An electrical nightmare: 105 inadequate ICD-shocks in a patient with broca aphasia

2019 ◽  
pp. 1-2
Keyword(s):  
Female Patient ◽  
Clinical Setting ◽  
Remote Monitoring ◽  
Atrial Tachycardia ◽  
Dilative Cardiomyopathy ◽  
Lead Fracture ◽  
Outpatient Departments ◽  
Device Complications

With a growing number of ICD-recipients, device complications are seen more frequently in the clinical setting and outpatient departments. Amongst the most severe are ICD-infections and inadequate shocks caused by oversensing of atrial tachycardia or lead fracture. We report on a 76-year-old female patient with dilative cardiomyopathy and broca aphasia after stroke, who experienced 105 consecutive inadequate ICDshocks due to cluster missensing of her fractured ICD-lead. The diagnosis was complicated and delayed by the patient’s aphasia emphasizing the need for intensified remote monitoring, especially in elderly and dependent patients.

scholarly journals 105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Christian Georgi ◽  
Michael Neuß ◽  
Viviane Möller ◽  
Martin Seifert ◽  
Christian Butter
Keyword(s):  
Dilated Cardiomyopathy ◽  
Clinical Setting ◽  
Remote Monitoring ◽  
Broca's Aphasia ◽  
Dilative Cardiomyopathy ◽  
Lead Fracture ◽  
Communication Disabilities ◽  
Broca’S Aphasia ◽  
Outpatient Departments ◽  
Device Complications

With a growing number of ICD recipients, device complications are seen more frequently in the clinical setting and outpatient departments. Among the most severe are ICD infections and inappropriate therapies caused by oversensing of atrial tachycardias or lead fracture. We report on a 76-year-old female patient with dilative cardiomyopathy and Broca’s aphasia after stroke, who experienced 105 consecutive inappropriate ICD shocks due to cluster missensing of her fractured ICD lead. The diagnosis was complicated and delayed by patient’s aphasia emphasizing the need for intensified remote monitoring along with regular in-person visits, especially in people with intellectual or communication disabilities.

“Effective Disembodiment:” Female Patienthood and Reproductive Health in Elisa Albert’s After Birth and Pamela Erens’s Eleven Hours

2019 ◽  
Vol 13 (1) ◽  
pp. 34-52
Author(s):  
Haleigh R Williams
Keyword(s):  
United States ◽  
Reproductive Health ◽  
Female Patient ◽  
Clinical Setting ◽  
Healthcare Workers ◽  
The United States ◽  
Pregnancy And Childbirth ◽  
Fictional Narratives ◽  
The Status ◽  
Shed Light

Abstract Historically, female patienthood has been defined by an expectation of passivity and the concession of bodily autonomy. After Birth by Elisa Albert (2015) and Eleven Hours by Pamela Erens (2016) shed light on the status of the modern female patient through the lens of her treatment throughout the process of childbirth in a clinical setting. The increasing medicalization of pregnancy and childbirth in the United States has added a compelling layer to the existing tension between women and the institution of medicine. Positioning these texts in conversation with the treatment of women at the hands of healthcare workers allows us to contextualize the fictional narratives, which themselves offer a dialectal framework to facilitate our understanding of female patienthood.

The magnetic navigation system allows avoidance of puncturing a baffle during ablation of a postincisional macroreentrant tachycardia

2009 ◽  
Vol 19 (2) ◽  
pp. 216-219 ◽  
Author(s):  
Bruno Schwagten ◽  
Judith Cuypers ◽  
Tamas Szili-Torok
Keyword(s):  
Left Atrium ◽  
Female Patient ◽  
Navigation System ◽  
Atrial Tachycardia ◽  
Tricuspid Atresia ◽  
Magnetic Navigation ◽  
Retrograde Approach

AbstractAn 18-year-old female patient with tricuspid atresia, discordant ventriculo-arterial connections, a total cavo-pulmonary connection, and a Damus-Kaye-Stansel suffered with atrial tachycardia. Use of a magnetically navigated catheter made it possible to create an electro-anatomical map of both atriums using a retrograde approach. It then proved possible to ablate successfully the tachycardia in the left atrium thanks to the unique capabilities of the magnetic navigation system.

Rhythm Disturbances in the Form of Atrial Tachycardia in a Female Patient with Polymyositis

Angiology ◽  
2006 ◽  
Vol 57 (3) ◽  
pp. 391-394 ◽  
Author(s):  
Malgorzata Peregud-Pogorzelska ◽  
Jaroslaw Kazmierczak ◽  
Marek Brzosko
Keyword(s):  
Female Patient ◽  
Atrial Tachycardia

scholarly journals Vertebral Osteomyelitis Secondary to Pneumococcal Infection

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Bindu Gandrapu ◽  
Preeyanka Sundar ◽  
Paula Aucoin
Keyword(s):  
Back Pain ◽  
Streptococcus Pneumoniae ◽  
Ct Scan ◽  
Female Patient ◽  
Clinical Setting ◽  
Vertebral Osteomyelitis ◽  
Pneumococcal Infection ◽  
High Dose ◽  
Common Features ◽  
Uncommon Condition

Vertebral osteomyelitis secondary to pneumococcal infection is an uncommon condition caused by Streptococcus pneumoniae. Fever, back pain, and raised ESR are common features in the clinical setting. We report a 62-year-old female patient who presented with an unusual presentation. Later on, vertebral osteomyelitis secondary to pneumococcal infection was confirmed at T8, 9 by CT scan, MRI, and cytology. The patient was treated successfully with high-dose ceftriaxone.

Biracial Testing: The Question of Clinicians' Influence on Children’s Test Performance

1977 ◽  
Vol 8 (1) ◽  
pp. 5-14 ◽  
Author(s):  
David L. Ratusnik ◽  
Roy A. Koenigsknecht
Keyword(s):  
Clinical Setting ◽  
Test Performance ◽  
Test Scores ◽  
Preschool Age ◽  
Speech And Language ◽  
Black And White ◽  
Drawing Test ◽  
Lower Socioeconomic ◽  
Preschool Age Children

Six speech and language clinicians, three black and three white, administered the Goodenough Drawing Test (1926) to 144 preschoolers. The four groups, lower socioeconomic black and white and middle socioeconomic black and white, were divided equally by sex. The biracial clinical setting was shown to influence test scores in black preschool-age children.

Systems of Oppression in Geriatric Clinical Service Delivery

2021 ◽  
pp. 1-3
Author(s):  
Diane L. Kendall
Keyword(s):  
Higher Education ◽  
Service Delivery ◽  
Clinical Setting ◽  
Service Providers ◽  
Hard Work ◽  
Clinical Service ◽  
Meaningful Change ◽  
Important Work ◽  
Speech Language Pathologists ◽  
Medical Institutions

Purpose The purpose of this article was to extend the concepts of systems of oppression in higher education to the clinical setting where communication and swallowing services are delivered to geriatric persons, and to begin a conversation as to how clinicians can disrupt oppression in their workplace. Conclusions As clinical service providers to geriatric persons, it is imperative to understand systems of oppression to affect meaningful change. As trained speech-language pathologists and audiologists, we hold power and privilege in the medical institutions in which we work and are therefore obligated to do the hard work. Suggestions offered in this article are only the start of this important work.

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