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Husser Daniela, Geller Christoph, Taborsky Miloš, Schomburg Rolf, Bode Frank, Nielsen Jens Cosedis, Stellbrink Christoph, Meincke, Hjortshoj, J Schrader, T Lewalter, G Hindricks
Aims: Randomized clinical trials investigating a possible outcome effect of remote monitoring in patients with implantable defibrillators have shown conflicting results. This study analyses information flow and workflow details from IN-TIME and discusses whether differences of message content, information speed and completeness, and workflow may contribute to the heterogeneous results. Methods and results: IN-TIME randomized 664 patients with an implantable cardioverter/defibrillator indication to daily remote monitoring vs...
July 16, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
Nilay Patel, Juan Viles-Gonzalez, Kanishk Agnihotri, Shilpkumar Arora, Nileshkumar J Patel, Ekta Aneja, Mahek Shah, Apurva O Badheka, Naga Venkata Pothineni, Krishna Kancharla, Siva Mulpuru, Peter Noseworthy, Fred Kusumoto, Yong Mei Cha, Abhishek Deshmukh
BACKGROUND: The utilization of cardiac resynchronization therapy-defibrillator (CRT-D) has increased significantly since its initial approval for use in selected patients with heart failure. Limited data exits regarding current trends in implant related in-hospital complications and cost utilization. The aim of our study was to examine in-hospital complication rates associated with CRT-D and their trends over the last decade. METHODS AND RESULTS: Using the Nationwide Inpatient Sample, we estimated 378,248 CRT-D procedures from 2003 to 2012...
July 17, 2018: Journal of Cardiovascular Electrophysiology
Aman Gupta, Deepak Kumar Pasupula, Aditya Bhonsale, Krishna Kancharla, Norman C Wang, Evan Adelstein, Sandeep Jain, Samir Saba
BACKGROUND: Guideline recommendations for implantable cardioverter-defibrillators (ICD) for secondary prevention of sudden cardiac arrest (SCA) have excluded patients with reversible causes. We previously demonstrated mortality benefit with the ICD in survivors of SCA associated with reversible causes other than myocardial infarction (MI) or ischemia treated with coronary revascularization. In the present study, we examined the incidence of ICD therapy in patients with SCA related to reversible causes...
July 17, 2018: Journal of Cardiovascular Electrophysiology
Bandar Al-Ghamdi
Sudden cardiac death (SCD) is a significant health problem worldwide. Multiple randomized controlled trials have shown that implantable cardioverter defibrillators (ICDs) are effective life-saving management option for individuals at risk of SCD in both primary and secondary prevention. Although the conventional transvenous ICDs (TV-ICDs) are safe and effective, there are potential complications associated with its use, including localized pocket or wound infection or systematic infection, a vascular access related complication such as pneumothorax, and venous thrombosis, and lead related complications such as dislodgement, malfunction, and perforation...
July 16, 2018: Current Cardiology Reviews
Shadi Dehghanzadeh, Nahid Dehghan Nayeri, Shokoh Varaei
Heart failure is associated with low quality of life and a high mortality rate. There is limited information about patients' experiences of living with cardiac resynchronization therapy (CRT). In the present study, we sought to explore the process of living with CRT defibrillator. This qualitative study was completed from December 2014 to April 2016 using a grounded theory approach. Twenty semistructured interviews were held with 17 patients with heart failure. Data analysis was done via a previously-published approach...
July 17, 2018: Nursing & Health Sciences
Daniel A Dworkis, Scott G Weiner, Vincent T Liao, Danielle Rabickow, Scott A Goldberg
Introduction: The epidemic of opioid use disorder and opioid overdose carries extensive morbidity and mortality and necessitates a multi-pronged, community-level response. Bystander administration of the opioid overdose antidote naloxone is effective, but it is not universally available and requires consistent effort on the part of citizens to proactively carry naloxone. An alternate approach would be to position naloxone kits where they are most needed in a community, in a manner analogous to automated external defibrillators...
July 2018: Western Journal of Emergency Medicine
Hidetoshi Hattori, Atsushi Suzuki, Tsuyoshi Shiga, Tomohiro Nishinaka, Satoshi Saito, Kenji Yamazaki, Shinichi Nunoda, Nobuhisa Hagiwara
BACKGROUND: Recurrent ventricular tachyarrhythmias (VTA) are "A factor" modifiers in the Interagency Registry for Mechanically Assisted Circulatory Support profile. The effect of recurrent VTA on clinical outcome, however, is controversial. We evaluated the impact of recurrent VTA on outcome in Japanese heart transplant candidates with a left ventricular assist device (LVAD).Methods and Results:Sixty-six adult patients with advanced heart failure who were listed for heart transplantation between January 2005 and October 2017 were enrolled in the study...
July 13, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
Pyotr G Platonov, Scott McNitt, Bronislava Polonsky, Spencer Z Rosero, Valentina Kutyifa, Allison Huang, Arthur J Moss, Wojciech Zareba
BACKGROUND: Long-QT (LQT) syndrome mutation carriers have higher risk of cardiac events than unaffected family members even in the absence of QTc prolongation. Changes in T-wave morphology may reflect penetrance of LQT syndrome mutations. We aimed to assess whether T-wave morphology may improve risk stratification of LQT2 mutation carriers with normal QTc interval. METHODS: LQT2 mutation carriers with QTc <460 ms in men and <470 ms in women (n=154) were compared with unaffected family members (n=1007)...
July 2018: Circulation. Arrhythmia and Electrophysiology
Edgard A Prihadi, Pieter van der Bijl, Erhan Gursoy, Rachid Abou, E Mara Vollema, Rebecca T Hahn, Gregg W Stone, Martin B Leon, Nina Ajmone Marsan, Victoria Delgado, Jeroen J Bax
Aims: To evaluate the risk factors influencing the development of significant (moderate and severe) tricuspid regurgitation (TR), and its impact on all-cause mortality in large registry of referral centre. Methods and results: In 1000 patients (mean age 68 ± 13 years; 50.9% male) with documented significant TR, clinical, and echocardiographic data were retrospectively analysed when the echocardiogram showed none/mild TR. Patients with congenital heart disease were excluded...
July 13, 2018: European Heart Journal
Bishoy Deif, Brennan Ballantyne, Fahad Almehmadi, Michael Mikhail, William F McIntyre, Jaimie Manlucu, Raymond Yee, John L Sapp, Jason D Roberts, Jeff S Healey, Peter Leong-Sit, Anthony S Tang
Aims: Cardiac Resynchronization Therapy (CRT) has been shown to reduce mortality and heart failure (HF) hospitalization but its effects on the rate of ventricular arrhythmias (VAs) appears to be neutral. We hypothesize that CRT with LV epicardial stimulation is inherently pro-arrhythmic and increases VA rates in the absence of reverse ventricular remodelling while conferring an anti-arrhythmic effect in mechanical responders. Methods and Results: In this systematic review and meta-analysis, we considered retrospective cohort, prospective cohort and randomized controlled trials comparing VA rates between cardiac resynchronization therapy-defibrillator (CRT-D) non-responders, CRT-D responders and those with implantable cardioverter defibrillator (ICD) only...
July 14, 2018: Cardiovascular Research
Qi Zheng, Melanie Maytin, Roy M John, Ammar M Killu, Laurence M Epstein
BACKGROUND: Uninterrupted anticoagulation is important for patients at high risk of thromboembolism. Bridging with heparin/lovenox increases the risk of hematoma and infection. There is no published data on the feasibility of transvenous lead extraction (TLE) during uninterrupted anticoagulation. OBJECTIVE: This study aims to examine the feasibility and safety of TLE during uninterrupted warfarin therapy with therapeutic international normalized ratio (INR). METHODS: We performed a retrospective study of patients undergoing TLE while on uninterrupted warfarin therapy with INR > 2...
July 13, 2018: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Cristina Jorge-Soto, Maite Abilleira-González, Martin Otero-Agra, Roberto Barcala-Furelos, Cristian Abelairas-Gómez, Lukasz Szarpak, Antonio Rodríguez-Núñez
BACKGROUND: The aim was to assess future schoolteachers' basic life support (BLS) knowledge and willingness to include this content in school lessons. The aim was also to determine the learning effect of a brief BLS hands-on training session, supported by real-time feedback. METHODS: A convenience sample of 98 University students of Educational Sciences and Sports were recruited. The training program consisted of brief theoretical and hands-on interactive sessions with a 2/10 instructor/participants ratio...
July 16, 2018: Cardiology Journal
Matthias Wittstock, Johannes Buchmann, Uwe Walter, Johannes Rösche
No abstract text is available yet for this article.
2018: Emergency (Tehran, Iran)
Bui Hai Hoang, Xuan Dung Dao, Shinji Nakahara, Tetsuya Sakamoto
Out-of-hospital cardiac arrest patients require immediate interventions by bystanders and emergency medical services (EMS). However, in many low- and middle-income countries (LMIC), bystanders witnessing a cardiac arrest rarely perform chest compressions and contact EMS. This paper attempts to draw lessons from a case of a patient with a cardiac arrest who could have survived with immediate interventions. A 40 year old man collapsed following electrocution at a construction site. His colleagues immediately transferred him to hospital via taxi, without performing chest compressions...
July 15, 2018: Emergency Medicine Australasia: EMA
Karen E Jakub
OBJECTIVE: The purpose of this study was to examine men's adjustment to living with an implantable cardioverter defibrillator (ICD) as influenced by gender and age. BACKGROUND: Living with an ICD requires psychological and social adjustments throughout the lifespan. Approximately 60-70% of the ICD population are men, yet little is known about men's gender-specific issues related to living with ICDs. METHOD: Ethnographic methods were used with 12 men, 26-85 years of age...
July 11, 2018: Heart & Lung: the Journal of Critical Care
Tiana Nizamic, M Hassan Murad, Larry A Allen, Colleen K McIlvennan, Sara E Wordingham, Daniel D Matlock, Shannon M Dunlay
OBJECTIVES: This study sought to systematically review the available evidence of risks and benefits of ambulatory intravenous inotrope therapy in advanced heart failure (HF). BACKGROUND: Ambulatory inotrope infusions are sometimes offered to patients with advanced Stage D HF; however, an understanding of the relative risks and benefits is lacking. METHODS: On August 7, 2016, we searched SCOPUS, Web of Science, Ovid EMBASE, and Ovid MEDLINE for studies of long-term use of intravenous inotropes in outpatients with advanced HF...
July 6, 2018: JACC. Heart Failure
Rafi Sakhi, Sing-Chien Yap, Michelle Michels, Arend F L Schinkel, R Martijn Kauling, Jolien W Roos-Hesselink, Dominic A M J Theuns
BACKGROUND: The manufacturer has developed a new ECG screening tool to determine eligibility for the subcutaneous ICD (S-ICD), the "automatic screening tool" (AST), which may render manual ECG-screening unnecessary. The aim of the study was to determine the eligibility for the S-ICD using two methods (manual ECG-screening versus AST) in different patient categories including patients with cardiomyopathy, congenital heart disease and inherited primary arrhythmia syndrome. METHODS: We prospectively evaluated the ECG suitability for an S-ICD in consecutive patients at our outpatient clinic between February and June 2017...
July 6, 2018: International Journal of Cardiology
Robert Gałązkowski, Michał M Farkowski, Daniel Rabczenko, Marta Marciniak-Emmons, Tomasz Darocha, Dariusz Timler, Maciej Sterliński
Introduction: The Revised Trauma Score (RTS) accurately identifies trauma patients at high risk of adverse events or death. Less is known about its usefulness in the general population and non-trauma recipients of Helicopter Emergency Medical Service (HEMS). The RTS is a simple tool and omits a lot of other data obtained during clinical evaluation. The aim was to assess the role of the RTS to identify patients at risk of major complications (death, cardiopulmonary resuscitation, defibrillation, intubation) in the general population of HEMS patients...
June 2018: Archives of Medical Science: AMS
Roy S Gardner, Jagmeet P Singh, Branislav Stancak, Devi G Nair, Michael Cao, Christopher Schulze, Pramodsingh H Thakur, Qi An, Scott Wehrenberg, Eric F Hammill, Yi Zhang, John P Boehmer
BACKGROUND: Care of heart failure (HF) patients results in a high burden on healthcare resources, and estimating prognosis is becoming increasingly important to triage resources wisely. Natriuretic peptides are recommended prognosticators in chronic HF. Our objective was to evaluate whether a multisensor HF index and alert algorithm (HeartLogic) replaces or augments current HF risk stratification. METHODS AND RESULTS: MultiSENSE (Multisensor Chronic Evaluation in Ambulatory Heart Failure Patients) enrolled 900 patients with cardiac resynchronization therapy defibrillators enabled for collection of heart sounds, respiration, thoracic impedance, heart rate, and activity data...
July 2018: Circulation. Heart Failure
Michał Lewandowski, Paweł Syska, Ilona Kowalik, Aleksander Maciąg, Maciej Sterliński, Joanna Ateńska-Pawłowska, Hanna Szwed
AIMS: Young ICD recipients present high rate of complications. Some of them seem to be underestimated. We report our clinical experience with ICD therapy in children and young adults during a 15 years follow-up. METHODS: We reviewed database of ICD recipients in our institution and have chosen 73 patients consecutively implanted at age 6-21years. We analysed intervention rate, mortality, rate and character of complications and treatment options. RESULTS: 20/73 patients (27,4%) received ≥1 appropriate therapy(AT) for VT/VF(ATP or shock) and 24/73 patients (32,8%) had one or multiple inappropriate therapy (IT)...
July 11, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
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