article thumbnail

Newest AUC Provide Clinical Guidance on Cardiac Implantable Electronic Devices

American College of Cardiology

New multi-society Appropriate Use Criteria (AUC) published in JACC focus on cardiac implantable electronic devices (CIEDs), specifically implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy (CRT), and pacing.

article thumbnail

Battery Longevity and Its Predictors in Subcutaneous Implantable Cardioverter-Defibrillators (S-ICDs): A Mathematical Analysis Derived from a Large Dataset

HeartRhythm

The research reported in this paper adhered to the Declaration of Helsinki (2013) and the Common Rule (45 CFR 46), ensuring that ethical standards were upheld despite the research involving de-identified data from human subjects. In November 2022, de-identified data from S-ICD devices in the LATITUDE monitoring system were analyzed.

article thumbnail

Cardiac arrest: even after the angiogram, the diagnosis is not always clear

Dr. Smith's ECG Blog

She was found to be in ventricular fibrillation and was defibrillated 8 times without a single, even transient, conversion out of fibrillation. She was immediately intubated during continued compressions, then underwent a 9th defibrillation, which resulted in an organized rhythm at 42 minutes after initial arrest. References : 1.

article thumbnail

Abstract 4142952: Feature Tracking Global Longitudinal Strain in Long-term Risk Stratification of Hypertrophic Cardiomyopathy without Septal Reduction Therapy

Circulation

In the subgroup with Class 3 of recommendation for implantable cardioverter defibrillator, patients with absolute LV-GLS ≤ 9% showed significantly worse prognosis than those with absolute LV-GLS > 9% (p =.002 All study participants never received alcohol septal ablation or surgical myectomy during follow-up. vs -266.2; vs -264.9;

article thumbnail

Overcoming Status Quo Bias: Embracing Evidence-Based Guidelines in Cardiometabolic Care 

Cardiometabolic Health Congress

Arrhythmias : A leadless pacemaker-defibrillator system provides antitachycardia pacing for ventricular tachycardia in patients with subcutaneous ICDs. Preventive Cardiology : The new PREVENT risk calculator is more accurate than the 2013 PCEs’ ASCVD risk estimates and is recommended for risk stratification.

article thumbnail

Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Dr. Smith's ECG Blog

She was never seen to be in ventricular fibrillation and was never defibrillated. Medics found her apneic and pulseless, began CPR, and she was found to be in asystole. With ventilations and epinephrine, she regained a pulse. She was hypotensive in the ED and her bedside echo showed a normal RV and LV. BP gradually rose.

article thumbnail

A Middle-Aged male with Chest Pain and an Unusual ECG

Dr. Smith's ECG Blog

Cardioversion/defibrillation. This definition was changed following an expert consensus panel in 2013 — so that at the present time, all that is needed to diagnose Brugada Syndrome is a spontaneous or induced Brugada-1 ECG pattern, without need for additional criteria. Acute febrile illness. Variations in autonomic tone. Hypothermia.