Frailty and cardiovascular outcome In an article in the Journal of American College of Cardiology, [1] Jonathan and colleagues addressed the issue of frailty in the elderly and
Advantages of AV synchrony (atrioventricular synchrony) Atrial systole which is appropriately timed with respect to ventricular diastole helps in keeping the mean atrial pressure low and facilitate venous
Pacemaker AV interval vs PV interval AV interval indicates the paced atrioventricular interval and PV interval indicates sensed atrioventricular interval. This means that the ‘A’ of AV interval
Leadless pacemakers Weakest link in the pacemaker system is considered to be its lead, sometimes called it Achilles heel. This is because the lead system is prone for
Subcutaneous ICD (Implantable Cardioverter Defibrillator) Subcutaneous ICD (S-ICD) is the term used to designate ICDs which are purely subcutaneous, without any intracardiac leads. It was designed aiming to
Inappropriate ICD shocks Inappropriate implantable cardioverter-defibrillator shocks are one of the commonest adverse effects of ICDs, which can occur in up to about 25% of those implanted with
When not to implant an ICD? There are certain situations when the implantation of an implantable cardioverter defibrillator may not be ideal. Some of the following situations may
Downside of right ventricular apical pacing Right ventricular apical pacing, the usual method of pacing the right ventricle in single chamber and dual chamber pacing, can be deleterious
Can heparin be prothrombotic? Unfractionated heparin can theoretically make platelets more reactive to activation by other platelet function agonists such as adenosine diphosphate. Heparin can bind to Glycoprotein
High risk patient characteristics for potential stent thrombosis High risk patient characteristics for potential stent thrombosis while interrupting antiplatelet agents for surgery are: Recent acute coronary syndrome History