Dr. Smith's ECG Blog

APRIL 2, 2024

Pacemaker mediated tachycardia! Pacemaker mediated tachycardia , also called "Endless Loop Tachycardia," cannot happen during atrial fibrillation, so the A fib must have converted. Another ECG was recorded 12 minutes later: Paced rhythm, probable Pacemaker-Mediated Tachycardia ? The patient was admitted without angiogram."

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Tachycardia Pacemaker Cardiac Arrest Cardiomyopathy 124

Dr. Sanjay Gupta

MAY 23, 2022

Today’s vlog is on the subject of heart failure and in particular on a special type of pacemaker which can make a significant improvement to the quality of life and length of life in patients with heart failure. What is heart failure? You can download this script as a Hindi translation here.

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Heart Failure Pacemaker Quality of Life ACE Inhibitor 40

JAMA Cardiology

OCTOBER 1, 2024

This randomized clinical trial assesses whether cardioverter-defibrillator implantation is more effective than amiodarone therapy for the primary prevention of all-cause mortality and secondary prevention of sudden cardiac death, hospitalization for heart failure, and use of a pacemaker among patients with chronic Chagas cardiomyopathy.

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Defibrillator Cardiomyopathy Sudden Cardiac Death Pacemaker 80

DAIC

MAY 18, 2024

Researchers presented these findings “Late Breaking Clinical Trials and Science – CIEDs: Early Cardiac Resynchronization Therapy for Patients with Moderately Reduced Ejection Fraction and Left Bundle Branch Block” this morning during the May 16-19 meeting of the Heart Rhythm Society , HRS 2024 , being held in Boston, MA. Approximately 6.7

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Heart Failure Heart Rhythm Research Pacemaker 52

HeartRhythm

APRIL 30, 2024

Guidelines recommend permanent pacemaker (PPM) implantation in patients with sinus node dysfunction (SND) to improve quality of life. Patients with heart failure with preserved ejection fraction (HFpEF) have many comorbidities including SND, but the optimal treatment approach for HFpEF with SND is uncertain.

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Preserved Ejection Fraction Heart Failure Quality of Life Medicare 40

DAIC

DECEMBER 22, 2023

Tricuspid regurgitation (TR) is a common and serious disease for which open heart surgery and symptomatic pharmacologic treatment are the current standard treatment options. Topaz is an innovative, minimally invasive device designed specifically to help patients suffering from severe TR, without the need for open heart surgery.

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Tricuspid Pacemaker Heart Valves Open-Heart Surgery 59

Heart BMJ

DECEMBER 15, 2023

Objective We sought to investigate prevalence, incidence and prognostic implications of permanent pacemaker (PPM) implantation in patients with cardiac amyloidosis (CA), thereby identifying the predictors of time to PPM implantation. Clinical, laboratory and instrumental data were analysed. Over a median follow-up time of 21.7 months (IQR 9.6–45.2),

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Pacemaker Outcomes Laboratory Transplant 52

European Journal of Heart Failure

DECEMBER 7, 2023

Increasing severity of obesity is associated with multiple characteristics that may contribute to the development or worsening of heart failure (HF) with preserved ejection fraction (HFpEF). Obesity was associated with more first and recurrent heart failure events.

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Preserved Ejection Fraction Obesity Heart Failure BMI 40

Journal of the American Heart Association

DECEMBER 29, 2023

Journal of the American Heart Association, Ahead of Print. BackgroundHeart failure with preserved ejection fraction ≥50% is prevalent with few evidence‐based therapies. These changes were paralleled by improvements in heart failure‐related quality of life (myPACE Minnesota Living with Heart Failure Questionnaire improved by 16.1

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Preserved Ejection Fraction Heart Failure Quality of Life Echocardiogram 40

American College of Cardiology

FEBRUARY 6, 2024

The following are key points to remember from a review article on cardiac implantable electronic devices (CIEDs), which include pacemakers for bradycardia, biventricular pacemakers for heart failure, and implantable cardioverter–defibrillators (ICDs) for the treatment of sudden cardiac death:

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Sudden Cardiac Death Pacemaker Bradycardia Defibrillator 56

DAIC

APRIL 22, 2024

RELIEVE-HF failed to meet its primary efficacy endpoint and did not reduce heart failure events or improve quality of life in heart failure patients with a preserved ejection fraction (HFpEF).

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Preserved Ejection Fraction Quality of Life Heart Failure Pacemaker 105

Frontiers in Cardiovascular Medicine

JANUARY 4, 2024

Since the implantation of the first pacemakers in the 1960s, rapid advancements in biomedical technologies have led to the development of Cardiac Resynchronization Therapy (CRT) in the 1990s. 1,2) Moreover, now evidence on CRT upgrade with hard outcome is also available for patients with HFrEF and wide, paced QRS (3).

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Pacemaker Heart Failure Technology Hospital 64

Circulation

OCTOBER 13, 2023

BACKGROUND:Despite advances in medical and cardiac resynchronization therapy (CRT), individuals with chronic congestive heart failure (CHF) have persistent symptoms, including exercise intolerance. Circulation, Ahead of Print. Mean arterial pressure was significantly lower during diastolic walking (85±12 versus 98±20 mm Hg;P=0.007).CONCLUSIONS:In

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Exercise Heart Failure Quality of Life Pacemaker 40

European Journal of Heart Failure

DECEMBER 20, 2023

Abstract Introduction Emerging evidence suggests a beneficial effect of higher heart rates in some patients with heart failure with preserved ejection fraction (HFpEF). No evidence of heterogeneity was found across LV volumes or LVEF for pacemaker-detected AF burden.

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Quality of Life Preserved Ejection Fraction Pacemaker Heart Failure 40

HeartRhythm

APRIL 30, 2024

Introduction: Patients with ‘heart failure with preserved ejection fraction’ (HFpEF) frequently manifest chronotropic incompetence as well as hypertension (HTN). Cardiac pacing may improve clinical outcomes in these patients. To date, pacing has not been regulated by an external hemodynamic input.

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Preserved Ejection Fraction Hypertension Blood Pressure Pacemaker 40

Journal of Cardiovascular Electrophysiology

OCTOBER 16, 2024

All patients had a reduced LVEF of 36%–50% and underwent pacemaker implantation. Clinical outcomes, including death from any cause, fatal ventricular arrhythmias, hospitalization for heart failure, and echocardiographic improvements after 1 year, were assessed. No fatal ventricular arrhythmias occurred. to 42.4 ± 6.3%).

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Arrhythmia Heart Failure Cardiomyopathy Pacemaker 40

All About Cardiovascular System and Disorders

MAY 1, 2024

CRT is used in heart failure with reduced ejection fraction. According to the Universal Definition and Classification of Heart Failure, heart failure with reduced ejection fraction has left ventricular ejection fraction of 40% or less. CRT stands for cardiac resynchronization therapy.

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Heart Failure Arrhythmia Pacemaker Defibrillator 52

Frontiers in Cardiovascular Medicine

JANUARY 10, 2024

Introduction Heart transplantation (HT) is the only treatment option in children with heart failure secondary to cardiomyopathies and non-reparable congenital heart diseases. Three patients developed symptomatic sinus node dysfunction at 18, 25, and 38 days and received permanent pacemakers. months (IQR: 13.13–111.87),

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Heart Transplant Transplant Arrhythmia Congenital Heart Disease 59

Journal of Cardiovascular Electrophysiology

FEBRUARY 13, 2024

Methods Consecutive patients with bradycardia indicated for pacing from 2016 to 2022 were prospectively followed for the clinical endpoints of heart failure (HF)-hospitalizations and all-cause mortality at 2 years.

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Bradycardia Physiology Pacemaker Heart Failure 40

Circulation

APRIL 25, 2024

Unfortunately, patients will often present late in their disease course with severe right-sided heart failure, pulmonary hypertension, and life-limiting symptoms that have few durable treatment options. Tricuspid valve disease is an often underrecognized clinical problem that is associated with significant morbidity and mortality.

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Tricuspid Pacemaker Heart Failure Pulmonary 80

European Journal of Heart Failure

NOVEMBER 9, 2023

Abstract Aim Cardiac resynchronization therapy (CRT) is a cornerstone in the management of chronic heart failure in patients with a broad or paced QRS. The primary composite endpoint included all-cause mortality, heart transplantation, or ventricular assist device implantation. ml/min/1.73 m ml/min/1.73 m 76.5], p  < 0.001).

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Outcomes Heart Failure Heart Transplant Transplant 40

Heart BMJ

DECEMBER 20, 2023

Results Out of 43 (16%) consecutive patients with severe CHD and liver metastases of midgut NETs, 79% presented with right-sided heart failure. The 30-day postoperative mortality rate was high (19%), and preoperative heart failure was associated with worse survival (p=0.02).

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Heart Disease Tricuspid Outcomes Heart Failure 40

HeartRhythm

OCTOBER 15, 2023

Ivabradine is an anti-arrhythmic agent that reduces the heart rate through inhibition of the pacemaker current of the sinoatrial node. It has been used to treat both inappropriate sinus tachycardia and sinus tachycardia related to heart failure in children and adults.

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Congenital Heart Disease Tachycardia Congenital Heart Disease 40

AMS Cardiology

MAY 8, 2024

Here are some of the most common causes: Age-related changes – As we age, the electrical signals in our hearts can weaken leading to a slower heart rate. Heart disease – Coronary artery disease, heart attack or heart failure can all damage the heart muscle and disrupt its electrical signals.

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Bradycardia Diet Pacemaker Coronary Artery Disease 52

Cardiometabolic Health Congress

AUGUST 30, 2024

Arrhythmias : A leadless pacemaker-defibrillator system provides antitachycardia pacing for ventricular tachycardia in patients with subcutaneous ICDs. Coronary Heart Disease : Initiate beta-blockers in patients with acute MI and normal LVEF unless contraindicated or if they have heart failure.

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Cardiac Rehabilitation Heart Failure Quality of Life Aortic 52

Vector Remote

APRIL 14, 2023

The Beginning: The Need for Cardiac Remote Patient Monitoring The first implantable pacemaker, was developed in the late 1950s, but the first clinically successful pacemaker was implanted into a 77-year-old at a Veterans Affairs hospital in New York in 1960.

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Pacemaker Technology COVID-19 Blood Pressure 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

He had previously undergone non‐contrasted head computed tomography (NCHCT) (magnetic resonance imaging (MRI) was unable to be performed secondary to pacemaker), which did not reveal strokes. Episodes always occurred after activity and only upon sitting. His initial computed tomography angiogram (CTA) of the head and neck was unremarkable.

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Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

Dr. Smith's ECG Blog

SEPTEMBER 14, 2014

He presented with chest pain, not relieved by nitro, pain reproducible on exam and centered around the pacemaker insertion site. At that previous visit, he had had some mildly elevated troponins, but mostly had severe heart failure from very poor systolic function and aortic stenosis. Here is his ED ECG There is RV Pacing.

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Chest Pain Cardiomyopathy Pacemaker STEMI 52

Circulation

NOVEMBER 10, 2023

Background:Left bundle branch area pacing (LBBAP) may be associated with greater improvement in left ventricular ejection fraction and reduction in death or heart failure hospitalization when compared with biventricular pacing (BVP) in patients requiring cardiac resynchronization therapy (CRT). Circulation, Ahead of Print. p=0.007).

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Atrial Fibrillation Pacemaker Physiology Heart Failure 40

Dr. Sanjay Gupta

MARCH 6, 2022

So she went back in 4 weeks and this time saw another doctor who asked her to stop the inhalers and suggested that it could be her heart and organised a chest X-ray and blood tests. Medications that improve quality of life in heart failure for example include diuretics.

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Chronic Disease Quality of Life Heart Failure Nursing 40

DAIC

MARCH 25, 2024

Rapid Fire Challenging Structural Heart Imaging Cases with Heart Team Panel; Follow-up of Pacemakers and ICDS for the Non-electrophysiologist; The Real Reasons Your Patient with Heart Failure was Readmitted: Noncardiac Comorbidities, Geriatric Syndromes and Social Determinants of Health; and Death by a Thousand Cuts!

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Education Cardiogenic Shock Heart Failure Plaque 59

All About Cardiovascular System and Disorders

MARCH 20, 2024

But while compressing here in a patient with heart failure, it can elicit pain because there could be tender hepatomegaly in patients with heart failure. That occurs in right heart failure and constrictive pericarditis. Then, these are the important waves to be looked at in the jugular venous pulsation.

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Tricuspid Pericarditis VSD Heart Failure 52

EMS 12-Lead

JUNE 1, 2022

The patient care narrative states no further changes in heart rate with persistent LBBB morphology. He received a permanent pacemaker during the subsequent inpatient stay. LBBB may be the precipitating cause of the heart failure syndrome, or may portend high mortality when identified in preexisting heart failure.

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Heart Failure Myocardial Infarction Bradycardia Cardiomyopathy 52

Dr. Smith's ECG Blog

JANUARY 1, 2024

His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago. Thus VT is very probable.

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Tachycardia Heart Failure Ischemia Blog 91

Journal of Cardiovascular Electrophysiology

DECEMBER 15, 2023

Impact of preceding systolic heart failure on risk of pacemaker-induced cardiomyopathy Abstract Background Pacemaker-induced cardiomyopathy is a well described phenomenon in patients with preserved ejection fraction at the time of permanent pacemaker implant.

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Heart Failure Preserved Ejection Fraction Pacemaker Cardiomyopathy 40

Journal of the American Heart Association

JANUARY 31, 2024

Journal of the American Heart Association, Ahead of Print. BackgroundData regarding permanent pacemaker (PPM) implantation following tricuspid valve surgery (TVS) are limited. Outcomes included all‐cause mortality and readmission with endocarditis or heart failure on follow‐up. 1.49],P=0.04). 1.43],P&lt;0.001).ConclusionsPPM

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Risk Factors Tricuspid Pacemaker Outcomes 40

Vector Remote

MAY 9, 2023

These devices are implanted under the skin and can monitor the heart’s rhythm, delivering as-needed electrical shocks to correct abnormal heart rhythms. Specialized pacemakers used to treat heart failure, monitor heart rhythm and adjust pacing as needed. Cardiac Resynchronization Therapy (CRT) Devices.

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Heart Rhythm Technology Blood Pressure Defibrillator 52