Nocturnal phantom shock cessation with zolpidem
A 77 year old man with a biventricular ICD-pacemaker complained of painful, electric jolts disturbing him nightly from sleep. Extensive work-up including device interrogation revealed no defibrillations or arrhythmia, and he was subsequently diagnosed with phantom shocks (PS). His nightly PS symptoms terminated after starting zolpidem 10  mg each night. To date, literature review reveals fifteen articles reporting 163 phantom shock (PS) cases. PS affects 5–9% of ICD recipients. Risk factors include psychiatric disease, atrial fibrillation, NYHA functional status III or greater, prior shock storm, and intraoperat...
Source: Heart and Lung - November 8, 2017 Category: Intensive Care Authors: L. McLean House, Rachel E. McKay, John Thomas Eagan, Zachary L. McCormick Source Type: research

The effect of clinical variables on distress and depressive symptoms among heart transplant recipients
Heart transplantation (HTx) is the standard treatment for end-stage cardiomyopathy and coronary artery disease. Although major improvements have been made in the prevention and treatment of acute graft rejection, comorbidities still limit the long-term survival of heart transplant recipients. The risk of poor outcome, such us major health status aggravation and death, can stimulate the occurrence of depression and stress in this population. The aim of this study was to determine the impact of comorbidities on depressive symptoms and distress among heart transplant recipients. (Source: Heart and Lung)
Source: Heart and Lung - November 2, 2017 Category: Intensive Care Authors: Irena Milaniak, Ewa Wilczek-Ru życzka, Karol Wierzbicki, Anna Kędziora, Piotr Przybyłowski Source Type: research

Effectiveness of a multidisciplinary disease management program on outcomes in patients with heart failure in China: A randomized controlled single center study
Multidisciplinary disease management programs (MDMP) for patients with heart failure (HF) have been delivered, but evidence of their effectiveness in China is limited. (Source: Heart and Lung)
Source: Heart and Lung - November 2, 2017 Category: Intensive Care Authors: Yiyin Chen, Marjorie Funk, Jia Wen, Xianghua Tang, Guixiang He, Hong Liu Source Type: research

Memory loss and decreased executive function are associated with limited functional capacity in patients with heart failure compared to patients with other medical conditions
There is limited evidence on the degree of cognitive impairment and its association with physical functional capacity among patients with heart failure (HF) in Korea. (Source: Heart and Lung)
Source: Heart and Lung - November 2, 2017 Category: Intensive Care Authors: JinShil Kim, Mi-Seung Shin, Seon Young Hwang, Eunok Park, Young-Hyo Lim, Jae Lan Shim, Sun Hwa Kim, Yeon Hee Kim, Minjeong An Source Type: research

Takotsubo Cardiomyopathy precipitated by opiate withdrawal
Takotsubo Cardiomyopathy is a transient non-ischemic cardiomyopathy usually characterized by apical ballooning of the left ventricle, with electrocardiographic changes and enzyme release, without evidence of obstructive coronary artery disease. Typically seen in stress induced situations, in post-menopausal females, this condition may have a predilection for patients with dependency disorders. (Source: Heart and Lung)
Source: Heart and Lung - November 2, 2017 Category: Intensive Care Authors: Peter C. Olson, Vratika Agarwal, James C. Lafferty, Soad Bekheit Source Type: research

Association between the 6-minute walk test and exercise confidence in patients with heart failure: A prospective observational study
Exercise confidence predicts exercise adherence in heart failure (HF) patients. The association between simple tests of functional capacity on exercise confidence are not known. (Source: Heart and Lung)
Source: Heart and Lung - October 21, 2017 Category: Intensive Care Authors: Francis J. Ha, Samia R. Toukhsati, James D. Cameron, Rosie Yates, David L. Hare Source Type: research

Gender and racial differences in surgical outcomes among adult patients with acute heart failure
Approximately three million U.S. adult women have heart failure (HF), increasing their risk of adverse perioperative outcomes. While gender and racial differences are reported in surgical outcomes, less is known about 30-day perioperative outcomes in HF patients. (Source: Heart and Lung)
Source: Heart and Lung - October 21, 2017 Category: Intensive Care Authors: Cynthia Arslanian-Engoren, Joseph J. Sferra, Milo Engoren Source Type: research

Table of Contents
(Source: Heart and Lung)
Source: Heart and Lung - October 20, 2017 Category: Intensive Care Source Type: research

Board of Directors
(Source: Heart and Lung)
Source: Heart and Lung - October 20, 2017 Category: Intensive Care Source Type: research

Information for Readers
(Source: Heart and Lung)
Source: Heart and Lung - October 20, 2017 Category: Intensive Care Source Type: research

Information for Authors
(Source: Heart and Lung)
Source: Heart and Lung - October 20, 2017 Category: Intensive Care Source Type: research

Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up
Heart failure (HF) self-care is important in reducing clinical events (all-cause mortality, emergency room visits and hospitalizations). HF self-care behaviors are multidimensional and include maintenance (i.e. daily adherence behaviors), management (i.e. symptom response behaviors) and consulting behaviors (i.e. contacting a provider when appropriate). Across these dimensions, patterns of successful patient engagement in self-care have been observed (e.g. successful in one dimension but not in others), but no previous studies have linked patterns of HF self-care to clinical events. (Source: Heart and Lung)
Source: Heart and Lung - October 17, 2017 Category: Intensive Care Authors: Christopher S. Lee, Julie T. Bidwell, Marco Paturzo, Rosaria Alvaro, Antonello Cocchieri, Tiny Jaarsma, Anna Str ömberg, Barbara Riegel, Ercole Vellone Source Type: research

Risk prediction model for in-hospital mortality in women with ST-elevation myocardial infarction: A machine learning approach
Studies had shown that mortality due to ST-elevation myocardial infarction (STEMI) is higher in women compared with men. The purpose of this study is to develop and validate prediction models for all-cause in-hospital mortality in women admitted with STEMI using logistic regression and random forest, and to compare the performance and validity of the different models. (Source: Heart and Lung)
Source: Heart and Lung - October 6, 2017 Category: Intensive Care Authors: Hend Mansoor, Islam Y. Elgendy, Richard Segal, Anthony A. Bavry, Jiang Bian Source Type: research

Level of knowledge among cardiac nurses regarding sexual counseling of post-MI patients in three tertiary care hospitals in Pakistan
The aim of this study is to measure the level of knowledge among cardiac nurses about sexual counseling of post-myocardial infarction (MI) patients. (Source: Heart and Lung)
Source: Heart and Lung - October 6, 2017 Category: Intensive Care Authors: Layla Rahim, Saleema Allana, Elaine Steinke, Fauziya Ali, Aamir Hameed Khan Source Type: research

The impact of transcatheter aortic valve implantation on quality of life: A mixed methods study
To provide an in-depth understanding of patients' views about the impact of transcatheter aortic valve implantation on self-reported quality of life. (Source: Heart and Lung)
Source: Heart and Lung - October 4, 2017 Category: Intensive Care Authors: Felicity Astin, Judith Horrocks, Jim McLenachan, Daniel J. Blackman, John Stephenson, S. Jos é Closs Source Type: research

Experience of fathers of neonates with congenital heart disease in South Korea
Although the 1st month is critical for establishing fatherhood, rare studies have focused on this topic. (Source: Heart and Lung)
Source: Heart and Lung - September 25, 2017 Category: Intensive Care Authors: Jeonghyun Kim, Chiyoung Cha Source Type: research

Amiodarone, lidocaine, magnesium or placebo in shock refractory ventricular arrhythmia: A Bayesian network meta-analysis
Recent evidence challenges, the superiority of amiodarone, compared to other anti-arrhythmic medications, as the agent of choice in pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF). We conducted Bayesian network and traditional meta-analyses to investigate the relative efficacies of amiodarone, lidocaine, magnesium (MgSO4) and placebo as treatments for pulseless VT or VF. Eleven studies [5200 patients, 7 randomized trials (4, 611 patients) and 4 non-randomized studies (589 patients)], were included in this meta-analysis. (Source: Heart and Lung)
Source: Heart and Lung - September 25, 2017 Category: Intensive Care Authors: Safi U. Khan, Lydia Winnicka, Muhammad A. Saleem, Hammad Rahman, Najeeb Rehman Source Type: research

Heart & Lung Leadership note: A message from the board
No matter what our role in healthcare, we all know the importance of research on improving outcomes for patients with chronic illnesses such as heart failure. Research provides indications and rationales for performing evidenced based care and is the cornerstone of our practice. We know that heart failure affects approximately 6 million individuals in the U.S. and the cost has been estimated at $39.2 billion per year.1 The costs due to heart failure hospitalizations are estimated at $8 to $15 billion each year, which is twice the amount spent for all forms of cancer. (Source: Heart and Lung)
Source: Heart and Lung - September 22, 2017 Category: Intensive Care Authors: Kelly D. Stamp Tags: AAHFN Leadership Article Source Type: research

Symptom challenges after atrial fibrillation ablation
It is unclear what symptom challenges occur during the recovery phase after atrial fibrillation (AF) ablation. (Source: Heart and Lung)
Source: Heart and Lung - September 16, 2017 Category: Intensive Care Authors: Kathryn A. Wood, Angel H. Barnes, Sudeshna Paul, Kristina A. Hines, Kevin P. Jackson Source Type: research

Translation and cultural adaptation of the quality of communication questionnaire for ICU family members in Korea
There are no Korean instruments to assess the concepts associated with end-of-life communication quality. (Source: Heart and Lung)
Source: Heart and Lung - September 11, 2017 Category: Intensive Care Authors: Minjeong Jo, Mi-Kyung Song, Marcia Van Riper, Yang-Sook Yoo, George J. Knafl, Linda Beeber Source Type: research

Revisiting unplanned extubation in the pediatric intensive care unit: What's new?
In 2010, recommendations for preventing unplanned extubations (UEs) in pediatric patients were published based on a literature review. Since then, there have been an increasing number of publications related to UE focusing on children. If the introduction of care bundles and larger body of evidence on UE had impact on UE occurrence, this would have important implications on clinical practice. We searched for relevant publications published between Jan 1, 2010 and Jun 30, 2016 in the MEDLINE, EMBASE, and Cochrane systems. (Source: Heart and Lung)
Source: Heart and Lung - September 11, 2017 Category: Intensive Care Authors: Paulo S érgio Lucas da Silva, Daniela Farah, Marcelo Cunio Machado Fonseca Source Type: research

Apnoeic oxygenation during intubation in the intensive care unit: A systematic review and meta-analysis
Hypoxaemia increases the risk of cardiac arrest and mortality during intubation. The reduced physiological reserve and reduced efficacy of pre-oxygenation in intensive care patients makes their intubation particularly dangerous. Apnoeic oxygenation is a promising means of preventing hypoxaemia in this setting. We sought to ascertain whether apnoeic oxygenation reduces the incidence of hypoxaemia when used during endotracheal intubation in the intensive care unit (ICU). A systematic review of five databases for all relevant studies published up to November 2016 was performed. (Source: Heart and Lung)
Source: Heart and Lung - September 11, 2017 Category: Intensive Care Authors: Matthew J. Binks, Rhys S. Holyoak, Thomas M. Melhuish, Ruan Vlok, Anthony Hodge, Thomas Ryan, Leigh D. White Source Type: research

Lung deposition and systemic bioavailability of different aerosol devices with and without humidification in mechanically ventilated patients
During mechanical ventilation medical aerosol delivery has been reported to be upto two fold greater with dry inhaled gas than with heated humidity. Urine levels at 0.5  h post dose (URSAL0.5%) has been confirmed as an index of lung deposition and 24 h (URSAL24%) as index of systemic absorption.Our aim was to determine the effect of humidification and aerosol device type on drug delivery to ventilated patients using urine levels. (Source: Heart and Lung)
Source: Heart and Lung - September 4, 2017 Category: Intensive Care Authors: Islam O.F. Moustafa, Mohammed R. A.-A. Ali, Moataz Al Hallag, Hoda Rabea, James B. Fink, Patricia Dailey, Mohamed E.A. Abdelrahim Source Type: research

Table of Contents
(Source: Heart and Lung)
Source: Heart and Lung - September 1, 2017 Category: Intensive Care Source Type: research

Board of Directors
(Source: Heart and Lung)
Source: Heart and Lung - September 1, 2017 Category: Intensive Care Source Type: research

Information for Readers
(Source: Heart and Lung)
Source: Heart and Lung - September 1, 2017 Category: Intensive Care Source Type: research

Information for Authors
(Source: Heart and Lung)
Source: Heart and Lung - September 1, 2017 Category: Intensive Care Source Type: research

Looking to the future: Introducing palliative care in the cardiorespiratory population
I thoroughly enjoyed reading the recent Heart& Lung issue (Jan/Feb 2017) that focused on palliative care. In particular, I found the historical perspective by Grady.1 to be of great interest as a current PhD student, palliative care clinician, and novice nurse researcher. While Grady eloquently described the contributions of nursing science to palliative care, I was struck by the reoccurring question of timing of palliative care services. While evidence is mounting concerning the benefit of palliative care in symptom burden, quality of life, and advance care planning, questions of timing still remain as evidenced in th...
Source: Heart and Lung - September 1, 2017 Category: Intensive Care Authors: Rachel Wells Source Type: research

The Yale Fitness Intervention Trial in female cancer survivors: Cardiovascular and physiological outcomes
Induced premature menopause and cardio-toxic therapy increase cardiovascular disease risk in female cancer survivors. (Source: Heart and Lung)
Source: Heart and Lung - August 10, 2017 Category: Intensive Care Authors: M. Tish Knobf, Sangchoon Jeon, Barbara Smith, Lyndsay Harris, Siobhan Thompson, Mitchel R. Stacy, Karl Insogna, Albert J. Sinusas Source Type: research

Risk factors for 30-day readmission in patients with congestive heart failure
Risk of readmission is elevated in patients congestive heart failure (CHF), and clinical decision makers need to better understand risk factors for 30-day readmissions. (Source: Heart and Lung)
Source: Heart and Lung - August 8, 2017 Category: Intensive Care Authors: Katelin A. Mirkin, Laura M. Enomoto, Gregory M. Caputo, Christopher S. Hollenbeak Source Type: research

AAHFN leadership message
“Life is pleasant. Death is peaceful. It's the transition that is troublesome.”Isaac Asimov (Source: Heart and Lung)
Source: Heart and Lung - August 5, 2017 Category: Intensive Care Authors: Sita S. Price Tags: AAHFN Leadership Article Source Type: research

Peripartum cardiomyopathy is associated with increased uric acid concentrations: A population based study
Peri-partum cardiomyopathy (PPCM) is a clinical heart failure that usually develops during the final stage of pregnancy or the first months following delivery. High maternal serum uric acid concentrations have been previous associated with heart failure and preeclampsia. (Source: Heart and Lung)
Source: Heart and Lung - August 2, 2017 Category: Intensive Care Authors: Iftach Sagy, Amjad Abu Salman, Louise Kezerle, Offer Erez, Idan Yoel, Leonid Barski Source Type: research

Looking ahead and behind at supplemental oxygen: A qualitative study of patients with pulmonary fibrosis
Supplemental oxygen is prescribed to patients with pulmonary fibrosis to normalize oxygen saturations, decrease symptoms and improve quality of life. Along with potential benefits, patients face challenges as they incorporate oxygen into their lives. (Source: Heart and Lung)
Source: Heart and Lung - July 31, 2017 Category: Intensive Care Authors: Bridget A. Graney, Frederick S. Wamboldt, Susan Baird, Tara Churney, Kaitlin Fier, Marjorie Korn, Mark McCormick, Thomas Vierzba, Jeffrey J. Swigris Source Type: research

The preanalytical phase should be carefully assessed during the comparisons of point-of-care versus central laboratory measurements
We read with great interest the recently published article  “Comparison of point-of-care versus central laboratory measurement of hematocrit, hemoglobin, and electrolyte concentrations” by A. Gavala and P. Myrianthefs1 and would like to add some comments. (Source: Heart and Lung)
Source: Heart and Lung - July 19, 2017 Category: Intensive Care Authors: Adrien Auvet, Ana-Maria Simundic, Antoine Guillon Source Type: research

Effective use of levosimendan in anthracycline-induced cardiomyopathy: A case report
Anthracycline-induced cardiomyopathy is a serious side effect that ranges from mild left ventricular systolic impairment to congestive heart failure and cardiogenic shock. Currently, there is no evidence indicating the effective use of levosimendan in these cases. (Source: Heart and Lung)
Source: Heart and Lung - July 18, 2017 Category: Intensive Care Authors: Nikolaos Miaris, Stefanos Zezas, Joseph Sgouros, Dimitra-Christina Zirou, Stefania Gkoura, George Stamoulis, Helen Angelopoulou, George Avgeropoulos, Epaminondas Samantas Source Type: research

Sarcoidosis with fever and a splenic infarct due to CMV or lymphoma?
We present a case of an adult female with a past history of pulmonary sarcoidosis who presented with fever, night sweats, profound fatigue, and LUQ abdominal pain. Sarcoidosis is an afebrile disorder (excluding Lofgren's syndrome, Heerfordt's syndrome or neurosarcoidosis). Therefore, the presence of fever with sarcoidosis should suggest infection, usually viral, or lymphoma. Sarcoidosis-lymphoma syndrome describes the evolution of a lymphoma in long standing sarcoidosis. Fever aside, possible lymphoma is suggested by otherwise unexplained fever, pleural unilateral effusion, highly elevated ESR or ferritin levels. (Source: Heart and Lung)
Source: Heart and Lung - July 10, 2017 Category: Intensive Care Authors: Burke A. Cunha, Thulashie Sivarajah, Ismail Jimada Source Type: research

Emotional intelligence in heart failure nursing
The current state of heart failure (HF) care remains challenging for patients, caregivers, and the healthcare delivery system. Providing cost effective, evidenced-based care requires skilled clinicians supported by efficient care delivery models. The nursing profession remains central in meeting the needs of patients regardless of setting or scope of practice. There is a continuous, growing need for expertise in HF clinical practice, education, and research. (Source: Heart and Lung)
Source: Heart and Lung - July 1, 2017 Category: Intensive Care Authors: Beth Towery Davidson Tags: AAHFN Leadership Message Source Type: research

Table of Contents
(Source: Heart and Lung)
Source: Heart and Lung - July 1, 2017 Category: Intensive Care Source Type: research

Board of Directors
(Source: Heart and Lung)
Source: Heart and Lung - July 1, 2017 Category: Intensive Care Source Type: research

Information for Readers
(Source: Heart and Lung)
Source: Heart and Lung - July 1, 2017 Category: Intensive Care Source Type: research

Information for Authors
(Source: Heart and Lung)
Source: Heart and Lung - July 1, 2017 Category: Intensive Care Source Type: research

Prevalence of cardiovascular and respiratory complications following trauma in patients with obesity
It is generally accepted that obesity puts patients at an increased risk for cardiovascular and respiratory complications after surgical procedures. However, in the setting of trauma, there have been mixed findings in regards to whether obesity increases the risk for additional complications. (Source: Heart and Lung)
Source: Heart and Lung - June 23, 2017 Category: Intensive Care Authors: Teresa Bell, Samantha Stokes, Peter C. Jenkins, LeRanna Hatcher, Alison M. Fecher Source Type: research

Somatic support following cardiac arrest for 90  days leading to a healthy baby boy: A case report
Due to a lack of published case reports regarding the somatic support of brain dead pregnant patients, each one adds to the limited knowledge that directs care for this patient population. A young woman experienced a cardiac arrest and was subsequently determined to be approximately 20 weeks pregnant following cardio pulmonary resuscitation. Soon after, she was diagnosed as brain dead, but her family chose to keep her supported in hopes of the delivery of a healthy child. She was transferred to our facility, where she was supported after being diagnosed as brain dead for a total of 90 days and delivered a healthy baby boy ...
Source: Heart and Lung - June 17, 2017 Category: Intensive Care Authors: Sarah Holliday, Barbara Magnuson-Woodward Source Type: research

Mobilization of prolonged mechanical ventilation patients: An integrative review
Mobilization of mechanical ventilation patients has broadened to include patients requiring prolonged mechanical ventilation (PMV). A previous systematic review outlined methodological flaws in the literature. The purpose of this integrative review is to evaluate existing publications to determine if mobilization interventions in PMV patients improve physical function, weaning rates, pulmonary mechanics, and hospital outcomes. An electronicsearch covering 2005 –2016, included five bibliographic databases: CINHAL, PubMed, PEDro, EMBASE, and Web of Science. (Source: Heart and Lung)
Source: Heart and Lung - June 14, 2017 Category: Intensive Care Authors: Heather Dunn, Laurie Quinn, Susan J. Corbridge, Kamal Eldeirawi, Mary Kapella, Eileen G. Collins Tags: Care of Critically Ill Adults Source Type: research

Heart transplant centers with multidisciplinary team show a higher level of chronic illness management – Findings from the International BRIGHT Study
The objectives of this study were to: (1) explore the proportion of HTx centers that have a multidisciplinary team and (2) assess the relationship between multidisciplinarity and the level of chronic illness management (CIM). (Source: Heart and Lung)
Source: Heart and Lung - June 14, 2017 Category: Intensive Care Authors: Maan Isabella Cajita, Eva Baumgartner, Lut Berben, Kris Denhaerynck, Remon Helmy, Sandra Sch önfeld, Gabriele Berger, Christine Vetter, Fabienne Dobbels, Cynthia L. Russell, Sabina De Geest, BRIGHT Study Team Source Type: research

The Effect of Massage on Acute Postoperative Pain in Critically and Acutely Ill Adults Post-thoracic Surgery: Systematic Review and Meta-analysis of Randomized Controlled Trials
Critical care practice guidelines identify a lack of clear evidence on the effectiveness of massage for pain control. To assess the effect of massage on acute pain in critically and acutely ill adults post-thoracic surgery. Medline, Embase, CINAHL, PsychInfo, Web of Science, Scopus and Cochrane Library databases were searched. Eligible studies were randomized controlled trials (RCTs) evaluating the effect of massage compared to attention control/sham massage or standard care alone on acute pain intensity post-thoracic surgery. (Source: Heart and Lung)
Source: Heart and Lung - June 14, 2017 Category: Intensive Care Authors: Madalina Boitor, C éline Gélinas, Melissa Richard-Lalonde, Brett D. Thombs Source Type: research

Delirium prevention in critically ill adults through an automated reorientation intervention – A pilot randomized controlled trial
Explore the effect of an automated reorientation intervention on ICU delirium in a prospective randomized controlled trial. (Source: Heart and Lung)
Source: Heart and Lung - June 13, 2017 Category: Intensive Care Authors: Cindy L. Munro, Paula Cairns, Ming Ji, Karel Calero, W. McDowell Anderson, Zhan Liang Source Type: research

Depression and health behaviors in women with Peripartum Cardiomyopathy
Depression and health behavior engagement are a critical issue for recovery and secondary prevention in heart failure patients. No prior studies have examined these important clinical outcomes in young women diagnosed with Peripartum Cardiomyopathy (PPCM). We sought to characterize the prevalence of depression and health behaviors in PPCM patients and examine whether depression is associated with reduced engagement in health behaviors. (Source: Heart and Lung)
Source: Heart and Lung - June 2, 2017 Category: Intensive Care Authors: Lindsey Rosman, Elena Salmoirago-Blotcher, John Cahill, Karl L. Wuensch, Samuel F. Sears Source Type: research

Agreement between heart failure patients and providers in assessing New York Heart Association functional class
Uncertainty persists regarding whether patient assessment of New York Heart Association (NYHA) functional classification should be preferred over provider assessment among patients with heart failure (HF). (Source: Heart and Lung)
Source: Heart and Lung - May 27, 2017 Category: Intensive Care Authors: Brent A. Williams, Sanjay Doddamani, Melissa A. Troup, Alison L. Mowery, Cynthia M. Kline, Janine A. Gerringer, Robert T. Faillace Source Type: research

Six-minute walk distance predicts 30-day readmission after acute heart failure hospitalization
To determine the relationship between 6-min walk test distance (6MWD) and 30-day readmission in hospitalized heart failure (HF) patients. (Source: Heart and Lung)
Source: Heart and Lung - May 24, 2017 Category: Intensive Care Authors: Nancy McCabe, Javed Butler, Sandra B. Dunbar, Melinda Higgins, Carolyn Reilly Source Type: research