Τεχνολογικές εξελίξεις & καινοτοµίες στις συσκευές βηµατοδότησης & απινίδωσης
|
|
- Noah O’Brien’
- 5 years ago
- Views:
Transcription
1 Τεχνολογικές εξελίξεις & καινοτοµίες στις συσκευές βηµατοδότησης & απινίδωσης Georgios Giannopoulos, MD, FESC Cardiology Dept., Athens General Hospital G. Gennimatas, Athens, Greece Adj. Asst. Professor of Medicine (Cardiology), Yale University School of Medicine, New Haven, CT, USA web: Tuesday, March 10, 15
2
3
4 J Am Coll Cardiol 2006 Perception: mortality rate is 50% in 5 years in patients with heart failure Reality: this was true of early CRT experience, but has dramatically changed over time Tuesday, March 10, 15
5
6 In MADIT-CRT, at 7 years, >80% of CRT-D patients with LBBB were alive Danish Registry: median survival after CRT QRS : 95 months (7.9 years) QRS : 82.2 months (6.9 years) QRS 200: 70.0 months (5.8 years) Tuesday, March 10, 15
7
8
9
10 Impact of increased ICD/CRT longevity on costs
11 ICD and CRT-D Battery Longevity: savings
12
13
14 CRT-D Battery Longevity: Closing the Gap
15 CRT-D Battery Longevity: Closing the Gap
16
17 MRI with MR conditional devices
18 MRI with MR conditional devices
19
20 Going up to 3T
21 Going up to 3T
22 Going up to 3T
23 Clinical use of 3T is increasing While 1.5 T machines remain the clinical standard, 3.0 T MRI scanners improve image quality and reduce scan time. Higher definition 3T MRI scans help physicians see intricate details in soft tissue, for example in the brain! Useful for acute stroke, TIA, brain tumors. Shorter scan times are helpful for patients who experience claustrophobia or have difficulty remaining motionless, such as young children 25% of new MRI machine installations are 3T 7. Advancements in MRI imaging technologies, Demand for non-invasive and ionizing radiationfree diagnostic procedures are a few growth drivers Tuesday, March 10, 15
24 Clinical use of 3T is increasing While 1.5 T machines remain the clinical standard, 3.0 T MRI scanners improve image quality and reduce scan time. Higher definition 3T MRI scans help physicians see intricate details in soft tissue, for example in the brain! Useful for acute stroke, TIA, brain tumors. Shorter scan times are helpful for patients who experience claustrophobia or have difficulty remaining motionless, such as young children 25% of new MRI machine installations are 3T 7. Advancements in MRI imaging technologies, Demand for non-invasive and ionizing radiationfree diagnostic procedures are a few growth drivers Tuesday, March 10, 15
25
26
27
28 ` Tuesday, March 10, 15
29
30 If ICDs were even smaller, what benefits do you think that could have? Tuesday, March 10, 15
31 If ICDs were even smaller, what benefits do you think that could have? Tuesday, March 10, 15
32 Smaller generator " Easier to fit for replacements " Smaller incision for initial implant " Lower risk of pocket-related complication " Lower skin pressure " More options to offer patients Tuesday, March 10, 15
33 ICD Volume Thinness MINI cc 9.9mm MDT Evera cc 13.0mm STJ Ellipse cc 12.0mm BIO Iforia cc 11.0mm SORIN Paradym cc 11.0mm MINI ICD VR is 20% smaller and 24% thinner than Evera TM VR. 1 MINI ICD: Boston Scientific Physician Technical Manual EN Europe EVERA XT VR DVBB1D St. Jude Medical High-Voltage Devices User s Manual 2013 page Biotronik Iforia TM 3/5/7 Manual 13-X-20 Revision: D( ) 5 Sorin Paradym TM RF VR model 9250 Implant manual 0561C-en Tuesday, March 10, 15
34 ICD Volume Thinness MINI cc 9.9mm Battery and Capacitor make up 2/3rds of ICD size Industry Avg. MINI VR DR MDT Evera cc 13.0mm STJ Ellipse cc 12.0mm BIO Iforia cc 11.0mm SORIN Paradym cc 11.0mm MINI ICD VR is 20% smaller and 24% thinner than Evera TM VR. 1 MINI ICD: Boston Scientific Physician Technical Manual EN Europe EVERA XT VR DVBB1D St. Jude Medical High-Voltage Devices User s Manual 2013 page Biotronik Iforia TM 3/5/7 Manual 13-X-20 Revision: D( ) 5 Sorin Paradym TM RF VR model 9250 Implant manual 0561C-en Tuesday, March 10, 15
35 Question Which pathology has up to 80% prevalence in HF population, with about 80% remaining undiagnosed, is linked to several clinical major events and has therapeutical options available? Tuesday, March 10, 15
36
37 increased hypoxia autonomic distress (from hypoxia) decreased ejection fraction increased LV afterload decreased cardiac output increased heart rate increased blood pressure
38 Sleep Apnea and cardiovascular consequences
39 Sleep Apnea and cardiovascular consequences Heart Failure Mortality HF mortality increased by 2-fold. Worsened survival in HF patients with untreated sleep apnea vs. no or mild Sleep Apnea patients (76% vs. 88%). Increased survival for treated sleep apnea. Heart Failure Morbidity OSA can lead to a progression of HF and refractoriness to therapy. OSA increases HF morbidity by 2.2- fold. Cardiovascular Events Severe OSA increased risk of fatal cardiovascular events by 3-fold. Tuesday, March 10, 15
40 Sleep Apnea and cardiovascular consequences Sudden Death Sleep Apnea increases risk for VT/VF & appropriate ICD therapies by 2-3 fold. Sleep Apnea increases risk of nocturnal SCD compared to daytime (RR: 2.57). Event-free survival from appropriate ICD therapies in HF population with CSA, OSA, no or mild SDB Atrial Fibrillation Sleep Apnea is an independent predictor of new onset AF, and may be a causative factor in the development of AF. Sleep Apnea increases likelihood for AF recurrence post cardioversion (from 42% to 82%). Recurrence decreases after CPAP therapy. Bitter, EHJ 2011 Tuesday, March 10, 15 Mehra, AJRCCM 2006
41 Butt et al. Circ Heart Fail. 2012
42 Butt et al. Circ Heart Fail. 2012
43 Butt et al. Circ Heart Fail Colish, CHEST 2012 Tuesday, March 10, 15
44
45 Screening for apnea
46 Screening for apnea
47 AP Scan /ApneaScan allow you to identify implanted patients at risk of severe sleep apnea, who may benefit from further investigation and potential better treatment.! AP Scan /ApneaScan displays the average number of Respiratory Disturbance Events (RDE) per hour that the patient experiences during the programmed sleep period.! The number of occurred RDE define the different grade of sleep-disordered breathing. Severe sleepdisordered breathing is identified with > 30 Events/hr.! AP Scan on PM population showed the following performance 145 :! RDE is correlated with clinical AHI (R=0.8)! with 82% sensitivity and 88% specificity! and 88% PPV in identifying Severe Sleep Apnea patients (AHI >= 30) Tuesday, March 10, 15
48 AP Scan /ApneaScan allow you to identify implanted patients at risk of severe sleep apnea, who may benefit from further investigation and potential better treatment.! AP Scan /ApneaScan displays the average number of Respiratory Disturbance Events (RDE) per hour that the patient experiences during the programmed sleep period.! The number of occurred RDE define the different grade of sleep-disordered breathing. Severe sleepdisordered breathing is identified with > 30 Events/hr.! AP Scan on PM population showed the following performance 145 :! RDE is correlated with clinical AHI (R=0.8)! with 82% sensitivity and 88% specificity! and 88% PPV in identifying Severe Sleep Apnea patients (AHI >= 30) Tuesday, March 10, 15
49 AP Scan /ApneaScan allow you to identify implanted patients at risk of severe sleep apnea, who may benefit from further investigation and potential better treatment.! AP Scan /ApneaScan displays the average number of Respiratory Disturbance Events (RDE) per hour that the patient experiences during the programmed sleep period.! The number of occurred RDE define the different grade of sleep-disordered breathing. Severe sleepdisordered breathing is identified with > 30 Events/hr.! AP Scan on PM population showed the following performance 145 :! RDE is correlated with clinical AHI (R=0.8)! with 82% sensitivity and 88% specificity! and 88% PPV in identifying Severe Sleep Apnea patients (AHI >= 30) Tuesday, March 10, 15
50 Diagnostic-Therapeutic Pathway
51 My insurance plan didn t have coverage for a regular pacemaker
Biomarkers and Arrhythmias/Devices Ulrika Birgersdotter-Green, M.D.
Biomarkers and Arrhythmias/Devices Ulrika Birgersdotter-Green, M.D. Professor of Medicine Division of Cardiology University of California, San Diego Disclosures Honoraria, Research Grants, Medtronic Honoraria,
More informationFA et Apnée du Sommeil
FA et Apnée du Sommeil La Réunion Octobre 2017 Pascal Defaye CHU Grenoble-Alpes Obstructive Sleep Apnea and AF Incidence of atrial fibrillation (AF), based on presence or absence of OSA. Cumulative frequency
More informationTreatment of sleep apnea in heart failure patients after SERVE-HF results
Treatment of sleep apnea in heart failure patients after SERVE-HF results Martin R Cowie Professor of Cardiology National Heart & Lung Institute Imperial College London (Royal Brompton Hospital Campus)
More informationΣύνδρομο σπνικής άπνοιας. Ποιός o ρόλος ηοσ ζηη γένεζη και ανηιμεηώπιζη ηων αρρσθμιών;
Σύνδρομο σπνικής άπνοιας. Ποιός o ρόλος ηοσ ζηη γένεζη και ανηιμεηώπιζη ηων αρρσθμιών; E.N. Σημανηηράκης MD, FESC Επίκ. Καθηγηηής Καρδιολογίας Πανεπιζηημιακό Νοζοκομείο Ηρακλείοσ Epidemiology 4% 2% 24%
More informationMartin R Cowie Professor of Cardiology, National Heart & Lung Institute Imperial College London (Royal Brompton Hospital)
Treatment of Sleep-Disordered Breathing With Predominant Central Sleep Apnoea by Adaptive Servo Ventilation in Patients With Heart Failure and Reduced Ejection Fraction (SERVE-HF) Martin R Cowie Professor
More informationAbout VirtuOx. Was marketed exclusively by Phillips Healthcare division, Respironics for 3 years
About VirtuOx VirtuOx, Inc. assists physicians and Durable Medical Equipment (DME)( companies diagnose respiratory diseases and qualify patients for home respiratory equipment under the guidelines of CMS
More informationHF and CRT: CRT-P versus CRT-D
HF and CRT: CRT-P versus CRT-D Andrew E. Epstein, MD Professor of Medicine, Cardiovascular Division University of Pennsylvania Chief, Cardiology Section Philadelphia VA Medical Center Philadelphia, PA
More informationBiomarkers and Arrhythmias/Devices Ulrika Birgersdotter-Green, MD, FHRS
Biomarkers and Arrhythmias/Devices Ulrika Birgersdotter-Green, MD, FHRS Professor of Medicine Division of Cardiology University of California, San Diego Disclosures Honoraria, Research Grants, Medtronic
More informationSleep Apnea and Heart Failure
Sleep Apnea and Heart Failure Micha T. Maeder, MD Cardiology Division Kantonsspital St. Gallen Switzerland micha.maeder@kssg.ch Sleep Disordered Breathing (SDB) in HFrEF 700 HFrEF patients (LVEF
More informationA Deadly Combination: Central Sleep Apnea & Heart Failure
A Deadly Combination: Central Sleep Apnea & Heart Failure Sanjaya Gupta, MD FACC FHRS Ohio State University Symposium May 10 th, 2018 Disclosures Boston Scientific: fellowship support, speaking honoraria
More informationEdoardo Gronda UO cardiologia e Ricerca Dipartimento Cardiovascolare IRCCS MultiMedica
Convegno Pneumologia 2016 Milano 16-18 giugno 2016 Centro Congressi Palazzo delle Stelline Edoardo Gronda UO cardiologia e Ricerca Dipartimento Cardiovascolare IRCCS MultiMedica Central apnea 10 second
More informationIn-Patient Sleep Testing/Management Boaz Markewitz, MD
In-Patient Sleep Testing/Management Boaz Markewitz, MD Objectives: Discuss inpatient sleep programs and if they provide a benefit to patients and sleep centers Identify things needed to be considered when
More informationDRS ed Aritmie Cardiache Iper ed Ipocinetiche: la clinica
Corso Multidisciplinare di Aggiornamento La Sindrome delle Apnee Notturne: una sfida diagnostico terapeutica DRS ed Aritmie Cardiache Iper ed Ipocinetiche: la clinica FRANCESCO PERNA, MD, PhD Laboratorio
More informationApnea-Hypopnea- Index The new old biomarker for Sleep-Disordered Breathing. Alan S Maisel MD
Apnea-Hypopnea- Index The new old biomarker for Sleep-Disordered Breathing Alan S Maisel MD Triumvirate of Health-public awareness 1.8% Sleep Physical Fitness Nutrition 91.3% 99.9% Sleep is important to
More informationImplantable Defibrillators Market by Product Type [Transvenous Implantable Cardioverter-Defibrillator (T-ICDs), Subcutaneous Implantable Cardioverter
Implantable Defibrillators Market by Product Type [Transvenous Implantable Cardioverter-Defibrillator (T-ICDs), Subcutaneous Implantable Cardioverter Defibrillators (S-ICDS), and Cardiac Resynchronization
More informationThe Effect of Sleep Disordered Breathing on Cardiovascular Disease
The Effect of Sleep Disordered Breathing on Cardiovascular Disease Juan G. Flores MD Pulmonary, Critical Care and Sleep Medicine Dupage Medical Group Director of Edward Sleep Lab Disclaimers or Conflicts
More informationFollow-up of CRT patients ESC Munich Clinical and biological follow-up of CRT patients
Follow-up of CRT patients ESC Munich 12-08-26 Clinical and biological follow-up of CRT patients Frieder Braunschweig MD PhD FESC Associate Professor of Cardiology Karolinska University Hospital Stockholm,
More informationEndpoints When Treating VT/VF in Patients with ICDs Programming Wojciech Zareba, MD, PhD
Endpoints When Treating VT/VF in Patients with ICDs Programming Wojciech Zareba, MD, PhD Professor of Cardiology/Medicine Director of the Heart Research Follow Up Program, University of Rochester, Rochester,
More informationContinuous 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
More informationPVDOMICS. Sleep Core. Cleveland Clinic Cleveland, Ohio
PVDOMICS Sleep Core Rawan Nawabit, Research Coordinator and Polysomnologist Joan Aylor, Research Coordinator Dr. Reena Mehra, Co-Investigator, Sleep Core Lead Cleveland Clinic Cleveland, Ohio 1 Obstructive
More informationCardiac Rhythm Therapy // Advanced Features // ProMRI. ProMRI. Checklist and Quick Reference Guide
Cardiac Rhythm Therapy // Advanced Features // ProMRI ProMRI Checklist and Quick Reference Guide PAGE 2 Conditions for MR scans with a BIOTRONIK ProMRI system Usage of an MR scan on a patient having an
More informationHow to treat Cardiac Resynchronization Therapy complications? C. Leclercq Departement of Cardiology Centre Cardio-Pneumologique Rennes, France
How to treat Cardiac Resynchronization Therapy complications? C. Leclercq Departement of Cardiology Centre Cardio-Pneumologique Rennes, France Presenter Disclosure Information Christophe Leclercq, MD,
More informationHeart Failure Challenges and Unmet needs
Heart Failure Challenges and Unmet needs. Angelo Auricchio, MD FESC Director, Cardiac Electrophysiology Programme, Fondazione Cardiocentro Ticino, Lugano, Switzerland Professor of Cardiology, University
More informationMario Kinsella MD FAASM 10/5/2016
Mario Kinsella MD FAASM 10/5/2016 Repetitive episodes of apnea or reduced airflow Due to upper airway obstruction during sleep Patients often obese Often have hypertension or DM 1 Obstructive apneas, hypopneas,
More informationImproving Patient Outcomes with a Syncope Center. Suneet Mittal, MD
Improving Patient Outcomes with a Syncope Center Suneet Mittal, MD Improving Patient Outcomes with a Syncope Center: Early Risk Stratification of Patients who Require Device Therapy Suneet Mittal, MD Director,
More informationMRI SureScan pacemakers & ICDs what you need to know
MRI SureScan pacemakers & ICDs what you need to know Many variables can affect the device patient s likelihood of risks w/ an MRI Type of imaging sequence Type of scanner MRI scan duration Strength of
More informationESC Guidelines. ESC Guidelines Update For internal training purpose. European Heart Journal, doi: /eurheart/ehn309
ESC Guidelines Update 2008 ESC Guidelines Heart failure update 2008 For internal training purpose. 0 Agenda Introduction Classes of recommendations Level of evidence Treatment algorithm Changes to ESC
More informationIntegration of diagnostic device information to improve patient management
Integration of diagnostic device information to improve patient management Haran Burri Associate Professor Cardiology Service University Hospital of Geneva Disclosures Biotronik: fellowship support, speaker
More informationLarge RCT s of CRT 2002 to present
Have We Expanded Our Use of CRT for Heart Failure Patients? Sana M. Al-Khatib, MD, MHS Associate Professor of Medicine Electrophysiology Section- Division of Cardiology Duke University Potential Conflicts
More informationCardiac Resynchronization Therapy. Michelle Khoo, MD
Cardiac Resynchronization Therapy Michelle Khoo, MD 10.7.08 HuiKuri HV NEJM 2001 Sudden Death (SD) in Subset Populations HuiKuri HV NEJM 2001 Sudden Death (SD) in Subset Populations SD in Competitive Athletes
More informationCardiac 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
More informationComparison of clinical trials evaluating cardiac resynchronization therapy in mild to moderate heart failure
HOT TOPIC Cardiology Journal 2010, Vol. 17, No. 6, pp. 543 548 Copyright 2010 Via Medica ISSN 1897 5593 Comparison of clinical trials evaluating cardiac resynchronization therapy in mild to moderate heart
More informationSleep and the Heart. Physiologic Changes in Cardiovascular Parameters during Sleep
Sleep and the Heart Rami N. Khayat, MD Professor of Internal Medicine Medical Director, Department of Respiratory Therapy Division of Pulmonary, Critical Care and Sleep Medicine The Ohio State University
More informationSleep and the Heart. Rami N. Khayat, MD
Sleep and the Heart Rami N. Khayat, MD Professor of Internal Medicine Medical Director, Department of Respiratory Therapy Division of Pulmonary, Critical Care and Sleep Medicine The Ohio State University
More informationSleep and the Heart. Sleep Stages. Sleep and the Heart: non REM 8/31/2016
Sleep and the Heart Overview of sleep Hypertension Arrhythmias Ischemic events CHF Pulmonary Hypertension Cardiac Meds and Sleep Sleep Stages Non-REM sleep(75-80%) Stage 1(5%) Stage 2(50%) Stage 3-4*(15-20%)
More informationPreventing Sudden Death Current & Future Role of ICD Therapy
Preventing Sudden Death Current & Future Role of ICD Therapy Derek V Exner, MD, MPH, FRCPC, FACC, FAHA, FHRS Professor, Libin Cardiovascular Institute of Alberta Canada Research Chair, Cardiovascular Clinical
More informationOHTAC Recommendation: Internet- Based Device-Assisted Remote Monitoring of Cardiovascular Implantable Electronic Devices
OHTAC Recommendation: Internet- Based Device-Assisted Remote Monitoring of Cardiovascular Implantable Electronic Devices Ontario Health Technology Advisory Committee January 2012 Issue Background The Ontario
More informationDialysis-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
More informationHeart Failure and Sleep Disordered Breathing (SDB) Unhappy Bedfellows
Question Heart Failure and Sleep Disordered Breathing (SDB) Unhappy Bedfellows 1 ResMed 2012 07 2 ResMed 2012 07 Open Airway 3 ResMed 2012 07 Flow Limitation Snore 4 ResMed 2012 07 Apnoea 5 ResMed 2012
More informationESC 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
More informationMRI ACCESS. Evera MRI SureScan ICD Systems
ACCESS Evera SureScan ICD Systems ACCESS. 36% of ICD patients are likely to have an ordered over 4 years 3 Introducing Evera, featuring SureScan Technology. ICD Patients are not receiving s 1.4% 36% CONTOURED.
More informationUpdate on Device Innovation (S-ICD, Wearable, Leadless)
Update on Device Innovation (S-ICD, Wearable, Leadless) C. W. Israel Dept. of Medicine - Cardiology Evangelical Hospital Bielefeld J. W. Goethe University Frankfurt Carsten.Israel@em.uni-frankfurt.de Conflicts
More informationArrhythmias and Heart Failure Dr Chris Lang Consultant Cardiologist and Electrophysiologist Royal Infirmary of Edinburgh
Arrhythmias and Heart Failure Dr Chris Lang Consultant Cardiologist and Electrophysiologist Royal Infirmary of Edinburgh Arrhythmias and Heart Failure Ventricular Supraventricular VT/VF Primary prevention
More informationObstructive Sleep Apnea
Obstructive Sleep Apnea Definition: Repetitive episodes of upper airway obstruction (complete or partial) that occur during sleep and are associated with arousals or desaturations +/or daytime sleepiness.
More informationArthur J. Moss, MD Professor of Medicine/Cardiology University of Rochester Medical Center Rochester, NY. DISCLOSURE INFORMATION Arthur J.
Saving Lives and Preventing Heart Failure: The MADIT Family of Trials Arthur J. Moss, MD Professor of Medicine/Cardiology University of Rochester Medical Center Rochester, NY Update in Electrocardiography
More informationThe most accurate predictors of arterial hypertension in patients with Obstructive Sleep Apnea Syndrome
The most accurate predictors of arterial hypertension in patients with Obstructive Sleep Apnea Syndrome Natsios Georgios University Hospital of Larissa, Greece Definitions Obstructive Sleep Apnea (OSA)
More informationSleep Disordered Breathing: Beware Snoring! Dr T A McDonagh Consultant Cardiologist Royal Brompton Hospital London. UK
Sleep Disordered Breathing: Beware Snoring! Dr T A McDonagh Consultant Cardiologist Royal Brompton Hospital London. UK Sleep Disordered Breathing in CHF Erratic breathing during sleep known for years e.g.
More informationThe Counter HF Clinical Study for Heart Failure
The Counter HF Clinical Study for Heart Failure CAUTION: C-Pulse is an investigational device. It is limited by Federal (or United States) Law to investigational use only. 13-111-B Agenda Heart Failure
More informationCircadian Variations Influential in Circulatory & Vascular Phenomena
SLEEP & STROKE 1 Circadian Variations Influential in Circulatory & Vascular Phenomena Endocrine secretions Thermo regulations Renal Functions Respiratory control Heart Rhythm Hematologic parameters Immune
More informationSleep Apnea: Vascular and Metabolic Complications
Sleep Apnea: Vascular and Metabolic Complications Vahid Mohsenin, M.D. Professor of Medicine Yale University School of Medicine Director, Yale Center for Sleep Medicine Definitions Apnea: Cessation of
More informationΜηνύματα από τις σπουδαιότερες μελέτες στην ηλεκτροφυσιολογία το διάστημα
Μηνύματα από τις σπουδαιότερες μελέτες στην ηλεκτροφυσιολογία το διάστημα 2015-2016 Δημήτριος M. Κωνσταντίνου Ειδικός Καρδιολόγος, MD, MSc, PhD, CCDS Πανεπιστημιακός Υπότροφος Dr. Konstantinou has received
More informationSleep and the Heart Reversing the Effects of Sleep Apnea to Better Manage Heart Disease
1 Sleep and the Heart Reversing the Effects of Sleep Apnea to Better Manage Heart Disease Rami Khayat, MD Professor of Internal Medicine Director, OSU Sleep Heart Program Medical Director, Department of
More informationHow to prevent unecessary right ventricular pacing
How to prevent unecessary right ventricular pacing Jens Cosedis Nielsen, MD, PhD, DMSci Dept of Cardiology, Aarhus University Hospital, Skejby, Denmark June 27, 2011, Europace Madrid Conflicts of interest
More informationBSH Annual Autumn Meeting 2017
BSH Annual Autumn Meeting 2017 Presentation title: The Development of CRT Speaker: John GF Cleland Conflicts of interest: I have received research support and honoraria from Biotronik, Boston Scientific,
More informationESC/EHRA. Guidelines on Cardiac Pacing. Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece
ESC/EHRA Guidelines on Cardiac Pacing Panos E. Vardas Professor of Cardiology Heraklion University Hospital Crete, Greece Reasons for European Guidelines? Scientific reasons Cultural and political reasons
More informationNATIONAL 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
More informationImplantable 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
More informationINNOVATIONS IN DEVICE THERAPY:
INNOVATIONS IN DEVICE THERAPY: Subcutaneous ICDs, Leadless Pacemakers, CRT Indications David J Wilber MD Loyola University Medical Center Disclosures: ACC Foundation: Consultant; Biosense / Webster: Consultant,
More informationHow to set up a device clinic for heart failure patients Dr C Sridevi
How to set up a device clinic for heart failure patients Dr C Sridevi Consultant Cardiologist /Electro physiologist CARE Hospitals, CARE Foundation Need to set up a device clinic for heart failure patients
More informationOSA and cardiovascular disease what is the evidence? Mohan Edupuganti, MD, FACC. Baptist Health Cardiology. Disclosures: None
OSA and cardiovascular disease what is the evidence? Mohan Edupuganti, MD, FACC. Baptist Health Cardiology. Disclosures: None 1 OSA basics Affects 20-30% of males and 10-15% of females in North America
More informationCRT: whom does it benefit?
CRT: whom does it benefit? Francisco Leyva BSH Revalidation and Training 2018 Queen Elizabeth Hospital NICE guidelines for CRT LVEF 35% NYHA class I II III IV QRS
More informationBi-Ventricular pacing after the most recent studies
Seminars of the Hellenic Working Groups February 18th-20 20,, 2010, Thessaloniki, Greece Bi-Ventricular pacing after the most recent studies Maurizio Lunati MD Director EP Lab & Unit Cardiology Dpt. Niguarda
More informationMRI conditional devices. A luxury or a real clinical need? Sophie Mavrogeni, MD, FESC Onassis Cardiac Surgery Center, Athens, Greece
MRI conditional devices. A luxury or a real clinical need? Sophie Mavrogeni, MD, FESC Onassis Cardiac Surgery Center, Athens, Greece Increase of MRI scans in recent decades In the USA, the number of procedures
More informationSlide 1. Slide 2 Declaration of Interests. Slide 3. Case study #1. Heart Failure and Sleep Apnoea. 47 year old BMI 32 Treated HBP Type 2 DM
Slide 1 Heart Failure and Sleep Apnoea Martin R Cowie MD MSc FRCP FRCP (Ed) FESC Professor of Cardiology, Imperial College London m.cowie@imperial.ac.uk @ProfMartinCowie Slide 2 Declaration of Interests
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Medical technology guidance FINAL SCOPE ENDURALIFE-powered CRT-D devices for the treatment of heart failure 1 Technology 1.1 Description of the technology
More informationHeart 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.
More informationGender and cardiac resynchronization therapy. Chairs: David Heaven & Belinda Green. Gender and Cardiac Resynchronisation Therapy
Electrophysiology Gender and cardiac resynchronization therapy Dean Boddington Chairs: David Heaven & Belinda Green Gender and Cardiac Resynchronisation Therapy Dean Boddington Tauranga Hospital 1 Disclosure/Warning
More informationCardiac Resynchronization Therapy Guidelines and Missing Groups
Cardiac Resynchronization Therapy Guidelines and Missing Groups Frank Pelosi, Jr., MD, FACC, FHRS Director, Cardiac Electrophysiology Fellowship Associate Professor of Medicine University of Michigan Health
More information2/19/2013. Cardiovascular Disease Prevention International Symposium. Cardiovascular Disease and Sleep Apnea. Still Controversial?
Cardiovascular Disease Prevention International Symposium Cardiovascular Disease and Sleep Apnea February 16, 2013 Jonathan A. Fialkow, M.D., FACC, FAHA Medical Director, Clinical Cardiology, Baptist Cardiac
More informationESC CONGRESS HIGHLIGHTS ARRHYTHMIAS. M. Bertini (Ferrara, IT) Conflicts of Interest none
ESC CONGRESS HIGHLIGHTS ARRHYTHMIAS M. Bertini (Ferrara, IT) Conflicts of Interest none Data that may change daily practice... Atrial fibrillation OACs in real life - BEYOND program Halvorsen S 2951 OAC
More informationCardiac Devices CRT,ICD: Who is and is not a Candidate? Who Decides
Cardiac Devices CRT,ICD: Who is and is not a Candidate? Who Decides Colette Seifer MB(Hons) FRCP(UK) Associate Professor, University of Manitoba, Cardiologist, Cardiac Sciences Program, St Boniface Hospital
More informationPrimary prevention of SCD with the ICD in Nonischemic Cardiomyopathy
Primary prevention of SCD with the ICD in Nonischemic Cardiomyopathy Michael R Gold, MD, PhD Medical University of South Carolina Charleston, SC USA Disclosures: Consulting and Clinical Trials Medtronic
More informationAll in the Past? Win K. Shen, MD Mayo Clinic Arizona Controversies and Advances in CV Diseases Cedars-Sinai Heart Institute, MFMER
ICD for NICM All in the Past? Win K. Shen, MD Mayo Clinic Arizona Controversies and Advances in CV Diseases Cedars-Sinai Heart Institute, 2017 2017 MFMER 3686275-1 DISCLOSURE Relevant Financial Relationship(s)
More informationChapter 4: Cardiovascular Disease in Patients With CKD
Chapter 4: Cardiovascular Disease in Patients With CKD Introduction Cardiovascular disease is an important comorbidity for patients with chronic kidney disease (CKD). CKD patients are at high-risk for
More informationROBERT C. PRITCHARD DIRECTOR MICHAEL O. FOSTER ASSISTANT DIR. SLEEP APNEA
ROBERT C. PRITCHARD DIRECTOR MICHAEL O. FOSTER ASSISTANT DIR. SLEEP APNEA A Person is physically qualified to drive a motor vehicle if that person; -(5) has no established medical history or clinical diagnosis
More informationRisk prediction in inherited conditions Laminopathies
Risk prediction in inherited conditions Laminopathies Karim Wahbi Cochin hospital, Paris karim.wahbi@aphp.fr Risk prediction in laminopathies Current approach for risk stratification A new score to predict
More informationDevice detected VT: How much VT is significant and is VT ablation the answer?
Device detected VT: How much VT is significant and is VT ablation the answer? Dr Mark Mason Harefield Hospital Royal Brompton and Harefield NHS Foundation Trust What is VT (in this context)? What is VT?
More informationCardiac resynchronisation therapy (biventricular pacing) for the treatment of heart failure
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Health Technology Appraisal for the treatment of heart failure Final scope Appraisal objective To appraise the clinical and cost effectiveness of cardiac
More informationAtrial Fibrillation. Damage to your heart caused by a heart attack or rheumatic heart disease
Atrial Fibrillation GENERAL INFORMATION: What is atrial fibrillation? Atrial fibrillation is a condition that causes the atria (top chambers of the heart) to shake or quiver. Normally, there is 1 contraction
More informationMohammad Zubaid, MB, ChB, FRCPC, FACC
Management and one year outcome of atrial fibrillation in Middle Eastern cohort enrolled in the observational Gulf Survey of Atrial Fibrillation Events (Gulf SAFE) Mohammad Zubaid, MB, ChB, FRCPC, FACC
More informationCARDIAC DEVICE MR-CONDITIONAL PRODUCT SUMMARY CHART
CARDIAC DEVICE MR-CONDITIONAL PRODUCT SUMMARY CHART December 2015 This chart encompasses all Medtronic cardiac devices FDA-Approved as MR Conditional and included in the MRI SureScan portfolio. If a device
More information2016 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older)
2016 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures) is not considered
More informationעדכונים באלקטרופיזיולוגיה Electrophysiology Unit Soroka University Medical Center Faculty of Health Sciences Ben-Gurion University of the Negev
עדכונים באלקטרופיזיולוגיה 2014 Electrophysiology Unit Soroka University Medical Center Faculty of Health Sciences Ben-Gurion University of the Negev 1 מבנה הצגת היחידה פעילות ביחידה סקירה על הטיפול באלקטרופיזיולוגיה
More informationTHE ROLE OF ICD THERAPY FOR PRIMARY PREVENTION Leonard Ganz, M.D. Pittsburgh, PA
THE ROLE OF ICD THERAPY FOR PRIMARY PREVENTION Leonard Ganz, M.D. Pittsburgh, PA Speakers Bureau: Zoll / Lifecore, Sanofi Aventis, Cardionet Consultant: Boston Scientific, St. Jude Medical, Biotronik,
More informationCardiac Rhythm Device Management. PBL STOP Your acronym for a standardized follow-up
Cardiac Rhythm Device Management PBL STOP Your acronym for a standardized follow-up What s in it for you? What do you need to feel comfortable with a pacemaker/icd follow-up? 2 CORE OBJECTIVE Provide a
More informationDevice based CRT optimization: is there a future? Lessons learned from published trials
Device based CRT optimization: is there a future? Lessons learned from published trials C. Leclercq Department of Cardiology Centre Cardio-Pneumologique Rennes, France Presenter Disclosure Information
More informationHow We Breathe During Sleep Affects Health, Wellness and Longevity
How We Breathe During Sleep Affects Health, Wellness and Longevity Susan Redline, MD, MPH Peter C. Farrell Professor of Sleep Medicine Program Director- Sleep Medicine Epidemiology Harvard Medical School
More informationResponse of Right Ventricular Size to Treatment with Cardiac Resynchronization Therapy and the Risk of Ventricular Tachyarrhythmias in MADIT-CRT
Response of Right Ventricular Size to Treatment with Cardiac Resynchronization Therapy and the Risk of Ventricular Tachyarrhythmias in MADIT-CRT Heart Rhythm Society (May 11, 2012) Colin L. Doyle, BA,*
More informationSudden Death in Athletes: What is the role of ECG Screening?
Sudden Death in Athletes: What is the role of ECG Screening? Byron K. Lee MD Professor of Medicine Director of EP Laboratory leeb@medicine.ucsf.edu Division of Cardiology Cardiac Electrophysiology Arrhythmias,
More informationGOALS. Obstructive Sleep Apnea and Cardiovascular Disease (OVERVIEW) FINANCIAL DISCLOSURE 2/1/2017
Obstructive Sleep Apnea and Cardiovascular Disease (OVERVIEW) 19th Annual Topics in Cardiovascular Care Steven Khov, DO, FAAP Pulmonary Associates of Lancaster, Ltd February 3, 2017 skhov2@lghealth.org
More informationHeart Rhythm Congress 2016 Chronotropic incompetence in heart failure patients
Heart Rhythm Congress 2016 Chronotropic incompetence in heart failure patients Carel C. de Cock Case report : an Amsterdam taxi driver with recurrent syncope MF Koster History 1994: recurrent syncope with
More informationDipartimento di Scienze Cardiovascolari Università Campus Bio-Medico di Roma Dott. Vito Calabrese
Dipartimento di Scienze Cardiovascolari Università Campus Bio-Medico di Roma Dott. Vito Calabrese Because the primary objective was cure symptomatic bradicardya due to syncope Because this is the common
More informationImplantable Cardioverter Defibrillators (ICD) - Medical Devices Pipeline Assessment, 2016
Implantable Cardioverter Defibrillators (ICD) - Medical Devices Pipeline Assessment, 2016 Implantable Cardioverter Defibrillators (ICD) - Medical Devices Pipeline Assessment, 2016 BioPortfolio has been
More informationCase. Case. Case. Sleep Disorders: A Case-based Approach. LeRoy Essig, MD Rami Khayat, MD ROS:
Sleep Disorders: A Case-based Approach LeRoy Essig, MD Rami Khayat, MD Case ROS: 30 Lbs wt gain/1year Fatigue Heart burn Nasal congestion, dry mouth Reduced concentration/memory Case 47 y/o male presents
More informationCentral Sleep Apnoea during CPAP therapy First insights from a big data analysis. April 2018
Central Sleep Apnoea during CPAP therapy First insights from a big data analysis April 2018 Agenda Lexicon Introduction to Big Data The findings of the Trajectories of Emergent Central Sleep Apnea during
More informationMultisite Left Ventricular Pacing for Cardiac Resynchronization
Multisite Left Ventricular Pacing for Cardiac Resynchronization C. W. Israel, M.D. Ass. Prof. Dept. of Medicine Cardiology Evangelical Hospital Bielefeld Germany J. W. Goethe University Frankfurt C.W.Israel@em.uni-frankfurt.de
More informationInspire Therapy for Sleep Apnea
Inspire Therapy for Sleep Apnea Patient Guide Giving You the FREEDOM TO SLEEP Like Everyone Else Take Comfort. Inspire therapy can help. Inspire therapy is a breakthrough implantable treatment option for
More informationUnderstanding Atrial Fibrillation A guide for patients
Understanding Atrial Fibrillation A guide for patients Your doctor has determined that you have atrial fibrillation (AF), a common disturbance of the heart s rhythm. This pamphlet will answer many of your
More informationEvera MRI XT SureScan ICD SYSTEM
References 1 Flo, Daniel. Device Shape Analysis. January 2013. Medtronic data on file. 2 Evera MRI DR/VR ICD Manuals. Protecta DR/VR ICD Manuals. 3 Schloss EJ, Auricchio A, Kurita T, et al. PainFree SST
More information