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Source: Canadian Journal of Cardiology
Condition: Arrhythmia
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Total 11 results found since Jan 2013.
Medical Management of Left Ventricular Assist Device Patients: A Practical Guide for the Nonexpert Clinician
This article provides a concise overview of the medical management of LVAD patients for nonexpert clinicians. Our presentation includes the basics of LVAD physiology, design, and operation, patient selection and assessment, medical management, adverse event identification and management, multidisciplinary care, and management of special circumstances, such as noncardiac surgery, cardiac arrest, and end-of-life care. The clinical examination of LVAD patients is unique in terms of blood pressure and heart rate assessment, LVAD “hum” auscultation, driveline and insertion site inspection, and device parameter recording. Im...
Source: Canadian Journal of Cardiology - February 7, 2020 Category: Cardiology Source Type: research
Medical Management of LVAD Patients: A Practical Guide for the Non-Expert Clinician
This article provides a concise overview of the medical management of LVAD patients aimed for non-expert clinicians. Our presentation includes the basics of LVAD physiology, design and operation, patient selection, patient assessment, medical management, adverse event identification and management, multidisciplinary care, and management of special circumstances such as non-cardiac surgery, cardiac arrest, and end-of-life care. The clinical examination of LVAD patients is unique in terms of blood-pressure and heart-rate assessment, LVAD ‘hum’ auscultation, driveline/insertion-site inspection, and device-parameter record...
Source: Canadian Journal of Cardiology - October 5, 2019 Category: Cardiology Source Type: research
Arrhythmias in Adults with Congenital Heart Disease: What the Practicing Cardiologist Needs to Know
Publication date: Available online 16 July 2019Source: Canadian Journal of CardiologyAuthor(s): Paul KhairyAbstractThe expanding population of adults with congenital heart disease (CHD) combined with the pervasiveness of arrhythmias has resulted in the rapid growth of a dedicated sector of cardiology at the intersection between two subspecialties: electrophysiology and adult CHD. Herein, practical considerations are offered regarding urgent referral for catheter ablation of atrial arrhythmias, anticoagulation, and primary prevention implantable cardioverter-defibrillators (ICDs). Patients with Ebstein anomaly and ventricul...
Source: Canadian Journal of Cardiology - July 17, 2019 Category: Cardiology Source Type: research
The importance and future of population screening for atrial fibrillation
Publication date: Available online 17 August 2018Source: Canadian Journal of CardiologyAuthor(s): Seung Yong Shin, Gregory Y.H. LipAbstractAtrial fibrillation (AF) is a common and progressive heart rhythm disorder that causes structural, functional and electrical remodelling of the heart. Although we do not fully understand AF yet, this arrhythmia is one clinical feature of a syndrome that is represented by irregularly irregular atrial rhythm accompanied by progressive atrial structural and functional remodelling. Although ischemic stroke, most feared complication of AF, can be prevented by anticoagulation, asymptomatic or...
Source: Canadian Journal of Cardiology - August 18, 2018 Category: Cardiology Source Type: research
Key Questions Relating to Left Ventricular Noncompaction Cardiomyopathy: Is the Emperor Still Wearing Any Clothes?
Publication date: June 2017 Source:Canadian Journal of Cardiology, Volume 33, Issue 6 Author(s): Robert H. Anderson, Bjarke Jensen, Timothy J. Mohun, Steffen E. Petersen, Nay Aung, Filip Zemrak, R. Nils Planken, David H. MacIver The evidence is increasing that left ventricular noncompaction cardiomyopathy as it is currently defined does not represent a failure of compaction of pre-existing trabecular myocardium found during embryonic development to form the compact component of the ventricular walls. Neither is there evidence of which we are aware to favour the notion that the entity is a return to a phenotype seen in col...
Source: Canadian Journal of Cardiology - May 24, 2017 Category: Cardiology Source Type: research
Key Questions relating to left ventricular noncompaction cardiomyopathy - Is the Emperor still wearing any clothes?
Publication date: Available online 1 February 2017 Source:Canadian Journal of Cardiology Author(s): Robert H. Anderson, Bjarke Jensen, Timothy J. Mohun, Steffen E. Petersen, Nay Aung, Filip Zemrak, R Nils Planken, David H. MacIver The evidence is increasing that left ventricular noncompaction cardiomyopathy, as it is currently defined, does not represent failure of compaction of pre-existing trabecular myocardium found during embryonic development so as to form the compact component of the ventricular walls. Nor is there evidence, of which we are aware, to favour the notion that the entity is a return to a phenotype as se...
Source: Canadian Journal of Cardiology - January 31, 2017 Category: Cardiology Source Type: research
AF Genetics: Is There a Practical Clinical Value Now or In The Future?
Publication date: Available online 12 February 2016 Source:Canadian Journal of Cardiology Author(s): William J. Hucker, Harsimran Saini, Steven A. Lubitz, Patrick T. EllinorTeaser Atrial fibrillation (AF) is heritable and in recent years many genetic loci have been associated with the arrhythmia. Current efforts are directed at determining if AF genetic data can be used to refine clinical risk prediction, predict response to medical or procedural treatments, or help to determine the sequelea of AF such as heart failure and stroke.
Source: Canadian Journal of Cardiology - February 12, 2016 Category: Cardiology Source Type: research
Resident Physicians Choices of Anticoagulation for Stroke Prevention in Patients with Nonvalvular Atrial Fibrillation
This study revealed that, across a wide sampling of disciplines and centers, resident physician choices of anticoagulation in nonvalvular AF differ significantly from contemporary CCS guidelines. Teaser The mainstay of atrial fibrillation (AF) management is stroke prevention using oral anticoagulants. We surveyed 1014 resident physicians from family medicine, emergency medicine, internal medicine and adult cardiology specialties. We found that resident physicians provide care to large number of AF patients and their choices of anticoagulation for stroke prevention are not congruent with the Canadian Cardiovascular Society...
Source: Canadian Journal of Cardiology - August 15, 2015 Category: Cardiology Source Type: research
When to Suspect Sleep Apnea and What to Do About It
The objectives of treatment are to improve symptoms, quality of life, and cardiovascular outcomes. The mainstay of treatment for moderate-to-severe OSA is positive airway pressure (PAP). Automated PAP devices may be used in uncomplicated OSA, whereas continuous fixed PAP is the treatment of choice for other patients with OSA, and may also treat a proportion of patients with CSA-CSR. A form of bi-level PAP known as adaptive servoventilation is effective in treating a majority of patients with CSA-CSR.
Source: Canadian Journal of Cardiology - June 23, 2015 Category: Cardiology Source Type: research
“When to suspect sleep apnea and what to do about it”
This article provides an overview of the clinical signs and symptoms of sleep apnea, approaches to diagnostic testing and the main therapeutic strategies for both obstructive and central sleep apnea.”
Source: Canadian Journal of Cardiology - April 28, 2015 Category: Cardiology Source Type: research
New Directions in Cardiac Arrhythmia Management: Present Challenges and Future Solutions
Publication date: December 2014 Source:Canadian Journal of Cardiology, Volume 30, Issue 12, Supplement Author(s): Stanley Nattel , Jason Andrade , Laurent Macle , Lena Rivard , Katia Dyrda , Blandine Mondesert , Paul Khairy Cardiac arrhythmias are a major contributor to population morbidity and mortality. Enormous advances in arrhythmia management have occurred over the 60 years since the founding of the Montreal Heart Institute, but important challenges remain. The purpose of this article is to identify the areas of cardiac arrhythmia therapy that need improvement and to discuss the evolving approaches that promise solu...
Source: Canadian Journal of Cardiology - November 26, 2014 Category: Cardiology Source Type: research
