15,897 results match your criteria Defibrillation and Cardioversion


Length of stay and cost of care associated with admissions for atrial fibrillation among patients with cancer.

BMC Cardiovasc Disord 2022 Jun 17;22(1):272. Epub 2022 Jun 17.

Section of Cardiac Electrophysiology, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Background: The aim of this study is to assess the burden of AF-related hospitalizations inclusive of inflation-adjusted cost-of-care and length-of-stay (LOS) among cancer patients and the impact of direct current cardioversion (DCCV) on these outcomes.

Methods: Using the National Inpatient Sample (NIS), patients hospitalized with either a primary or secondary diagnosis of AF and comorbid cancer were identified and both cost of hospitalization and LOS were evaluated for each group. Subgroup analyses were performed for specific cancer types (breast, lung, colon, prostate and lymphoma), and those receiving DCCV. Read More

View Article and Full-Text PDF

Displaced AICD Lead Presenting as Hiccups: A Rare Complication.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221103380

State University of New York Upstate Medical University, Syracuse, USA.

Ventricular fibrillation can lead to sudden cardiac death. Automatic implantable cardioverter defibrillator (AICD) devices have shown to be highly successful in the termination of these arrhythmias and are a first-line modality of treatment for the prevention of sudden cardiac death. We present the case of a 69-year-old female with a history of paroxysmal atrial fibrillation on anticoagulation with apixaban and rate controlled with metoprolol who presented from home with a chief complaint of hiccups. Read More

View Article and Full-Text PDF

Cardioversion of Post-Ablation Atrial Tachyarrhythmia with Ibutilide and Amiodarone: A Registry-Based Cohort Study.

Int J Environ Res Public Health 2022 May 28;19(11). Epub 2022 May 28.

Medical University of Vienna, Department of Emergency Medicine, Waehringer Guertel 18-20, 1090 Vienna, Austria.

Patients with recurrence of atrial tachyarrhythmia after catheter ablation for atrial fibrillation or atrial flutter constitute a rapidly growing cohort, but study-driven treatment recommendations are lacking. The present study aimed to compare the cardioversion success of ibutilide and amiodarone in patients with post-ablation atrial tachyarrhythmia. We included all episodes of post-ablation atrial tachyarrhythmia in patients treated with either intravenous ibutilide or amiodarone at an academic emergency department from 2010 to 2018. Read More

View Article and Full-Text PDF

Terminating spiral waves with a single designed stimulus: Teleportation as the mechanism for defibrillation.

Proc Natl Acad Sci U S A 2022 Jun 9;119(24):e2117568119. Epub 2022 Jun 9.

School of Physics, Georgia Institute of Technology, Atlanta, GA 30332.

We identify and demonstrate a universal mechanism for terminating spiral waves in excitable media using an established topological framework. This mechanism dictates whether high- or low-energy defibrillation shocks succeed or fail. Furthermore, this mechanism allows for the design of a single minimal stimulus capable of defibrillating, at any time, turbulent states driven by multiple spiral waves. Read More

View Article and Full-Text PDF

Association of Neighborhood-Level Material Deprivation With Atrial Fibrillation Care in a Single-Payer Health Care System: A Population-Based Cohort Study.

Circulation 2022 Jun 9:101161CIRCULATIONAHA122058949. Epub 2022 Jun 9.

University Health Network, Toronto, Canada (H.A.-Q., A.C.T.H., C.A.J., D.A.A., R.S.B., M.K.K., K.T., J.A.U., D.S.L.).

Background: There are limited data on the association of material deprivation with clinical care and outcomes after atrial fibrillation (AF) diagnosis in jurisdictions with universal health care.

Methods: This was a population-based cohort study of individuals ≥66 years of age with first diagnosis of AF between April 1, 2007, and March 31, 2019, in the Canadian province of Ontario, which provides public funding and prohibits private payment for medically necessary physician and hospital services. Prescription medications are subsidized for residents >65 years of age. Read More

View Article and Full-Text PDF

Cardiac electrical storm induced by anesthesia was successfully managed during surgery: a case report.

Ann Palliat Med 2022 May;11(5):1838-1843

Department of Anesthesiology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.

Background: At present, the overall number of cardiac storms is small, there is a paucity of published literature describing cardiac storms in patients undergoing superficial surgery under general anesthesia (GA). In recent years, cardiac storm has attracted much clinical attention due to its high mortality, difficult management and poor prognosis.

Case Description: This paper reports a 57-year-old male with cardiac electrical storm. Read More

View Article and Full-Text PDF

High Internal Atrial Defibrillation Threshold Is Related to a High Risk of Recurrence After Catheter Ablation for Long-standing Persistent Atrial Fibrillation but not for Persistent Atrial Fibrillation.

Heart Lung Circ 2022 Jun 3. Epub 2022 Jun 3.

Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan. Electronic address:

Background: The atrial defibrillation threshold (ADFT) for internal cardioversion is theoretically related to the critical mass for sustaining atrial fibrillation (AF).

Objective: This study aimed to investigate the association of ADFT for internal cardioversion with the outcome of catheter ablation for non-paroxysmal AF (non-PAF).

Methods: We included 368 consecutive patients who underwent first-time catheter ablation for non-PAF. Read More

View Article and Full-Text PDF

Subcutaneous Versus Transvenous Implantable Defibrillator Therapy: A Systematic Review and Meta-Analysis of Randomized Trials and Propensity Score-Matched Studies.

J Am Heart Assoc 2022 Jun 3;11(11):e024756. Epub 2022 Jun 3.

Department of Cardiology Changi General Hospital Singapore.

Background Subcutaneous implantable cardioverter-defibrillators (S-ICDs) have been of great interest as an alternative to transvenous implantable cardioverter-defibrillators (TV-ICDs). No meta-analyses synthesizing data from high-quality studies have yet been published. Methods and Results An electronic literature search was conducted to retrieve randomized controlled trials or propensity score-matched studies comparing S-ICD against TV-ICD in patients with an implantable cardioverter-defibrillator indication. Read More

View Article and Full-Text PDF

A Systematic Review and Single-center Experience of Azygos Vein Defibrillator Lead Insertion.

J Innov Card Rhythm Manag 2022 May 15;13(5):4987-4993. Epub 2022 May 15.

Department of Internal Medicine, University of Iowa Health Care, Carver College of Medicine, Iowa City, IA, USA.

Defibrillation threshold (DFT) testing is performed in individuals with higher predicted risks of defibrillation failure. Many strategies have been explored to overcome the challenge of high DFT, including an insertion of a defibrillator lead into the azygos vein. We performed a systematic review of the literature to evaluate the safety and efficacy of azygos vein implantable cardioverter-defibrillator insertion for high DFT combined with the analysis of a single-center experience of the procedure at our institution. Read More

View Article and Full-Text PDF

An In-Silico model for evaluating the directional shock vectors in terminating and modulating rotors.

Comput Biol Med 2022 Jul 27;146:105665. Epub 2022 May 27.

Ryerson University, 350 Victoria St, Toronto, ON M5B 2K3, Canada.

Out-of-hospital cardiac arrest (OHCA) accounts for a majority of mortality worldwide. Survivability from an OHCA highly depends on timely and effective defibrillation. Most of the OHCA cases are due to ventricular fibrillation (VF), a lethal form of cardiac arrhythmia. Read More

View Article and Full-Text PDF

Effective methods to enhance medical students' cardioversion and transcutaneous cardiac pacing skills retention - a prospective controlled study.

BMC Med Educ 2022 Jun 1;22(1):417. Epub 2022 Jun 1.

Department of Internal Medicine, University Medical, Center Hamburg-Eppendorf, Hamburg, Germany.

Background: Guideline-based therapy of cardiac arrhythmias is important for many physicians from the beginning of their training. Practical training of the required skills to treat cardiac arrhythmias is useful for acquiring these skills but does not seem sufficient for skill retention. The aim of this study was to compare different retention methods for skills required to treat cardiac arrhythmias with respect to the performance of these skills in an assessment. Read More

View Article and Full-Text PDF

Case Report of Novel, Automatic Shocking Vector Adjustment Algorithm: A Life-Saving Feature of a Modern Defibrillator.

Perm J 2022 Apr 5;26(1):119-122. Epub 2022 Apr 5.

University of Tennessee Health Science Center, Memphis, TN, USA.

Background: Failed delivery of appropriate shocks against fatal dysrhythmias can be the result of low impedance on high-voltage leads. This malfunction might be missed on routine interrogation. We describe the case of a 66-year-old man with a high-voltage lead short circuit who was successfully rescued with the use of an overcurrent detection and automatic shocking vector adjustment algorithm. Read More

View Article and Full-Text PDF

Letter by Maqsood et al Regarding Article, "Anterior-Lateral Versus Anterior-Posterior Electrode Position for Cardioverting Atrial Fibrillation".

Circulation 2022 May 23;145(21):e1054-e1055. Epub 2022 May 23.

Section of Cardiac Electrophysiology, Temple Heart and Vascular Institute (J.M.C., I.R.W), Lewis Katz School of Medicine at the Temple University Hospital, Philadelphia, PA.

View Article and Full-Text PDF

Response to Letters Regarding Article, "Anterior-Lateral Versus Anterior-Posterior Electrode Position for Cardioverting Atrial Fibrillation".

Circulation 2022 May 23;145(21):e1057-e1058. Epub 2022 May 23.

Department of Internal Medicine, Randers Regional Hospital, Denmark (A.S.S., K.G.L., B.L.).

View Article and Full-Text PDF

Effectiveness of alternative shock strategies for out-of-hospital cardiac arrest: A systematic review.

Resusc Plus 2022 Jun 11;10:100232. Epub 2022 May 11.

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Gibbet Hill Road, Coventry CV4 7AL, United Kingdom.

Aim: To determine the optimal first-shock energy level for biphasic defibrillation and whether fixed or escalating protocols for subsequent shocks are most effective.

Methods: We searched Medline, Embase, Cochrane CENTRAL, CINAHL, the Web of Science and national and international trial registry databases for papers published from database inception to January 2022. We reviewed reference lists of key papers to identify additional references. Read More

View Article and Full-Text PDF

Defibrillator pad placement for shockable rhythms in OHCA.

Authors:
Mark Hodkinson

Resuscitation 2022 06;175:167-168

Thames Valley Air Ambulance, Stokenchurch House, Oxford Road, Stokenchurch, Bucks HP14 3SX, UK. Electronic address:

View Article and Full-Text PDF

Frequency of cardioversions as an additional risk factor for stroke in atrial fibrillation - the FinCV-4 study.

Ann Med 2022 12;54(1):1452-1458

Heart Center, Turku University Hospital and University of Turku, Turku, Finland.

Background: Patients with atrial fibrillation (AF) are selected for oral anticoagulation based on individual patient characteristics. There is little information on how clinical AF burden associates with the risk of ischaemic stroke or systemic embolism (SSE). The aim of this study was to explore the association of the frequency of cardioversions (CV) as a measure of clinical AF burden on the long-term SSE risk, with a focus on patients at intermediate stroke risk based on CHADS-VASc score. Read More

View Article and Full-Text PDF
December 2022

Implantation of Implantable Cardioverter Defibrillators in Kazakhstan.

Glob Heart 2022 10;17(1):30. Epub 2022 May 10.

Kazakhstans Medical University "KSPH", Almaty, Kazakhstan.

Background And Objectives: Implantation of implantable cardioverter-defibrillators (ICD) has increased significantly over the past decade. However, limited data exist regarding practices and policies of ICD implantations in Kazakhstan. We aimed to provide an overview of the current use of ICD in Kazakhstan. Read More

View Article and Full-Text PDF

Comparison Of Vagal Maneuvers Vs Verapamil For Cardioversion Of Atrioventricular Nodal Reentrant Tachycardia.

J Ayub Med Coll Abbottabad 2022 Jan-Mar;34(1):49-52

Cardiology Department, MTI, Mardan Medical College, Mardan, Pakistan.

Background: Vagal Maneuver is an underutilized strategy for Cardioversion of Atrioventricular nodal reentrant tachycardia. The present study is an attempt to explore the effectiveness of this strategy.

Methods: This comparative cross-sectional study was performed at the Department of Cardiology MTI MMC Mardan from the first January 2017 to 31 December 2019. Read More

View Article and Full-Text PDF

Pharmacological Cardioversion in Patients with Recent-Onset Atrial Fibrillation and Chronic Kidney Disease Subanalysis of the CANT II Study.

Int J Environ Res Public Health 2022 04 17;19(8). Epub 2022 Apr 17.

Department of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, 84-200 Wejherowo, Poland.

Pharmacological cardioversion (PCV) is commonly a primary option for termination of recent-onset atrial fibrillation (AF) in emergency departments (ED). This is a subanalysis of the CANT II study, evaluating the effectiveness and safety of antazoline in patients ( = 777) at three stages of chronic kidney disease (CKD): Group I > 60 mL/min ( = 531), Group II 45-59 mL/min ( = 149), and Group III < 45 mL/min ( = 97). Patients in Group III were older and with a higher prevalence of co-morbidities; however, we did not find statistically significant differences in the overall effectiveness of PCV in comparison with the other groups. Read More

View Article and Full-Text PDF

Efficacy and safety of vernakalant for cardioversion of recent-onset atrial fibrillation: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2022 Mar 11;101(10):e29038. Epub 2022 Mar 11.

The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China.

Background: Atrial fibrillation (AF) is the most common tachyarrhythmia encountered in clinical practice and is associated with substantial morbidity and mortality. This study aimed to determine the efficacy and safety of vernakalant for cardioversion of recent-onset AF.

Methods: A comprehensive systematic literature search will be conducted in Cochrane Library, PubMed, Web of Science, EMBASE, for randomized controlled trials (RCTs) about the vernakalant with AF. Read More

View Article and Full-Text PDF

Influence of advanced life support response time on out-of-hospital cardiac arrest patient outcomes in Taipei.

PLoS One 2022 14;17(4):e0266969. Epub 2022 Apr 14.

Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

Background: The association between out-of-hospital cardiac arrest patient survival and advanced life support response time remained controversial. We aimed to test the hypothesis that for adult, non-traumatic, out-of-hospital cardiac arrest patients, a shorter advanced life support response time is associated with a better chance of survival. We analyzed Utstein-based registry data on adult, non-traumatic, out-of-hospital cardiac arrest patients in Taipei from 2011 to 2015. Read More

View Article and Full-Text PDF

A Systematic Review of the Transthoracic Impedance during Cardiac Defibrillation.

Sensors (Basel) 2022 Apr 6;22(7). Epub 2022 Apr 6.

Institute of Health Care Engineering with European Testing Center of Medical Devices, Graz University of Technology, A-8010 Graz, Austria.

For cardiac defibrillator testing and design purposes, the range and limits of the human TTI is of high interest. Potential influencing factors regarding the electronic configurations, the electrode/tissue interface and patient characteristics were identified and analyzed. A literature survey based on 71 selected articles was used to review and assess human TTI and the influencing factors found. Read More

View Article and Full-Text PDF

The value of wearable cardioverter defibrillator in adult patients with recent myocardial infarction: Economic and clinical implications from a health technology assessment perspective.

Int J Cardiol 2022 06 5;356:12-18. Epub 2022 Apr 5.

Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy.

Aims: Sudden cardiac death (SCD) causes high mortality and substantial societal burdens for healthcare systems (HSs). The risk of SCD is significantly increased in patients with reduced left ventricular ejection fraction after myocardial infarction (MI). Current guidelines recommend re-evaluation of cardioverter-defibrillator implantation 40 days post-MI, earliest. Read More

View Article and Full-Text PDF

Painless cardioversion/defibrillation: Are we there yet?

Heart Rhythm 2022 Apr 4. Epub 2022 Apr 4.

UCLA Cardiac Arrhythmia Center, University of California, Los Angeles, California.

View Article and Full-Text PDF

A review of progress and an advanced method for shock advice algorithms in automated external defibrillators.

Biomed Eng Online 2022 Apr 2;21(1):22. Epub 2022 Apr 2.

Posts and Telecommunications Institute of Technology, Hanoi, Vietnam.

Shock advice algorithm plays a vital role in the detection of sudden cardiac arrests on electrocardiogram signals and hence, brings about survival improvement by delivering prompt defibrillation. The last decade has witnessed a surge of research efforts in racing for efficient shock advice algorithms, in this context. On one hand, it has been reported that the classification performance of traditional threshold-based methods has not complied with the American Heart Association recommendations. Read More

View Article and Full-Text PDF

Long-term results of first-generation S-ICD systems: strong from the start and through the threats of time.

Authors:
Riccardo Cappato

Eur Heart J 2022 Jun;43(21):2051-2053

Arrhythmia and Clinical Electrophysiology Center IRCCS, MultiMedica, Sesto San Giovanni, Milan, Italy.

View Article and Full-Text PDF