EP Lab Digest’s Post

𝐓𝐡𝐨𝐮𝐠𝐡𝐭 𝐄𝐱𝐩𝐞𝐫𝐢𝐦𝐞𝐧𝐭: What is the use and safety of implanting an atrial lead into primary prevention ICD patients without a pacing indication? Interesting data out of Mass General Brigham and Tufts Medical Center helps explore this, as reported in the attached JAHA piece. 𝐈𝐧 𝐨𝐯𝐞𝐫 𝟏𝟓,𝟎𝟎𝟎 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐢𝐦𝐩𝐥𝐚𝐧𝐭𝐞𝐝 𝐰𝐢𝐭𝐡 𝐚𝐧 𝐈𝐂𝐃 𝐟𝐨𝐫 𝐩𝐫𝐢𝐦𝐚𝐫𝐲 𝐩𝐫𝐞𝐯𝐞𝐧𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐧𝐨 𝐩𝐚𝐜𝐢𝐧𝐠 𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧, 𝟓𝟓% 𝐫𝐞𝐜𝐞𝐢𝐯𝐞𝐝 𝐚 𝐝𝐮𝐚𝐥 𝐜𝐡𝐚𝐦𝐛𝐞𝐫 𝐈𝐂𝐃 Potential Reasons? *Arrhythmia discrimination capabilities *Atrial arrhythmia diagnostic potential (for which the paper suggests the prospect of using a floating atrial dipole) *Potential need for atrial pacing (observed actual number is 3-5%) The dual chamber cohort was significantly associated with a higher rate of in-hospital complications vs. single chamber Given the growing application of Dx/VDD technology (100,000 implants and counting), we believe this data reinforces that platform’s utility…particularly regarding safety, and when applied to AHRE identification for the purposes of OAC administration and #ablation #epeeps #biotronik #atrialfibrillation

Precision. Quite Simply. 👉 Wirecath is safe and reliably use to assess Pd/Pa and FFR for clinical decision-making in a typical patient population undergoing PCI. 👉 The differences between FFR and resting indices obtained by the sensor-tipped versus Wirecath were explained by a hydrostatic pressure component. https://lnkd.in/dVJBS6Cf #cardiovascular #medicaldevices #interventionalcardiology #wirecath #pressurewire

Thanks to the authors, again a meta analysis showing outstanding results after Banded Sleeve Gastrectomy. It is time to act and provide this service to patients. The authors conclusion: "In our study, LBSG showed a substantial decrease in BMI at three-year follow-up and higher %EWL at one, two, and three years' time points. However, LBSG procedures exhibited a higher incidence of post-operative regurgitation symptoms than LSG. Still, no substantial differences emerged in BMI at six, 12, and 24 months, %EWL at six months, operative time, bleeding, reflux, or overall complications. Further high-quality studies should address the limitations mentioned in our study, emphasizing larger sample sizes, uniform study designs, and extended follow-ups to evaluate outcomes in banded versus non-banded LSG comprehensively." https://lnkd.in/gHSrpTFA

A very comprehensive and thoughful figure from the 2024 ESC Guidelines for the managment of Chronic coronary syndrome, showing the safety, efficacy of combination of Antianginal vs Solo therapies. #ClinicalPharmacy #medical #Cardiology #PatientSafety #HealthCare.

Another interesting blog to read, pertaining to my last post about Lymphedema 👩🏻💻💡 #lymphedema #edema #breastcancerrelatedlymphedema #BCRL

It's time to revolutionize your approach to plantar fasciitis! Explore our latest blog's groundbreaking insights into Extracorporeal Shockwave Therapy (ESWT). Stay ahead in patient care excellence. https://hubs.la/Q02rcbsc0

#OCT #abbott🫀🏥Patient admitted (50 years old) for left-sided chest pain, described as oppressive with sweating and radiation to the left arm (…). 🚨🫀Increased frequency of pain episodes prompted an Emergency Room visit. ❌❌Medical history: Active smoking at 20 pack-years. Father had a myocardial infarction at 40 years old. 🤔💭The #ECG shows a regular sinus rhythm at 66 beats per minute, normal axis, narrow QRS at 78ms, suspected subtle ST-segment elevation in aVF. ☑️☑️Echocardiography reveals a normal left ventricular ejection fraction without kinetic abnormalities. ❌❌Positive troponin levels. ➡️➡️Decision to perform a #coronary #angiography: - Right #radial access using a 6 French sheath. - Diagnostic coronary angiography using a 5 French catheter (JL3.5 5F and JR4 5F). - ❌✅Short significant stenosis in the proximal part of the right coronary artery with a thrombotic appearance. - ❌✅Optical coherence tomography (#OCT by Abbott - Abbott | Cardiovascular) inteavascular imaging performed with a JR3.5 5F launcher guiding catheter: confirmation of the #thrombotic appearance. - ✅✅Initiation of first-line medical treatment: triple antithrombotic therapy (aspirin, Brilique, and Lovenox) followed by a re-evaluation in 72 hours with possible OCT for scar assessment and +/- angioplasty. ℹ️ The OCT module is directly incorporated into our catheterization bay (Philips) !! Better comfort for the interventional cardiologist who can perform procedures in a sterile environment ! Dr. Louis-Marie Desroche 🫶🏼🏥👏🏻 👌🏻➡️David Philippe

Impella CP vs. Impella RP: Quick Comparison & Infographic Device by Abiomed a Johnson & Johnson company ♥️Impella CP - Indication: Used for left ventricular support in the setting of high risk PCI and cardiogenic shock - Flow Rate: Provides up to 4.3 L/min of blood flow. - Insertion Site: Typically inserted via the femoral artery. The Impella CP is a percutaneous left ventricular assist device (LVAD). It works by being inserted into the left ventricle and pumping blood into the ascending aorta. 💙Impella RP - Indication: Used for right ventricular support. - Flow Rate: Provides up to 4.0 L/min of blood flow. - Insertion Site: Typically inserted via the femoral vein. There is a newer device called the RP FLEX designed for an internal jugular access. The Impella RP is a percutaneous right ventricular assist device (RVAD). It is inserted through the femoral vein and advanced into the pulmonary artery crossing through both the tricuspid and pulmonic valves. It helps to offload the right ventricle by directly pumping blood into the pulmonary artery. 📌Key Differences - Target Ventricle: Impella CP supports the left ventricle, while Impella RP supports the right ventricle. - Insertion Route: Impella CP is an arterial access, and Impella RP is a venous access. 📌 🤔ANSWER IN THE COMMENTS Q: From your experience or perspective, what advancements in devices do you think will have the most significant impact on cardiology in the next decade? #Cardiology #HeartHealth #MedicalDevices #HealthcareInnovation #CardiacSupport #PatientCare #HeartFailure #CardiacSurgery #MedicalTechnology #HealthTech

At times, we may rush to prescribe antihypertensive medications when a patient presents with elevated blood pressure readings. However, in this video, I thoroughly explore crucial differentials and potential underlying causes that should be ruled out before considering antihypertensive treatment. Additionally, I discuss essential investigations that should be conducted to inform clinical decision-making. #hypertension #antihypertensive #bloodpressure #bp #cardiology #medicine #internalmedicine #mrcp #mrcpuk #plab #neetpg #nextpg #usmle #fmge #intellectmedicos

According to professionals, one of the pivotal components of a therapy chair is the armrest, known for its complexity and significance.   Adjustable armrests are vital in administering intravenous therapies such as dialysis, chemotherapy, and plasmapheresis, as well as blood and plasma collection. Their primary purpose is to maintain the arm securely and comfortably during treatment, preventing needle displacement and aiding nurses in vein puncture. Our armrests are meticulously designed to offer utmost flexibility, featuring a broad spectrum of adjustments in every direction.     Digiterm’s armrests are packed with a plethora of features designed to enhance the medical experience, including:   360-degree rotation for optimal positioning. Tilt range from -9 to 20 degrees, ensuring customizable comfort. Height adjustment spanning 15cm for personalized support. Longitudinal range adjustment of 10.5cm to accommodate various arm lengths. Additional hinge for tilting down to a maximum of -60 degrees. Tilt-up armrests facilitating easy patient entry. Multilayered soft cushioning for superior comfort. Adjustable distance between armrests for tailored comfort.   Discover unparalleled versatility and comfort with Digiterm Armrests. Experience the difference today.     Side supports are essential features found in hospital transport chairs. Their primary role involves ensuring patient stability during movement, even in cases of unconsciousness. Additionally, these supports facilitate side entry and lifting maneuvers from wheelchairs or beds through a variety of push-down mechanisms, thereby enhancing overall patient safety and ease of use.