Live Better Electrically
|
|
|
- Madeleine May
- 5 years ago
- Views:
Transcription
1 1
2 Live Better Electrically Steven L. Higgins, MD, FHRS Chairman, Dept. of Cardiology Director, Cardiac Electrophysiology Scripps Memorial Hospital, La Jolla San Diego, California 2
3 Live Better Electrically So, what exactly does that mean? 3
4 Live Better Electrically 4
5 Live Better Electrically Electro-Acupuncture 5
6 Live Better Electrically 6
7 7
8 Live Better Electrically Cardiac Electrophysiology (a specialty of cardiology that deals just with heart rhythm disorders) 8
9 Mortality Percent change Modified from National Heart, Lung and Blood Institute data, NIH, In the past half-century, we have made huge advances in heart disease Coronary Heart Disease Stroke Non-CVD Year 9
10 Heart Disease Still #1 Cause of Death in U.S
11 4 reasons why heart disease mortality remains #1 Obesity causes diabetes Cigarette smoking Aging population Genetics 11
12 4 reasons why heart disease mortality is improving Diet, exercise 12
13 4 reasons why heart disease mortality is improving Diet, exercise Statins Stents 13
14 4 reasons why heart disease mortality is improving Diet, exercise Statins Stents Defibrillators 14
15 Cardiac Implanted Electrical Devices (CIEDs) Pacemakers Defibrillators (ICD) One Inch Over 50 years of progress 15
16 Years of ICD Implants by Year
17 % Mortality Reduction w/ ICD Mortality Benefits in All ICD Trials % 54% 75% 73% 61% Overall Death Arrhythmic Death 56% 40 31% 31% , 4 MADIT MUSTT MADIT-II AVID 27 Months 39 Months 20 Months 24 Months 5 1 Moss AJ. N Engl J Med. 1996;335: Buxton AE. N Engl J Med. 1999;341: Moss AF. N Engl J Med. 2002;346: Moss AJ. Presented before ACC 51st Annual Scientific Sessions, Late Breaking Clinical Trials, March 19, The AVID Investigators. N Engl J Med. 1997;337:
18 If Implanted Defibrillators are so great, shouldn t we all get one? 80 Overall Death Arrhythmic Death MADIT MUSTT MADIT-II AVID 18
19 To prevent heart disease, which is more important to know Cholesterol? Ejection fraction? Elevated cholesterol, mortality 19% at 5 years Reduced EF, mortality 46% at 5 years, regardless of etiology Schatz I et al. The Lancet 2001;358:351 Tribouilloy C et al. Eur Heart J 2007;554:
20 With the advent of statin therapy and angioplasty, marketing focused on cholesterol AHA/ACC and industry partnership 20
21 EF = Ejection Fraction the percentage of blood pumped out with each heartbeat Normal echo Low EF (Cardiomyopathy) EF = 65% EF = 15% 21
22 MADIT Multicenter Automatic Defibrillator Implantation Trial 54% decrease in mortality with ICD P=
23 23
24 Why do people with low EF die suddenly? Reentrant Ventricular Tachycardia around scar 24
25 Why do people with low EF die suddenly? Catheter ablation to wall-off or destroy irritable area Reentrant Ventricular Tachycardia around scar 25
26 The Latest in Device Therapy Cardiac Resynchronization Therapy CRT 26
27 Next: without open heart surgery Transvenous biventricular pacing 2nd Patient in World at Scripps, 2002 Atrial lead Generator Coronary Sinus Lead Shocking Lead 27
28 Cardiac Resynchronization Therapy Technique for Transvenous Approach 28
29 Cardiac Resynchronization Therapy (CRT) Works with pacemaker or defibrillator 29
30 Cardiac Resynchronization Therapy (CRT) Works with pacemaker or defibrillator In selected patients, CRT: Improves EF an average of 5%, some back to normal Improves activity an average of 1 NYHA class Decreases mortality, even with just the pacemaker version So why don t we all get a bivent device? Only works if low EF and wide QRS (bundle branch block) 30
31 31
32 Improvement (%) Contak CD Trial Results Primary Endpoint HF Progression Index Death HF Hosp Chapter 0 Title Here Worsening HF VT/VF Overall % 9% % 26% 21% Modified from Higgins et al. JACC 2003:42:
33 So, who should get this new technology? Atrial lead Generator Coronary Sinus Lead Shocking Lead 33
34 So, who should get this new technology? INDICATIONS Pacemaker Additional Slow copy heart if rate with symptoms necessary (pulse below 30 or 3 second or more pause) Biventricular Pacemaker (cardiac resynchronization therapy) Above plus EF below 50 (normal 55-70) and plus wide EKG complex (over 120 msec) Implantable defibrillator EF below 35%, that s it! Biventricular Defibrillator (Lexus) Above plus wide EKG QRS complex (over 120 msec) 34
35 Cardiology Simplified st of 5 heart attacks, beginning at age Quadruple bypass surgery after 3 rd heart attack 2001 (March) At least his 8 th cardiac cath and stent 2001 (June) First ICD 35
36 Cardiology Simplified st of 5 heart attacks, beginning at age Quadruple bypass surgery after 3 rd heart attack 2001 (March) At least his 8 th cardiac cath and stent 2001 (June) First ICD 2007 ICD upgraded to biventricular device (with WiFi feature disabled) 2010 Artificial heart pump inserted, called LVAD (Left Ventricular Assist Device) 2012 Heart transplant, removing old heart, stents, ICD and leads 36
37 37
38 Live Better Electrically Current Trends in EP (EP = ElectroPhysiology = heart rhythm management) 2 Basic EP procedures to help you: Devices (pacemakers, defibrillators) Ablation (catheter based treatment) 38
39 39
40 Additional copy if necessary Arrhythmias Treated With Ablation Approximate Success Rate SVT (supraventricular tach) 95% Atrial flutter 95% WPW 95% Some ventricular tachycardias 90% Atrial Fibrillation (AF) 60% 40
41 The Normal Heartbeat 41
42 The Soul of the Heart Where most arrhythmias begin Fast AVN pathway (His) Slow AVN pathway CTI Isthmus for atrial flutter Accessory pathway of WPW 42
43 A person s life changed forever in one heartbeat Delta wave No delta wave; of WPW Patient cured RF Ablation, 40 watts, first attempt, left lateral pathway 43
44 How To Do An Ablation in 3 Easy Steps Step 1. Find an EP doc to put in catheters 44
45 How To Do An Ablation in 3 Easy Steps Step 2. Reproduce and map the arrhythmia 45
46 How To Do An Ablation in 3 Easy Steps Step 3. Ablate, ablate, ablate Heat (RF) Cold (Cryo) 46
47 CTI Line for Atrial Flutter 47
48 CTI Line for Atrial Flutter 48
49 Atrial Fibrillation U.S. population x ,000 Additional U.S. copy population if necessary 20, , < >95 0 Age, yr Adapted from Feinberg WM. Arch Intern Med. 1995;155:
50 Atrial Fibrillation U.S. population x 1000 Population with AF x ,000 Additional U.S. copy population if necessary 20,000 Population with atrial fibrillation , < >95 0 Age, yr Adapted from Feinberg WM. Arch Intern Med. 1995;155:
51 Why treat AF? Thromboembolism A Devastating Risk 51
52 Why treat AF? To Prevent a Stroke! 52
53 Why treat AF? To Prevent a Stroke! 53
54 The score equals your chance of having a stroke in % per year The average person is <1% 2 or more points, usually results in recommendation to begin a daily anticoagulant What is your risk of stroke with AF? CHADSVASc score CHADS-VASc Risk Heart Failure or LVEF < 40% Score Hypertension 1 Age > Diabetes 1 Stroke/TIA/ Thromboembolism Vascular Disease Age Female
55 55
56 How to treat AF? Cardioversion on meds 56
57 How to treat AF? Catheter Ablation Atrial septum Ablation and Mapping Catheters for AF 57
58 58
59 Live Better Electrically Cool New Treatments in EP 59
60 Pacemaker/Defibrillator Advances Leadless Pacemakers 60
61 Single chamber pacemaker Battery lasts years Leadless Pacemaker Chapter No lead or surgical Title scar Here Under FDA investigation, only San Diego site is Scripps 61
62 Robotic assisted ablation procedures Here today at Scripps La Jolla, SPCI 2 Robots available Amigo, Hansen 62
63 Artificial Heart, LVAD (Left Ventricular Assist Device) 63
64 64
65 Noninvasive Cardiac Ablation? 65
66 Live Better Electrically So, what is so great about Scripps? 66
67 #19 Nationwide in Cardiology and Heart Surgery again (3 rd year in top 20) The only SD hospital ever to be top 20 Reputation score Survival Patient safety High risk patient volume Nurse staffing, Magnet recognition Advanced technologies Key patient services Trauma center Intensivist staffing 67
68 San Diego s Best Heart Care Just Got Better. 68
69 SPCI = Scripps Prebys Cardiovascular Institute 69
70 Scripps Prebys Cardiovascular Institute San Diego s first free standing heart hospital Completed, opened on SMH-LJ campus, March 2015 Over 350,000 SF; 8 floors 167 cardiac patient rooms (59 CCU) New cath labs, EP labs and cardiac operating rooms Combined expertise of Scripps-LJ, Scripps Clinic, other Scripps New Outpatient AMP opened June 1, 2016 $610 Million for SPCI/AMP/ER; Donations: $105 M for SPCI (Prebys +) $20 M for ER & Trauma Center Total of $154 M for cardiac campaign 70
71 71
72 72
73 Scripps EP Program 6 EP Labs (plus 7 cath labs + 2 hybrid) More EP Labs than anywhere west of the Mississippi Volume = Quality Nearly 4000 EP studies a year 16 EP docs Investigational Trials Experienced Staff 73
74 74
75 Live Better Electrically To learn more about EP: Shameless plug for new book Paperback: Amazon, Barnes & Noble EPUB: Amazon, itunes Website order Fung Summit affiliates use discount LBE2 to save $5 off cost of $30 75
76 Live Better Electrically Steven L. Higgins, MD, FHRS Chairman, Dept. of Cardiology Director, Cardiac Electrophysiology Scripps Memorial Hospital, La Jolla San Diego, California 76
77 77
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
Mission Statement for our Arrhythmia Care
Mission Statement for our Arrhythmia Care We are dedicated to provide a compassionate and an outstanding care for patients with cardiac arrhythmias. We will be utilizing the cutting edge and the most advanced
Recurrent Implantable Defibrillator Discharges (ICD) Discharges ICD Storm
Recurrent Implantable Defibrillator Discharges (ICD) Discharges ICD Storm Guy Amit, MD, MPH Soroka University Medical Center Ben-Gurion University of the Negev Beer-Sheva, Israel Disclosures Consultant:
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
Cardiac 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
About atrial fibrillation (AFib) Atrial Fibrillation (AFib) What is AFib? What s the danger? Who gets AFib?
Understanding AFib Atrial Fibrillation (AFib) About AFib 3 How Your Heart Works 4 Types of AFib 5 Symptoms 5 Risk Factors 5 How is AFib Diagnosed? 6 Treatment 6 What to Ask Your Doctor 7 A normal heartbeat
Large 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
Cardiac Resynchronization ICD Therapy: What is New?
Cardiac Resynchronization ICD Therapy: What is New? Emile Daoud, MD Section Chief, Cardiac Electrophysiology Professor of Medicine The Ohio State University Normal Activation, Narrow QRS Synchrony Abnormal
Newer pacemakers also can monitor your blood temperature, breathing, and other factors and adjust your heart rate to changes in your activity.
Pacemakers & Defibrillators A pacemaker system consists of a battery, a computerized generator and wires with sensors called electrodes on one end. The battery powers the generator, and both are surrounded
UNDERSTANDING ELECTROPHYSIOLOGY STUDIES
UNDERSTANDING ELECTROPHYSIOLOGY STUDIES Testing and Treating Your Heart s Electrical System A Problem with Your Heart Rhythm The speed and pattern of a heartbeat is called the heart rhythm. The rhythm
Bi-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
Comparison 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
CRT-D or CRT-P: HOW TO CHOOSE THE RIGHT PATIENT?
CRT-D or CRT-P: HOW TO CHOOSE THE RIGHT PATIENT? Alessandro Lipari, MD Chair and Department of Cardiology University of Study and Spedali Civili Brescia -Italy The birth of CRT in Europe, 20 years ago
Arrhythmias 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
Response 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,*
The Role of ICD Therapy in Cardiac Resynchronization
The Role of ICD Therapy in Cardiac Resynchronization The Korean Society of Circulation 15 April 2005 Angel R. León, MD Carlyle Fraser Heart Center Division of Cardiology Emory University School of Medicine
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
Guide to Cardiology Care at Scripps
Guide to Cardiology Care at Scripps Cardiology is the word in health care associated with heart, but the body s vascular system is also an important part of heart care. Your body has more than 60,000 miles
Do All Patients With An ICD Indication Need A BiV Pacing Device?
Do All Patients With An ICD Indication Need A BiV Pacing Device? Muhammad A. Hammouda, MD Electrophysiology Laboratory Department of Critical Care Medicine Cairo University Etiology and Pathophysiology
Implantable Cardioverter Defibrillator Therapy in MADIT II Patients with Signs and Symptoms of Heart Failure
Implantable Cardioverter Defibrillator Therapy in MADIT II Patients with Signs and Symptoms of Heart Failure Wojciech Zareba Postinfarction patients with left ventricular dysfunction are at increased risk
Primary 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
Cardiac 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
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
Devices and Other Non- Pharmacologic Therapy in CHF. Angel R. Leon, MD FACC Division of Cardiology Emory University School of Medicine
Devices and Other Non- Pharmacologic Therapy in CHF Angel R. Leon, MD FACC Division of Cardiology Emory University School of Medicine Disclosure None University of Miami vs. OSU Renegade Miami football
Clinical Cardiac Electrophysiology
Clinical Cardiac Electrophysiology Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of
Dysrhythmias 11/7/2017. Disclosures. 3 reasons to evaluate and treat dysrhythmias. None. Eliminate symptoms and improve hemodynamics
Dysrhythmias CYDNEY STEWART MD, FACC NOVEMBER 3, 2017 Disclosures None 3 reasons to evaluate and treat dysrhythmias Eliminate symptoms and improve hemodynamics Prevent imminent death/hemodynamic compromise
PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS. HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate
PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS HRS-3: Implantable Cardioverter-Defibrillator (ICD) Complications Rate Measure Title Description Measure Type Data Source Level of Analysis Numerator HRS-3:
עדכונים 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
Risk Stratification of Sudden Cardiac Death
Risk Stratification of Sudden Cardiac Death Michael R Gold, MD, PhD Medical University of South Carolina Charleston, SC USA Disclosures: None Sudden Cardiac Death A Major Public Health Problem > 1/2 of
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
InterQual Care Planning SIM plus Criteria 2014 Clinical Revisions
InterQual Care Planning SIM plus Criteria 2014 Clinical Revisions The Clinical Revisions provide details of changes to InterQual Clinical Criteria. They do not provide information on changes made to CareEnhance
Thoranis Chantrarat MD
Device Therapy in Heart Failure Thoranis Chantrarat MD 1 Scope of presentation Natural history of heart failure Primary and secondary prevention ICD and its indication CRT and its indication 2 Severity
علم االنسان ما لم يعلم
In the name of Allah, the Beneficiate, the Merciful ق ال هللا تعالي: 5 الدى علم بالق لم 4 علم االنسان ما لم يعلم سورة العلق It is He (Allah), Who has taught by the pen He has taught man which he did not
Quality Payment Program: Cardiology Specialty Measure Set
Quality Payment Program: Cardiology Specialty Set Title Number CMS Reporting Method(s) Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for
His Bundle Pacing in Bundle Branch Block May 11, 2017
His Bundle Pacing in Bundle Branch Block May 11, 2017 Gopi Dandamudi, MD FHRS System Medical Director, IUH Cardiac EP Program Director, IUH Atrial Fibrillation Center Assistant Professor of Clinical Medicine
Cardiac Imaging in abnormal rhythm Role of MDCT
Cardiac Imaging in abnormal rhythm Role of MDCT Cardiac Imaging in abnormal rhythm Role of MDCT Scope of the problem CT in Atrial Fibrillation CT and pacing Ventricular arrhythmia Other applications 1
Tachycardia Devices Indications and Basic Trouble Shooting
Tachycardia Devices Indications and Basic Trouble Shooting Peter A. Brady, MD., FRCP Cardiology Review Course London, March 6 th, 2014 2011 MFMER 3134946-1 Tachycardia Devices ICD Indications Primary and
Arrhythmia Management Joshua M. Cooper, MD, FHRS, FACC
Arrhythmia Management Joshua M. Cooper, MD, FHRS, FACC Professor of Medicine Director of Cardiac Electrophysiology Temple University Health System Plumbing Electrical System Bradyarrhythmias Sinus Node
CLINICAL CARDIAC ELECTROPHYSIOLOGY Maintenance of Certification (MOC) Examination Blueprint
CLINICAL CARDIAC ELECTROPHYSIOLOGY Maintenance of Certification (MOC) Examination Blueprint ABIM invites diplomates to help develop the Clinical Cardiac Electrophysiology MOC exam blueprint Based on feedback
HF 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
CRT Vs RV Pacing Benefits
CRT-P & CRT-D Indications According to Guidelines are Guidelines Fully Adopted? Salama H. Omar M.D. Prof. Critical Care Medicine, Cairo University CRT Vs RV Pacing Benefits 1 Benefit of Upgrade CTR-P &
IHCP bulletin INDIANA HEALTH COVERAGE PROGRAMS BT JANUARY 24, 2012
IHCP bulletin INDIANA HEALTH COVERAGE PROGRAMS BT201203 JANUARY 24, 2012 The IHCP to reimburse implantable cardioverter defibrillators separately from outpatient implantation Effective March 1, 2012, the
EBR Systems, Inc. 686 W. Maude Ave., Suite 102 Sunnyvale, CA USA
Over 200,000 patients worldwide are estimated to receive a CRT device each year. However, limitations prevent some patients from benefiting. CHALLENGING PROCEDURE 5% implanted patients fail to have coronary
NEIL CISPER TECHNICAL FIELD ENGINEER ICD/CRTD BASICS
NEIL CISPER TECHNICAL FIELD ENGINEER ICD/CRTD BASICS OBJECTIVES Discuss history of ICDs Review the indications for ICD and CRT therapy Describe basic lead and device technology Discuss different therapies
Heart Circulatory System
Heart Circulatory System 25 26 Prof. Dr. med. Walter Eichinger Department for Cardiac Surgery > Bogenhausen Hospital Englschalkinger Straße 77 81925 München Phone +49 89 9270-2630 walter.eichinger@klinikum-muenchen.de
Device Therapy for Heart Failure
Device Therapy for Heart Failure Dr. Shelley Zieroth FRCPC Assistant Professor, Cardiology, University of Manitoba Director of Cardiac Transplant and Heart Failure Clinics St Boniface General Hospital,
Sudden death from abnormal heart rhythm: Am I at risk?
DISCLAIMER: The views and opinions expressed in this presentation are those of the author. The slides in this presentation are prepared as talking points. It is possible that key substantive elements were
Atrial Fibrillation and Common Supraventricular Tachycardias. Sunil Kapur MD
Atrial Fibrillation and Common Supraventricular Tachycardias Sunil Kapur MD Cardiac Electrophysiology Brigham and Women s Hospital Instructor, Harvard Medical School No disclosures Cardiac Conduction:
Cardiac Rhythm Management Coder 2017
Cardiac Rhythm Management Coder 2017 An easy-to-use tool for coding and reimbursement compliance Prepared and Published By: MedLearn Publishing, A Division of Panacea Healthcare Solutions, Inc. 287 East
Arrhythmias Focused Review. Who Needs An ICD?
Who Needs An ICD? Cesar Alberte, MD, Douglas P. Zipes, MD, Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, IN Sudden cardiac arrest is one of the most common causes
A request for a log book extension must be put in writing and sent to BHRS, Unit 6B, Essex House, Cromwell Business Park, Chipping Norton,
7 7. A request for a log book extension must be put in writing and sent to BHRS, Unit 6B, Essex House, Cromwell Business Park, Chipping Norton, Oxfordshire OX7 5SR. E-mail: admin@bhrs.com. Tel: 01789 867
Ventricular Tachycardia Ablation. Saverio Iacopino, MD, FACC, FESC
Ventricular Tachycardia Ablation Saverio Iacopino, MD, FACC, FESC ü Ventricular arrhythmias, both symptomatic and asymptomatic, are common, but syncope and SCD are infrequent initial manifestations of
Kadlec Regional Medical Center Cardiac Electrophysiology
Definition of electrophysiology study and ablation Kadlec Regional Medical Center Cardiac Electrophysiology Electrophysiology Study and Ablation An electrophysiology, or EP, study is a test of the heart
Cardiac Electrical Therapies. By Omar AL-Rawajfah, PhD, RN
Cardiac Electrical Therapies By Omar AL-Rawajfah, PhD, RN Outlines What are cardiac electrical therapies Ablation Defibrillation Cardioversion What are the nursing considerations for each type of therapy
SUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Table S1. Patient Selection Codes, CIED Generator Procedures Code Type Code Description ICD9 Proc 00.51 Implantation of cardiac resynchronization defibrillator, total system [CRT-D]
Importance of CRT team for optimization of the results: a European point of view
Importance of CRT team for optimization of the results: a European point of view Matteo Bertini, MD, PhD Arcispedale S. Anna Azienda Ospedaliero-Universitaria Cona-Ferrara No conflict of interest to declare
BSH 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,
ICD Therapy. Disclaimers
ICD Therapy Rodney Horton, MD Texas Cardiac Arrhythmia Institute Texas Cardiovascular, PA Austin, TX Speaker s Bureau St. Jude Medical Medtronic Boston Scientific Disclaimers Clinical Advisory Panel St.
Unknown ECGs for the Clinician
Unknown ECGs for the Clinician 2016 Bryan Heart Fall Cardiology Conference Andrew Merliss, MD, FACC, CDRS, FHRS Director of Cardiac Arrhythmia Service Bryan Heart Disclaimer Advisory Board for Medtronic
Provocative Cases: Issues in the Expanding Use of CRT in Treating CHF Patients
Provocative Cases: Issues in the Expanding Use of CRT in Treating CHF Patients David E. Krummen, MD Associate Professor of Medicine University of California San Diego and VA San Diego Healthcare System
Patient Resources: Arrhythmias and Congenital Heart Disease
Patient Resources: Arrhythmias and Congenital Heart Disease Overview Arrhythmias (abnormal heart rhythms) can develop in patients with congenital heart disease (CHD) due to thickening/weakening of their
Heart 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
Quality Payment Program: Cardiology Specialty Measure Set
Measure Title * Reportable via PINNACLE α Reportable via Diabetes Collaborative CQMC v1.0 Measure High Priority Measure Cross Cutting Measure Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor
Atrial Fibrillation and Heart Failure
Date Clinical Title Atrial Fibrillation and Heart Failure Raul Weiss MD, FAHA, FACC, FHRS and CCDS Director, Electrophysiology Fellowship Program Professor of Medicine The Ohio State University Wexner
Antony French Consultant Cardiologist & Electrophysiologist
Antony French Consultant Cardiologist & Electrophysiologist Palpitations Unpleasant awareness of rapid or forceful heart beat Not all tachycardias cause palpitations, and not all palpitations are due to
Gender 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
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
Cardiac resynchronization therapy for heart failure: state of the art
Cardiac resynchronization therapy for heart failure: state of the art Béla Merkely MD, PhD, DSc, FESC, FACC Vice president of the European Society of Cardiology Honorary president of the Hungarian Society
2010 Canadian Cardiovascular Society/ Canadian Heart Rhythm Society Training and Maintenance of Competency in Adult Clinical Cardiac
2010 Canadian Cardiovascular Society/ Canadian Heart Rhythm Society Training and Maintenance of Competency in Adult Clinical Cardiac Electrophysiology Martin S. Green, Chair, CHRS Education Committee Peter
Arrhythmias. Pulmonary Artery
Arrhythmias Introduction Cardiac arrhythmia is an irregularity of the heart beat that causes the heart to beat too slowly, too fast, or irregularly. There are different types of arrhythmias. Most arrhythmias
A Square Peg in a Round Hole: CRT IN PAEDIATRICS AND CONGENITAL HEART DISEASE
A Square Peg in a Round Hole: CRT IN PAEDIATRICS AND CONGENITAL HEART DISEASE Adele Greyling Dora Nginza Hospital, Port Elizabeth SA Heart November 2017 What are the guidelines based on? MADIT-II Size:
Resynchronization/Defibrillation
Resynchronization/Defibrillation for Ambulatory Heart Failure Trial Cardiac Resynchronization Therapy for Mild to Moderate Heart Failure George Wells University of Ottawa Heart Institute Department of
Device Based Therapy for the Failing Heart: ICD and Cardiac Resynchronization Rx
Device Based Therapy for the Failing Heart: ICD and Cardiac Resynchronization Rx Charles Gottlieb, MD Director of Electrophysiology Abington Memorial Hospital Heart Failure Mortality Mechanism of death
Supraventricular Tachycardia: From Fetus to Adult. Mohamed Hamdan, MD
Supraventricular Tachycardia: From Fetus to Adult Mohamed Hamdan, MD Learning Objectives Define type of SVT by age Describe clinical approach Describe prenatal and postnatal management of SVT 2 SVT Across
Cardiac Rhythm Management Coder 2018
Cardiac Rhythm Management Coder 2018 An easy-to-use tool for coding and reimbursement compliance Prepared and Published By: MedLearn Publishing, A Division of MedLearn Media, Inc. 445 Minnesota Street,
CRT-P or CRT-D From North Alberta to Nairobi
CRT-P or CRT-D From North Alberta to Nairobi Dr Mzee Ngunga Aga Khan University Hospital Nairobi KCS Congress: Impact through collaboration CONTACT: Tel. +254 735 833 803 Email: kcardiacs@gmail.com Web:
AF Today: W. For the majority of patients with atrial. are the Options? Chris Case
AF Today: W hat are the Options? Management strategies for patients with atrial fibrillation should depend on the individual patient. Treatment with medications seems adequate for most patients with atrial
PhD FRCP MESC MEAPCI. Consultant Cardiologist SVT - Supra Ventricular Tachycardia. Coronary Arteries
SVT - Supra Ventricular Tachycardia Coronary Arteries Overview LMS Supraventricular tachycardia is defined as an abnormally fast heartbeat. It's a describes a group of arrhythmias which all originate from
Who does not need a primary preventive ICD?
Who does not need a primary preventive ICD? Hildegard Tanner, Bern Universitätsklinik für Kardiologie Disclosure of potential conflicts of interest Travel grants for educational purposes from: Biosense
Tachycardia-induced heart failure - Does it exist?
Tachycardia-induced heart failure - Does it exist? PD Dr Etienne Delacrétaz Clinique Cecil et Hôpital de Fribourg SSC Cardiology meeting 2015 Zürich Rapid atrial fibrillation is a common cause of heart
Arthur 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
BIVENTRICULAR PACEMAKER (CARDIAC RESYNCHRONIZATION THERAPY) FOR THE TREATMENT OF HEART FAILURE
FOR THE TREATMENT OF HEART FAILURE Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices
Sudden death as co-morbidity in patients following vascular intervention
Sudden death as co-morbidity in patients following vascular intervention Impact of ICD therapy Seah Nisam Director, Medical Science, Guidant Corporation Advanced Angioplasty Meeting (BCIS) London, 16 Jan,
Program Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name
Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for, Atrial Fibrillation, Hypertension and.
ECG S: A CASE-BASED APPROACH December 6,
ECG S: A CASE-BASED APPROACH December 6, 2018 1 Faculty Disclosure Faculty: Lorne Gula MD, FRCPC Professor, Western University Cardiologist, Hearth Rhythm Specialist Director, Electrophysiology Laboratory,
UnitedHealthcare Medicare Advantage Cardiology Prior Authorization Program
Electrophysiology Implant Classification Table The table below contains the codes that apply to our UnitedHealthcare Medicare Advantage cardiology prior Description Includes Generator Placement Includes
Cardiac Resynchronisation Therapy Patient Information
Melbourne Heart Rhythm Cardiac Resynchronisation Therapy Patient Information Normal Heart Function The heart is a pump responsible for maintaining blood supply to the body. It has four chambers. The two
Paroxysmal Supraventricular Tachycardia PSVT.
Atrial Tachycardia; is the name for an arrhythmia caused by a disorder of the impulse generation in the atrium or the AV node. An area in the atrium sends out rapid signals, which are faster than those
How Do I Balance Bradycardia with Rate Control in Atrial Fibrillation?
How Do I Balance Bradycardia with Rate Control in Atrial Fibrillation? Thang Nguyen MD FRCPC Assistant Professor Section of Cardiology Department of Internal Medicine University of Manitoba Objectives
Advanced Electrophysiology Coding
Advanced Electrophysiology Coding May 2008 Notices Current Procedural Terminology (CPT ) is copyright 2007 American Medical Association. All Rights reserved. No fee schedules, basic units, relative values,
Summary of Research and Writing Activities In Cardiovascular Disease
Summary of Research and Writing Activities In Cardiovascular Disease Carole Alison Chrvala, PhD 919.545.2149 (Work) 919.951.5230 (Mobile) cchrvala@centurylink.net www.healthmattersmedwriting.com 1 Manuscripts
MADIT-RIT: Simple programming change averts most inappropriate ICD therapy
Print MADIT-RIT: Simple programming change averts most inappropriate ICD therapy NOV 6, 2012 Steve Stiles Los Angeles, CA - A large randomized trial has identified specific programming criteria for implantable
Sudden Cardiac Death What an electrophysiologist thinks a cardiologist should know
Sudden Cardiac Death What an electrophysiologist thinks a cardiologist should know Steven J. Kalbfleisch, M.D. Medical Director Electrophysiology Laboratory Ross Heart Hospital Wexner Medical Center Sudden
APPROACH TO TACHYARRYTHMIAS
APPROACH TO TACHYARRYTHMIAS PROF.DR.MD.ZAKIR HOSSAIN PROFESSOR AND HEAD DEPARTMENT OF MEDICINE SZMCH TACHYARRYTHMIA Cardiac arrythmia is a disturbance of electrical rhythm of heart. Cardac arrythmia with
Atrial fibrillation and advanced age
Atrial fibrillation and advanced age Prof. Fiorenzo Gaita Director of the Cardiology School University of Turin, Italy Prevalence of AF in the general population Prevalence and age distribution in patients
Device Update Implantable Cardioverter Defibrillator (ICD) 박상원
2012 년춘계학술대회 Device Update Implantable Cardioverter Defibrillator (ICD) 박상원 Arrhythmia Center, KUMC www.korea-heartrhythm.com Korea University Medical Center Seoul, Korea The Development of ICD by a team
Mahmoud Suleiman MD. On behalf of the Israeli ICD Registry Scientific Committee. Jan 11, National ICD Registry
The Israeli ICD Registry- Update Mahmoud Suleiman MD On behalf of the Israeli ICD Registry Scientific Committee Jan 11, 2013 Jul 2010-Dec 2012 Total Number of Procedures N=5280 New Implants N=3448 Generator
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,
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.
Perioperative Management of Cardiac Implantable Devices
Financial Disclosures Breandan Sullivan MD Assistant Professor Co Director Cardiothoracic and Vascular Surgery ICU Department of Anesthesiology and Critical Care Medicine University of Colorado None Perioperative