Restructuring Electrophysiology During the COVID-19 Pandemic: A Practical Guide From a New York City Hospital Network
The coronavirus disease 2019 crisis is a global pandemic of a novel infectious disease with far-ranging public health implications. With regard to cardiac electrophysiology (EP) services, we discuss the “real-world” challenges and solutions that have been essential for efficient and successful (1) ramping down of standard clinical practice patterns and (2) pivoting of workflow processes to meet the demands of this pandemic. The aims of these recommendations are to outline: (1) essential practical steps to approaching procedures, as well as outpatient and inpatient care of EP patients, with relevant examples, (2) succes...
Source: Critical Pathways in Cardiology - July 30, 2020 Category: Cardiology Tags: Original Study Source Type: research
Long-Term Pattern of Red Cell Distribution Width in Patients With ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention: Erratum
No abstract available (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Erratum Source Type: research
Trends of Acute Kidney Injury Requiring Dialysis Among Hospitalized Patients Undergoing Invasive Electrophysiology Procedures
We examined the temporal trend of AKI-D and outcomes associated with AKI-D. The rate of AKI-D increased significantly in both diagnostic/ablation group (8–21/10,000 hospitalizations from 2006 to 2014, P = 0.02) and implanted device group (19–44/10,000 hospitalizations from 2006 to 2014, P (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Original Study Source Type: research
Impact of Accessory Pathway Location on Electrophysiologic Characteristics and Ablation Success
Conclusions:
The location of accessory pathways has a great impact on conductivity, ablation success, and recurrence rate in WPW syndrome. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Pathway Source Type: research
Yazd Province of Iran ICD Registry for the Years 2014–2016
Conclusions:
In comparison between our registry and NCDR registry, baseline patient characteristics and ICD type were almost the same, but the complication rate was higher. There is still a need to perform a large multicenter registry in our community to improve our knowledge in this Era. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Original Study Source Type: research
Atrial Fibrillation in Hypertrophic Cardiomyopathy: Evidence-based Review About Mechanism, Complications and Management
Hypertrophic cardiomyopathy (HCM) is 1 of the most frequent genetic cardiovascular diseases affecting 1 out of every 500 individuals in general population. Atrial Fibrillation incidences were 3.8% per 100 patients per year and overall prevalence among HCM patients are 27.09%. Higher risk of death noted in HCM patients with atrial fibrillation. Stroke and other thrombo embolic risks are increased in such patients. Medical management using mainly betablockers or amiodarone produced variable results and high rate of recurrence. Catheter ablation reduced symptom burden and complications despite moderate recurrence. Patients wi...
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Review Article Source Type: research
Actionable Ventricular Tachycardia During In-Hospital ECG Monitoring and Its Impact on Alarm Fatigue
Conclusions:
In our sample, (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Original Studies Source Type: research
Frequency and Influence of Exercise-Induced Artifact in Electrocardiograms During Exercise Treadmill Testing for Detection of Myocardial Ischemia
Conclusions:
ECGA at peak exercise are frequent and related to peak heart rate and peak metabolic equivalents of resting total oxygen consumption, suggesting a motion effect. ECGA affected the diagnostic accuracy of ETT examinations, indicating that algorithms to reduce artifact for improved diagnosis of ETT require further investigation. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Original Studies Source Type: research
Trends and Outcomes of Intravascular Imaging-guided Percutaneous Coronary Intervention in the United States
Introduction:
Intravascular imaging-guided percutaneous coronary intervention (PCI) has shown to improve outcomes in randomized controlled trials. However, there are little real-world data about intravascular imaging utilization during PCI and its outcomes in the United States.
Methods:
We conducted an observational analysis on the use of intravascular imaging (Intravascular Ultrasound or Optical Coherence Tomography)-guided PCI in 2,425,036 patients undergoing PCI between January 2010 and December 2014 from the Nationwide Inpatient Sample database. Utilizing propensity score matching, 83,988 matched pairs were identi...
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Original Studies Source Type: research
Value of Repeated Troponin Measurements to Improve the Safety of the HEART Score for Chest Pain Patients at the Emergency Department
Conclusions:
Using a representative troponin measurement changed the value of the HEART score in only 3.5% of patients and had no impact on safety and efficiency of the HEART score. These results suggest there is no need to wait for a representative troponin measurement and should encourage physicians to adhere to the original HEART score guidelines. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Original Studies Source Type: research
Effect of Elevated Calcium Score on Normal Myocardial Perfusion Study on Clinician Management of Coronary Artery Disease Risk Factors
Elevated coronary artery calcification (CAC) scores are associated with higher cardiovascular (CV) risk even with normal stress myocardial perfusion imaging (MPI). Whether referring providers appropriately manage subclinical CV disease is unclear. We hypothesized that ordering clinicians would intensify medical therapy for CV disease in response to normal MPI and CAC ≥ 300. We conducted a cohort study on patients without known CV disease who underwent MPI and CAC scoring. Medical management of CV disease and clinical outcomes were assessed. Of 299 patients who underwent stress MPI, 62 patients had normal MPI and CAC ≥ ...
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Original Studies Source Type: research
COVID-19 Pandemic and Acute Myocardial Infarction: Management Protocol From a British Cardiac Centre
No abstract available (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Pathway Source Type: research
Clinical Pathway for Management of Suspected or Positive Novel Coronavirus-19 Patients With ST-Segment Elevation Myocardial Infarction
Novel coronavirus-19 disease (COVID-19) is an escalating, highly infectious global pandemic that is quickly overwhelming healthcare systems. This has implications on standard cardiac care for ST-elevation myocardial infarctions (STEMIs). In the setting of anticipated resource scarcity in the future, we are forced to reconsider fibrinolytic therapy in our management algorithms. We encourage clinicians to maintain a high level of suspicion for STEMI mimics, such as myopericarditis which is a known, not infrequent, complication of COVID-19 disease. Herein, we present a pathway developed by a multidisciplinary panel of stakeho...
Source: Critical Pathways in Cardiology - May 16, 2020 Category: Cardiology Tags: Pathway Source Type: research
Long-term Pattern of Red Cell Distribution Width in Patients With ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
Red cell distribution width (RDW) is an indirect marker of inflammation and an independent predictor of long-term mortality. The aim of this study was to determine RDW values in patients with ST-elevation acute myocardial infarction (STEMI) submitted to primary percutaneous coronary intervention (PCI) and evaluate its association with adverse outcomes. We measured RDW in STEMI patients before undergoing primary PCI and divided into low and high RDW. Patients were followed up to 3 years after their discharge for the occurrence of in-hospital, 30-days, and long-term major adverse cardiovascular events (MACEs) and mortality. ...
Source: Critical Pathways in Cardiology - February 19, 2020 Category: Cardiology Tags: Original Articles Source Type: research
How Left Ventricular Size Affects Severity of Disease and Long-term Prognosis in Patients with Severe Systolic Dysfunction?
Conclusions:
Our study showed that NLVS defines a group of systolic HF patients which not only did not have less severe disease than those with enlarged left ventricules (i.e., DCM), also had more HF rehospitalization. These NLVS patients also had steady clinical, laboratory, and echocardiographic profile during follow-up. (Source: Critical Pathways in Cardiology)
Source: Critical Pathways in Cardiology - February 19, 2020 Category: Cardiology Tags: Original Articles Source Type: research
