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ICD programming

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https://www.readbyqxmd.com/read/28326565/erroneous-magnet-positioning-leads-to-failure-of-inhibition-of-inappropriate-shock-during-fast-conducting-atrial-fibrillation-episodes
#1
Hans Römers, Vincent VAN Dijk, Jippe Balt
We present the case of a 75-year-old patient with a single-chamber St. Jude Medical internal cardioverter defibrillator (ICD; St. Jude Medical, St. Paul, MN, USA) for primary prevention, who was admitted with 39 inappropriate ICD shocks because of atrial fibrillation with rapid ventricular frequention, despite magnet placement. Review of the device manual and literature revealed that apart from different responses to magnet placement programmed for the various manufacturers, the type of magnet and the positioning can be of specific interest...
February 3, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28295869/predictors-of-short-term-clinical-response-to-cardiac-resynchronization-therapy
#2
Cecilia Linde, William T Abraham, Michael R Gold, J Claude Daubert, Anthony S L Tang, James B Young, Lou Sherfesee, J Harrison Hudnall, Dedra H Fagan, John G Cleland
AIMS: Cardiac resynchronization therapy (CRT) reduces morbidity and mortality in patients with symptomatic heart failure and QRS prolongation but there is uncertainty about which patient characteristics predict short-term clinical response. METHODS AND RESULTS: In an individual patient meta-analysis of three double-blind, randomized trials, clinical composite score (CCS) at 6 months was compared in patients assigned to CRT programmed on or off. Treatment-covariate interactions were assessed to measure likelihood of improved CCS at 6 months...
March 14, 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/28279155/acute-dental-infections-managed-in-an-outpatient-parenteral-antibiotic-program-setting-prospective-analysis-and-public-health-implications
#3
William J Connors, Heidi H Rabie, Rafael L Figueiredo, Donna L Holton, Michael D Parkins
BACKGROUND: The number of Acute Dental Infections (ADI) presenting for emergency department (ED) care are steadily increasing. Outpatient Parenteral Antibiotic Therapy (OPAT) programs are increasingly utilized as an alternative cost-effective approach to the management of serious infectious diseases but their role in the management of severe ADI is not established. This study aims to address this knowledge gap through evaluation of ADI referrals to a regional OPAT program in a large Canadian center...
March 9, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28267680/pressure-ulcer-prevalence-and-care-in-indonesian-hospitals-a-multicenter-cross-sectional-evaluation-using-an-extended-donabedian-model
#4
Yufitriana Amir, Frans E S Tan, Ruud Halfens, Christa Lohrmann, Jos Schols
Although the number of studies on pressure ulcer (PU) occurrence continues to grow, research regarding the quality of PU care and its effect on outcomes is limited. Using an extended Donabedian model, a 1-day, multicenter, cross-sectional evaluation of the quality of PU care was conducted in a convenience sample of Indonesian hospitals among patients ≥18 years of age in the medical, surgical, and intensive care units. Structure (ie, hospital attributes), process (recommended PU preventive measures), and outcome indicators (nosocomial PU prevalence excluding nonblanchable erythema), along with patient characteristics (age, gender, ethnicity, admission days, diseases [per ICD-10], recent surgery, PU categorization [4 categories according to National Pressure Ulcer Advisory Panel-European Pressure Ulcer Advisory Panel guidelines], PU history, care dependency, and Braden score) were examined...
February 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/28261404/using-the-electronic-health-record-to-identify-educational-gaps-for-internal-medicine-interns
#5
Alvin Rajkomar, Sumant R Ranji, Bradley Sharpe
BACKGROUND : An important component of internal medicine residency is clinical immersion in core rotations to expose first-year residents to common diagnoses. OBJECTIVE : Quantify intern experience with common diagnoses through clinical documentation in an electronic health record. METHODS : We analyzed all clinical notes written by postgraduate year (PGY) 1, PGY-2, and PGY-3 residents on medicine service at an academic medical center July 1, 2012, through June 30, 2014...
February 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28258498/mortality-risk-among-screened-subjects-of-the-specific-health-check-and-guidance-program-in-japan-2008-2012
#6
Kunitoshi Iseki, Koichi Asahi, Kunihiro Yamagata, Shouichi Fujimoto, Kazuhiko Tsuruya, Ichiei Narita, Tsuneo Konta, Masato Kasahara, Yugo Shibagaki, Hisako Yoshida, Toshiki Moriyama, Masahide Kondo, Chiho Iseki, Tsuyoshi Watanabe
BACKGROUND: In Japan, the Specific Health Check and Guidance (Tokutei-Kenshin) has started in 2008. However, the relationship between the baseline characteristics and mortality has not been examined. METHODS: Subjects were those who participated at the 2008 Tokutei-Kenshin in six districts with baseline data of serum creatinine. Using National database of death certificate from 2008 to 2012, we identified those who might have died and confirmed further with the collaborations of the regional National Health Insurance agency and public health nurses...
March 3, 2017: Clinical and Experimental Nephrology
https://www.readbyqxmd.com/read/28258389/inappropriate-icd-discharge-related-to-electrical-muscle-stimulation-in-chiropractic-therapy-a-case-report
#7
Abhishek Shenoy, Abhishek Sharma, Firehiwot Achamyeleh
Implantable cardioverter defibrillators (ICDs) have been shown to reduce mortality in high-risk patients. Despite several advances in programming ICDs, inappropriate shocks persist and continue to be psychologically and physically disturbing. External electromagnetic interference from electrocautery, welding, acupunctures, low-output transcutaneous electric nerve stimulators, and electronic muscle stimulators may result in inappropriate ICD sensing and shock. We present a 63-year-old female who presented to the emergency department after an ICD shock while undergoing electronic muscle stimulation in chiropractic treatment, during which light electrical pulses were sent through skin electrodes...
March 3, 2017: Cardiology and Therapy
https://www.readbyqxmd.com/read/28252256/arrhythmic-risk-stratification-in-heart-failure-time-for-the-next-step
#8
REVIEW
Konstantinos A Gatzoulis, Antonios Sideris, Emmanuel Kanoupakis, Skevos Sideris, Nikolaos Nikolaou, Christos-Konstantinos Antoniou, Theofilos M Kolettis
BACKGROUND: Primary prevention of sudden cardiac death by means of implantable cardioverter-defibrillators constitutes the holy grail of arrhythmology. However, current risk stratification algorithms lead to suboptimal outcomes, by both allocating ICDs to patients not deriving any meaningful survival benefit and withholding them from those erroneously considered as low-risk for arrhythmic mortality. METHODS: In the present review article we will attempt to present shortcomings of contemporary guidelines regarding sudden death prevention in ischemic and dilated cardiomyopathy patients and present available data suggesting encouraging results following implementation of multifactorial approaches, by using multiple modalities, both noninvasive and invasive...
March 2017: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/28249015/impact-of-ten-valent-pneumococcal-conjugate-vaccine-on-pneumonia-in-finnish-children-in-a-nation-wide-population-based-study
#9
Arto A Palmu, Hanna Rinta-Kokko, Hanna Nohynek, J Pekka Nuorti, Terhi M Kilpi, Jukka Jokinen
BACKGROUND: The ten-valent pneumococcal conjugate vaccine (PCV10) was introduced into the Finnish National Vaccination Program (NVP) in September 2010 using a 2+1 schedule (3, 5, 12 months). We estimated the direct and indirect effects of PCV10 on pneumonia among children to evaluate the public health impact of the vaccine. METHODS: We conducted a nation-wide population-based, observational study comparing rates of pneumonia in children before and after the NVP introduction...
2017: PloS One
https://www.readbyqxmd.com/read/28240694/improving-clinical-outcomes-for-patients-with-class-iii-heart-failure
#10
Melissa Shapiro, Angela Macci Bires, Kristen Waterstram-Rich, Thomas W Cline
Heart failure (HF) is a serious medical problem in the United States and is placing a financial strain on the health care system. It is the leading cause of mortality and as the overall incidence continues to increase, so does the economic impact on the health care system. Innovative treatment options, in the form of disease management programs and implantable cardiac devices, such as the CorVue capable implantable cardioverter defibrillator (ICD) pacemaker, offer the promise of an enhanced quality of life and reduced mortality...
April 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/28240435/ventricular-tachyarrhythmias-in-patients-with-hypertrophic-cardiomyopathy-and-defibrillators-triggers-treatment-and-implications
#11
Mark S Link, Katy Bockstall, Jonathan Weinstock, Alawi A Alsheikh-Ali, Christopher Semsarian, N A Mark Estes, Paolo Spirito, Tammy S Haas, Ethan J Rowin, Martin S Maron, Barry J Maron
INTRODUCTION: Triggers and ICD interventions of ventricular arrhythmias in patients with hypertrophic cardiomyopathy (HCM) offers insight into mechanisms and treatment. METHODS AND RESULTS: Intracardiac ICD electrograms from 71 HCM patients in the HCM I and II studies were analyzed by 3 individuals. Rhythms were defined as VF (polymorphic ventricular arrhythmia), VT (monomorphic ventricular tachycardia), and ventricular flutter (VFL) (VT ≥ 240 bpm). Physical activity and rhythm preceding the arrhythmia were ascertained...
February 27, 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/28226022/-csapaih-a-function-to-classify-ambulatory-care-sensitive-conditions-in-the-statistical-software-r
#12
Fúlvio Borges Nedel
Hospitalizations due to ambulatory care sensitive conditions (ACSC) are an indirect indicator of primary health care. A package in the R program was developed in order to automatize the classification of codes of the International Statistical Classification of Diseases and Related Health Problems - 10th Revision (ICD-10), according to the Brazilian list of ACSC, and provide functionalities for the management of the "reduced files" of the inpatient hospital authorization (AIH). The csapAIH package contains a homonym function, which reads the data according to its nature (file or data frame with AIH structure, or a factor with ICD-10 codes) and returns, according to defined options, a databank or vector containing the classification for the hospitalization...
January 2017: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/28225684/assessing-the-risks-associated-with-mri-in-patients-with-a-pacemaker-or-defibrillator
#13
MULTICENTER STUDY
Robert J Russo, Heather S Costa, Patricia D Silva, Jeffrey L Anderson, Aysha Arshad, Robert W W Biederman, Noel G Boyle, Jennifer V Frabizzio, Ulrika Birgersdotter-Green, Steven L Higgins, Rachel Lampert, Christian E Machado, Edward T Martin, Andrew L Rivard, Jason C Rubenstein, Raymond H M Schaerf, Jennifer D Schwartz, Dipan J Shah, Gery F Tomassoni, Gail T Tominaga, Allison E Tonkin, Seth Uretsky, Steven D Wolff
Background The presence of a cardiovascular implantable electronic device has long been a contraindication for the performance of magnetic resonance imaging (MRI). We established a prospective registry to determine the risks associated with MRI at a magnetic field strength of 1.5 tesla for patients who had a pacemaker or implantable cardioverter-defibrillator (ICD) that was "non-MRI-conditional" (i.e., not approved by the Food and Drug Administration for MRI scanning). Methods Patients in the registry were referred for clinically indicated nonthoracic MRI at a field strength of 1...
February 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28220279/longitudinal-changes-in-quality-of-life-following-icd-implant-and-the-impact-of-age-gender-and-icd-shocks-observations-from-the-intrinsic-rv-trial
#14
Rakesh Gopinathannair, Darin R Lerew, Natalie J Cross, Samuel F Sears, Scott Brown, Brian Olshansky
PURPOSE: ICDs can improve survival in at-risk patients but no consensus exists with respect to their impact on health-related quality of life (QOL). Moreover, the data are unclear on QOL benefits in specific patient subgroups. We sought to analyze, in the INTRINSIC RV ICD trial population, health-related QOL longitudinally following ICD implant and consider impact of age, gender, and ICD shocks on QOL by employing a global measure of health-related QOL. METHODS: One thousand five hundred thirty patients had an ICD implanted...
February 20, 2017: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/28217919/serious-infection-rates-among-children-with-systemic-lupus-erythematosus-enrolled-in-medicaid
#15
Linda T Hiraki, Candace H Feldman, Francisco M Marty, Wolfgang C Winkelmayer, Hongshu Guan, Karen H Costenbader
OBJECTIVE: To investigate the nationwide prevalence and incidence of serious infections among children with systemic lupus erythematosus (SLE) enrolled in Medicaid, the U.S. health insurance program for low-income patients. METHODS: From Medicaid claims (2000-2006) we identified children 5 to <18 years old with SLE (≥3 ICD-9 codes of 710.0, each >30 days apart) and lupus nephritis (LN; ≥2 ICD-9 codes for kidney disease on/after SLE codes). From hospital discharge diagnoses, we identified infection subtypes (bacterial, fungal, viral)...
February 19, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28208890/operational-assessment-of-icds-scheme-at-grass-root-level-in-a-rural-area-of-eastern-india-time-to-introspect
#16
Jyotiranjan Sahoo, Preetam B Mahajan, Sourabh Paul, Vikas Bhatia, Abhinash K Patra, Dilip Kumar Hembram
INTRODUCTION: Integrated Child Development Service (ICDS), a flagship program of Government of India (GoI) for early childhood development hasn't delivered the desired results since its inception four decades ago. This could be due to infrastructural problems, lack of awareness and proper utilization by the local people, inadequate program monitoring and corruption in food supplies, etc. This study is an audit of 36 Anganwadi centres at Khordha district, Odisha, to evaluate the implementation of the ICDS...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28192003/web-based-distress-management-for-implantable-cardioverter-defibrillator-patients-a-randomized-controlled-trial
#17
Mirela Habibović, Johan Denollet, Pim Cuijpers, Pepijn H van der Voort, Jean-Paul Herrman, Leon Bouwels, Suzanne D A Valk, Marco Alings, Dominic A M J Theuns, Susanne S Pedersen
OBJECTIVE: Sudden cardiac arrest caused by cardiac arrhythmias is 1 of the leading causes of death worldwide. Implantable cardioverter defibrillators (ICDs) are considered as standard care for patients with increased risk of arrhythmias. However, 1 in 4 ICD patients experiences psychological distress post-ICD implantation. The WEB-based distress management program for ICD patients (WEBCARE) was developed to mitigate anxiety and depression and enhance health-related quality of life in ICD patients...
February 13, 2017: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/28173841/building-a-model-for-disease-classification-integration-in-oncology-an-approach-based-on-the-national-cancer-institute-thesaurus
#18
Vianney Jouhet, Fleur Mougin, Bérénice Bréchat, Frantz Thiessard
BACKGROUND: Identifying incident cancer cases within a population remains essential for scientific research in oncology. Data produced within electronic health records can be useful for this purpose. Due to the multiplicity of providers, heterogeneous terminologies such as ICD-10 and ICD-O-3 are used for oncology diagnosis recording purpose. To enable disease identification based on these diagnoses, there is a need for integrating disease classifications in oncology. Our aim was to build a model integrating concepts involved in two disease classifications, namely ICD-10 (diagnosis) and ICD-O-3 (topography and morphology), despite their structural heterogeneity...
February 7, 2017: Journal of Biomedical Semantics
https://www.readbyqxmd.com/read/28169434/magnetic-resonance-imaging-in-non-dependent-pacemaker-patients-with-pacemakers-and-defibrillators-with-a-nearly-depleted-battery
#19
Hideo Okamura, Deepak Padmanabhan, Robert E Watson, Connie Dalzell, Nancy Acker, Mary Jondal, Abby L Romme, Yong-Mei Cha, Samuel J Asirvatham, Joel P Felmlee, Paul A Friedman
BACKGROUND: Magnetic resonance imaging (MRI) in patients with non-MRI-conditional cardiac implantable electronic devices (CIEDs) has been shown to be safe when performed under closely monitored protocols. However, the safety of MRI in patients with devices with a nearly depleted battery has not been reported. METHODS: Prospective data was collected between January 2008 and May 2015 in patients with non-MRI-conditional CIEDs undergoing clinically indicated MRI under institutional protocol...
February 7, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28160975/prescription-of-guideline-recommended-implantable-cardioverter-defibrillator-and-cardiac-resynchronization-therapy-among-patients-hospitalized-with-heart-failure-and-varying-degrees-of-renal-function
#20
Patrick H Pun, Shubin Sheng, Gillian Sanders, Adam D DeVore, Daniel Friedman, Gregg C Fonarow, Paul A Heidenreich, Clyde W Yancy, Adrian F Hernandez, Sana M Al-Khatib
Implantable cardioverter defibrillators (ICD) and cardiac resynchronization therapy (CRT) reduce mortality in many patients with heart failure (HF), but the current use and effectiveness of ICD/CRT in patients with chronic kidney disease (CKD) are uncertain. We examined associations between kidney function and guideline-recommended prescription of ICD/CRT in the Get With The Guidelines-Heart Failure registry, a performance improvement program for hospitalized patients with HF. We compared differences in ICD and CRT prescription between the following categories of estimated glomerular filtration rate (eGFR; mL/min/1...
March 15, 2017: American Journal of Cardiology
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