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Using light pulses as a model for electrical defibrillation, scientists developed a method to assess and modulate the heart function. The research team has thus paved the way for an efficient and direct treatment for cardiac arrhythmias. This may be an alternative for the strong and painful electrical shocks currently used.
Biomedical engineers set the foundation for a ground-breaking treatment regimen for treating ventricular arrhythmia. Such innovation in painless defibrillation and preventing arrhythmia could revolutionize cardiac rhythm management. The study demonstrates the design and feasibility of a new hydrogel-based pacing modality.
Primary endpoint was the incidence of patients with new onset supraventricular arrhythmia (AF, atrial flutter or any supraventricular tachycardia) lasting >30s, post PFO closure.ResultsA total of 59 patients met the inclusion criteria. A total of 88 supraventricular arrhythmia events (96.6% days (IQR 1321). days (IQR 1321).
The targeted Automated External Defibrillator (AED) program in the Sao Paulo Metro has yielded promising results in improving survival rates for individuals experiencing out-of-hospital cardiac arrest (OHCA) due to ventricular arrhythmias. Circulation, Volume 150, Issue Suppl_1 , Page ASu505-ASu505, November 12, 2024.
Automated external defibrillators (AEDs) and implantable cardioverter defibrillators (ICDs) are used to treat life-threatening arrhythmias. AEDs and ICDs use shock advice algorithms to classify ECG tracings as shockable or non-shockable rhythms in clinical practice.
Cardiac amyloidosis (CA) is strongly associated with arrhythmias. However, the arrhythmia outcomes among different CA subtypestransthyretin amyloidosis (wild-type [wATTR] and hereditary [hATTR]) and light-chain amyloidosis (AL)following implantable cardioverter defibrillator (ICD) implantation remain unclear.
The impact of supraventricular arrhythmias on the outcomes of guideline-compliance implantable cardioverter defibrillators programming. A greater magnitude of reduced ICD therapy was found in those with supraventricular arrhythmias.
As it provides stable R-wave sensing, LBBP has been recently utilized to provide sensing of ventricular arrhythmia in patients receiving implantable cardioverter defibrillator(ICD) with CRT
Implantable cardioverter-defibrillators (ICDs) are essential in managing life-threatening arrhythmias, but adverse events (AEs) related to these devices can compromise patient safety and clinical outcomes.
There is limited data on healthcare utilization and length of stays for underrepresented racial and ethnic groups patients who receive implantable cardioverter defibrillators (ICDs) for ventricular arrhythmias.
However, ventricular arrhythmias (VA) are common, are mostly secondary to underlying myocardial scar, and have a higher incidence in patients with pre-LVAD VA.
Ventricular arrhythmias are common in adult and pediatric patients (pts) with end-stage heart failure requiring ventricular assist devices (VADs). Studies assessing the utility of implantable cardiac defibrillator (ICD) placement in adult patients with VADs show conflicting data regarding its mortality benefit.
Low QRS amplitude of subcutaneous implantable cardioverter-defibrillator (S-ICD) could cause undersensing of fatal ventricular arrhythmias, inappropriate shocks due to oversensing of myopotential or noise by auto gain control, and deactivation of SMART Pass. Little is known about the cause of low QRS amplitude of S-ICD.
The Extravascular Implantable Cardioverter Defibrillator (EV ICD) has demonstrated to be efficacious in the treatment of ventricular arrhythmias. Predicators of lead rotation have yet to be elucidated. The management of patients affected by lead rotation is of clinical significance and not yet described.
An Implantable cardiac defibrillator (ICD) is recommended for primary and secondary prevention of cardiac arrest from fast ventricular arrhythmias. Patients with an ICD often have limited knowledge about end-of-life (EOL) ICD management options, and many approach the final stages of life with active shock therapy.
Implantable cardioverter-defibrillators (ICDs) are established as the standard of care for patients who are deemed at increased risk of life-threatening ventricular arrhythmias. Device-specific fears and symptoms of anxiety are the most common psychological sequelae experienced by ICD patients.1
Despite the implantable cardioverter defibrillator’s (ICD) effectiveness in saving patients with life-threatening ventricular arrhythmias (VAs), the temporal occurrence of VA following ICD implantation is unpredictable.
Ventricular arrhythmias and heart failure are common presentations of cardiac sarcoidosis (CS). Guidelines support implantable cardioverter-defibrillator (ICD) for many CS patients with reduced ejection fraction, but arrhythmic outcomes are poorly understood.
Implantable cardioverter defibrillators (ICD) are effective at terminating ventricular arrhythmias (VA), though have significant drawbacks. The opportunity to predict the onset of arrhythmia holds promise for insight into VA initiation and the opportunity to deliver therapy prior to an event.
The feasibility and safety of utilizing LBBAP lead to provide sensing of ventricular arrhythmia in patients receiving implantable cardioverter defibrillator(ICD) with CRT has been demonstrated recently
Less is known about the relationship between NAFLD, ventricular arrhythmias (VAs), and cardiovascular events. Patients with nonalcoholic fatty liver disease (NAFLD) are at risk for cardiovascular diseases.
Implantable cardioverter-defibrillator (ICD) therapy improves outcomes, though recurrent VT, ICD discharges, and cardiac hospitalizations remain a source of significant morbidity and are associated with increased mortality. Anti-arrhythmic medications are generally effective, but long-term use is associated with significant side effects.
This 1997 figure is the first conclusive evidence that the implantable cardioverter-defibrillator (ICD) reduces overall mortality compared with drugs in patients with life-threatening ventricular arrhythmias (from The New England Journal of Medicine, reprinted with permission from Massachusetts Medical Society).1
He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. This patient was witnessed by bystanders to collapse. They started CPR. EMS arrived and found him in Ventricular Fibrillation (VF).
Arg14del) variant carriers are at risk of developing malignant ventricular arrhythmias (MVA). Accurate risk stratification allows for timely implantation of intracardiac defibrillators (ICD) and is currently performed using a multimodality prediction model. Phospholamban (PLN) p.(Arg14del)
Consequent implantable cardioverter-defibrillator (ICD) shocks can tremendously affect quality of life. Stereotactic arrhythmia radioablation (STAR) seems to reduce the number of ICD/external shocks, although most studies on STAR published to date only report results up to 12 months.
Abstract The subcutaneous implantable cardioverter defibrillator (S-ICD) was developed as an alternative to the traditional transvenous implantable cardioverter defibrillator (TV-ICD), aiming to provide easier implantation, simplified detection algorithm of malignant ventricular arrhythmias and prevention from placing components in the cardiovascular (..)
The most common arrhythmia, atrial fibrillation , will affect approximately 12.1 Pacemakers and implantable cardioverter defibrillators (ICDs) are the standard of care to regulate a patient’s irregular heartbeat. million people in the United States by 2030, based on an estimation from the Centers for Disease Control and Prevention.
MODULAR ATP, a multicenter, international trial, assesses a subcutaneous ICD (S-ICD) in wireless communication to a novel leadless pacemaker (LP), delivering bradycardia pacing, ATP, or shock therapy. Upon detecting VT/VF, the S-ICD requests the LP to deliver ATP, and transitions to a sensitive detection profile (Figure, panels A&E).
During AHF, there is an increased risk of destabilizing the functional substrate and modulatory adding to the risk of ventricular arrhythmias (VAs) already created by the structural substrate. Scientific guidelines provide clear recommendations for the management of arrhythmias in chronic heart failure patients.
BackgroundScreening for atrial fibrillation (AF) may reveal incidental arrhythmias of relevance. We furthermore report treatment decisions because of incidental arrhythmias. We found incidental arrhythmias in 94 patients (11.8%). Journal of the American Heart Association, Ahead of Print. of our cohort patients.
Implantable cardioverter-defibrillators (ICDs) are crucial for treating life-threatening ventricular arrhythmias. While effective, these algorithms can occasionally misidentify arrhythmia termination, leading to adverse outcomes.
ABSTRACT Aim To evaluate the predictive value of preoperative echocardiographic parameters for occurrence of VAs in patients with preexisting ICD undergoing LVAD implantation. Methods and Results All consecutive patients ( n =264) with previous ICD who underwent LVAD surgery between May 2011 and December 2019 at our institution were included.
MODULAR ATP, a global clinical trial, assessed a subcutaneous ICD (S-ICD) in wireless communication with a novel leadless pacemaker (LP) to deliver ATP or shock therapy (Tx). The S-ICD requests the LP to deliver ATP at programmable detection rates that are confirmed by the LP.
Subcutaneous implantable cardiac monitors (ICM) have the capability to detect cardiac arrhythmia that may lead to pacemaker or defibrillator therapies.
We conducted this systematic review and meta-analysis to evaluate safety outcomes including risk of ventricular arrhythmias, new onset atrial fibrillation, Implantable Cardiac defibrillators (ICD) shocks, QRS duration reduction, heart failure hospitalizations and mortality.
The use of implantable loop recorders (ILRs) has become common practice to diagnose arrhythmias, potentially leading to the need for pacemakers (PM) or implantable cardioverter defibrillators (ICD).
The efficacy of implantable cardioverter-defibrillators (ICD) in patients with a non-ischaemic cardiomyopathy (NICM) is being debated. Deep Learning models enable feature extraction from high-dimensional data, such as cardiac MRI (CMR) and ECG.
The most well-known entity in this group is Brugada syndrome (BrS), which is characterized by decreased sodium current (INa), slowed conduction, and lethal arrhythmias. To date, the mainstay treatment remains the implantable cardioverter defibrillator, which is associated with significant adverse events.
Patients with a left ventricular assist device (LVAD) with an implantable cardioverter defibrillator (ICD) are more tolerant of sustained ventricular arrhythmias (VA) from the assisted circulation, so shock activation is more likely to occur in the awake state.
The rapid technological advancements in cardiac implantable electronic devices such as pacemakers, implantable cardioverter defibrillators, and loop recorders, coupled with a rise in the number of patients with these devices, necessitate an updated clinical framework for periprocedural management.
In the first step, patients with at least one non-invasive risk factor (NIRF) were referred for electrophysiology study (second step) and were then considered for implantable cardioverter-defibrillator (ICD) implantation in case of inducible malignant arrhythmia. This report presents the 8-year follow-up findings of the trial.
Many patients with mild to moderately reduced left ventricular ejection fraction (LVEF) that require permanent pacemaker (PPM) implantation do not have a concurrent indication for implantable cardioverter-defibrillator (ICD) therapy. However, the risk of ventricular tachycardia/fibrillation (VT/VF) in this population is unknown.
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