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JOURNAL ARTICLE
Warren D Backman, Michael V DiCaro, Xintong Zuo, Adelqui Peralta, Ariela R Orkaby
BACKGROUND: Patients ≥80 with implantable cardioverter-defibrillators (ICDs) have high rates of hospitalization and mortality, yet few have documented advance directives. We sought to determine the prevalence of advance directives in adults ≥80 years with ICDs, focusing on those with frailty and cognitive impairment. METHODS: Prospective cohort study (July 2016-May 2019) in an electrophysiology clinic. Presence of advance directives (health care proxies [HCP] and living wills [LW], or medical orders for life-sustaining treatment [MOLST]) was determined by medical record review...
April 10, 2024: Pacing and Clinical Electrophysiology: PACE
#22
JOURNAL ARTICLE
Jaron D Raper, Charles A Khoury, Anderson Marshall, Robert Smola, Zachary Pacheco, Jason Morris, Guihua Zhai, Stephanie Berger, Ryan Kraemer, Andrew D Bloom
BACKGROUND: Simulation-based medical education has been used in medical training for decades. Rapid cycle deliberate practice (RCDP) is a novel simulation strategy that uses iterative practice and feedback to achieve skill mastery. To date, there has been minimal evaluation of RCDP vs standard immersive simulation (IS) for the teaching of cardiopulmonary resuscitation to graduate medical education (GME) learners. Our primary objective was to compare the time to performance of Advanced Cardiac Life Support (ACLS) actions between trainees who completed RCDP vs IS...
March 2024: Western Journal of Emergency Medicine
#23
REVIEW
Soo Xiang Yun Debbie, Joseph Kinyanjui Muiruri, Wen-Ya Wu, Jayven Chee Chuan Yeo, Suxi Wang, Nikodem Tomczak, Warintorn Thitsartarn, Beng Hoon Tan, Pei Wang, Fengxia Wei, Ady Suwardi, Jianwei Xu, Xian Jun Loh, Qingyu Yan, Qiang Zhu
Polyethylene (PE), a highly prevalent non-biodegradable polymer in the field of plastics, presents a waste management issue. To alleviate this issue, bio-PE, derived from renewable resources like corn and sugarcane, offers an environmentally friendly alternative. This review discusses various production methods of bio-PE, including fermentation, gasification, and catalytic conversion of biomass. Interestingly, the bio-PE production volumes and market is expanding due to the growing environmental concerns and regulatory pressures...
April 9, 2024: Macromolecular Rapid Communications
#24
JOURNAL ARTICLE
Alida L P Caforio, Juan P Kaski, Juan R Gimeno, Perry M Elliott, Cecile Laroche, Luigi Tavazzi, Michal Tendera, Michael Fu, Simone Sala, Petar M Seferovic, Tiina Heliö, Leonardo Calò, Olga Blagova, Ahmad Amin, Ingrid Kindermann, Gianfranco Sinagra, Andrea Frustaci, Daniel Bonnet, Philippe Charron, Aldo P Maggioni
BACKGROUND AND AIMS: Contemporary multicentre data on clinical and diagnostic spectrum and outcome in myocarditis are limited. Study aims were to describe baseline features, 1-year follow-up, and baseline predictors of outcome in clinically suspected or biopsy-proven myocarditis (2013 European Society of Cardiology criteria) in adult and paediatric patients from the EURObservational Research Programme Cardiomyopathy and Myocarditis Long-Term Registry. METHODS: Five hundred eighty-one (68...
April 10, 2024: European Heart Journal
#25
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
#26
JOURNAL ARTICLE
Andrzej Kutarski, Wojciech Jacheć, Paweł Stefańczyk, Wojciech Brzozowski, Andrzej Głowniak, Dorota Nowosielecka
Background : Implantable cardioverter-defibrillator (ICD) leads are considered a risk factor for major complications (MC) during transvenous lead extraction (TLE). Methods : We analyzed 3878 TLE procedures (including 1051 ICD lead extractions). Results : In patients with ICD lead removal, implant duration was almost half as long (69.69 vs. 114.0 months; p < 0.001), procedure complexity (duration of dilatation of all extracted leads, use of more advanced tools or additional venous access) (15.13% vs. 20.78%; p < 0...
February 23, 2024: Journal of Clinical Medicine
#27
JOURNAL ARTICLE
Anna van Veelen, Tom E Verstraelen, Yvemarie B O Somsen, Joëlle Elias, Ivo M van Dongen, Peter Paul H M Delnoy, Marcoen F Scholten, Lucas V A Boersma, Alexander H Maass, Sipke Strikwerda, Mehran Firouzi, Cornelis P Allaart, Kevin Vernooy, Robert W Grauss, Raymond Tukkie, Paul Knaapen, Aeilko H Zwinderman, Marcel G W Dijkgraaf, Bimmer E P M Claessen, Marit van Barreveld, Arthur A M Wilde, José P S Henriques
BACKGROUND: Chronic total coronary occlusions (CTO) substantially increase the risk for sudden cardiac death. Among patients with chronic ischemic heart disease at risk for sudden cardiac death, an implantable cardioverter defibrillator (ICD) is the favored therapy for primary prevention of sudden cardiac death. This study sought to investigate the impact of CTOs on the risk for appropriate ICD shocks and mortality within a nationwide prospective cohort. METHODS AND RESULTS: This is a subanalysis of the nationwide Dutch-Outcome in ICD Therapy (DO-IT) registry of primary prevention ICD recipients in The Netherlands between September 2014 and June 2016 (n=1442)...
April 9, 2024: Journal of the American Heart Association
#28
JOURNAL ARTICLE
David A Pearson, Nicole Bensen Covell, Benjamin Covell, Blake Johnson, Cate Lounsbury, Mike Przybysz, Anthony Weekes, Michael Runyon
OBJECTIVE: We sought to identify changes in neurological outcome over time following initial training and subsequent implementation of team-focused CPR in an inpatient setting where responders practice specific roles with emphasis on minimally interrupted chest compressions and early defibrillation. METHODS: This retrospective pre- vs post-intervention study was conducted at an urban 900-bed teaching hospital and Level I Cardiac Resuscitation Center. We included adult patients suffering in-hospital cardiac arrest occurring in non-emergency department and non-intensive care unit areas who received CPR and/or defibrillation...
June 2024: Resuscitation plus
#29
JOURNAL ARTICLE
Suganya Karikalan, Min Choon Tan, Nan Zhang, Hicham El-Masry, Ammar M Killu, Christopher V DeSimone, Abhishek J Deshmukh, Christopher J McLeod, Dan Sorajja, Komandoor Srivathsan, Luis Scott, Yong-Mei Cha, Justin Z Lee
INTRODUCTION: Ventricular tachycardia storm or electrical storm (ES) is a common complication following left ventricular assist device (LVAD) implantation. The factors contributing to ES and outcomes are less studied. The study aimed to determine the factors associated with ES and the probability of survival in patients undergoing LVAD in three tertiary centers over a span of 15 years. METHODS: We performed a retrospective cohort study on all patients who underwent LVAD implantation at the Mayo Clinic (Rochester, Phoenix, and Jacksonville) from January 1, 2006 to December 31, 2020...
April 9, 2024: Journal of Cardiovascular Electrophysiology
#30
JOURNAL ARTICLE
Kentaro Omatsu, Akira Yamashita, Hideo Inaba
OBJECTIVES: To analyse monthly changes in public access defibrillation (PAD) incidence and outcomes of out-of-hospital cardiac arrest (OHCA) during the 2020-2021 COVID-19 pandemic compared with those during the 2016-2019 prepandemic period with consideration of pandemic-related movement restriction. DESIGN: Retrospective cohort study. SETTING: An extended database was created by combining and reconciling the nationwide Utstein-style OHCA and the emergency medical service (EMS) transportation databases in Japan...
April 8, 2024: BMJ Open
#31
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: To compare the risk of arrhythmic events in pediatric CPVT patients with and without ICDs. METHODS: We compared the risk of SCD in RYR2 variant and phenotype positive symptomatic CPVT patients with and without ICDs, who were <19 years of age and had no history of sudden cardiac arrest (SCA) at phenotype diagnosis...
April 6, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society
#32
JOURNAL ARTICLE
Sonia Chabrak, Abdeddayem Haggui, Emna Allouche, Sana Ouali, Afef Ben Halima, Slim Kacem, Salma Krichen, Sonia Marrakchi, Wafa Fehri, Mohamed Sami Mourali, Zeineb Jabbari, Manel Ben Halima, Elyes Neffati, Aymen Heraiech, Mehdi Slim, Salem Kachboura, Habib Gamra, Majed Hassine, Sondes Kraiem, Sofien Kammoun, Leila Bezdah, Gouider Jridi, Hatem Bouraoui, Samir Kammoun, Rania Hammami, Rafik Chettaoui, Youssef Ben Ameur, Fares Azaiez, Rami Tlili, Kais Battikh, Hedi Ben Slima, Rim Chrigui, Samia Fazaa, Islem Sanaa, Yassine Ellouz, Mohamed Mosrati, Sami Milouchi, Soumaya Jarmouni, Wacef Ayadi, Malek Akrout, Rabie Razgallah, Wissal Neffati, Meriem Drissa, Selma Charfeddine, Salem Abdessalem, Leila Abid, Lilia Zakhama
BACKGROUND: In Tunisia, the number of cardiac implantable electronic devices (CIEDs) is increasing, owing to the increase in patient life expectancy and expanding indications. Despite their life-saving potential and a significant reduction in population morbidity and mortality, their increased numbers have been associated with the development of multiple early and late complications related to vascular access, pockets, leads, or patient characteristics. OBJECTIVE: The study aims to identify the rate, type, and predictors of complications occurring within the first year after CIED implantation...
April 8, 2024: JMIR Research Protocols
#33
JOURNAL ARTICLE
Richárd Masszi, Előd-János Zsigmond, Réka Ehrenberger, Caner Turan, Péter Fehérvári, Brigitta Teutsch, Zsolt Molnár, Zsófia Drobni, Hajnalka Vágó, Péter Hegyi, Béla Merkely, Annamária Kosztin
AIMS: Late gadolinium enhancement (LGE) assessed by cardiovascular magnetic resonance (CMR) can evaluate myocardial scar associated with a higher risk of sudden cardiac death (SCD), which can guide the selection between cardiac resynchronization therapy with or without a defibrillator (CRT-P/CRT-D). Our aim was to investigate the association between LGE and SCD risk in patients with CRT using the LGE-CMR technique. METHODS AND RESULTS: We performed a systematic literature search using four databases...
April 8, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
#34
JOURNAL ARTICLE
Philipp K Buehler, Pedro David Wendel-Garcia, Daniel A Hofmaenner
No abstract text is available yet for this article.
March 2024: Resuscitation plus
#35
JOURNAL ARTICLE
Anmol Johal, Ndausung Udongwo, Steven Imburgio, Anton Mararenko, Hira Akhlaq, Sowmya Dandu, Temidayo Abe, Jesus Almendral, Joseph Heaton, Riple Hansalia
INTRODUCTION: COVID-19 drastically impacted the landscape of the United States' medical system. Limited data is available on the nationwide implantation trends in Cardiac Resynchronization Therapy Defibrillator (CRT-D) devices before and during the pandemic. We aimed to explore the impact of the COVID-19 pandemic on CRT-D insertion rates and adverse outcomes related to delays in care. METHODS AND RESULTS: We conducted a retrospective cross-sectional analysis using the National Inpatient Sample database between 2017 and 2020...
April 2024: Journal of Arrhythmia
#36
JOURNAL ARTICLE
Kenta Tsutsui, Yoshitaka Terazaki, Risa Kanai, Masako Ishii, Seika Ohno, Yoko Sasaki, Akira Kitamura, Daisuke Kudo, Wataru Sasaki, Naomichi Tanaka, Masataka Narita, Kazuhisa Matsumoto, Hitoshi Mori, Yoshifumi Ikeda, Takahide Arai, Shintaro Nakano, Ritsushi Kato
OBJECTIVE: Postoperative pain is a major issue with subcutaneous implantable cardioverter defibrillators (S-ICD). In 2020, we introduced intravenous patient-controlled analgesia (IV-PCA) in addition to the conventional, request-based analgesia for postoperative pain control in S-ICD. To determine the effect and safety, we quantitatively assessed the effect of IV-PCA after S-ICD surgery over conventional methods. METHODS: During the study period, a total of 113 consecutive patients (age, 50...
April 2024: Journal of Arrhythmia
#37
Derek Ugwendum, Yolande Mbome, Divine Besong Arrey Agbor, Umida Burkhanova, Rita Offor, Ikpechukwu J Okorie, Asher Gorantla, Frances A Amokaye, Muhammed Atere, Jay Nfonoyim
Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that is commonly diagnosed during childhood. Patients present with hyperactive-impulsive behavior and/or inappropriate inattention which may persist through adulthood. Central nervous system stimulants have been used to manage patients with ADHD. Methylphenidate which is used as a first-line therapy has been shown to have adverse cardiovascular effects in these patients. This is a case of a young male with a history of ADHD since childhood on methylphenidate who was diagnosed with acute non-ischemic heart failure with an ejection fraction of 15-20%...
March 2024: Curēus
#38
Santiago Luna-Alcala, Mauricio Garcia-Cardenas, Enrique C Guerra, Pavel Martinez-Dominguez, Aldo Cabello-Ganem, Leonardo Proaño-Bernal, Cristian A Chava-Ponte, Arturo Hernandez-Pacherres, Nilda Espinola-Zavaleta
Arrhythmogenic cardiomyopathy is a biventricular disease in which the effect on the left ventricle can be either equivalent to or more severe than that on the right ventricle. It is a rare disease due to its low reported prevalence and typically becomes clinically evident during the second to fourth decade of life. It represents 4% of sudden cardiac death cases referred for autopsy and 10% of cases of unexplained cardiac arrest. We present a challenging case report of a 68-year-old man who arrived at the emergency room with chest discomfort, palpitations, and light-headedness before a syncopal episode with urinary incontinence...
June 2024: Radiology Case Reports
#39
JOURNAL ARTICLE
Ayush Agarwal, Upendra Baitha, Piyush Ranjan, Neeraj K Swarnkar, Gyaninder P Singh, Dalim K Baidya, Rakesh Garg, Nishkarsh Gupta, Arindam Choudhury, Arvind Kumar, Ambuj Roy, Nitish Naik, Maroof Ahmed Khan, Naveet Wig
AIM AND BACKGROUND: High-quality cardiopulmonary resuscitation (CPR) is associated with improved patient outcomes, but healthcare workers (HCWs) may be frequently undertrained. This study aimed to assess baseline knowledge and skills among HCWs about basic and advanced life support and the effect of simulation-based training on it. METHODS: It was a single-center prospective quasi-interventional study among resident doctors and nurses at a Tertiary Center in New Delhi, India...
April 2024: Indian Journal of Critical Care Medicine
#40
Deepti Ranganathan, Eduardo Sanhueza Gonzalez, Maria Terricabras, Christopher C Cheung
A young man presented following successful cardiac resuscitation after an out-of-hospital cardiac arrest. During his admission, he had multiple runs of short-coupled ventricular fibrillation with a similar morphology premature ventricular complex (PVC) trigger. He was brought to the electrophysiology laboratory, and, with a high dose of isoprenaline, the PVC was localised to the moderator band. Ablation induced short runs of ventricular tachycardia before elimination of the PVC. He subsequently underwent subcutaneous implantable cardiac defibrillator implantation before his discharge...
March 2024: Journal of Innovations in Cardiac Rhythm Management
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