The Influence of Cardiac Staffing Resources on Permanent Cardiac Pacemaker Implantation Rates

1988 ◽  
Vol 33 (3) ◽  
pp. 261-263
Author(s):  
M. R. Jacyna ◽  
G. Main ◽  
J. Hanslip ◽  
T. H. Pringle ◽  
G. P. McNeill
Keyword(s):  
Retrospective Analysis ◽  
Waiting Time ◽  
Pacemaker Implantation ◽  
Cardiac Pacemaker ◽  
Ecg Monitoring ◽  
Ambulatory Ecg ◽  
Ambulatory Ecg Monitoring ◽  
Clinical Indications ◽  
Implantation Rates ◽  
Permanent Cardiac Pacemaker

In Tayside region, from 1976 to 1986, the number of permanent pacemakers implanted per year more than doubled, with the increase particularly marked over the latter five years. In order to determine the factor(s) which had caused this increase in implantation rates, a retrospective analysis of patients undergoing pacemaker implantation during the period 1981–1986 was undertaken. No change in the number of elderly in the population, age of patients, mode of referral, waiting time before insertion or clinical indications for pacing was observed to account for this change. The advent of ambulatory ECG monitoring may have contributed to this increase, but the appointment of an extra cardiologist in Tayside in 1982 was believed to have been more important. These results suggest that the number of pacemakers implanted in a region is highly dependent on the number of cardiological staff in that region available for their insertion.

scholarly journals CLINICAL PROFILES OF PATIENTS UNDERGOING PACEMAKER IMPLANTATION

2021 ◽  
Vol 9 (12) ◽  
pp. 703-705
Author(s):  
Owais Ahmed Wani ◽  
◽  
Nasir Ali ◽  
Ouber Qayoom ◽  
Rajveer Beniwal ◽  
...  
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Pacemaker Implantation ◽  
Cardiac Pacemaker ◽  
Permanent Pacemaker ◽  
Male Gender ◽  
Observational Methods ◽  
Clinical Profiles ◽  
Implantation Rates ◽  
Permanent Cardiac Pacemaker

Background and Objective: The implantation of a permanent cardiac pacemaker for the treatment of bradyarrhythmia is one of the most popular cardiac interventions. The goal of this study is to look at the clinical profiles of individuals who have permanent pacemakers implanted Material and Methods: The study was conducted using observational methods. The study included patients who received a permanent pacemaker for bradyarrhythmias between November 2019 and November 2021. A thorough review of the demographic profile and indications was performed. Results: The vast majority of the 312 patients were older, with the majority being between the ages of 56 and 88 years old (75 % ). Pacemakers were implanted in more men than in women. Complete heart block was the most common ECG finding and the most common presenting symptom was syncope. The most prevalent sign of pacing was acquired A-V block, and the most common pacemaker mode was single chamber (VVI/VVIR). Conclusion: Acquired A-V block and SSS were found to be the most common reasons for pacemaker implantation in our study. Higher implantation rates were linked to advanced age and male gender.

Ambulatory ECG Monitoring in Atrial Fibrillation Management

2013 ◽  
Vol 56 (2) ◽  
pp. 143-152 ◽  
Author(s):  
Spencer Z. Rosero ◽  
Valentina Kutyifa ◽  
Brian Olshansky ◽  
Wojciech Zareba
Keyword(s):  
Atrial Fibrillation ◽  
Ecg Monitoring ◽  
Ambulatory Ecg ◽  
Ambulatory Ecg Monitoring

Can Changes in S Wave Amplitude be Used to Detect Ischaemia during Ambulatory ECG Monitoring?

1986 ◽  
Vol 70 (s13) ◽  
pp. 1P-1P
Author(s):  
J.J. Glazier ◽  
S. Chierchia ◽  
A. Maseri
Keyword(s):  
Wave Amplitude ◽  
Ecg Monitoring ◽  
S Wave ◽  
Ambulatory Ecg ◽  
Ambulatory Ecg Monitoring

System for Continuous and Prolonged Ambulatory ECG Monitoring with Hosting and Visualization on the Cloud

2021 ◽  
Vol 10 (1) ◽  
pp. 57
Author(s):  
Daniel Cuevas-González ◽  
Juan Pablo García-Vázquez ◽  
Miguel Bravo-Zanoguera ◽  
Roberto López-Avitia ◽  
Marco A. Reyna ◽  
...  
Keyword(s):  
Health Care ◽  
Sampling Rate ◽  
Cloud Services ◽  
Ecg Signal ◽  
Ecg Monitoring ◽  
Ambulatory Ecg ◽  
Ambulatory Ecg Monitoring ◽  
Access Information ◽  
Electrocardiogram Ecg ◽  
Small File

In this paper, we propose investigating the ability to integrate a portable Electrocardiogram (ECG) device to commercial platforms to analyze and visualize information hosted in the cloud. Our ECG system based on the ADX8232 microchip was evaluated regarding its performance of recordings of a synthetic ECG signal for periods of 1, 2, 12, 24, and 36 h on six different cloud services to investigate whether it maintains reliable ECG records. Our results show that there are few cloud services capable of 24 h or longer ECG recordings. But some existing services are limited to small file sizes of less than 1,000,000 lines or 100 MB, or approximately 45 min of an ECG recording at a sampling rate of 360 Hz, making it difficult an extended time monitoring. Cloud platforms reveal some limitations of storage and visualization in order to provide support to health care specialists to access information related to a patient at any time.

Continuous ambulatory ECG monitoring during fluorouracil therapy: a prospective study.

1989 ◽  
Vol 7 (4) ◽  
pp. 509-514 ◽  
Author(s):  
S Rezkalla ◽  
R A Kloner ◽  
J Ensley ◽  
M al-Sarraf ◽  
S Revels ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Cardiac Toxicity ◽  
Ecg Monitoring ◽  
Ecg Changes ◽  
Ambulatory Ecg ◽  
Ambulatory Ecg Monitoring ◽  
St Segment ◽  
Artery Disease ◽  
A Prospective Study

Although there have been anecdotal reports of cardiac toxicity associated with fluorouracil (5-FU) therapy, this phenomenon has not been studied in a systematic fashion. We prospectively performed continuous ambulatory ECG monitoring on 25 patients undergoing 5-FU infusion for treatment of solid tumors in order to assess the incidence of ischemic ST changes. Patients were monitored for 23 +/- 4 hours before 5-FU infusion, and 98 +/- 9 hours during 5-FU infusion. Anginal episodes were rare: only one patient had angina (during 5-FU infusion). However, asymptomatic ST changes (greater than or equal to 1 mm ST deviation) were common: six of 25 patients (24%) had ST changes before 5-FU infusion v 17 (68%) during 5-FU infusion (P less than .002). The incidence of ischemic episodes per patient per hour was 0.05 +/- 0.02 prior to 5-FU infusion v 0.13 +/- 0.03 during 5-FU infusion (P less than .001); the duration of ECG changes was 0.6 +/- 0.3 minutes per patient per hour before 5-FU v 1.9 +/- 0.5 minutes per patient per hour during 5-FU (P less than .01). ECG changes were more common among patients with known coronary artery disease. There were two cases of sudden death, both of which occurred at the end of the chemotherapy course. We conclude that 5-FU infusion is associated with a significant increase in silent ST segment deviation suggestive of ischemia, particularly among patients with coronary artery disease. The mechanism and clinical significance of these ECG changes remain to be determined.

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