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Abstract:

The concept of using a cardiac implantable device (CID) to manage arrhythmias and heart failure started over 50 years ago. Since then, we have seen these CID improve patient outcomes from bradyarrhythmias, atrial fibrillation, ventricular arrhythmias, and heart failure (HF). These devices are now standard of care in the management of patients and include pacemakers, implantable cardioverter-defibrillators, and cardiac resynchronization therapy or This technology of implantable heart rhythm monitoring and therapeutic devices has only been established in the last few decades. Recent advances in such technology have led to simpler implantation techniques, greater patient convenience with smaller device sizes, leadless pacemakers, extended battery longevity, increased device safety and reliability, and improved clinical outcomes. Early detection of worsening HF by implantable sensors allows corrective therapy for acute decompensation. The future may hold expansion of the indications for these CID, with careful examination of the outcomes of today’s patients. In addition, there is very exciting new technology that may further advance the management of arrhythmias and HF. © 2014 Silver Horse.

Registro:

Documento: Artículo
Título:New implantable devices for cardiovascular management and especially for heart failure
Autor:Marquez, L.L.L.; Bevacqua, R.J.
Filiación:Departamento de Insuficiencia Cardiaca e Hipertension pulmonar, Instituto de Cardiologia, San Miguel de Tucuman, Tucuman, Argentina
Medico de Planta. Unidad Coronaria, Coordinador Residencia de Cardiologia, Instituto de Cardiologia. San Miguel de Tucuman, Tucuman, Argentina
Comite de Insuficiencia Cardiaca de Federacion Argentina de Cardiologia, Argentina
Division Cardiologia. Pabellon Inchauspe, Hospital General de Agudos “Dr. J. M. Ramos Mejia”. GCBA, Buenos Aires, Argentina
Palabras clave:Cardiac arrhythmias; Cardiac implantable devices; Cardiac resynchronization therapy; Defibrillator; Defibrillator; Heart failure; Implantable cardioverter; Leadless pacemaker; Pacemaker; Subcutaneous implantable cardioverter; Sudden cardiac death
Año:2014
Volumen:9
Número:4
Página de inicio:164
Página de fin:183
Título revista:Insuficiencia Cardiaca
Título revista abreviado:Insuficiencia Cardiaca
ISSN:18501044
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_18501044_v9_n4_p164_Marquez

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  • Healey, J.S., Connolly, S.J., Gold, M.R., Israel, C.W., Van Gelder, I.C., Capucci, A., Lau, C.P., ASSERT Investigators, Subclinical atrial fibrillation and the risk of stroke (2012) N Engl J Med, 366, pp. 120-129
  • Ip, J., Waldo, A.L., Lip, G.Y., Rothwell, P.M., Martin, D.T., Bersohn, M.M., Choucair, W.K., IMPACT Investigators, Multicenter randomized study of anticoagulation guided by remote rhythm monitoring in patients with implantable cardioverter-defibrillator and CRT-D devices: Rationale, design, and clinical characteristics of the initially enrolled cohort: The IMPACT study (2009) Am Heart J, 158, pp. 364-370
  • Verma, A., Champagne, J., Sapp, J., Essebag, V., Novak, P., Skanes, A., Morillo, C.A., Birnie, D., Discerning the incidence of symptomatic and asymptomatic episodes of atrial fibrillation before and after catheter ablation (DISCERN AF): A prospective, multicenter study (2013) JAMA Intern Med, 173, pp. 149-156
  • Cotter, P.E., Martin, P.J., Ring, L., Warburton, E.A., Belham, M., Pugh, P.J., Incidence of atrial fibrillation detected by implantable loop recorders in unexplained stroke (2013) Neurology, 80, pp. 1546-1550
  • Hindricks, G., Pokushalov, E., Urban, L., Taborsky, M., Kuck, K.H., Lebedev, D., Rieger, G., XPECT Trial Investigators, Performance of a new leadless implantable cardiac monitor in detecting and quantifying atrial fibrillation: Results of the XPECT trial (2010) Circ Arrhythm Electrophysiol, 3, pp. 141-147
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  • Jons, C., Thomsen, P.E., Treating cardiac arrhythmias detected with an implantable cardiac monitor in patients after an acute myocardial infarction (2012) Curr Treat Options Cardiovasc Med, 14, pp. 39-49

Citas:

---------- APA ----------
Marquez, L.L.L. & Bevacqua, R.J. (2014) . New implantable devices for cardiovascular management and especially for heart failure . Insuficiencia Cardiaca, 9(4), 164-183.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_18501044_v9_n4_p164_Marquez [ ]
---------- CHICAGO ----------
Marquez, L.L.L., Bevacqua, R.J. "New implantable devices for cardiovascular management and especially for heart failure " . Insuficiencia Cardiaca 9, no. 4 (2014) : 164-183.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_18501044_v9_n4_p164_Marquez [ ]
---------- MLA ----------
Marquez, L.L.L., Bevacqua, R.J. "New implantable devices for cardiovascular management and especially for heart failure " . Insuficiencia Cardiaca, vol. 9, no. 4, 2014, pp. 164-183.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_18501044_v9_n4_p164_Marquez [ ]
---------- VANCOUVER ----------
Marquez, L.L.L., Bevacqua, R.J. New implantable devices for cardiovascular management and especially for heart failure . Insuficiencia Cardiaca. 2014;9(4):164-183.
Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_18501044_v9_n4_p164_Marquez [ ]