SUBCLINICAL ATRIAL FIBRILLATION IN PATIENTS WITH IMPLANTABLE DEVICEs ORAL ANTICOAGULANT THERAPY: TO GIVE OR NOT TO GIVE, THIS IS THE PROBLEM!!
|
|
|
- Edith Hood
- 5 years ago
- Views:
Transcription
1 SUBCLINICAL ATRIAL FIBRILLATION IN PATIENTS WITH IMPLANTABLE DEVICEs ORAL ANTICOAGULANT THERAPY: TO GIVE OR NOT TO GIVE, THIS IS THE PROBLEM!!
2 Atrial tachycardia «ATRIAL HIGH RATES EPISODES» (AHREs) Episodes of atrial tachyarrhythmias stored in device memory Repetitive Non-reentrant Ventriculoatrial Synchrony Atrial fibrillation... but not all is true!!! Up to 20% of false positive so you need to check and confirm the episode
3 SUBCLINICA ATRIAL FIBRILLATION (SCAF) «ATRIAL HIGH RATE EPISODES (AHRE) WITH A RATE > 190 bpm, DURATION BETWEEN 6 MINUTES AND 24 HOURS, WHICH LACK OF CORRELATED SYMPTOMS IN PATIENTS WITH CARDIAC IMPLANTABLE ELECTRONIC DEVICES, DETECTED WITH CONTINOUS ECG MONITORING (INTRACARDIAC) AND WITHOUT PRIOR DIAGNOSIS (ECG or HOLTER MONITORING) OF AF» Device-detected subclinical atrial tachyarrhythmias: definition, implication and management an European Heart Rhythm Association (EHRA) consensus document, endorsed by Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Sociedad Latinoamericana de Estimulatìon Cardiaca y Electrofisiologia (SOLEACE), Europace 2017, 19:
4 DOCUMENTED ATRIAL FIBRILLATION SUBCLINICAL ATRIAL FIBRILLATION. MORE FREQUENT THAN WE IMAGINE (12 times more than symptomatic episodes). NOT LESS DANGEROUS THAN DOCUMENTED ONEs!!!
5 ASSOCIATION OF SCAF WITH INCREASED RISK OF ISCHEMIC STROKE AND SYSTEMIC TE Glotzer et al, Circulation 2003 MOST trial Healey et al, NEJM 2012 Capucci et al, JACC 2005 ASSERT STUDY Glotzer al, Circ Arrhyth Electroph 2009 AT 500 REGISTRY THE TRENDS STUDY
6 WHAT ABOUT AHREs SHORTER THAN 5 MINUTES? RATE REGISTRY Swiryn et al, Circulation 2016 «Short episodes of AT/AF in patients with PMK/ICD are not associated with increased risk of clinical events compared with patients without documented AT/AF but.»
7 DEVELOPMENT OF LONG AT/AF DURING FOLLOW-UP IN PATIENTS WITH OR WITHOUT SHORT AT/AF RATE REGISTRY Swiryn et al, Circulation 2016 «. patients with short AT/AF are more prone to developping longer episodes of AT/AF during 2 aa of follow-up»
8 Stroke risk (per 100 person-y) THE DARK SIDE OF THE MOON.. ABSOLUTE RISK OF STROKE/TE IN SCAF OFTEN LOWER THAN THAT OBSERVED IN CLINICAL AF. BUT NOT SO DIFFERENT FROM ATRIA STUDY AND WELL-ABOVE THRESHOLD OF 1% FOR RECOMMENDED ANTICOAGULATION FOR STROKE PREVENTION All CHAD 2 = NRAF Cohort ATRIA Cohort Subclinical AF No Subclinical AF from Mahajan et al, European Heart Journal 2018; 39(16):
9 SCAF DURATION AND RISK SCORE: TE as a function of CHADS 2 Better To Take Them Together!! Combination of CHADS 2 Score with AF Presence and Duration (in A CHADS 2 score and 3, in B CHADS2 score 1-2) Low risk group High risk group TE as a function of FA duration from L. Botto et al, Presence and duration of AF detected by Continuous Monitoring: Crucial Implications for the Risk of Thromboembolic Events, J Cardiovasc Electrop 2009;20:
10 THE DARK SIDE OF THE MOON.. POOR TEMPORAL RELATIONSHIP BETWEEN SCAF AND TE EVENTS (up to 94% of TE events without SCAF in the privious 30 days) Device-detected subclinical atrial tachyarrhythmias: definition, implication and management an European Heart Rhythm Association (EHRA) consensus document, endorsed by Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Sociedad Latinoamericana de Estimulatìon Cardiaca y Electrofisiologia (SOLEACE), Europace 2017, 19:
11 THE DARK SIDE OF THE MOON.. UP TO 15% OF SCAF OBSERVED JUST AFTER ISCHEMIC STROKE!! IS THERE ANY OTHER EXPLANATON FOR WHAT WE SEE? Luciano A. Sposato et al, POSTSTROKE ATRIAL FIBRILLATION: Cause or consequence? Neurology 2014; 82:
12 THE MORE WE SEE THE MORE WE FIND!. from memory of the device PMK ICD CRT ICM
13 BUT THE MORE WE TREAT THE MORE WE BENEFIT? European Heart Journal 2015, 36: IMPACT AF TRIAL CONCLUSIONS In pazients with ICD (Implanted Cardioverter Defibrillator) the strategy of early initiation and interruption of anticoagulation (80% VKA) based on remote detected atrial tachyarrhythmias do not prevent thromboembolism and bleeding
14 WAITING FOR ANSWERS FROM ONGOING TRIALS Am Heart Journal 2017;190:12-18 Am Heart Journal 2017;189:
15 2016 ESC Guidelines for the management of atrial fibrillation Grey zone Grey zone European Heart Journal (2016) 37,
16
Στυλιανός Τζέης MD, PhD, FESC
Βραχειάς δια ρκειας ριπε ςυπερκοιλιακη ς ταχυαρρυθμιάς στο Holter ρυθμου η στις συσκευε ςδιαχει ρισης του καρδιακου ρυθμου. Θα χορηγη σουμε αντιθρομβωτικη αγωγη ; Στυλιανός Τζέης MD, PhD, FESC Επιμελητής
ΑΣΥΜΠΤΩΜΑΤΙΚΗ ΚΟΛΠΙΚΗ ΜΑΡΜΑΡΥΓΗ
ΑΣΥΜΠΤΩΜΑΤΙΚΗ ΚΟΛΠΙΚΗ ΜΑΡΜΑΡΥΓΗ ΓΕΩΡΓΙΟΣ ΣΤΑΥΡΟΠΟΥΛΟΣ Β ΚΑΡΔΙΟΛΟΓΙΚΗ ΚΛΙΝΙΚΗ ΠΓΝΘ ΙΠΠΟΚΡΑΤΕΙΟ 9 Ο Βορειοελλα ATRIAL FIBRILATION Atrial fibrillation (AF) is the most common clinically significant heart
Atrial fibrillation: why it's important to make opportunities diagnosis in single chamber ICD patients
ADVANCES IN CARDIAC ARRHYTHMIAS and GREAT INNOVATIONS IN CARDIOLOGY Turin October 13-15, 2016 Atrial fibrillation: why it's important to make opportunities diagnosis in single chamber ICD patients Dott.
Diagnosing atrial fibrillation using implantable devices
Diagnosing atrial fibrillation using implantable devices Axel Brandes, MD, FESC Associate Professor of Electrophysiology and Cardiac Arrhythmias Dept. of Cardiology, Odense University Hospital, DK HRC
ECG monitoring after ischemic stroke of TIA of unknown source with an insertable monitor? YES
ECG monitoring after ischemic stroke of TIA of unknown source with an insertable monitor? YES Isabelle C Van Gelder University Medical Center Groningen The Netherlands ESC stroke council Prague January
Fibrillazione atriale : causa diretta marker di rischio di eventi cerebrovascolari non solo embolici?
Fibrillazione atriale : causa diretta marker di rischio di eventi cerebrovascolari non solo embolici? Fabrizio Ammirati Dipartimento Medicina UOC Cardiologia Ospedale GB Grassi ASL Roma 3 Sept 2013 Patients
The Relationship Between Daily Atrial Tachyarrhythmia Burden From Implantable Device Diagnostics and Stroke Risk: The TRENDS Study
The Relationship Between Daily Atrial Tachyarrhythmia Burden From Implantable Device Diagnostics and Stroke Risk: The TRENDS Study Taya V. Glotzer, MD; Emile G. Daoud, MD; D. George Wyse, MD, PhD; Daniel
Subclinical AF: Implications of device based episodes
Subclinical AF: Implications of device based episodes Michael R Gold, MD, PhD Medical University of South Carolina Charleston, SC Disclosures: Clinical Trials and Consulting: Medtronic, Boston Scientific
Device Diagnostics and Stroke Prevention: State of the Art
Device Diagnostics and Stroke Prevention: State of the Art Ass. Prof. Dr. Carsten W. Israel Dept. of Cardiology Evangelical Hospital Bielefeld Germany C.W.Israel@em.uni-frankfurt.de Disclosure of Relationships
Implantable Cardiac Monitors for Atrial Fibrillation (AF) Detection: Ready for Routine Use?
Implantable Cardiac Monitors for Atrial Fibrillation (AF) Detection: Ready for Routine Use? Helmut Pürerfellner, MD, Assoc. Prof. Saint Elisabeth s Sisters Hospital Academic Teaching Center Linz/Austria
Consensus document: Screening and Prevention of Atrial Fibrillation
Consensus document: Screening and Prevention of Atrial Fibrillation Yong-Seog Oh, M.D.,Ph.D. Division of Cardiology, Department of Internal Medicine, Seoul St. Mary s Hospital, College of Medicine, The
Defining Sub-Clinical Atrial Fibrillation and its management
Defining Sub-Clinical Atrial Fibrillation and its management Jeff Healey MD, MSc, FRCP, FHRS PHRI Chair in Cardiology Research Population Health Research Institute McMaster University, Canada Sub-Clinical
Atrial fibrillation (AF) has been the. Subclinical Atrial Fibrillation, Embolic Risk, and Anticoagulant Treatment
MAEDICA a Journal of Clinical Medicine 2018; 13(4): 261-265 https://doi.org/10.26574/maedica.2018.13.4.261 Mædica - a Journal of Clinical Medicine Invited Editorial Point of View Subclinical Atrial Fibrillation,
Stroke Prevention in AF: How will it change in the next 5 years? Jeff Healey MD, MSc, FHRS Population Health Research Institute McMaster University
Stroke Prevention in AF: How will it change in the next 5 years? Jeff Healey MD, MSc, FHRS Population Health Research Institute McMaster University Disclosures Research Grants and speaking fees St. Jude
Fibrillazione Atriale Fattore di Rischio o Marker di Stroke: Implicazioni Per La Terapia
Gianluca Botto, FESC Elettrofisiologia Ospedale Sant Anna, Como Fibrillazione Atriale Fattore di Rischio o Marker di Stroke: Implicazioni Per La Terapia 20 min Presenter Disclosure Information n n n Research
Causal relationship between AF & stroke
7 AP-HRS Scientific Session, New Dehli, India - Oct 29 to Nov 1, 2014 Causal relationship between AF & stroke Antonio Raviele, MD, FESC, FHRS President ALFA Alliance to Fight Atrial fibrillation - Venice,
Causal relationship between AF & stroke
7 AP-HRS Scientific Session, New Dehli, India - Oct 29 to Nov 1, 2014 Causal relationship between AF & stroke Antonio Raviele, MD, FESC, FHRS President ALFA Alliance to Fight Atrial fibrillation - Venice,
AF Detection During Drug Development: What Constitutes a Signal
AF Detection During Drug Development: What Constitutes a Signal Peter R. Kowey, FACC, FAHA, FHRS Lankenau Heart Institute Jefferson Medical College Philadelphia, PA Disclosure Dr. Kowey has consulted for
EHRA CONSENSUS DOCUMENT
Europace (2017) 0, 1 23 doi:10.1093/europace/eux163 EHRA CONSENSUS DOCUMENT Device-detected subclinical atrial tachyarrhythmias: definition, implications and management an European Heart Rhythm Association
Fibrillazione atriale subclinica e rischio di ictus ischemico
Fibrillazione atriale subclinica e rischio di ictus ischemico Background 25% of all ischemic strokes are cryptogenic, and subclinical atrial fibrilla;on (AF) is suspected to be a possible cause in many
Asymptomatic Atrial Fibrillation: Detection and Management. 18 December nd Annual Advances in Heart Disease Palace Hotel, San Francisco
Asymptomatic Atrial Fibrillation: Detection and Management 18 December 2015 32 nd Annual Advances in Heart Disease Palace Hotel, San Francisco Zian H. Tseng, M.D., M.A.S. Associate Professor of Medicine
Thromboembolism During Sinus Rhythm in Patients with a History of Atrial Fibrillation
48 th Annual New York Cardiovascular Symposium Thromboembolism During Sinus Rhythm in Patients with a History of Atrial Fibrillation Is Left Atrial Appendage Dysfunction Sufficient to Generate Clots? December
Θα πρέπει να αναζηηείηαι η παροσζία ζιωπηλής κολπικής μαρμαρσγή ζε αζθενείς με κρσπηογενές εγκεθαλικό επειζόδιο; Ποιά είναι η καλύηερη μέθοδος;
Θα πρέπει να αναζηηείηαι η παροσζία ζιωπηλής κολπικής μαρμαρσγή ζε αζθενείς με κρσπηογενές εγκεθαλικό επειζόδιο; Ποιά είναι η καλύηερη μέθοδος; Νικόλαος Φραγκάκης Λέκηορας Καρδιολογίας, FESC Ιπποκράηειο
Identifying Patients for Anticoagulation: While Many Patients Remain Untreated, Who Should NOT be Anticoagulated?
Identifying Patients for Anticoagulation: While Many Patients Remain Untreated, Who Should NOT be Anticoagulated? Renato D. Lopes, MD MHS PhD Professor of Medicine Division of Cardiology Duke Clinical
Make the Connection A clinical compendium on the relationship between AF, stroke, and early intervention
Make the Connection A clinical compendium on the relationship between AF, stroke, and early intervention Data that date back to the 1970 s have illustrated the strong relationship between atrial fibrillation
Continuous ECG telemonitoring with implantable devices: the expected clinical benefits
Continuous ECG telemonitoring with implantable devices: the expected clinical benefits C. W. Israel, M.D. Dept. of Cardiology Evangelical Hospital Bielefeld Germany Carsten.Israel@evkb.de Declaration of
Atrial fibrillation and stroke. Isabelle C Van Gelder University Medical Center Groningen The Netherlands
Atrial fibrillation and stroke Isabelle C Van Gelder University Medical Center Groningen The Netherlands ESC stroke council Prague January 2018 Content Stroke what is the problem for patients with AF?
Device detected AF and atrial high rate episodes
Device detected AF and atrial high rate episodes Professor Paulus Kirchhof University of Birmingham Institute of Cardiovascular Sciences SWBH and UHB NHS trusts, Birmingham, UK Department of Cardiovascular
Can oral anticoagulants be stopped safely after a successful atrial fibrillation ablation?
Review Article Can oral anticoagulants be stopped safely after a successful atrial fibrillation ablation? Tze-Fan Chao 1,2, Yenn-Jiang Lin 1,2, Shih-Lin Chang 1,2, Li-Wei Lo 1,2, Yu-Feng Hu 1,2, Fa-Po
Diagnostic capabilities of the implantable therapeutic systems
Cardiac pacing 2012 and beyound Monday August 27, 2012 Diagnostic capabilities of the implantable therapeutic systems Pekka Raatikainen Heart Center Co. Tampere University Hospital and University of Tampere
Does AF Ablation Lower Stroke Risk? Hugh Calkins MD Professor of Medicine Director of Electrophysiology Johns Hopkins Medical Institutions
Does AF Ablation Lower Stroke Risk? Hugh Calkins MD Professor of Medicine Director of Electrophysiology Johns Hopkins Medical Institutions Relationships! Consultant: Medtronic, St Jude, Atricure, Boherringer
Why to monitor AF ablation success?
Why to monitor AF ablation success? Why to monitor AF ablation success? CASTLE-AF Primary Endpoint All-cause mortality Worsening heart failure admissions Secondary Endpoints All-cause mortality Worsening
Atrial Fibrillation Ablation: in Whom and How
Update on Consensus Statement on Management of Atrial Fibrillation: EHRA 2012 Atrial Fibrillation Ablation: in Whom and How Update of HRS/EHRA AF/ECAS Ablation Document 2012 Anne M Gillis MD FHRS Professor
Spontaneous Atrial Fibrillation and Noacs and Reversal agents
Spontaneous Atrial Fibrillation and Noacs and Reversal agents Laurent Lewkowiez, MD Regional Service Chief, Hospital Cardiology CPMG Cardiac Electrophysiology Educational Goals relationship between atrial
EHRA SUMMIT EHRA ACTIVITIES Prof. Karl-Heinz Kuck, FESC (Germany) EHRA PRESIDENT
EHRA SUMMIT 2015 - EHRA ACTIVITIES 2015 Prof. Karl-Heinz Kuck, FESC (Germany) EHRA PRESIDENT Heart House 26.3.2015 EHRA EHRA is a registered branch of the European Society of Cardiology 1 st sub-specialty
Fibrillazione atriale: è sempre necessario ricercarla, e come?
Fibrillazione atriale: è sempre necessario ricercarla, e come? Domenico Prisco DMSC Università di Firenze SOD Medicina Interna Interdisciplinare AOU Careggi Firenze 23-10-2018 Disclosure Fees for lectures
Can Catheter Ablation of AF Reduce the Risk of Stroke? CCCEP 2015 October 31, 2015
Can Catheter Ablation of AF Reduce the Risk of Stroke? CCCEP 2015 October 31, 2015 Atul Verma, MD FRCPC FHRS Director, Heart Rhythm Program Southlake Regional Health Centre Newmarket, Ontario, Canada Chair,
'Understanding Atrial Fibrillation: New Insights in Pathophysiology
82 nd Annual Scientific Meeting of the Japanese Circulation Society Osaka 2018 'Understanding Atrial Fibrillation: New Insights in Pathophysiology Barbara Casadei, MD DPhil FMedSci FESC British Heart Foundation
UTILITY OF THE IMPLANTABLE LOOP RECORDER
UTILITY OF THE IMPLANTABLE LOOP RECORDER John Andriulli, DO Associate Professor of Medicine Director, Arrhythmia Device Program Cooper Medical School of Rowan University Contemporary Practices in Cardiology
Home Screening for Detecting Subclinical Atrial Fibrillation
Home Screening for Detecting Subclinical Atrial Fibrillation Renato Pietro Ricci, MD, FESC, Taya V. Glotzer, MD, FHRS, FACC 1 Department of Cardiovascular Diseases, San Filippo Neri Hospital, Rome, Italy,
Dialysis-Dependent Cardiomyopathy Patients Demonstrate Poor Survival Despite Reverse Remodeling With Cardiac Resynchronization Therapy
Dialysis-Dependent Cardiomyopathy Patients Demonstrate Poor Survival Despite Reverse Remodeling With Cardiac Resynchronization Therapy Evan Adelstein, MD, FHRS John Gorcsan III, MD Samir Saba, MD, FHRS
EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs
EHRA Accreditation Exam - Sample MCQs Cardiac Pacing and ICDs Dear EHRA Member, Dear Colleague, As you know, the EHRA Accreditation Process is becoming increasingly recognised as an important step for
Atrial Fibrillation: Rate vs. Rhythm. Michael Curley, MD Cardiac Electrophysiology
Atrial Fibrillation: Rate vs. Rhythm Michael Curley, MD Cardiac Electrophysiology I have no relevant financial disclosures pertaining to this topic. A Fib Epidemiology #1 Most common heart rhythm disturbance
Gianfranco Buja Senior Teacher University of Padova (Italy)
Cardiac origin of embolic stroke New oral anticoagulation therapy for stroke prevention in patients with atrial fibrillation undergoing ablation Venice may, 5-7/ 2016 Cortile Antico Teatro Anatomico 1222
Κατάλυση παροξυσμικής κολπικής μαρμαρυγής Ποια τεχνολογία και σε ποιους ασθενείς; Χάρης Κοσσυβάκης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ.
Κατάλυση παροξυσμικής κολπικής μαρμαρυγής Ποια τεχνολογία και σε ποιους ασθενείς; Χάρης Κοσσυβάκης Καρδιολογικό Τμήμα Γ.Ν.Α. «Γ. ΓΕΝΝΗΜΑΤΑΣ» Rhythm control antiarrhythmic drugs vs catheter ablation Summary
Device Interrogation- Pacemakers, ICD and Loop Recorders. Dulce Obias-Manno, RN, MHSA, CCDS,CEPS, FHRS Device Clinic Coordinator, MHVI
Device Interrogation- Pacemakers, ICD and Loop Recorders Dulce Obias-Manno, RN, MHSA, CCDS,CEPS, FHRS Device Clinic Coordinator, MHVI Disclosures Consultant: Medtronic Speaker s Bureau: St. Jude Medical
AF detection: What s new? Christopher B. Granger
AF detection: What s new? Christopher B. Granger Disclosures Research contracts: Apple, AstraZeneca, Bayer, BMS, Boehringer Ingelheim, Daiichi Sankyo, Janssen, Novartis, GSK, Medtronic Foundation, Pfizer,
TOP 3: EMBRACE. Lucy Vieira MD FRCP Neurologist MUHC. N Engl J Med Volume 370(26): June 26, David J.
TOP 3: EMBRACE N Engl J Med Volume 370(26):2467-2477 June 26, 2014 David J. Gladstone et al Lucy Vieira MD FRCP Neurologist MUHC Receiving research funds AstraZeneca 2014-2016 Original Article Atrial Fibrillation
Defibrillation Testing should be routinely performed at the time of ICD implantation. Jeff Healey MD, MSc, FHRS McMaster University
Defibrillation Testing should be routinely performed at the time of ICD implantation Jeff Healey MD, MSc, FHRS McMaster University Presenter Disclosure Information Jeff S. Healey, MD, MSc, McMaster University,
La terapia non anticoagulante nel paziente con FA secondo le Linee Guida F. CONROTTO
La terapia non anticoagulante nel paziente con FA secondo le Linee Guida F. CONROTTO Rhythm or rate control strategy? N Engl J Med 2002;347:1834 40 Rate Control versus Electrical Cardioversion for Persistent
Screening for Atrial Fibrillation in the Outpatient Clinic
Screening for Atrial Fibrillation in the Outpatient Clinic Lucy Guerra, MD, MPH, FACP Division Director & Associate Professor Asa Oxner, MD Vice Chair & Assistant Professor University of South Florida
State of the Art Management on Atrial Fibrillation in Monica Lo, MD, FACC, FHRS April 15, 2016
State of the Art Management on Atrial Fibrillation in 2016 Monica Lo, MD, FACC, FHRS April 15, 2016 Scope of the Problem More than 30 million people worldwide 1 5 million new cases each year 1 in 4 lifetime
What the general cardiologist should know about arrhythmia Stroke prevention in AF" Peter Ammann Kantonsspital St. Gallen
What the general cardiologist should know about arrhythmia Stroke prevention in AF" Peter Ammann Kantonsspital St. Gallen What the cardiologist should know about arrhythmia and stroke are there real low
Cryptogenic Stroke: The role of silent Atrial Fibrillation
Cryptogenic Stroke: The role of silent Atrial Fibrillation PD Dr. med. Martin A. Ritter Westfälische Wilhelms-Universität Münster Germany ritterm@uni-muenster.de 1 Turin, 25.10.2014 Agenda 1. What is a
Medicare Advantage Medical Policy
Medicare Advantage Medical Policy Current Policy Effective Date: 1/1/18 Title: Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry Description/Background Indications for Ambulatory Cardiac
Performance of Atrial Fibrillation Detection in a New Single-Chamber ICD
DEVICES Performance of Atrial Fibrillation Detection in a New Single-Chamber ICD ABHISHEK DESHMUKH, M.D.,* MARK L. BROWN, PH.D., ELISE HIGGINS, B.S., BRIAN SCHOUSEK, B.S., ATHULA ABEYRATNE, PH.D., GIOVANNI
Should ICD Replacement Be Performed in Octogenarians and/or Severe Comorbidities?
Should ICD Replacement Be Performed in Octogenarians and/or Severe Comorbidities? JC Daubert Rennes, France Disclosure 2008-2011 Medical devices Speaker Consultant Trial committees EBR + + Impulse Dynamics
Atrial high rate episodes in patients with cardiac implantable electronic devices: implications for clinical outcomes
https://doi.org/10.1007/s00392-019-01432-y ORIGINAL PAPER Atrial high rate episodes in patients with cardiac implantable electronic devices: implications for clinical outcomes Kazuo Miyazawa 1 Daniele
C1: Medical Standards for Safety Critical Workers with Cardiovascular Disorders
C1: Medical Standards for Safety Critical Workers with Cardiovascular Disorders GENERAL ISSUES REGARDING MEDICAL FITNESS-FOR-DUTY 1. These medical standards apply to Union Pacific Railroad (UPRR) employees
Managing Atrial Fibrillation in the Heart Failure Patient
Managing Atrial Fibrillation in the Heart Failure Patient Jonathan S. Steinberg, MD Professor of Medicine (adj) University of Rochester School of Medicine & Dentistry Director, Arrhythmia Institute Valley
Global Variations in the 1-year Rates of Death and Stroke in Patients Presenting to the Emergency Department with Atrial Fibrillation
Global Variations in the 1-year Rates of Death and Stroke in Patients Presenting to the Emergency Department with Atrial Fibrillation Results from the RE-LY AF Registry Presenter Disclosure Information
Manuel Castellá Cardiovascular Surgery Hospital Clínic, Universidad de
When not to exclude the LAA Manuel Castellá Cardiovascular Surgery Hospital Clínic, Universidad de Barcelona mcaste@clinic.ub.es @mcastellamd Normal hearts Patient in sinus rhythm Patient in AF (with
PARAD/PARAD+ : P and R Based Arrhythmia Detection
Tech Corner PARAD/PARAD+ : P and R Based Arrhythmia Detection NOTE: PLEASE NOTE THAT THE FOLLOWING INFORMATION IS A GENERAL DESCRIPTION OF THE FUNCTION. DETAILS AND PARTICULAR CASES ARE NOT DESCRIBED IN
AF burden is important fact or fiction?
REVIEW ARTICLE AF burden is important fact or fiction? G. Boriani, I. Diemberger, M. Ziacchi, C. Valzania, B. Gardini, P. Cimaglia, C. Martignani, M. Biffi Linked Comment: Lip. Int J Clin Pract 2014; 68:
2017 HRS/EHRA/ECAS/APHRS/SOLAECE Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation
Summary of Expert Consensus Statement for CLINICIANS 2017 HRS/EHRA/ECAS/APHRS/SOLAECE Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation This is a summary of the Heart
30 Seconds is the Proper Endpoint for AF Ablation YES. Hugh Calkins MD. Professor of Medicine
30 Seconds is the Proper Endpoint for AF Ablation YES Hugh Calkins MD Professor of Medicine Director of Electrophysiology Johns Hopkins Medical Institutions COI Disclosures Dr Calkins is a consultant to
ESC Stockholm Arrhythmias & pacing
ESC Stockholm 2010 Take Home Messages for Practitioners Arrhythmias & pacing Prof. Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece Disclosures Small teaching fees from
Atrial fibrillation (AF) quintuples the risk of stroke, and
New Appraisal of Atrial Fibrillation Burden and Stroke Prevention Rod Passman, MD, MSCE; Richard A. Bernstein, MD, PhD Atrial fibrillation (AF) quintuples the risk of stroke, and patients with stroke and
Shock Reduction Strategies Michael Geist E. Wolfson MC
Shock Reduction Strategies Michael Geist E. Wolfson MC Shock Therapy Thanks, I needed that! Why Do We Need To Reduce Shocks Long-term outcome after ICD and CRT implantation and influence of remote device
Post-ablation Management: Drug therapy, Anticoagulation and long-term Monitoring
Catheter Ablation of Atrial Fibrillation: State of the Art Post-ablation Management: Drug therapy, Anticoagulation and long-term Monitoring Dipen Shah Service de Cardiologie Hospital Cantonal de Genève
Tech Corner. ATP in the Fast VT zone
Tech Corner ATP in the Fast VT zone NOTE: PLEASE NOTE THAT THE FOLLOWING INFORMATION IS A GENERAL DESCRIPTION OF THE FUNCTION. DETAILS AND PARTICULAR CASES ARE NOT DESCRIBED IN THE ARTICLE. FOR ADDITIONAL
La strategia diagnostica: il monitoraggio ecg prolungato. Michele Brignole
La strategia diagnostica: il monitoraggio ecg prolungato Michele Brignole ECG monitoring and syncope In-hospital monitoring Holter Monitoring External loop recorder Remote (at home) telemetry Implantable
Is Stroke Frequency Declining?
Is Stroke Frequency Declining? Etiologic Factors Clinical, Anatomic, Technique-related, and Device-specific Samir Kapadia, MD Professor of Medicine Section head, Interventional Cardiology Director, Cardiac
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Implantable cardioverter defibrillators for the treatment of arrhythmias and cardiac resynchronisation therapy for the treatment of heart failure (review
National Medical Policy
National Medical Policy Subject: Implantable Cardiac Event Monitors Policy Number: NMP495 Effective Date*: November 2009 Update: May 2016 ARCHIVE: NOTE: This policy has been retired. Please use DME Policy
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SCOPE. Clinical guideline for the management of atrial fibrillation
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE 1 Guideline title SCOPE Clinical guideline for the management of atrial fibrillation 1.1 Short title Atrial fibrillation 2 Background a) The National Institute
What s New in the AF Guidelines
Impact on New AF Guidelines on Heart Failure Management Gothenburg - May 22 nd 2011 Europace (2010) 12, 1360-420 http://europace.oxfordjournals.org JACC (2011) 57, 223-42 http://www.cardiosource.org What
Atrial Fibrillation. Ivan Anderson, MD RIHVH Cardiology
Atrial Fibrillation Ivan Anderson, MD RIHVH Cardiology Outline Definition and Pathophysiology Rate versus rhythm control Rate control thresholds (how much is enough) Anti-coagulation CHADS2VASc score HASBLED
PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE. Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology
PATIENT WITH ARRHYTHMIA IN DENTIST S OFFICE Małgorzata Kurpesa, MD., PhD. Chair&Department of Cardiology Medical University of Łódź The heart is made up of four chambers Left Atrium Right Atrium Left Ventricle
Original Articles. The Relationship Between Daily Atrial Tachyarrhythmia Burden From Implantable Device Diagnostics and Stroke Risk The TRENDS Study
Original Articles The Relationship Between Daily Atrial Tachyarrhythmia Burden From Implantable Device Diagnostics and Stroke Risk The TRENDS Study Taya V. Glotzer, MD; Emile G. Daoud, MD; D. George Wyse,
HEART OF THE MATTER: cardiac issues in safe endoscopy & sedation
HEART OF THE MATTER: cardiac issues in safe endoscopy & sedation YUVAL KONSTANTINO M.D. CARDIOLOGY DEPARTMENT, ELECTROPHYSIOLOGY UNIT, SOROKA MEDICAL CENTER, BEN-GURION UNIVERSITY OUTLINE 1 2 3 Anticoagulation
Heart Rhythm Disorders. How do you quantify risk?
Heart Rhythm Disorders How do you quantify risk? Heart Rhythm Disorders Scale of the Problem 1/2 population will have an episode of transient loss of consciousness (T-LOC) at some stage in their life.
Atrial Fibrillation T. Jared Bunch, MD, FACC
Atrial Fibrillation T. Jared Bunch, MD, FACC Director of Heart Rhythm Services, Intermountain Heart Rhythm Specialists, Intermountain Medical Center, Intermountain Healthcare; Salt Lake City, UT Objectives:
Peri-cardioversion and peri-ablation anticoagulation. Giuseppe Patti Campus Bio-Medico University of Rome
Peri-cardioversion and peri-ablation anticoagulation Giuseppe Patti Campus Bio-Medico University of Rome What 2016 ESC guidelines recommend Causes of TE events after cardioversion 1 Preexisting LA thrombosis
Should AF patients (after ablation) have anticoagulation forever? Can we ever stop it?
The 12 International Dead Sea Symposium - Jerusalem March 3-5 /2014 Should AF patients (after ablation) have anticoagulation forever? Can we ever stop it? Antonio Raviele, MD, FESC, FHRS Past Director
Remote monotoring of cardiac rhythm devices: present and future Pacemaker and ICD
Remote monotoring of cardiac rhythm devices: present and future Pacemaker and ICD Philippe Mabo University Hospital, Rennes, France ESC congress, Paris 30 August 2011 U642 Disclosures Biotronik: research
How Wireless Remote Monitoring Improves Clinical Benefits;
How Wireless Remote Monitoring Improves Clinical Benefits; A CLINICAL CASE STUDY Suneet Mittal, M.D., The Arrhythmia Institute at Valley Hospital, Ridgewood, NJ; New York, New York; E. Martin Kloosterman,
OAC after apparently successfull AF ablation: when, why, and how?
Gulf EP Live 2015 - Dubai January 22-24 / 2015 OAC after apparently successfull AF ablation: when, why, and how? Antonio Raviele, MD, FESC, FHRS Past Director Cardiovascular Department, dell Angelo Hospital,
Efstratios I. Charitos 1, Paul D. Ziegler 2, Ulrich Stierle 1, Hans-Hinrich Sievers 1, Hauke Paarmann 3, Thorsten Hanke 1. What s New?
Atrial fibrillation density 3 Applied Cardiopulmonary Pathophysiology 7: 3-0, 203 Atrial fibrillation density: A novel measure of atrial fibrillation temporal aggregation for the characterization of atrial
Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc.
Cardiac Implanted Electronic Devices Pacemakers, Defibrillators, Cardiac Resynchronization Devices, Loop Recorders, etc. The Miracle of Living February 21, 2018 Matthew Ostrom MD,FACC,FHRS Division of
Atrial Fibrillation. Why It s Important. Updated on 2007 / 11 / 23. Microlife Corp ww.microlife.com. Page 1
Atrial Fibrillation Why It s Important Microlife Corp ww.microlife.com Updated on 2007 / 11 / 23 Page 1 CONTENT ORIGINAL PRESENTATION P3 ~ P13 UPDATED ASH ABSTRACT SUBMISSION INFORMATION INTERESTING LINK
Ictus criptogenetico: possiamo ridurre questa diagnosi?
FIBRILLAZIONE ATRIALE Ictus criptogenetico: possiamo ridurre questa diagnosi? Maurizio Landolina MD, FESC Direttore U.O.C. Cardiologia, Ospedale Maggiore di Crema Disclosures Speakers bureau appointment
Supplementary Online Content
Supplementary Online Content Morillo CA, Verma A, Connolly SJ, et al. Radiofrequency ablation vs antiarrhythmic drugs as first-line Treatment of Paroxysmal Atrial Fibrillation (RAAFT-2): a randomzied clinical
EHRA Industry Site Visit. Wednesday 20 September 2017
EHRA 2018 Industry Site Visit Wednesday 20 September 2017 Agenda 10:00 11:00 Presentation of EHRA 2018 Scientific Programme City & Congress Center Building /Expo Lay-out Industry Opportunities 11:00 12:30
Programming of Bradycardic Parameters. C. W. Israel, M.D. Dept. of Cardiology Evangelical Hospital Bielefeld Germany
Programming of Bradycardic Parameters C. W. Israel, M.D. Dept. of Cardiology Evangelical Hospital Bielefeld Germany Carsten.Israel@evkb.de Programming of ICD Brady Parameters Conflict of Interest Biotronik
How atrial fibrillation should be treated in the heart failure patient?
Advances in Cardiac Arrhhythmias and Great Innovations in Cardiology Torino, 13/15 Ottobre 2016 How atrial fibrillation should be treated in the heart failure patient? Matteo Anselmino Dipartimento Scienze
Supplemental Material
Supplemental Material 1 Table S1. Codes for Patient Selection Cohort Codes Primary PM CPT: 33206 or 33207 or 33208 (without 33225) ICD-9 proc: 37.81, 37.82, 37.83 Primary ICD Replacement PM Replacement
Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry
Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry Policy Number: 2.02.08 Last Review: 9/2018 Origination: 11/2002 Next Review: 9/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue
Controversies in Risk Stratification
Controversies in Risk Stratification Things are not as simple as they seem Banff 2017 2015 MFMER 3494750-5 Relative importance Triggers vs Substrate in Pathophysiology of AF AF burden Paroxysmal? Persistent?
CLINICAL SUMMARY COGENT-4 FIELD FOLLOWING STUDY
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician trained or experienced in device implant and follow-up procedures. CLINICAL SUMMARY COGENT-4 FIELD FOLLOWING STUDY