Assessing the facilities and healthcare services for heart failure: Taiwan versus European countries
CONCLUSION: Our analysis clearly demonstrated discrepancies in cardiology subspecialties and CRT/ICD accessibilities between European countries and Taiwan. Variations in HF-focused services and facilities plus HF-directed medications have demonstrated significant differences among Taiwanese hospitals with or without HF care team.PMID:33840545 | DOI:10.1016/j.jfma.2021.03.021 (Source: J Formos Med Assoc)
Source: J Formos Med Assoc - April 12, 2021 Category: General Medicine Authors: Hung-Yu Chang Pei-Lun Hung Chia-Te Liao Chien-Yi Hsu Ying-Chieh Liao Kai-Hsi Lu Chun-Chieh Wang Source Type: research

Leadless Left Ventricular Endocardial Pacing and Left Bundle Branch Area Pacing for Cardiac Resynchronisation Therapy
Cardiac resynchronisation therapy (CRT) is an established treatment for patients with symptomatic heart failure, severe left ventricular (LV) dysfunction and electrical dyssynchrony.1,2 However, even in carefully selected patients, approximately 30% fail to respond, and this has led to the development of alternative pacing st... (Source: Radcliffe Cardiology)
Source: Radcliffe Cardiology - April 12, 2021 Category: Cardiology Authors: c242508f1d9059bc0f2aa9bdd5421ba2 Source Type: research

Why mechanical dyssynchrony remains relevant to cardiac resynchronization therapy: Reply
(Source: European Journal of Heart Failure)
Source: European Journal of Heart Failure - April 8, 2021 Category: Cardiology Authors: Wilfried Mullens, Pieter Martens, Klaus Witte, Martin R. Cowie Tags: Letter to the Editor Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Polish Heart Journal - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Kardiologia Polska - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Polish Heart Journal - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Kardiologia Polska - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Polish Heart Journal - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Kardiologia Polska - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Polish Heart Journal - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Kardiologia Polska - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Polish Heart Journal - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Use of T-wave duration and Tpeak-Tend interval as new prognostic markers for patients treated with cardiac resynchronization therapy
In this study, it was aimed to assess the predictive value of the T-wave duration and Tpeak-Tend (Tp-e) interval following the CRT implantation administered to heart failure patients.METHODS: Sixty-seven patients with left ventricular ejection fraction ≤ 35, New York Heart Association (NYHA) II-III, ambulatory class-IV, normal sinus rhythm, who have complete left bundle branch block on ECG and treated with CRT were included in this study. Patients, who have manifested a ≥ 10% improvement in ejection fraction following CRT implantation, were categorized as "responders", and the remaining patients were catego...
Source: Kardiologia Polska - April 7, 2021 Category: Cardiology Authors: Song ül Usalp Ramazan G ündüz Source Type: research

Technical Features and Clinical Outcomes of Coronary Venous Left Ventricular Lead Removal and Reimplantation
CONCLUSIONS: CV lead removal is relatively successful and safe. The presence of local infection and a shorter lead duration may enable successful ST of a CV lead. However, the re-implantation procedure should be well prepared for the complexity related to the right-side approach and occlusion/stenosis of the previous CV.PMID:33814523 | DOI:10.1253/circj.CJ-20-1199 (Source: Circulation Journal)
Source: Circulation Journal - April 5, 2021 Category: Cardiology Authors: Daigo Yagishita Morio Shoda Satoshi Saito Shohei Kataoka Kyoichiro Yazaki Miwa Kanai Koichiro Ejima Nobuhisa Hagiwara Source Type: research

Technical Features and Clinical Outcomes of Coronary Venous Left Ventricular Lead Removal and Reimplantation
CONCLUSIONS: CV lead removal is relatively successful and safe. The presence of local infection and a shorter lead duration may enable successful ST of a CV lead. However, the re-implantation procedure should be well prepared for the complexity related to the right-side approach and occlusion/stenosis of the previous CV.PMID:33814523 | DOI:10.1253/circj.CJ-20-1199 (Source: Circulation Journal)
Source: Circulation Journal - April 5, 2021 Category: Cardiology Authors: Daigo Yagishita Morio Shoda Satoshi Saito Shohei Kataoka Kyoichiro Yazaki Miwa Kanai Koichiro Ejima Nobuhisa Hagiwara Source Type: research

Technical Features and Clinical Outcomes of Coronary Venous Left Ventricular Lead Removal and Reimplantation
CONCLUSIONS: CV lead removal is relatively successful and safe. The presence of local infection and a shorter lead duration may enable successful ST of a CV lead. However, the re-implantation procedure should be well prepared for the complexity related to the right-side approach and occlusion/stenosis of the previous CV.PMID:33814523 | DOI:10.1253/circj.CJ-20-1199 (Source: Circulation Journal)
Source: Circulation Journal - April 5, 2021 Category: Cardiology Authors: Daigo Yagishita Morio Shoda Satoshi Saito Shohei Kataoka Kyoichiro Yazaki Miwa Kanai Koichiro Ejima Nobuhisa Hagiwara Source Type: research

The impact of exercise training for chronic heart failure patients with cardiac resynchronization therapy: A systematic review and meta-analysis
Background and objective: Systematically review the current published literature on the impact of exercise training (ET) in chronic heart failure (CHF) patients who were conducted cardiac resynchronization therapy (CRT). Methods: PubMed, EMBASE, and the Cochrane Library of Controlled Trails databases were searched for trials comparing the additional effects of ET in CHF patients after CRT implantation with no exercise or usual care control up until 2020.03.07. We independently screened the literature, extracted data, employed the tool for the assEssment of Study qualiTy and reporting in EXercise (TESTEX) to eval...
Source: Medicine - April 2, 2021 Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Remote monitoring of implantable defibrillators is associated with fewer inappropriate shocks and reduced time to medical assessment in a remote and rural area
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.ABSTRACTBACKGROUND: Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.AIM: To determine if RM in patients with an I...
Source: World Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Kara Callum Claudia Graune Elizabeth Bowman Edward Molden Stephen J Leslie Source Type: research

Implantable cardiac devices in geriatric patients: a primer for primary and geriatric physicians
Rev Cardiovasc Med. 2021 Mar 30;22(1):39-50. doi: 10.31083/j.rcm.2021.01.222.ABSTRACTIn the next 20 years, the percentage of people older than 65 years of age in the United States is expected to double. Heart disease is the leading cause of mortality in developed nations, including the United States. Due to the increased incidence of cardiac disease in elderly patients, the need for special treatment considerations, including cardiac devices, may be necessary to reduce morbidity and mortality in this patient population. The purpose of this review is to provide a primer of the common cardiac devices used in the management o...
Source: Reviews in Cardiovascular Medicine - April 1, 2021 Category: Cardiology Authors: Farah Wani Rawan Amir Michael Aljadah Michael Albosta Jean Claude Guidi Jagmeet Singh Khalil Kanjwal Asim Kichloo Source Type: research

Small decreases in biventricular pacing percentages are associated with multiple metrics of worsening heart failure as measured from a cardiac resynchronization therapy defibrillator
Lower BiVentricular (BiV) pacing percentages have been associated with significantly worse survival in patients with chronic heart failure (HF). However, the pathophysiology behind this observation has not been further delineated. This analysis evaluated whether small incremental decreases in BiV pacing percentages were associated with worse measures, related to HF physiology using individual sensor trends and the HeartLogic composite index. (Source: International Journal of Cardiology)
Source: International Journal of Cardiology - April 1, 2021 Category: Cardiology Authors: Michael Cao, Craig M. Stolen, Rezwan Ahmed, Edward J. Schloss, John H. Lobban, Brian Kwan, Niraj Varma, John P. Boehmer Source Type: research

Reply to why mechanical dyssynchrony remains relevant to cardiac resynchronization therapy (EURJHF ‐21‐150)
(Source: European Journal of Heart Failure)
Source: European Journal of Heart Failure - March 31, 2021 Category: Cardiology Authors: Wilfried Mullens, Pieter Martens, Klaus Witte, Martin R Cowie Tags: Letter to the Editor Source Type: research

Global longitudinal strain predicts responders after cardiac resynchronization therapy —a systematic review and meta-analysis
AbstractTo evaluate the association between baseline global longitudinal strain (GLS) and ΔGLS (difference of baseline GLS and follow-up) and cardiac resynchronization therapy (CRT) response defined either with clinical or with echocardiographic characteristics. This meta-analysis was performed in accordance to both the Meta-Analysis of Observational Studies in Epidemiology and Strengt hening the Reporting of Observational Studies in Epidemiology guidelines. Two independent investigators performed a comprehensive systematic search in MedLine, EMBASE and Cochrane databases through September 2019 without limitatio...
Source: Heart Failure Reviews - March 30, 2021 Category: Cardiology Source Type: research

INTERVENE ‐HF: feasibility study of individualized, risk stratification‐based, medication intervention in patients with heart failure with reduced ejection fraction
ConclusionsThe Intervene ‐HF study supports the feasibility of testing, in a large randomized clinical trial, an ambulatory medication intervention strategy that is physician‐directed, CHFN‐implemented, and based on individualized device risk stratification. (Source: ESC Heart Failure)
Source: ESC Heart Failure - March 29, 2021 Category: Cardiology Authors: Michael R. Zile, Maria Rosa R. Costanzo, Ekaterina M. Ippolito, Yan Zhang, Russell Stapleton, Ashish Sadhu, Javier Jimenez, Joe Hobbs, Vinod Sharma, Eduardo N. Warman, Lindsay Streeter, Javed Butler Tags: Original Research Article Source Type: research

Real ‐world outcomes in cardiac resynchronization therapy patients: design and baseline demographics of the SMART‐ Registry
ConclusionsThe SMART Registry achieved its recruitment target in August 2019, with 2014 patients enrolled. The baseline demographics demonstrated that patients were generally older, with greater co ‐morbidity, and on more contemporary medical therapy than in the key CRT trials. The results of the SMART Registry will determine which programming and optimization techniques are effective in this real‐world population. (Source: ESC Heart Failure)
Source: ESC Heart Failure - March 29, 2021 Category: Cardiology Authors: Roy S. Gardner, Antonio D'Onofrio, George Mark, Daniel Gras, Yan Hu, Sara Veraghtert, Ignacio Garcia ‐Bolao Tags: Study Design Source Type: research

Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions
AbstractIn Italy, a strict lockdown was imposed from 8 March 2020 to stop the spread of the coronavirus disease 2019 (COVID-19). We explored the effect of this lockdown on data transmitted by remote monitoring (RM) of implantable cardioverter and cardiac resynchronization therapy defibrillators (ICDs/CRT-Ds). RM daily transmissions from ICDs and CRT-Ds were analyzed and compared in two consecutive 1  month frames pre and post-lockdown: period I (7 February–7 March 2020) and period II (8 March–7 April 2020). The study cohort included 180 patients (81.1% male, 63.3% ICDs and 36.7% CRT-Ds) with a median age o...
Source: Heart and Vessels - March 29, 2021 Category: Cardiology Source Type: research

Changes in cardiac conduction time following cardiac resynchronization therapy: rationale and design of the RECOVER study
ConclusionThe RECOVER study is investigating whether serial changes in interelectrode conduction times can be useful parameters in predicting the CRT response or detecting worsening HF at an early stage. (Source: Journal of Interventional Cardiac Electrophysiology)
Source: Journal of Interventional Cardiac Electrophysiology - March 27, 2021 Category: Cardiology Source Type: research

All You Need Is Sleep: the Effects of Sleep Apnea and Treatment Benefits in the Heart Failure Patient
AbstractPurpose of ReviewRecognition and treatment of sleep apnea is an important but easily overlooked aspect of care in the heart failure patient. This review summarizes the data behind the recommendations in current practice guidelines and highlights recent developments in treatment options.Recent FindingsNeuromodulation using hypoglossal nerve stimulation has been increasingly used for treatment of OSA; however, it has not been studied in the heart failure population. Alternatively, phrenic nerve stimulation for treatment of CSA is effective for heart failure patients, and cardiac resynchronization therapy can be effec...
Source: Current Heart Failure Reports - March 26, 2021 Category: Cardiology Source Type: research

Why mechanical dyssynchrony remains relevant to cardiac resynchronization therapy. Letter regarding the article ‘Optimized implementation of cardiac resynchronization therapy: a call for action for referral and optimization of care: a joint position statement from the Heart Failure Association (HFA), European Heart Rhythm Association (EHRA), and European Association of Cardiovascular Imaging (EACVI) of the European Society of Cardiology’
(Source: European Journal of Heart Failure)
Source: European Journal of Heart Failure - March 25, 2021 Category: Cardiology Authors: Alexis Puvrez, J ürgen Duchenne, John Gorcsan, Thomas H. Marwick, Otto A. Smiseth, Jens‐Uwe Voigt Tags: Letter to the Editor Source Type: research

Left bundle branch block without a typical contraction pattern is associated with increased risk of ventricular arrhythmias in cardiac resynchronization therapy patients
This study aimed to investigate if absence of LBBB features whether by echocardiography or strict ECG criteria would identify patients at risk of developing VA in a cohort with LBBB according to conventional ECG criteria. Two hundred six CRT candidates were prospectively included from 2 centers. Prior to CRT presence of a typical LBBB contraction pattern was identified using longitudinal strain in the apical 4-chamber view. All preimplantation ECGs were categorized as LBBB or non-LBBB according to Strauss ´ strict criteria. Primary end-point was defined as any appropriate antitachycardia pacing (ATP) or shock therapy...
Source: The International Journal of Cardiovascular Imaging - March 23, 2021 Category: Radiology Source Type: research

Effective nonapical left ventricular pacing with quadripolar leads for cardiac resynchronization therapy
CONCLUSIONS: Quadripolar leads allowed non-apical pacing with acceptable electrical parameters in the majority of CRT recipients, although dissimilarity appeared among currently available devices.PMID:33750083 | DOI:10.33963/KP.15882 (Source: Polish Heart Journal)
Source: Polish Heart Journal - March 22, 2021 Category: Cardiology Authors: Giovanni B Forleo Marco Schiavone Domenico Della Rocca Francesco Solimene Vincenzo Schillaci Gregorio Covino Massimo Sassara Gianluca Savarese Stefano Donzelli Sandra Badolati Carmelo Gerosa Carlo Lavalle Alessio Gasperetti Gianfranco Mitacchione Mariolin Source Type: research

Effect of dynamic atrioventricular and interventricular delay optimization for cardiac resynchronization therapy on cardiac function and neuroendocrine factors in patients with congestive heart failure
Arch Med Sci. 2021 Feb 26;17(2):551-556. doi: 10.5114/aoms/131564. eCollection 2021.NO ABSTRACTPMID:33747292 | PMC:PMC7959086 | DOI:10.5114/aoms/131564 (Source: Archives of Medical Science)
Source: Archives of Medical Science - March 22, 2021 Category: Biomedical Science Authors: Haoyu Wu Yiwei Cao Lei Liang Source Type: research

Effective nonapical left ventricular pacing with quadripolar leads for cardiac resynchronization therapy
CONCLUSIONS: Quadripolar leads allowed non-apical pacing with acceptable electrical parameters in the majority of CRT recipients, although dissimilarity appeared among currently available devices.PMID:33750083 | DOI:10.33963/KP.15882 (Source: Kardiologia Polska)
Source: Kardiologia Polska - March 22, 2021 Category: Cardiology Authors: Giovanni B Forleo Marco Schiavone Domenico Della Rocca Francesco Solimene Vincenzo Schillaci Gregorio Covino Massimo Sassara Gianluca Savarese Stefano Donzelli Sandra Badolati Carmelo Gerosa Carlo Lavalle Alessio Gasperetti Gianfranco Mitacchione Mariolin Source Type: research

Effect of dynamic atrioventricular and interventricular delay optimization for cardiac resynchronization therapy on cardiac function and neuroendocrine factors in patients with congestive heart failure
Arch Med Sci. 2021 Feb 26;17(2):551-556. doi: 10.5114/aoms/131564. eCollection 2021.NO ABSTRACTPMID:33747292 | PMC:PMC7959086 | DOI:10.5114/aoms/131564 (Source: Archives of Medical Science)
Source: Archives of Medical Science - March 22, 2021 Category: General Medicine Authors: Haoyu Wu Yiwei Cao Lei Liang Source Type: research