Follow up and optimisation of cardiac pacing

Roberts, Paul R.

doi:10.1136/hrt.2004.054528

Cited by 27 publications

(18 citation statements)

References 16 publications

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“…The challenge of this treatment lies in the comprehensive follow‐up of the device. Like most medical interventions, pacemaker follow‐up has to be tailored to the individual …”

Section: Introductionmentioning

confidence: 99%

The nature and course of illness perception following cardiac pacemaker implantation: A self‐regulatory approach

Rakhshan

Hassani

Ashktorab

et al. 2013

Int J of Nursing Practice

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This study was designed to explore the relationship between illness perceptions and educational intervention based on the Leventhal's model in pacemaker patients. Fifty-one consecutive patients who were admitted for implantation of permanent cardiac pacemaker were recruited to receive an educational intervention, which consisted of two sessions delivered in the hospital and clinic, respectively. Participants completed a pacemaker-specific Brief Illness Perception Questionnaire (BIPQ) twice, one prior to educational intervention and the other 10 weeks following the pacemaker implantation. Data regarding the dimensions of cognitive and emotional representations based on the Leventhal's model have demonstrated the relationship between the patients' perception before and after the educational intervention. Overall, after the educational intervention, the patients have considered the illness as having a moderate impact on their life and have known their illness as a chronic condition that was responsive to treatment and influenced by personal behavior. Participants believed they had a good understanding of their illness and had less 'concern' and 'emotional representation'. Based on the results of the present study, pacemaker patients had a more benign view about their illness after educational intervention compared with before this intervention. These explanations might affect the acceptance and treatment seeking and even lead to lower complications.

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“…The challenge of this treatment lies in the comprehensive follow‐up of the device. Like most medical interventions, pacemaker follow‐up has to be tailored to the individual …”

Section: Introductionmentioning

confidence: 99%

The nature and course of illness perception following cardiac pacemaker implantation: A self‐regulatory approach

Rakhshan

Hassani

Ashktorab

et al. 2013

Int J of Nursing Practice

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“…There are no published monitoring criteria for dogs receiving a pacemaker, with much based on common sense and human data. Human cardiologists describe three phases of follow‐up after pacemaker implantation: early surveillance, which is in the first 4–6 weeks post‐implantation; the maintenance phase, which is 6–12‐monthly periods; and intensified monitoring only when the pacemaker is nearing the end of its battery life . Most veterinary clinicians would assess the patient once or twice within the first 3 months of implantation, which may be partly related to limited availability of pacemaker interrogators or trained technicians.…”

Section: Discussionmentioning

confidence: 99%

“…Human cardiologists describe three phases of follow-up after pacemaker implantation: early surveillance, which is in the first 4-6 weeks post-implantation; the maintenance phase, which is 6-12monthly periods; and intensified monitoring only when the pacemaker is nearing the end of its battery life. 26 Most veterinary clinicians would assess the patient once or twice within the first 3 months of implantation, which may be partly related to limited availability of pacemaker interrogators or trained technicians. However, simple information, such as a thorough history, physical examination and assessment of implant sites, body temperature, heart rate and ECG, can provide evidence of appropriate pacing activity or can alert clinicians to concern for pacemaker failure or infection.…”

Section: Discussionmentioning

confidence: 99%

“…In human paediatrics, where clinical signs are perhaps more obscure, pacemaker interrogation is performed every 6 months. 26 Many lead dislodgements and perforations in dogs detected through checks have been successfully treated with either revision placement or epicardial pacemaker placement. 1,2,5,6 Conclusion This is an unusual case of pacemaker perforation associated with infectious aetiology.…”

Section: Discussionmentioning

confidence: 99%

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Pacemaker lead perforation of the right ventricle associated with Moraxella phenylpyruvica infection in a dog

Ciavarella¹,

Nimmo²,

Hambrook³

2016

Aust Veterinary J

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Bacteraemia associated with M. phenylpyruvica has never been reported in the dog, but sporadic cases are reported in humans. Infection could have resulted from either pre-existing myocarditis or opportunistic infection and bacteraemia post pacemaker implantation. Evaluation of the pacemaker function at regular intervals would allow early detection of poor pacemaker-to-myocardium contact, which would prompt further investigation of pacemaker lead abnormalities such as perforation.

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“…Accurate assessment of pacemaker function is essential in the evaluation of patients, especially patients with symptoms that may be related to pacemaker malfunction, such as syncope or palpitations [182,183]. In order to follow up patients who carry pacemakers, a dedicated area for pacemaker evaluation should be provided, which enables the patients to have their appointment performed in a private and safe environment.…”

Section: Schedule Of Appointments For Pacemaker Evaluationmentioning

confidence: 99%

Methodological support to develop interoperable applications for pervasive healthcare

Moraes¹

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The healthcare model currently being used in most countries will soon be inadequate, due to the increasing care costs of a growing population of elderly people, the rapid increase of chronic diseases, the growing demand for new treatments and technologies, and the relative decrease in the number of healthcare professionals with respect to the population increase. This healthcare model, which is centered on highly specialized people, located in large hospitals, needs to change into a distributed model, in order to produce faster responses and to allow patients to manage their own health. This centralized healthcare model also implies that patients and healthcare professionals have to move to the same place (a hospital or clinic) for the healthcare services to be delivered, and it is often expensive and inefficient. A distributed healthcare model that pervades the daily lives of the citizens is more appropriate to provide less expensive and more effective and timely healthcare, and characterizes Pervasive Healthcare. In Pervasive Healthcare, novel information and communication technologies are applied to support the provision of health services anywhere, at anytime and to anyone.This thesis aims at demonstrating the feasibility of using healthcare standards, ubiquitous computing technologies, service-oriented architecture principles, and software agents, to develop interoperable applications for exchanging messages in Pervasive Healthcare environments. This thesis presents a Reusable Architecture and a Message Generator that employ these technologies for achieving its aim. Our Reusable Architecture and Message Generator also meet the requirements of interoperability between heterogeneous healthcare information systems that are usually found in Pervasive Healthcare environments.In this work, a case study was performed in a realistic distributed healthcare environment, where three usage scenarios were defined in the cardiology domain: delivery of laboratory analysis results, schedule of an appointment for pacemaker evaluation, and support of a medical staff II ABSTRACT meeting to prepare for a cardiac surgery. Using the Reusable Architecture and the Message Generator, three applications were built for these scenarios, and they were employed and evaluated by both healthcare professionals and patients. The experiments were conducted in a distributed environment that consists of three cardiology clinics, one analysis laboratory, and the cardiology department of the Santa Casa Hospital of Marília (São Paulo, Brazil). The evaluation of these applications was carried out using the Technology Acceptance Model (TAM), since this model is generally considered as appropriate to explain technology acceptance. The evaluation involved a limited but representative set of healthcare professionals and patients.We showed that the methodology proposed in this thesis truly facilitates the development of Pervasive Healthcare. The proposed methodology preserves the investment in the legacy healthcare information systems and allow...

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Follow up and optimisation of cardiac pacing

Cited by 27 publications

References 16 publications

The nature and course of illness perception following cardiac pacemaker implantation: A self‐regulatory approach

The nature and course of illness perception following cardiac pacemaker implantation: A self‐regulatory approach

Pacemaker lead perforation of the right ventricle associated with Moraxella phenylpyruvica infection in a dog

Methodological support to develop interoperable applications for pervasive healthcare

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