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1دورية أكاديمية
المؤلفون: Mina K. Chung, Kristen K. Patton, Chu‐Pak Lau, Alexander R. J. Dal Forno, Sana M. Al‐Khatib, Vanita Arora, Ulrika Maria Birgersdotter‐Green, Yong‐Mei Cha, Eugene H. Chung, Edmond M. Cronin, Anne B. Curtis, Iwona Cygankiewicz, Gopi Dandamudi, Anne M. Dubin, Douglas P. Ensch, Taya V. Glotzer, Michael R. Gold, Zachary D. Goldberger, Rakesh Gopinathannair, Eiran Z. Gorodeski, Alejandra Gutierrez, Juan C. Guzman, Weijian Huang, Peter B. Imrey, Julia H. Indik, Saima Karim, Peter P. Karpawich, Yaariv Khaykin, Erich L. Kiehl, Jordana Kron, Valentina Kutyifa, Mark S. Link, Joseph E. Marine, Wilfried Mullens, Seung‐Jung Park, Ratika Parkash, Manuel F. Patete, Rajeev Kumar Pathak, Carlos A. Perona, John Rickard, Mark H. Schoenfeld, Swee‐Chong Seow, Win‐Kuang Shen, Morio Shoda, Jagmeet P. Singh, David J. Slotwiner, Arun Raghav M. Sridhar, Uma N. Srivatsa, Eric C. Stecker, Tanyanan Tanawuttiwat, W. H. Wilson Tang, Carlos Andres Tapias, Cynthia M. Tracy, Gaurav A. Upadhyay, Niraj Varma, Kevin Vernooy, Pugazhendhi Vijayaraman, Sarah Ann Worsnick, Wojciech Zareba, Emily P. Zeitler, Document Reviewers, Nestor Lopez‐Cabanillas, Kenneth A. Ellenbogen, Wei Hua, Takanori Ikeda, Judith A. Mackall, Pamela K. Mason, Christopher J. McLeod, Theofanie Mela, Jeremy P. Moore, Laurel Kay Racenet
المصدر: Journal of Arrhythmia, Vol 39, Iss 5, Pp 681-756 (2023)
مصطلحات موضوعية: cardiac resynchronization therapy, conduction system pacing, guideline, his bundle pacing, left bundle branch area pacing, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Abstract Cardiac physiologic pacing (CPP), encompassing cardiac resynchronization therapy (CRT) and conduction system pacing (CSP), has emerged as a pacing therapy strategy that may mitigate or prevent the development of heart failure (HF) in patients with ventricular dyssynchrony or pacing‐induced cardiomyopathy. This clinical practice guideline is intended to provide guidance on indications for CRT for HF therapy and CPP in patients with pacemaker indications or HF, patient selection, pre‐procedure evaluation and preparation, implant procedure management, follow‐up evaluation and optimization of CPP response, and use in pediatric populations. Gaps in knowledge, pointing to new directions for future research, are also identified.
وصف الملف: electronic resource
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2دورية أكاديمية
المؤلفون: Jose Aguilera, Erika Hutt, Ruth Madden, Mohamed Kanj, Walid Saliba, John Rickard, Jakub Sroubek, Thomas Callahan, Mina Chung, Brian Baranowski, David Martin, Thomas Dresing, Oussama M. Wazni, Ayman Hussein, Daniel Cantillon, Divyang Patel, Shady Nakhla, Tyler Taigen
المصدر: Heliyon, Vol 9, Iss 11, Pp e22178- (2023)
مصطلحات موضوعية: Atrial fibrillation, Catheter ablation, Pulmonary vein isolation, Same day discharge, Patients outcome, Science (General), Q1-390, Social sciences (General), H1-99
الوصف: Background: Atrial fibrillation (AF) catheter ablation has become an increasingly effective and safe strategy for the management of AF. With increased safety of catheter ablation, same-day discharge (SDD) is a potential way to minimize health care resource utilization and improve patient experience. Objective: To evaluate the safety and patient satisfaction of SDD after contemporary AF ablation. Methods: Consecutive patient undergoing AF ablation at our institution between 1/2020 and 10/2021 were enrolled in registry for clinical, quality, procedural and outcomes data. Patients were considered for SDD per physician discretion and patients’ preference based upon clinical evaluation. Adjudicated ninety-day major complications, thirty-day adverse events, and thirty-day re-admissions were collected in a prospective registry for all patients. Results: A total of 2142 consecutive patients underwent elective AF ablation during the study period. After excluding cases with missing data, 1830 patients were included in the analysis. Of those, 350 (19 %) patients were discharged the same day (SDD group) and 1480 (81 %) stayed overnight. Patients in the SDD group compared to overnight stay group were younger, more likely to be male, White patients, lower CHA2DS2-VASc score and to be on lower rates of warfarin as an anticoagulation strategy. After propensity score matching, SDD was associated with lower rate of major complications and higher patient satisfaction. The majority of life-treating complications occurred interprocedurally or within 6 h of procedure termination. Conclusion: The present study demonstrated that SDD after contemporary AF ablation is feasible, safe and associated with higher patient satisfaction using a proposed SDD pathway and criteria.
وصف الملف: electronic resource
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3دورية أكاديمية
المؤلفون: Cameron T. Lambert, MD, Divyang Patel, MD, Joseph M. Bumgarner, MD, Mohamed Kanj, MD, Daniel Cantillon, MD, FHRS, Walid Saliba, MD, Ayman Hussein, MD, FHRS, Bryan Baranowski, MD, Thomas Dresing, MD, Mina K. Chung, MD, FHRS, John Rickard, MD, MPH, Niraj Varma, MD, PhD, Thomas Callahan, MD, FHRS, David Martin, MD, Patrick Tchou, MD, FHRS, Mandeep Bhargava, MD, Kathy Wolski, MS, Oussama Wazni, MD, FHRS, Khaldoun G. Tarakji, MD, MPH, FHRS
المصدر: Cardiovascular Digital Health Journal, Vol 2, Iss 2, Pp 92-100 (2021)
مصطلحات موضوعية: Atrial fibrillation, Digital health, ECG monitoring, mHealth, Remote monitoring, Telehealth, Diseases of the circulatory (Cardiovascular) system, RC666-701, Medical technology, R855-855.5
الوصف: Background: Direct-to-consumer devices allow patients to record electrocardiograms (ECG) and detect atrial fibrillation (AF). Clinical adoption of these devices has been limited owing to the lack of efficient workflow. Objective: To assess a new care model for following patients after AF ablation that uses a smartphone ECG coupled with a novel cloud-based platform. Methods: This was a pilot study to describe AF detection, healthcare utilization, use of additional ECGs and cardiac monitors, and changes in anxiety after AF ablation. Patients presenting 3–4 months after early successful AF ablation were randomized into a control group with standard clinical follow-up or a self-monitoring group using smartphone ECG (Kardia Mobile, KM) coupled with a cloud-based platform (KardiaPro, KP) that alerted the physician when AF was detected and followed for 6 months Results: A total of 100 patients were randomized: 51 to the KM/KP group and 48 to the control group (1 withdrew). AF was detected in 18 patients (18.2%), 11 (21.6%) in the KM/KP group and 7 (14.6%) in the control group (P = .42). AF detection occurred at a median of 68 and 91 days in the KM/KP and control groups, respectively (P = .93). These differences were not statistically significant. Healthcare utilization and changes in anxiety were similar between the groups. More patients required additional ECGs or cardiac monitors in the control group (27.1%) compared to the KM/KP group (5.9%) (P = .004). Conclusions: Smartphone ECG with a cloud-based platform can be incorporated into the care of post–AF ablation patients without increasing anxiety and with less need for additional traditional monitors.
وصف الملف: electronic resource
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4دورية أكاديمية
المؤلفون: Eiran Z Gorodeski, Christina Magnelli-Reyes, Laurie Ann Moennich, Adam Grimaldi, John Rickard
المصدر: PLoS ONE, Vol 14, Iss 9, p e0222610 (2019)
الوصف: BackgroundPost-implant care of patients with heart failure (HF) undergoing cardiac resynchronization therapy (CRT) is not addressed in current HF or CRT guidelines and is often fragmented with poor communication between specialties. We sought to develop a new model of post-CRT care which could be implemented in busy clinical settings.Methods and resultsWe designed a novel, multidisciplinary approach to standardizing post CRT care. All patients receiving a CRT device at the Cleveland Clinic between March 2017 and August 2018 were invited to be seen in the clinic 6 months post implant. A one-time collaborative visit encompassing cardiac imaging, heart failure, and electrophysiology care was performed. We recorded the operational feasibility of the clinic in terms of patient throughput as well as patient characteristics, interventions, and new diagnoses made. Between September 2017 and February 2019, 150 patients were seen in the clinic. Of these, 125 patients had their index CRT implanted for standard indications and were included in the current analysis. Approximately 45 minutes were dedicated for each patient visit. Interventions in care were made in 95% of patients, with CRT non-responders offered a higher number of interventions as compared to responders (median 3 versus 2 interventions). Types of interventions were device-related (26% of population), medication-related (74%), and referral for alternate medical services (80%).ConclusionsMultidisciplinary post-implant care of patients with HF receiving CRT devices, regardless of CRT response status, is feasible and results in frequent medical interventions.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/1932-6203
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5دورية أكاديمية
المؤلفون: Jane Dewire, Irfan M. Khurram, Farhad Pashakhanloo, David Spragg, Joseph E. Marine, Ronald D. Berger, Hiroshi Ashikaga, John Rickard, Stefan L. Zimmerman, Vadim Zipunnikov, Hugh Calkins, Saman Nazarian
المصدر: Clinical Medicine Insights: Cardiology, Vol 2014, Iss Suppl. 1, Pp 25-30 (2014)
مصطلحات موضوعية: Diseases of the circulatory (Cardiovascular) system, RC666-701
وصف الملف: electronic resource
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6دورية أكاديمية
المؤلفون: Victor Nauffal, Yiyi Zhang, Tanyanan Tanawuttiwat, Elena Blasco-Colmenares, John Rickard, Joseph E Marine, Barbara Butcher, Sanaz Norgard, Timm-Michael Dickfeld, Kenneth A Ellenbogen, Eliseo Guallar, Gordon F Tomaselli, Alan Cheng
المصدر: PLoS ONE, Vol 12, Iss 4, p e0175205 (2017)
الوصف: Cardiac resynchronization therapy (CRT) devices reduce mortality through pacing-induced cardiac resynchronization and implantable cardioverter defibrillator (ICD) therapy for ventricular arrhythmias (VAs). Whether certain factors can predict if patients will benefit more from implantation of CRT pacemakers (CRT-P) or CRT defibrillators (CRT-D) remains unclear.We followed 305 primary prevention CRT-D recipients for the two primary outcomes of HF hospitalization and ICD therapy for VAs. Serum biomarkers, electrocardiographic and clinical variables were collected prior to implant. Multivariable analysis using Cox-proportional hazards model was used to fit the final models. Among 282 patients with follow-up outcome data, 75 (26.6%) were hospitalized for HF and 31 (11%) received appropriate ICD therapy. Independent predictors of HF hospitalization were atrial fibrillation (HR = 1.8 (1.1,2.9)), NYHA class III/IV (HR = 2.2 (1.3,3.6)), ejection fraction 4.03pg/ml (HR = 1.7 (1.1,2.9)) and hemoglobin (20mg/dL (HR = 3.0 (1.3,7.1)), HS-CRP >9.42mg/L (HR = 2.3 (1.1,4.7)), no beta blocker therapy (HR = 3.2 (1.4,7.1)) and hematocrit ≥38% (HR = 2.7 (1.03,7.0)). Patients with 0-1 risk factors for appropriate therapy (IR 1 per 100 person-years) and ≥3 risk factors for HF hospitalization (IR 23 per 100-person-years) were more likely to die prior to receiving an appropriate ICD therapy.Clinical and biomarker data can risk stratify CRT patients for HF progression and VAs. These findings may help characterize subgroups of patients that may benefit more from the use of CRT-P vs. CRT-D systems.ClinicalTrials.gov NCT00733590.
وصف الملف: electronic resource
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7دورية أكاديمية
المؤلفون: John Rickard
المصدر: Forced Migration Review, Iss 18, p 9 (2003)
مصطلحات موضوعية: forced migration, refugee, asylum, displacement, humanitarian, logistics, Social history and conditions. Social problems. Social reform, HN1-995
الوصف: As a logistician, have you ever first learned of a newproject when the purchase requisitions appeared onyour desk? Or received a vehicle request 20 minutesbefore it was urgently required?
وصف الملف: electronic resource
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المؤلفون: John Rickard, Kevin Jackson, Michael Gold, Mauro Biffi, Matteo Ziacchi, Joshua Silverstein, Brian Ramza, Mark Metzl, Eric Grubman, Richard Abben, Niraj Varma, Ghiyath Tabbal, Cory Jensen, Griet Wouters, Subham Ghosh, Kevin Vernooy
المساهمون: MUMC+: MA Cardiologie (3), Cardiologie, RS: Carim - H06 Electro mechanics, RS: Carim - H01 Clinical atrial fibrillation
المصدر: Heart Rhythm, 20, 537-544. Elsevier Science
مصطلحات موضوعية: Physiology (medical), Cardiology and Cardiovascular Medicine
الوصف: Background: Patients with ischemic cardiomyopathy, non–left bundle branch block, or QRS duration
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المصدر: Heart Rhythm. 20:173-180
مصطلحات موضوعية: Physiology (medical), Cardiology and Cardiovascular Medicine
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10
المؤلفون: PIETER Martens, MAZEN HANNA, JASON VALENT, WILFRIED MULLENS, LAUREN IVES, DEBBIE H. KWON, JOHN RICKARD, W.H. WILSON TANG
المصدر: Journal of Cardiac Failure. 28:1664-1672
مصطلحات موضوعية: Cardiology and Cardiovascular Medicine
الوصف: Conduction-system involvement in cardiac amyloidosis (CA) is common. The prevalence, clinical correlates and impact on outcome related to ventricular electrical dyssynchrony in CA remain insufficiently elucidated.Data from a prospectively maintained registry of patients with CA diagnosed in the Cleveland Clinic's amyloidosis clinic was used to determine the frequency of electrical dyssynchrony (defined as a QRS130 msec). The relation with the clinical profile and clinical outcome was assessed. To determine the impact of hypertrophy on QRS prolongation, a QRS-matched cohort without CA was used for comparison of cardiac magnetic resonance imaging.A total of 1140 patients with CA (39% AL, 61% TTR) were evaluated, of whom 230 (20%) had electrical dyssynchrony. The type of conduction block was predominantly a right bundle branch block (BBB, 48%) followed by left BBB (35%) and intraventricular conduction delay (17%). Presence of transthyretin amyloidosis (ATTR-CA), older age, male gender, white race, and coronary artery disease were independently (P0.05 for all) associated with electrical dyssynchrony, and patients were more commonly prescribed a mineralocorticoid receptor antagonist. In ATTR-CA, specifically, every increase in ATTR-CA disease stage was associated with a 1.55-fold (1.23--1.95; P0.001) increased odds for electrical dyssynchrony. In a subset of patients with CA who underwent cardiac magnetic resonance imaging (n = 41), left ventricular mass index was unrelated to the QRS duration (r = 0.187; P = 0.283) in CA, in contrast to a non-CA QRS-matched cohort (r = 0.397; P0.001). Patients with electrical dyssynchrony were more symptomatic at initial presentation, as illustrated by a higher New York Heart Association class (P= 0.041). During a median follow-up of 462 days (IQR:138--996 days), a higher proportion of patients with electrical dyssynchrony died from all-cause death (P= 0.037) or developed a permanent pacing indication (3% vs 10.4%; P0.001) during follow-up.Electrical dyssynchrony is common in CA, especially in ATTR-CA, and is associated with worse functional status and clinical outcome. Given the high rate of permanent pacing indications at follow-up, additional studies are necessary to determine the best monitoring and pacing strategies in CA.
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