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Rate vs Rhythm Control in AtrialFibrillation Rate vs rhythm control as a management strategy in atrialfibrillation has been a long standing topic for debate. EAST-AFNET 4 trial had 2789 patients with early atrialfibrillation and cardiovascular conditions [8]. years of follow up per patient. N Engl J Med.
“Therefore, we have made the decision to offer only DX technology for new patients needing a single-chamber ICD, providing equivalent therapies along with additional atrial monitoring data, as recommended by current guidelines.” Journal of Cardiovascular Electrophysiology, Volume 30, Issue 10, October 2019, Pages 1994–2001.
The most common arrhythmia, atrialfibrillation , will affect approximately 12.1 Pacemakers and implantable cardioverter defibrillators (ICDs) are the standard of care to regulate a patient’s irregular heartbeat. The pacemaker system can be removed or replaced at any time should a person’s treatment requirements change.
Abstract Introduction Wearable cardioverter defibrillator (WCD) is utilized in patients with assumed but not yet confirmed risk for sudden cardiac death (SCD). Many of these patients also present with atrialfibrillation (AF).
I am always happy to see this ECG of Brugada syndrome sent to me by Professor Josep Brugada, in 2001, for the inaugural issue of the Indian Pacing and Electrophysiology Journal, which I started in 2001. Of course, the commonest sustained arrhythmia in general population is atrialfibrillation.
AF, atrialfibrillation; ICD, implantable cardioverter defibrillator; ILR, implantable loop recorder. ABSTRACT Introduction Little is known about age and clinical intervention after implantable loop recorder (ILR) insertion. This study investigated the association between age and clinical intervention after ILR implantation.
At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. There is atrialfibrillation. He was given amiodarone and lidocaine load and drip and K and Mg drips. After pacing, there was no recurrence of Torsades.
Abstract Introduction The pivotal study of the extravascular implantable cardioverter-defibrillator (EV ICD) recently demonstrated primary efficacy and safety endpoints comparable to previous ICD systems. No differences were noted by sex, atrialfibrillation, or the experience of ICD shock. vs. 46.8 ± 9.1 respectively, p = .020)
Here is a representative CXR from a different patient showing a typical CRT-D The blue dotted line overlies the right atrial lead The red dotted line overlies the RV lead. This is the shock coil and identifies this device as a defibrillator. CRT-D is cardiac resynchronization therapy with defibrillation capability, like the CXR above.
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