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https://www.readbyqxmd.com/read/29931685/body-image-concerns-in-patients-with-an-implantable-cardioverter-defibrillator-a-scoping-review
#1
REVIEW
Vivi S Frydensberg, Søren J Skovbakke, Susanne S Pedersen, Robin N Kok
BACKGROUND: Patients with an implantable cardioverter defibrillator (ICD) retain a scar and a bump at the site of implant. This may lead to body image concerns (BICs) that influence patients' quality of life. Few studies have examined the prevalence and impact of BICs post implant, prompting us to conduct a scoping review of the field. METHODS: We searched the Medline, Embase, PsycINFO and Cinahl databases in August 2016 and repeated May 2017. Included were studies reporting on patients ≥ 18 years, an ICD implant (transvenous, subcutaneous, or ICD with cardiac resynchronization therapy (CRT-D), reporting on BICs, and published in peer-reviewed English-language journals...
June 22, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29929933/hospital-mortality-and-thirty-day-readmission-among-patients-with-non-acute-myocardial-infarction-related-cardiogenic-shock
#2
Mahek Shah, Brijesh Patel, Byomesh Tripathi, Manyoo Agarwal, Soumya Patnaik, Pradhum Ram, Shantanu Patil, Jooyoung Shin, Ulrich P Jorde
BACKGROUND: Cardiogenic shock (CS) in absence of acute myocardial infarction (AMI) has significant morbidity and mortality. This population of patients has been excluded from prior major randomized trials and observational studies. METHODS: We included patients with CS in absence of AMI from the 2013-14 HCUP's National Readmission Database. 30-day readmissions were studied and etiology for readmission was identified by using ICD-9CM codes in primary diagnosis field...
June 10, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29929446/idiopathic-colitis-in-rhesus-macaques-is-associated-with-dysbiosis-abundant-enterochromaffin-cells-and-altered-t-cell-cytokine-expression
#3
Steven T Laing, David Merriam, Barbara C Shock, Sarah Mills, Abbie Spinner, Rachel Reader, Dennis J Hartigan-O'Connor
Idiopathic chronic diarrhea (ICD) is a common ailment affecting captive rhesus macaques ( Macaca mulatta). ICD cases are characterized by diarrhea in the absence of commonly identified diarrheal pathogens and multiple recurrences even after supportive therapy. Histologically, the disease is characterized by lymphoplasmacytic colitis. We identified 35 rhesus macaques euthanized for ICD during a 7-month period and described demographic, clinical, histologic, and immunologic commonalities. We found a trend of historic Campylobacter spp...
January 1, 2018: Veterinary Pathology
https://www.readbyqxmd.com/read/29928759/comparison-of-icd-shock-rates-in-japanese-and-non-japanese-patients-in-the-painfree-sst-study
#4
Takashi Kurita, Kenji Ando, Marehiko Ueda, Satoshi Shizuta, Hideo Okamura, Naoki Matsumoto, Bart Gerritse, Dedra H Fagan, Edward J Schloss, Albert Meijer, Angelo Auricchio, Laurence D Sterns, Ken Okumura
BACKGROUND: The PainFree Smart Shock Technology (SST) study showed a low ICD inappropriate shock rate. However, the majority of patients were from Western countries with patient characteristics different from those in Japan. ICD shock rates using the novel SST algorithms in Japanese patients are still unknown. METHODS: All 2,770 patients in the PainFree SST study (Japan [JPN]: N = 181, other geographies [OJPN]: N = 2,589) were included in this analysis. RESULTS: Japanese patients had higher average LVEF (P < 0...
June 21, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29925094/wearable-cardioverter-defibrillators-following-cardiac-surgery-a-single-center-experience
#5
Jan Heimeshoff, Constanze Merz, Marcel Ricklefs, Felix Kirchhoff, Axel Haverich, Christoph Bara, Christian Kühn
BACKGROUND:  A wearable cardioverter-defibrillator (WCD) can terminate ventricular fibrillation and ventricular tachycardias via electrical shock and thus give transient protection from sudden cardiac death. We investigated its role after cardiac surgery. METHODS:  We retrospectively analyzed all patients who were discharged with a WCD from cardiac surgery department. The WCD was prescribed for patients with a left ventricular ejection fraction (LVEF) of ≤35% or an explanted implantable cardioverter-defibrillator (ICD)...
June 20, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29910857/obesity-is-not-associated-with-an-increased-risk-of-portal-vein-thrombosis-in-cirrhotic-patients
#6
Alan Zakko, Paul T Kroner, Rooma Nankani, Raffi Karagozian
Aim: To determine the impact of obesity on development of portal vein thrombosis in cirrhotic patients. Background: Cirrhosis is a known risk factor for portal vein thrombosis (PVT). Evidence also points to obesity as being a risk factor for venous thromboembolism. Limited information is available on how obesity impacts the development of PVT in cirrhotic patients. Methods: This was a retrospective cohort study using the 2013 National Inpatient Sample...
2018: Gastroenterology and Hepatology From Bed to Bench
https://www.readbyqxmd.com/read/29909164/-is-it-possible-to-practice-sports-with-an-implantable-cardioverter-defibrillator
#7
Charles Guenancia, Rodrigue Garcia
Why? The potential risks of sport for an ICD recipient include appropriate and inappropriate shocks, device damage and worsening of the underlying cardiopathy. These risks should be compared to the physical and psychological benefits of exercise. Where? Due to different medico-legal contexts and considering the results of recent studies, the new US guidelines are more permissive than the European guidelines regarding sport practice in ICD recipients. Who? The underlying context (structural or electrical cardiopathy, psychological impact) should be assessed before any decision is taken...
June 13, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29907652/cardiac-resynchronization-therapy-and-clinical-outcomes-in-continuous-flow-left-ventricular-assist-device-recipients
#8
Rakesh Gopinathannair, Henri Roukoz, Adarsh Bhan, Ashwin Ravichandran, Mustafa M Ahmed, Dmitry Familtsev, Geetha Bhat, Jennifer Cowger, Munazzah Abdullah, Chirag Sandesara, Rahul Dhawan, Emma J Birks, Jaimin R Trivedi, Mark S Slaughter
BACKGROUND: Many patients with heart failure continue cardiac resynchronization therapy (CRT) after continuous flow left ventricular assist device (CF-LVAD) implant. We report the first multicenter study to assess the impact of CRT on clinical outcomes in CF-LVAD patients. METHODS AND RESULTS: Analysis was performed on 488 patients (58±13 years, 81% male) with an implantable cardioverter defibrillator (ICD) (n=223) or CRT-D (n=265) who underwent CF-LVAD implantation at 5 centers from 2007 to 2015...
June 15, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29897106/clinical-parameters-to-optimize-patient-selection-for-subcutaneous-and-transvenous-implantable-defibrillator-therapy
#9
Anne-Floor B E Quast, Tom F Brouwer, Fleur V Y Tjong, Arthur A M Wilde, Reinoud E Knops
BACKGROUND: The subcutaneous implantable cardioverter-defibrillator (S-ICD) lacks the antitachycardia pacing (ATP) capability of tranvenous ICDs (TV-ICD). S-ICD patient selection can be challenging as some patients may benefit from ATP. We aim to identify clinical predictors of ATP benefit, in order to improve patient selection for S-ICD or TV-ICD therapy. METHODS: De novo single- and dual-chamber TV-ICD patients implanted between March 2011 and December 2015 were included...
June 13, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29893508/effect-of-defibrillation-threshold-testing-on-effectiveness-of-the-subcutaneous-implantable-cardioverter-defibrillator
#10
Lakshmi Peddareddy, Faisal M Merchant, Angel R Leon, Paige Smith, Akshar Patel, Mikhael F El-Chami
BACKGROUND: Defibrillation threshold (DFT) testing is recommended with the subcutaneous ICD (SICD). OBJECTIVE: To describe first shock efficacy for appropriate SICD therapies stratified by the presence of implant DFT testing. METHODS: We reviewed all patients receiving SICDs at our institution and stratified them based on whether implant DFT testing was performed. Appropriate shocks were reviewed to see if ventricular tachycardia/ventricular fibrillation (VT/VF) terminated with a single shock...
June 12, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29885825/long-term-single-center-experience-of-defibrillator-therapy-in-children-and-adolescents
#11
Gerrit Frommeyer, Sebastian Feder, Markus Bettin, Volker Debus, Julia Köbe, Florian Reinke, Anselm Uebing, Lars Eckardt, Hans Gerd Kehl
BACKGROUND: Implantable cardioverter-defibrillator (ICD) systems are established therapy for prevention of sudden cardiac death. Long-term data on ICD systems in children and adolescents is rare. The present study displays a long-term single-center follow-up of children and adolescents with ICD systems. METHODS AND RESULTS: The present study represents a single-center experience of patients younger than 18 years who received an ICD (n = 58). Follow-up data included in-house follow-up as well as examinations of collaborating specialists...
June 1, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29880624/unexpected-early-complication-of-implantable-cardioverter-defibrillator
#12
Ahmed Abdelhafez, Nancy Wassef, Kai Hogrefe, Mohsin Farooq
A 41-year-old woman was visiting Oxford, where she had a sudden cardiac arrest. Cardiopulmonary resuscitation was started by a bystander until the paramedics arrived, who found her in ventricular fibrillation, and delivered three shocks. After 28 min she had return of spontaneous circulation. Emergency coronary angiography revealed normal coronary arteries. Echocardiography followed by a cardiac MRI showed non-dilated left ventricles with no evidence of late gadolinium enhancement. She had a single-chamber implantable-cardioverter defibrillator (ICD)...
June 6, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29873873/change-of-sensing-vector-in-the-subcutaneous-icd-during-follow-up-and-after-device-replacement
#13
Markus Bettin, Benjamin Rath, Christian Ellermann, Patrick Leitz, Nils Bögeholz, Florian Reinke, Köbe Julia, Lars Eckardt, Gerrit Frommeyer
BACKGROUND: The subcutaneous implantable cardioverter defibrillator (S-ICD) has been established as a valuable alternative to transvenous ICD for prevention of sudden cardiac death. The system automatically chooses the optimal sensing vector. However, during follow-up and especially after device replacement we observed a change of the suggested sensing vector in automatic setup. Therefore, we analyzed frequency and reasons of vector change and its impact on inappropriate shocks (iAS)...
June 6, 2018: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/29858871/towards-eradication-of-inappropriate-therapies-for-icd-lead-failure-by-combining-comprehensive-remote-monitoring-and-lead-noise-alerts
#14
Sylvain Ploux, Charles D Swerdlow, Marc Strik, Nicolas Welte, Nicolas Klotz, Philippe Ritter, Michel Haïssaguerre, Pierre Bordachar
INTRODUCTION: Recognition of implantable cardioverter defibrillator (ICD) lead malfunction before occurrence of life threatening complications is crucial. We aimed to assess the effectiveness of remote monitoring associated or not with a lead noise alert for early detection of ICD lead failure. METHODS: From October 2013 to April 2017, a median of 1224 [578-1958] ICD patients were remotely monitored with comprehensive analysis of all transmitted materials. ICD lead failure and subsequent device interventions were prospectively collected in patients with (RMLN) and without (RM) a lead noise alert (Abbott SecureSense™ or Medtronic Lead Integrity alert™) in their remote monitoring system...
June 2, 2018: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/29803850/time-until-diagnosis-of-clinical-events-with-different-remote-monitoring-systems-in-implantable-cardioverter-defibrillator-patients
#15
Malene Söth-Hansen, Christoffer Tobias Witt, Mathis Rasmussen, Jens Kristensen, Christian Gerdes, Jens Cosedis Nielsen
BACKGROUND: Remote monitoring (RM) is an established technology integrated into routine follow-up of patients with implantable cardioverter-defibrillator (ICD). Current RM systems differ according to transmission frequency and alert definition. OBJECTIVE: We aimed to compare time difference between detection and acknowledgement of clinically relevant events between four RM systems. METHODS: We analyzed time delay between detection of ventricular arrhythmic and technical events by the ICD and acknowledgement by hospital staff in 1...
May 24, 2018: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/29803411/prevalence-and-prognosis-of-ventricular-tachycardia-ventricular-fibrillation-in-patients-with-post-infarction-left-ventricular-aneurysm-analysis-of-575-cases
#16
Xiaohui Ning, Xuerui Ye, Yanhua Si, Zihe Yang, Yunzi Zhao, Qi Sun, Ruohan Chen, Min Tang, Keping Chen, Xiaoli Zhang, Shu Zhang
BACKGROUND: We investigated the prevalence of ventricular tachycardia/ventricular fibrillation (VT/VF) in Post-infarction left ventricular aneurysm (PI-LVA) patients and analyze clinical outcomes in patients presenting with VT/VF. METHODS: 575 PI-LVA patients were enrolled and investigated by logistic regression analysis. Patients with VT/VF were followed up, the composite primary endpoint was cardiac death and appropriate ICD/external shocks. RESULTS: The incidence of sustained VT/VF was 11%...
March 21, 2018: Journal of Electrocardiology
https://www.readbyqxmd.com/read/29798794/impact-of-body-mass-index-on-safety-and-efficacy-of-the-subcutaneous-implantable-cardioverter-defibrillator
#17
David S Frankel, Martin C Burke, David J Callans, Timothy M Stivland, Elizabeth Duffy, Andrew E Epstein
OBJECTIVES: This study determined whether obesity increased the risk of failed shocks and complications among subcutaneous implantable cardioverter-defibrillator (S-ICD) recipients. BACKGROUND: The S-ICD is an established treatment for patients at high risk for ventricular arrhythmias. Obesity may increase the transvenous defibrillation threshold and the rate of complications. METHODS: We analyzed data from the 321 patients enrolled in the S-ICD Investigational Device Exemption (IDE) study...
May 2018: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/29786883/left-ventricular-aneurysms-in-hypertrophic-cardiomyopathy-with-midventricular-obstruction-a-systematic-review-of-literature
#18
Moustafa O Elsheshtawy, Ahmed N Mahmoud, Mahmoud Abdelghany, Ida H Suen, Adnan Sadiq, Jacob Shani
BACKGROUND: Hypertrophic cardiomyopathy (HCM) with or without left ventricular apical aneurysm (LVA) had been studied in the past. Midventricular obstruction associated with HCM and LVA is a unique entity that has not been distinguished previously as a separate phenotypic disease in HCM patients. METHODS: A systematic review of Pubmed and Google Scholar was conducted from inception until September 2017 for all observational studies conducted on HCM with midventricular obstruction and LVA...
May 22, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29771327/propensity-score-matched-comparison-of-subcutaneous-and-transvenous-implantable-cardioverter-defibrillator-therapy-in-the-simple-and-effortless-studies
#19
Tom F Brouwer, Reinoud E Knops, Valentina Kutyifa, Craig Barr, Blandine Mondésert, Lucas V A Boersma, Pier D Lambiase, Nicholas Wold, Paul W Jones, Jeffrey S Healey
Aims: Comparison of outcomes between subcutaneous and transvenous implantable cardioverter-defibrillator (S-ICD and TV-ICD) therapy is hampered by varying patient characteristics and complication definitions. The aim of this analysis is to compare clinical outcomes of S-ICD and TV-ICD therapy in a matched cohort. Methods and results: Patients implanted with de novo implantable cardioverter-defibrillators without need for pacing were selected from two studies: SIMPLE (n = 1091 single and n = 553 dual chamber TV-ICDs) and EFFORTLESS (n = 798 S-ICDs)...
May 15, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29766266/-syncope-and-fitness-to-drive
#20
REVIEW
Hermann H Klein
Although medical students are rarely instructed in traffic medicine in Germany, they are obliged to inform their patients about their fitness to drive after having become a medical doctor. This article gives an overview on the fitness to drive for patients with syncope by referring to the driving license regulation and the current guidelines released by the department of traffic. The driving license regulation distinguishes between group 1 and group 2 drivers. Group 1 drivers drive vehicles with a total weight less than 3...
May 15, 2018: Herzschrittmachertherapie & Elektrophysiologie
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