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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.
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
However, ventricular arrhythmias (VA) are common, are mostly secondary to underlying myocardial scar, and have a higher incidence in patients with pre-LVAD VA.
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.
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.
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.
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
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).
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
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)
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.
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.
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.
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.
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 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 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.
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.
Non-sustained ventricular tachycardia (NSVT) is a predictor of sustained ventricular arrhythmias (VA) among implantable cardioverter defibrillator (ICD) recipients. We hypothesized that that a history of NSVT in primary prevention ICD recipients may parallel the risk profile observed in secondary prevention ICD recipients.
Ventricular tachycardia is a potentially life threatening cardiac arrhythmia. Recurrent ventricular tachycardia in spite of radiofrequency catheter ablation needs an implantable cardioverter defibrillator. If the rate is very fast, hemodynamic deterioration can occur rapidly.
Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction. The septum is punctured with the active fixation screw of the lead - so essentially you bore the septum with the screw helix."
They include medications that are not very effective and cause unpleasant side effects, an implantable cardioverter-defibrillator (or ICD) that provides an internal shock to correct the heartbeat, and a procedure called catheter ablation. Right now, there are several treatment options, but none of them are optimal.
1 A rare but significant issue in post-OHT patients is ventricular arrhythmias, in extreme cases leading to cardiac arrest and implantation of an implantable cardioverter-defibrillator (ICD) for secondary prevention. Rarely, implantation of cardiac implantable electronic devices (CIEDs) becomes necessary.1
Loss-of-function SCN5A channelopathies, such as Brugada syndrome (BrS), are cardiac disorders marked by diminished sodium current (INa), conduction slowing, and lethal arrhythmias.
After amiodarone and several defibrillations and about 20 minutes after initial arrest, stable ROSC was achieved. Of academic interest — are the arrhythmias that developed. The Arrhythmia Lesson to be Learned: I was not initially confident about my interpretation of the rhythm in today's 5 tracings.
ICD is short form for implantable cardioverter defibrillator, used to automatically shock back the heart into action in case of life threatening ventricular arrhythmias. CRT-D is needed in some heart failure patients who have a high risk of life threatening ventricular arrhythmias.
She was successfully revived after several rounds of ACLS including defibrillation and amiodarone. T-wave alternans and the susceptibility to ventricular arrhythmias. Chronic amiodarone evokes no torsade de pointes arrhythmias despite QT lengthening in an animal model of acquired long-QT syndrome. Pacing Clin Electrophysiol.
This can initiate ventricular arrhythmias like polymorphic ventricular tachycardia (PMVT). She was externally defibrillated with 200J and received magnesium and an IV amiodarone bolus. She was successfully defibrillated with 360J. Circulation, Volume 150, Issue Suppl_1 , Page A4143264-A4143264, November 12, 2024.
After resuscitation and defibrillation , there were no more episodes of TdP. Below is the patient’s 12 lead ECG following defibrillation. Learning points : Takotsubo can lead to cardiac arrest from ventricular arrhythmia. NT-proBNP was significantly elevated at 4900ng/L ( ref < 500ng/L ). What does this ECG tell you?
Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:There is no specific treatment for sudden cardiac arrest (SCA) manifesting as pulseless electric activity (PEA) and survival rates are low; unlike ventricular fibrillation (VF), which is treatable by defibrillation.
She underwent cardiopulmonary resuscitation for VT/VFib — with ROSC ( R eturn O f S pontaneous C irculation ) following defibrillation and treatment with Epinephrine and Amiodarone. A series of cardiac arrhythmias were seen during the course of her resuscitation — including the interesting arrhythmia shown in the long lead II of Figure-1.
We examined the effect of ibutilide, a class III antiarrhythmic agent, on the energy requirement for atrial defibrillation and assessed the value of this agent in facilitating cardioversion in patients with atrial fibrillation that is resistant to conventional transthoracic cardioversion. 25, 2022 ).
Alternatively, it also helps enhance arrhythmia management with coronary artery disease. Along with it, a guideline-based algorithm helps identify implantable cardioverter defibrillators. Machine learning featured system also creates a scope for predicting major cardiac events handily and improves arrhythmia management.
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