficacy of real-time ultrasound-guided venous closure using suture-mediated VCD in patients who underwent catheter ablation. METHODS: This single-center observational study enrolled 226 consecutive patients who underwent elective catheter ablation with femoral venipuncture...
April 10, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38604590/prognosis-of-patients-in-end-stage-heart-failure-with-atrial-fibrillation-treated-with-ablation-insights-from-castle-htx
#31
JOURNAL ARTICLE
Maximilian Moersdorf, Jan G P Tijssen, Nassir F Marrouche, Harry J G M Crijns, Angelika Costard-Jaeckle, Leonard Bergau, Gerhard Hindricks, Nikolaos Dagres, Samuel Sossalla, Rene Schramm, Henrik Fox, Thomas Fink, Mustapha El Hamriti, Vanessa Sciacca, Frank Konietschke, Volker Rudolph, Jan Gummert, Philipp Sommer, Christian Sohns
BACKGROUND: The CASTLE-HTx trial demonstrated the benefit of atrial fibrillation (AF) ablation compared to medical therapy in decreasing mortality, need for left ventricular assist device (LVAD) implantation or heart transplantation (HTx) in patients with end-stage heart failure (HF). OBJECTIVES: The aim of this analysis was to identify risk factors related to adverse outcomes in patients with end-stage HF and to assess the impact of ablation. METHODS: The CASTLE-HTx protocol randomized 194 patients with end-stage HF and AF to ablation versus medical therapy...
April 6, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38592132/arrhythmias-and-device-therapies-in-cardiac-amyloidosis
#32
REVIEW
Syed Bukhari, Syed Zamrak Khan, Mohamed Ghoweba, Bilal Khan, Zubair Bashir
Cardiac amyloidosis is caused by amyloid fibrils that deposit in the myocardial interstitium, causing restrictive cardiomyopathy and eventually death. The electromechanical, inflammatory, and autonomic changes due to amyloid deposition result in arrhythmias. Atrial fibrillation is by far the most common arrhythmia. The rate control strategy is generally poorly tolerated due to restrictive filling physiology and heart rate dependance, favoring adoption of the rhythm control strategy. Anticoagulation for stroke prophylaxis is warranted, irrespective of CHA2 DS2 -VASc score in patients with a favorable bleeding profile; data on left appendage closure devices are still insufficient...
February 25, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38592046/atrial-fibrillation-and-early-vascular-aging-clinical-implications-methodology-issues-and-open-questions-a-review-from-the-vascagenet-cost-action
#33
REVIEW
Giacomo Pucci, Andrea Grillo, Kalliopi V Dalakleidi, Emil Fraenkel, Eugenia Gkaliagkousi, Spyretta Golemati, Andrea Guala, Bernhard Hametner, Antonios Lazaridis, Christopher C Mayer, Ioana Mozos, Telmo Pereira, Dave Veerasingam, Dimitrios Terentes-Printzios, Davide Agnoletti
Atrial fibrillation (AF), the most common cardiac arrhythmia, is associated with adverse CV outcomes. Vascular aging (VA), which is defined as the progressive deterioration of arterial function and structure over a lifetime, is an independent predictor of both AF development and CV events. A timing identification and treatment of early VA has therefore the potential to reduce the risk of AF incidence and related CV events. A network of scientists and clinicians from the COST Action VascAgeNet identified five clinically and methodologically relevant questions regarding the relationship between AF and VA and conducted a narrative review of the literature to find potential answers...
February 20, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38591838/longer-and-better-lives-for-patients-with-atrial-fibrillation-the-9th-afnet-ehra-consensus-conference
#34
JOURNAL ARTICLE
Dominik Linz, Jason G Andrade, Elena Arbelo, Giuseppe Boriani, Guenter Breithardt, A John Camm, Valeria Caso, Jens Cosedis Nielsen, Mirko De Melis, Tom De Potter, Wolfgang Dichtl, Søren Zoega Diederichsen, Dobromir Dobrev, Nicolas Doll, David Duncker, Elke Dworatzek, Lars Eckardt, Christoph Eisert, Larissa Fabritz, Michal Farkowski, David Filgueiras-Rama, Andreas Goette, Eduard Guasch, Guido Hack, Stéphane Hatem, Karl Georg Haeusler, Jeff S Healey, Hein Heidbuechel, Ziad Hijazi, Lucas H Hofmeister, Leif Hove-Madsen, Thomas Huebner, Stefan Kääb, Dipak Kotecha, Katarzyna Malaczynska-Rajpold, José Luis Merino, Andreas Metzner, Lluís Mont, Ghulam Andre Ng, Michael Oeff, Abdul Shokor Parwani, Helmut Puererfellner, Ursula Ravens, Michiel Rienstra, Prashanthan Sanders, Daniel Scherr, Renate Schnabel, Ulrich Schotten, Christian Sohns, Gerhard Steinbeck, Daniel Steven, Tobias Toennis, Stylianos Tzeis, Isabelle C van Gelder, Roderick H van Leerdam, Kevin Vernooy, Manish Wadhwa, Reza Wakili, Stephan Willems, Henning Witt, Stef Zeemering, Paulus Kirchhof
AIMS: Recent trial data demonstrate beneficial effects of active rhythm management in patients with atrial fibrillation (AF) and support the concept that a low arrhythmia burden is associated with a low risk of AF-related complications. The aim of this document is to summarize the key outcomes of the 9th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). METHODS AND RESULTS: Eighty-three international experts met in Münster for 2 days in September 2023...
March 30, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/38588996/arrhythmic-manifestations-and-outcomes-of-definite-and-probable-cardiac-sarcoidosis
#35
JOURNAL ARTICLE
Daniel Sykora, Andrew N Rosenbaum, Robert A Churchill, B Michelle Kim, Mohamed Y Elwazir, John P Bois, John R Giudicessi, Melanie Bratcher, Kathleen A Young, Sami M Ryan, Alan M Sugrue, Ammar M Killu, Panithaya Chareonthaitawee, Suraj Kapa, Abhishek J Deshmukh, Omar F Abou Ezzeddine, Leslie T Cooper, Konstantinos C Siontis
BACKGROUND: The 2014 HRS consensus statement defines histological (definite) and clinical (probable) diagnostic categories of cardiac sarcoidosis (CS), but few studies have compared their arrhythmic phenotypes and outcomes. OBJECTIVE: Evaluate the electrophysiologic/arrhythmic phenotype and outcomes of patients with definite and probable CS. METHODS: We analyzed the arrhythmic/electrophysiologic phenotype in a single-center North American cohort of 388 patients (median age 56 years, 39% female) diagnosed with definite (n=58) or probable (n=330) CS (2000-2022)...
April 6, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38588994/risk-of-infection-and-vascular-complications-with-cardiac-implantable-electronic-devices-implantation-in-patients-with-a-history-of-mastectomies
#36
JOURNAL ARTICLE
Yong Hao Yeo, Boon Jian San, Jia Yi Tan, Ishmael Jaiyesimi, Nishaki Mehta
No abstract text is available yet for this article.
April 6, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38588993/an-international-multicenter-cohort-study-on-implantable-cardioverter-defibrillators-for-the-treatment-of-symptomatic-children-with-catecholaminergic-polymorphic-ventricular-tachycardia
#37
JOURNAL ARTICLE
Avani Lamba, Thomas M Roston, Puck J Peltenburg, Dania Kallas, Sonia Franciosi, Krystien V V Lieve, Prince J Kannankeril, Minoru Horie, Seiko Ohno, Ramon Brugada, Takeshi Aiba, Peter Fischbach, Linda Knight, Jan Till, Sit-Yee Kwok, Vincent Probst, David Backhoff, Martin J LaPage, Anjan S Batra, Fabrizio Drago, Kristina Haugaa, Andrew D Krahn, Tomas Robyns, Heikki Swan, Terezia Tavacova, Joseph Atallah, Martin Borggrefe, Boris Rudic, Georgia Sarquella-Brugada, Ehud Chorin, Allison Hill, Janneke Kammeraad, Anna Kamp, Ian Law, James Perry, Jason D Roberts, Svjetlana Tisma-Dupanovic, Christopher Semsarian, Jonathan R Skinner, Jacob Tfelt-Hansen, Isabelle Denjoy, Antoine Leenhardt, Peter J Schwartz, Michael J Ackerman, Arthur A M Wilde, Christian van der Werf, Shubhayan Sanatani
BACKGROUND: Catecholaminergic polymorphic ventricular tachycardia (CPVT) may cause sudden cardiac death (SCD) despite medical therapy. Therefore, implantable cardioverter-defibrillators (ICDs) are commonly advised. However, there are limited data on the outcomes of ICD use in children. OBJECTIVE: The purpose of this study was to compare the risk of arrhythmic events in pediatric patients with CPVT with and without ICD. METHODS: We compared the risk of SCD in patients with RYR2 (ryanodine receptor 2) variants and phenotype-positive symptomatic patients with CPVT with and without ICD who were younger than 19 years and had no history of sudden cardiac arrest at phenotype diagnosis...
April 7, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38582442/a-retrospective-comparison-of-mechanical-cardio-pulmonary-ventilation-and-manual-bag-valve-ventilation-in-non-traumatic-out-of-hospital-cardiac-arrests-a-study-from-the-belgian-cardiac-arrest-registry
#38
JOURNAL ARTICLE
Stefano Malinverni, Stéphan Wilmin, Diane de Longueville, Mathilde Sarnelli, Griet Vermeulen, Mahmoud Kaabour, Marc Van Nuffelen, Ives Hubloue, Simon Scheyltjens, Alessandro Manara, Pierre Mols, Jean-Christophe Richard, Francis Desmet
BACKGROUND: The optimal ventilation modalities to manage out-of-hospital cardiac arrest (OHCA) remain debated. A specific pressure mode called cardio-pulmonary ventilation (CPV) may be used instead of manual bag ventilation (MBV). We sought to analyse the association between mechanical CPV and return of spontaneous circulation (ROSC) in non-traumatic OHCA. METHODS: MBV and CPV were retrospectively identified in patients with non-traumatic OHCA from the Belgian Cardiac Arrest Registry...
April 4, 2024: Resuscitation
https://read.qxmd.com/read/38574791/accurate-detection-of-lead-malfunction-from-ecg-derived-bipolar-pacing-stimulus-amplitude
#39
JOURNAL ARTICLE
Michael S Lloyd, Mary Pelling, Rand Ibrahim, Mikhael F El-Chami, Shahriar Iravanian
BACKGROUND: One common mode of lead failure is insulation breach which may result in myopotential noise and device malfunction. "Pseudo-unipolarization" of bipolar pacing stimuli, as observed from a routine 12-lead ECG due to stimulus current leak has been observed with insulation breaches. OBJECTIVE: We sought to characterize this ECG finding to detect lead this type of lead malfunction. METHODS: 138 transvenous leads were analyzed, including 88 with known malfunction and 50 normal leads...
April 2, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://read.qxmd.com/read/38567583/evaluation-of-cardiac-arrhythmia-in-pediatric-patients-with-left-ventricular-assist-device-l-vad
#40
JOURNAL ARTICLE
E Doğan, F Ergin, M B Beyter, G Kayan Kaşıkçı, O Ay, R E Levent, Ç Engin, Z Ülger
OBJECTIVE: Pediatric heart failure is an important cause of morbidity and mortality in childhood. Left ventricular assist devices (L-VAD) are used for bridging to transplantation in patients with indications for heart transplantation. PATIENTS AND METHODS: The children included in the study were patients who underwent implantation of an L-VAD due to advanced heart failure at Ege University Faculty of Medicine Hospital between January 2009 and January 2023. RESULTS: Of the 33 patients who underwent L-VAD implantation, 16 (48...
March 2024: European Review for Medical and Pharmacological Sciences
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