Christopher M. Wright, MD, MBA Pioneer Cardiovascular Consultants Tempe, Arizona

Size: px
Start display at page:

Download "Christopher M. Wright, MD, MBA Pioneer Cardiovascular Consultants Tempe, Arizona"

Transcription

1 Christopher M. Wright, MD, MBA Pioneer Cardiovascular Consultants Tempe, Arizona

2 Areas to be covered Historical, current, and future treatments for various cardiovascular disease: Atherosclerosis (Coronary Artery Disease) Valvular Heart Disease Arrhythmias (Abnormal Heart Rhythms)

3 Coronary Artery Disease Atherosclerosis is the leading cause of death in the United States accounting for ~25% of all deaths annually Plaque build- up in the heart arteries Common Symptoms or problems related to Coronary disease: Chest pain Heart Attack or Myocardial Infarction

4 Coronary Artery Disease Multiple Tools to Detect EKG Laboratory Assays Stress Testing Echocardiography Cardiac CT MRI Cardiac Catheterization Multiple Tools to Treat Medical Therapy Cardiac Angioplasty and Stenting Bypass Surgery

5 Coronary Artery Disease Cardiac Catheterization use of catheters (hollow tubes ) and X- rays to view the heart arteries First performed in the 1930 s in humans - Werner Forssmann won the Noble Prize for this work. Made into a diagnostic tool in humans in the 1950 s

6 Coronary Artery Disease How do you turn a Catheterization into a treatment option?

7 Coronary Artery Disease Cardiac Catheterization is turned into a treatment with the addition of Balloon Angioplasty in 1977 A balloon on the end of a catheter is used to dilate areas of blockage

8 Coronary Artery Disease Angioplasty was associated with several problems ~85% success rate Acute rupture or disruption of the artery leading to emergency surgery Restenosis 30% (up to 60%) of plaques would renarrow

9 Coronary Artery Disease Cardiac Stenting similar to Angioplasty but a metal framework is left inside the artery to hold the plaque open First approved for use in 1994 in the US Procedural success >95% Up to 30% eventually developed restenosis

10 Coronary Artery Disease Drug Eluting Stents stents embedded with various drugs designed to prevent restenosis First used in the US in 2003 Restenosis rates drop to less than 1% New problem develops: stent thrombosis blood clot forms inside the stent leading to complete blockage and a large heart attack and death Problem partially addressed with newer medical regimens

11 Coronary Artery Disease Bioabsorbable stents THE FUTURE Hold the artery open to avoid the early problems that were associated with plain angioplasty and dissolve over time to avoid the later complications of stents.

12 Valvular Heart Disease

13 Valvular Heart Disease Narrowing and leakage of the valves of the heart can lead to severe physical debility and death. Valve surgery was first successfully completed in the 1950 s

14 Valvular Heart Disease Bioprosthetic and Mechanical Valves are both used Both have advantages and disadvantages

15 Valvular Heart Disease Surgical technique and the quality of the valves have improved the recovery and success of valve surgery However recovery is still quite lengthy Some patients are too sick to survive the surgery Surgical Complications Infection Bleeding Valve malfunction Stroke or mental decline Kidney failure Death

16 Valvular Heart Disease The Future Henning Rud Andersen, MD first patents a percutaneous or catheter delivered valve in 1988 (after attending a conference in Phoenix) Clinical Trials underway to test this device since 2005

17 Valvular Heart Disease

18 Cardiac Arrhythmias

19 Cardiac Arrhythmias Abnormal Heart Rhythms either fast or slow. Various treatment options Pacemakers - for slow rhythms Defibrillators - for fast rhythms

20 Cardiac Pacemaker Electrical stimulation of the heart dates back to the 1700 s Attempts at designing an external pacemaker for humans date back to the 1930 s First used successfully in the 1950 s external transvenous

21 Cardiac Pacemaker First battery powered pacemaker 1957 External device with implanted electrodes 1959 First fully implanted pacemaker system is developed First transvenous implanted system is used

22 Cardiac Pacemaker 1970 s 1980 s Devices become smaller with better longevity Better power supply developed Lithium batteries Nuclear energy fueled pacemakers Programmability Physiologic adaptability 1983 Dual Chamber pacing 1985

23 Cardiac Pacemaker 1990 s Cardiologists become the principle implanters of devices

24 Cardiac Pacemaker 2000 s Cardiac Resynchronization addition of a third lead to augment heart function in patients with congestive heart failure

25 Cardiac Pacemaker

26 Cardiac Pacemaker Problem

27 Cardiac Pacemaker Present Problem MRI compatibility Up to 85% of patient with pacemakers will eventually have an indication for an MRI - Musculoskeletal and Neurologic reasons Pacemaker systems have not been MRI safe Lead Heating Unintended Cardiac Pacing Device Interactions

28 Revo MRI Device Dual Chamber Pacemaker Same functionality as a regular pacemaker 28

29 Cardiac Pacemaker Future Use for other diseases Sleep Apnea, Hypertension, GI Dysmotility Better diagnostic capability Battery- less pacemakers Lead- less pacemakers

30 Sudden Cardiac Death

31 Sudden Cardiac Death 350, ,000 people in the US die yearly Caused by lethal Ventricular Arrhythmias Treatments Automated External Defibrillators Take a BLS Course Internal Cardioverter Defibrillators

32 Cardiac ICD s Internal Cardioverter Defibrillator First implanted in 1980 for conversion of lethal ventricular arrhythmia s back to sinus rhythm using high energy shocks Large device Made with over the counter electronics Short lived Large 250 grams Not programmable Required Thorocotomy/Abdominal Implant

33 Cardiac ICD s 1980 s s Trials determined benefit for secondary prevention Devices became smaller, more effective, and better longevity are developed 2000 s Trials for Primary Prevention in high risk populations Cardiac Resynchronization ICD s become available

34 Cardiac ICD s Present Day ICD s are fairly small (~75 grams ~35 cc), highly programmable, safe and effective at preventing Sudden Cardic Death Longevity 5-7 years

35 Cardiac ICD s Present - Incidence of Inappropriate Shocks can be as high as 24% Shock reducing algorithms to reduce inappropriate shocks have been developed

36 Cardiac ICD s Future Advanced Patient Management Tools ICD s with diagnostic ability to measure Pulmonary Artery pressure as well as other clinical variables Treat or predict Congestive Heart Failure Episodes Treat or predict Heart Attacks Subcutaneous ICDs

GENERAL HEART DISEASE KNOW THE FACTS

GENERAL HEART DISEASE KNOW THE FACTS GENERAL HEART DISEASE KNOW THE FACTS WHAT IS Heart disease is a broad term meaning any disease affecting the heart. It is commonly used to refer to coronary heart disease (CHD), a more specific term to

More information

A Patient s Guide to Primary and Secondary Prevention of Cardiovascular Disease Using Blood-Thinning (Anticoagulant) Drugs

A Patient s Guide to Primary and Secondary Prevention of Cardiovascular Disease Using Blood-Thinning (Anticoagulant) Drugs A Patient s Guide to Primary and Secondary Prevention of PATIENT EDUCATION GUIDE What Is Cardiovascular Disease? Cardiovascular disease (CVD) is a broad term that covers any disease of the heart and circulatory

More information

HealthPartners Inspire Special Needs Basic Care Clinical Care Planning and Resource Guide CORONARY ARTERY DISEASE MANAGEMENT

HealthPartners Inspire Special Needs Basic Care Clinical Care Planning and Resource Guide CORONARY ARTERY DISEASE MANAGEMENT The following Evidence Base Guideline was used in developing this clinical care guide: National Institute of Health (NIH); American Heart Association (AHA) Documented Health Condition: Coronary Artery

More information

Cardiac Care: You Have Options

Cardiac Care: You Have Options Cardiac Care: You Have Options The Cardiac Care Network of Ontario (CCN) is dedicated to improving quality, efficiency, access and equity in the delivery of adult cardiac care services in Ontario. CCN

More information

Treatments to Restore Normal Rhythm

Treatments to Restore Normal Rhythm Treatments to Restore Normal Rhythm In many instances when AF causes significant symptoms or is negatively impacting a patient's health, the major goal of treatment is to restore normal rhythm and prevent

More information

Providence St. Vincent Heart Clinic Cardiology

Providence St. Vincent Heart Clinic Cardiology Providence St. Vincent Heart Clinic Cardiology Tests and Procedures ASD/PFO Closures An atrial septal defect (ASD) is an opening between the upper two chambers of the heart. Patent foramen ovale (PFO)

More information

What Are Arrhythmias?

What Are Arrhythmias? What Are Arrhythmias? Many people have questions about what the word arrhythmia means, and arrhythmias can be a difficult subject to understand. The text below should give you a better understanding of

More information

Cardiology. Cardiology Services

Cardiology. Cardiology Services Cardiology Cardiology Services Cardiology treats diseases that affect the heart and blood vessels. The human cardiovascular system pumps and circulates blood throughout the body, carrying oxygen and nutrients

More information

BASIC STANDARDS FOR RESIDENCY TRAINING IN CARDIOLOGY

BASIC STANDARDS FOR RESIDENCY TRAINING IN CARDIOLOGY BASIC STANDARDS FOR RESIDENCY TRAINING IN CARDIOLOGY American Osteopathic Association and the American College of Osteopathic Internists Specific Requirements For Osteopathic Subspecialty Training In Cardiology

More information

CARDIOLOGIST What does a cardiologist do? A cardiologist is a doctor who specializes in caring for your heart and blood vessel health.

CARDIOLOGIST What does a cardiologist do? A cardiologist is a doctor who specializes in caring for your heart and blood vessel health. YOUR TREATMENT TEAM CARDIOLOGIST What does a cardiologist do? A cardiologist is a doctor who specializes in caring for your heart and blood vessel health. To become a cardiologist, a doctor completes additional

More information

Causes & Treatments of Heart Failure

Causes & Treatments of Heart Failure Causes & Treatments of Heart Failure Usually heart failure is due to a primary cause as well as additional contributing causes Identifying and treating these causes are important in all types of heart

More information

LEADING-EDGE Cardiovascular Care

LEADING-EDGE Cardiovascular Care LEADING-Edge Cardiovascular Care Coral Gables Hospital North Shore Medical Center Hialeah Hospital Delray Medical Center Good Samaritan Medical Center Palm Beach Gardens Medical Center St. Mary s Medical

More information

Cardiovascular And Thoracic Anesthesia Billing AAPC CHICAGO REGIONAL CONFERENCE. Presented by:

Cardiovascular And Thoracic Anesthesia Billing AAPC CHICAGO REGIONAL CONFERENCE. Presented by: Cardiovascular And Thoracic Anesthesia Billing AAPC CHICAGO REGIONAL CONFERENCE Presented by: Judy A. Wilson, CPC, CPC H, CPCO, CPC P, CPPM, CPC I, CANPC Disclosures All materials in this presentation

More information

Cardiac Rehab. Home. www.homecareforyou.com. Do you suffer from a cardiac condition that is limiting your independence in household mobility?

Cardiac Rehab. Home. www.homecareforyou.com. Do you suffer from a cardiac condition that is limiting your independence in household mobility? TM Nightingale Home Cardiac Rehab Do you suffer from a cardiac condition that is limiting your independence in household mobility? Such as, 1. A recent heart attack 2. A heart condition coronary artery

More information

Atrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI

Atrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI Atrial Fibrillation and Cardiac Device Therapy RAKESH LATCHAMSETTY, MD DIVISION OF ELECTROPHYSIOLOGY UNIVERSITY OF MICHIGAN HOSPITAL ANN ARBOR, MI Outline Atrial Fibrillation What is it? What are the associated

More information

Specific Basic Standards for Osteopathic Fellowship Training in Cardiology

Specific Basic Standards for Osteopathic Fellowship Training in Cardiology Specific Basic Standards for Osteopathic Fellowship Training in Cardiology American Osteopathic Association and American College of Osteopathic Internists BOT 07/2006 Rev. BOT 03/2009 Rev. BOT 07/2011

More information

Angioplasty and Stent Education Guide

Angioplasty and Stent Education Guide Angioplasty and Stent Education Guide Table of Contents Treating coronary artery disease...2 What is coronary artery disease...3 Coronary artery disease treatment options...4 What are coronary artery

More information

Heart Problems and Treatments

Heart Problems and Treatments Heart Problems and Treatments A Healthy Heart Your heart's main functions are to receive used blood from your body and pump fresh oxygen rich blood to nourish your body. To do this well: The heart muscle

More information

Cardiac Rhythm Disorders

Cardiac Rhythm Disorders Cardiac Rhythm Disorders EP Laboratory Procedures (N = 4,65) Cleveland Clinic electrophysiologists use specialized approaches to diagnose and treat a wide variety of arrhythmias. In, we performed more

More information

Atrial Fibrillation (AF) March, 2013

Atrial Fibrillation (AF) March, 2013 Atrial Fibrillation (AF) March, 2013 This handout is meant to help with discussions about the condition, and it is not a complete discussion of AF. We hope it will complement your appointment with one

More information

Automatic External Defibrillators

Automatic External Defibrillators Last Review Date: May 27, 2016 Number: MG.MM.DM.10dC2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth

More information

Rotation: Interventional Cardiology - Diagnostic Cardiac Catheterization (Level 1) Principal Educational Goals

Rotation: Interventional Cardiology - Diagnostic Cardiac Catheterization (Level 1) Principal Educational Goals Rotation: Interventional Cardiology - Diagnostic Cardiac Catheterization (Level 1) Rotation Director: Dr. Jon Resar Faculty: Drs. Brinker, Kass, Miller, Rade, Thiemann, Hours: Monday Friday: 8 a.m. to

More information

CARDIAC CARE. Giving you every advantage

CARDIAC CARE. Giving you every advantage CARDIAC CARE Giving you every advantage Getting to the heart of the matter The Cardiovascular Program at Northwest Hospital & Medical Center is dedicated to the management of cardiovascular disease. The

More information

Understanding Coronary Artery Disease, Cardiac Catheterization, and Treatment Options. A Guide for Patients

Understanding Coronary Artery Disease, Cardiac Catheterization, and Treatment Options. A Guide for Patients Understanding Coronary Artery Disease, Cardiac Catheterization, and Treatment Options A Guide for Patients Coronary Artery Disease If you or a member of your family has been diagnosed with coronary artery

More information

Heart Attack: What You Need to Know

Heart Attack: What You Need to Know A WorkLife4You Guide Heart Attack: What You Need to Know What is a Heart Attack? The heart works 24 hours a day, pumping oxygen and nutrient-rich blood to the body. Blood is supplied to the heart through

More information

To be completed and signed by the Attending Physician

To be completed and signed by the Attending Physician Instruction to doctor: This patient is insured with us against the happening of certain contingent events associated with his health. A claim has been submitted in connection with Heart attack / Cardiomyopathy

More information

AORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE

AORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE AORTIC STENOSIS HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE WHAT IS AORTIC STENOSIS? THE AORTIC VALVE The aorta is the major vessel that carries oxygenated blood out of the left side of the

More information

PATIENT INFORMATION BOOKLET

PATIENT INFORMATION BOOKLET PATIENT INFORMATION BOOKLET Wingspan Stent System with Gateway PTA Balloon Catheter TABLE OF CONTENTS Definitions... 2 What is the Purpose of This Booklet?... 3 What is an Intracranial Lesion?... 3 Who

More information

Supraventricular Tachycardia (SVT) and Ablation

Supraventricular Tachycardia (SVT) and Ablation UW MEDICINE PATIENT EDUCATION Supraventricular Tachycardia (SVT) and Ablation Treating your abnormal heart rhythm This handout describes a type of abnormal heart rhythm called supraventricular tachycardia.

More information

Heart Disorders Glossary

Heart Disorders Glossary Heart Disorders Glossary ABG (Arterial Blood Gas) Test: A test that measures how much oxygen and carbon dioxide are in the blood. Anemia: A condition in which there are low levels of red blood cells in

More information

Papworth Hospital NHS Foundation Trust

Papworth Hospital NHS Foundation Trust Papworth Hospital NHS Foundation Trust About Papworth Hospital Papworth Hospital is the UK s largest provider of specialist cardiothoracic services including cardiology, respiratory medicine and cardiothoracic

More information

Heart information. Coronary heart disease

Heart information. Coronary heart disease Heart information Coronary heart disease Contents Page 1 Page 2 Page 3 Page 3 Page 4 Page 5 Page 6 Page 6 Page 7 Page 7 Page 7 Page 8 Page 8 Page 8 Page 9 Page 9 What is coronary heart disease? What causes

More information

Ch. 138 CARDIAC CATHETERIZATION SERVICES 28 138.1 CHAPTER 138. CARDIAC CATHETERIZATION SERVICES GENERAL PROVISIONS

Ch. 138 CARDIAC CATHETERIZATION SERVICES 28 138.1 CHAPTER 138. CARDIAC CATHETERIZATION SERVICES GENERAL PROVISIONS Ch. 138 CARDIAC CATHETERIZATION SERVICES 28 138.1 CHAPTER 138. CARDIAC CATHETERIZATION SERVICES Sec. 138.1 Principle. 138.2. Definitions. GENERAL PROVISIONS PROGRAM, SERVICE, PERSONNEL AND AGREEMENT REQUIREMENTS

More information

Angina. What is angina? Angina is the chest pain, pressure, or feeling of tightness you feel when your heart does not get enough oxygen.

Angina. What is angina? Angina is the chest pain, pressure, or feeling of tightness you feel when your heart does not get enough oxygen. Angina GENERAL INFORMATION: What is angina? Angina is the chest pain, pressure, or feeling of tightness you feel when your heart does not get enough oxygen. What causes angina? Angina is caused by reduced

More information

Anatomy and Physiology: Understanding the Importance of CPR

Anatomy and Physiology: Understanding the Importance of CPR Anatomy and Physiology: Understanding the Importance of CPR Overview This document gives you more information about the body s structure (anatomy) and function (physiology). This information will help

More information

Catheter Ablation. A Guided Approach for Treating Atrial Arrhythmias

Catheter Ablation. A Guided Approach for Treating Atrial Arrhythmias Catheter Ablation A Guided Approach for Treating Atrial Arrhythmias A P A T I E N T H A N D B O O K This brochure will provide an overview of atrial arrhythmias (heart rhythm problems affecting the upper

More information

Atrial Fibrillation Overview for Staff of Community Primary and Specialty Care Providers

Atrial Fibrillation Overview for Staff of Community Primary and Specialty Care Providers Atrial Fibrillation Overview for Staff of Community Primary and Specialty Care Providers Atrial Fibrillation (AF or AFib) Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat

More information

Fort Hamilton Hospital Specialty: Cardiology Department of Medicine Delineation of Privileges

Fort Hamilton Hospital Specialty: Cardiology Department of Medicine Delineation of Privileges NAME Fort Hamilton Hospital Specialty: Cardiology Department of Medicine Delineation of Privileges GENERAL CARDIOLOGY Required Qualifications for General Cardiology Education/Training/Experience Must have

More information

Duration of Dual Antiplatelet Therapy After Coronary Stenting

Duration of Dual Antiplatelet Therapy After Coronary Stenting Duration of Dual Antiplatelet Therapy After Coronary Stenting C. DEAN KATSAMAKIS, DO, FACC, FSCAI INTERVENTIONAL CARDIOLOGIST ADVOCATE LUTHERAN GENERAL HOSPITAL INTRODUCTION Coronary artery stents are

More information

Get your rhythm back.

Get your rhythm back. IRREGULAR HEARTBEAT? Get your rhythm back. ABOUT ARRHYTHMIA If you ve been diagnosed with a cardiac arrhythmia, there has been a change from the normal sequence of electrical impulses in your heart, causing

More information

UnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program:

UnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program: UnitedHealthcare, UnitedHealthcare of the River Valley and Neighborhood Health Partnership Cardiology Notification and Prior Authorization Program: Electrophysiology Implant Code Classification Table The

More information

Appendix. Costing Case Samples for OOHCA

Appendix. Costing Case Samples for OOHCA Appendix Costing Case Samples for OOHCA The patient (ICD-1) Treatment Codes (OPCS 4) Patient 27 Admitted to ICU following percutaneous cardiac intervention (PCI) with 2 drugeluting stents following a VF

More information

Perioperative Cardiac Evaluation

Perioperative Cardiac Evaluation Perioperative Cardiac Evaluation Caroline McKillop Advisor: Dr. Tam Psenka 10-3-2007 Importance of Cardiac Guidelines -Used multiple times every day -Patient Safety -Part of Surgical Care Improvement Project

More information

Cardiology ARCP Decision Aid August 2014

Cardiology ARCP Decision Aid August 2014 Cardiology ARCP Decision Aid August 2014 The table that follows includes a column for each training year which documents the targets that have to be achieved for a satisfactory ARCP outcome at the end

More information

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS. Delineation of Privileges Department of Internal Medicine Division of Cardiovascular Medicine

UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS. Delineation of Privileges Department of Internal Medicine Division of Cardiovascular Medicine University of Michigan Hospitals and Health Centers UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS Delineation of Privileges Department of Internal Medicine Division of Cardiovascular Medicine Name:

More information

CARDIA 288 MONTH FOLLOW-UP SUPPLEMENTAL FORM (FORM B) HOSPITALIZATION CASE #: INTERVIEWER ID FY288BIVID2. Page 1 of 6 FY288BH4CN

CARDIA 288 MONTH FOLLOW-UP SUPPLEMENTAL FORM (FORM B) HOSPITALIZATION CASE #: INTERVIEWER ID FY288BIVID2. Page 1 of 6 FY288BH4CN HOSPITALIZATION CASE #: 2 8 8 0 H FY288BH4CN Has the participant indicated any of the following reasons for being admitted overnight for this case? 1. Suspected or confirmed problems with the heart, circulation,

More information

Diagnostic and Therapeutic Procedures

Diagnostic and Therapeutic Procedures Diagnostic and Therapeutic Procedures Diagnostic and therapeutic cardiovascular s are central to the evaluation and management of patients with cardiovascular disease. Consistent with the other sections,

More information

Cardiac Catheterization

Cardiac Catheterization Page 1 Cardiac Catheterization What Other Terms Are Used To Describe Cardiac Catheterization? Heart Cath (catheter) Angiogram What Is Cardiac Catheterization? This procedure is nonsurgical and is performed

More information

Guidelines for sub-specialty training in cardiac implantable electronic devices: selection, implantation and follow-up

Guidelines for sub-specialty training in cardiac implantable electronic devices: selection, implantation and follow-up The Cardiac Society of Australia and New Zealand Guidelines for sub-specialty training in cardiac implantable electronic devices: selection, implantation and follow-up A Working Group chaired by Dr Angas

More information

The Bioresorbable Vascular Stent Dr Albert Ko

The Bioresorbable Vascular Stent Dr Albert Ko The Bioresorbable Vascular Stent Dr Albert Ko Dr Albert Ko MB BS, FRACP, FCSANZ Interventional/General Cardiologist Ascot Cardiology Symposium 2013 Treatment Goals for Coronary Artery Disease Relieve of

More information

Living with Heart Failure?

Living with Heart Failure? Living with Heart Failure? You have options. COUNTER HF CLINICAL STUDY What is heart failure? Although the term heart failure makes it sound as if the heart has stopped working, it really means your heart

More information

LIVING ASSURANCE / EPCC CLAIM DOCTOR S STATEMENT

LIVING ASSURANCE / EPCC CLAIM DOCTOR S STATEMENT LIVING ASSURANCE / EPCC CLAIM DOCTOR S STATEMENT DOCTOR S STATEMENT FOR: HEART ATTACK * Please delete where appropriate For Official Use _ G E L S _ O A C S Name of Life Assured: NRIC/ Passport No.: of

More information

Structural Heart Disease Program: Aortic Valve Clinic

Structural Heart Disease Program: Aortic Valve Clinic Structural Heart Disease Program: Aortic Valve Clinic We are in the midst of a revolution for aortic valve disease care, and our patients are the beneficiaries David Lasorda, DO, FACC Director, AGH Division

More information

The DOT Health Card: How the FMCSA Medical Guidelines & Regulations Affect You

The DOT Health Card: How the FMCSA Medical Guidelines & Regulations Affect You North Mississippi Medical Center 830 South Gloster Tupelo, MS The DOT Health Card: How the FMCSA Medical Guidelines & Regulations Affect You Work Link Clinic 844 South Madison Tupelo, MS 38801 (662) 377-5300

More information

CARDIOLOGY ROTATION GOALS AND OBJECTIVES

CARDIOLOGY ROTATION GOALS AND OBJECTIVES CARDIOLOGY ROTATION GOALS AND OBJECTIVES PGY-1 Core Medicine Rotation The trainee will have the opportunity to develop clinical skills, the ability to analyze patients problems, and make treatment plans

More information

Heart Center Packages

Heart Center Packages Heart Center Packages For more information and appointments, Please contact The Heart Center of Excellence at the American Hospital Dubai Tel: +971-4-377-6571 Email: heartcenter@ahdubai.com www.ahdubai.com

More information

Coronary angiogram : An author view Patwary MSR

Coronary angiogram : An author view Patwary MSR The ORION Medical Journal 2008 Sep;31:599-601 Coronary angiogram : An author view Patwary MSR Abstract It is relatively safe, though minimally invasive, test. Coronary angiogram is an x-ray of the coronary

More information

Acute myocardial infarction, of other anterior wall, episode of care unspecified

Acute myocardial infarction, of other anterior wall, episode of care unspecified ICD-9 Description 395.0 Rheumatic aortic stenosis 395.1 Rheumatic aortic insufficiency 395.2 Rheumatic aortic stenosis with insufficiency 395.9 Other and unspecified rheumatic aortic diseases 396.0 Mitral

More information

Chapter 8. Pacemaker Rhythms

Chapter 8. Pacemaker Rhythms Chapter 8 Pacemaker Rhythms 1 Objectives Define the following terms: sensitivity, capture, asynchronous, synchronous, threshold. Identify the components of a pacemaker system. Describe a unipolar and bipolar

More information

What to Know About. Atrial Fibrillation

What to Know About. Atrial Fibrillation Atrial Fibrillation What to Know About Atrial Fibrillation Understanding Afib Atrial fibrillation, or Afib, is a condition in which the heart beats irregularly speeding up or slowing down, or beating too

More information

What Is a Stroke? From the Cerebrovascular Imaging and Interventions Committee of the American Heart Association Cardiovascular Radiology Council

What Is a Stroke? From the Cerebrovascular Imaging and Interventions Committee of the American Heart Association Cardiovascular Radiology Council What Is a Stroke? From the Cerebrovascular Imaging and Interventions Committee of the American Heart Association Cardiovascular Radiology Council Randall T. Higashida, M.D., Chair 1 What Is a Stroke? From

More information

Medicare and Department of Veterans Affairs medical benefits data

Medicare and Department of Veterans Affairs medical benefits data Medicare and Department of Veterans Affairs medical benefits data This section describes the use of cardiovascular medical services covered by Medicare and the Department of Veterans Affairs for the financial

More information

CARDIAC PROBLEMS ASSOCIATED WITH THE MPS SYNDROMES

CARDIAC PROBLEMS ASSOCIATED WITH THE MPS SYNDROMES CARDIAC PROBLEMS ASSOCIATED WITH THE MPS SYNDROMES Elizabeth Braunlin, MD, PhD Overview Deposition of storage material (glycosaminoglycan) occurs in the hearts of individuals with all forms of MPS Syndromes.

More information

Coronary Artery Disease leading cause of morbidity & mortality in industrialised nations.

Coronary Artery Disease leading cause of morbidity & mortality in industrialised nations. INTRODUCTION Coronary Artery Disease leading cause of morbidity & mortality in industrialised nations. Although decrease in cardiovascular mortality still major cause of morbidity & burden of disease.

More information

Listen to your heart: Good Cardiovascular Health for Life

Listen to your heart: Good Cardiovascular Health for Life Listen to your heart: Good Cardiovascular Health for Life Luis R. Castellanos MD, MPH Assistant Clinical Professor of Medicine University of California San Diego School of Medicine Sulpizio Family Cardiovascular

More information

Heart disease has increased around the globe, but with this increase have come new diagnostic tools, treatment options and medications.

Heart disease has increased around the globe, but with this increase have come new diagnostic tools, treatment options and medications. Cardiovascular nursing has become a specialty in the past 50 years as a result of a focus on treating heart attack and other heart disorders rather than assuming heart attacks are usually fatal. Medical

More information

Tachyarrhythmias (fast heart rhythms)

Tachyarrhythmias (fast heart rhythms) Patient information factsheet Tachyarrhythmias (fast heart rhythms) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout

More information

Risk Stratification Post MI for Patients at Risk for Sudden Death. Dr. Umang Patel St. Mary s hospital, Evansville, IN

Risk Stratification Post MI for Patients at Risk for Sudden Death. Dr. Umang Patel St. Mary s hospital, Evansville, IN Risk Stratification Post MI for Patients at Risk for Sudden Death Dr. Umang Patel St. Mary s hospital, Evansville, IN Epidemiology The overall incidence of SCD in the United States is 1 to 2 per 1000

More information

Diagnosis Code Crosswalk : ICD-9-CM to ICD-10-CM Cardiac Rhythm and Heart Failure Diagnoses

Diagnosis Code Crosswalk : ICD-9-CM to ICD-10-CM Cardiac Rhythm and Heart Failure Diagnoses Diagnosis Code Crosswalk : to 402.01 Hypertensive heart disease, malignant, with heart failure 402.11 Hypertensive heart disease, benign, with heart failure 402.91 Hypertensive heart disease, unspecified,

More information

Cardiac rehabilitation

Cardiac rehabilitation Cardiac rehabilitation Supporting your recovery Second edition A note about cardiac rehabilitation The National Heart Foundation of Australia and the World Health Organization recommend all patients who

More information

Transcatheter Aortic Valve Replacement for Patients Who Cannot Have Open-Heart Surgery. What You and Your Loved Ones Should Know

Transcatheter Aortic Valve Replacement for Patients Who Cannot Have Open-Heart Surgery. What You and Your Loved Ones Should Know Transcatheter Aortic Valve Replacement for Patients Who Cannot Have Open-Heart Surgery What You and Your Loved Ones Should Know This pamphlet was created for patients who feel sick from severe aortic stenosis

More information

COVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION

COVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION COVERAGE GUIDANCE: ABLATION FOR ATRIAL FIBRILLATION Question: How should the EGBS Coverage Guidance regarding ablation for atrial fibrillation be applied to the Prioritized List? Question source: Evidence

More information

TAXUS Express 2. Paclitaxel-Eluting Coronary Stent System. Patient Information Guide

TAXUS Express 2. Paclitaxel-Eluting Coronary Stent System. Patient Information Guide TAXUS Express 2 Paclitaxel-Eluting Coronary Stent System Patient Information Guide 1 Table of Contents Coronary Artery Disease...2 Who Is at Risk?...3 Diagnosis of Coronary Artery Disease...3 Treatment

More information

Living With Chronic Angina

Living With Chronic Angina Sponsored by: Living With Chronic Angina Resource Guide This program was sponsored by Gilead Sciences, Inc. 2 About Chronic Angina Your Health Care Team & Doctor Visits Treatment Options for Chronic Angina

More information

Vascular Disease in Women. Aimee Swartz, MD RPVI Vascular and Endovascular Associates of WNY

Vascular Disease in Women. Aimee Swartz, MD RPVI Vascular and Endovascular Associates of WNY Vascular Disease in Women Aimee Swartz, MD RPVI Vascular and Endovascular Associates of WNY Vascular Disease Atherosclerosis Hardening of the arteries Restriction of blood flow Arteries beyond the heart

More information

Catheter insertion of a new aortic valve to treat aortic stenosis

Catheter insertion of a new aortic valve to treat aortic stenosis Issue date March 2012 Understanding NICE guidance Information for people who use NHS services NICE interventional procedures guidance advises the NHS on when and how new procedures can be used in clinical

More information

Coronary angiogram +/- angioplasty +/- intravascular imaging studies, +/- pressure wire study

Coronary angiogram +/- angioplasty +/- intravascular imaging studies, +/- pressure wire study PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label +/- intravascular imaging studies, +/- pressure wire study Why do I need this procedure?

More information

UW MEDICINE PATIENT EDUCATION. Aortic Stenosis. What is heart valve disease? What is aortic stenosis?

UW MEDICINE PATIENT EDUCATION. Aortic Stenosis. What is heart valve disease? What is aortic stenosis? UW MEDICINE PATIENT EDUCATION Aortic Stenosis Causes, symptoms, diagnosis, and treatment This handout describes aortic stenosis, a narrowing of the aortic valve in your heart. It also explains how this

More information

Understanding your Renal Stent Procedure. A patient Guide (COVER PAGE) TABLE OF CONTENTS (inside front page)

Understanding your Renal Stent Procedure. A patient Guide (COVER PAGE) TABLE OF CONTENTS (inside front page) Understanding your Renal Stent Procedure. A patient Guide (COVER PAGE) TABLE OF CONTENTS (inside front page) The Kidney and the Renal Arteries... 1 Renal Artery Disease... 2 Diagnosis of Renal.Artery Disease...

More information

Renovascular Disease. Renal Artery and Arteriosclerosis

Renovascular Disease. Renal Artery and Arteriosclerosis Other names: Renal Artery Stenosis (RAS) Renal Vascular Hypertension (RVH) Renal Artery Aneurysm (RAA) How does the normal kidney work? The blood passes through the kidneys to remove the body s waste.

More information

ATRIAL FIBRILLATION WHAT IS ATRIAL FIBRILLATION? DIFFERENT PATTERNS OF ATRIAL FIBRILLATION: WHAT ARE THE SYMPTOMS OF ATRIAL FIBRILLATION?

ATRIAL FIBRILLATION WHAT IS ATRIAL FIBRILLATION? DIFFERENT PATTERNS OF ATRIAL FIBRILLATION: WHAT ARE THE SYMPTOMS OF ATRIAL FIBRILLATION? ATRIAL FIBRILLATION WHAT IS ATRIAL FIBRILLATION? Atrial fibrillation (AF) is a rapid and irregular rhythm disturbance of the upper chambers of the (atria) heart overriding the normal heart pacemaker. The

More information

CAUSES AND PREVENTION OF CARDIORESPIRATORY ARREST

CAUSES AND PREVENTION OF CARDIORESPIRATORY ARREST CAUSES AND PREVENTION OF CARDIORESPIRATORY ARREST B1 Objectives To understand: The causes of cardiorespiratory arrest in adults How to identify patients at risk The role of a Medical Emergency Team The

More information

Reimbursement Information For Electrophysiology and Arrhythmia Service Procedures 1

Reimbursement Information For Electrophysiology and Arrhythmia Service Procedures 1 GE Healthcare Information For Electrophysiology and Arrhythmia Procedures 1 2011 Update www.gehealthcare.com/reimbursement This overview addresses coding, coverage, and payment for electrophysiology procedures

More information

CARDIOLOGY Delineation of Privileges

CARDIOLOGY Delineation of Privileges CARDIOLOGY Delineation of Privileges APPLICANT: INITIAL APPOINTMENT REQUIREMENTS: BASIC EDUCATION: M.D. or D.O. from an accredited school of medicine or osteopathy. Successful completion of an ACGME or

More information

Oxford Heart Centre Transcatheter Aortic Valve Implantation (TAVI) Information for patients

Oxford Heart Centre Transcatheter Aortic Valve Implantation (TAVI) Information for patients Oxford Heart Centre Transcatheter Aortic Valve Implantation (TAVI) Information for patients Transcatheter Aortic Valve Implantation (TAVI) You have been diagnosed with a condition called aortic stenosis

More information

An All-Star Team Approach to Cardiac Care at Vassar Brothers Medical Center

An All-Star Team Approach to Cardiac Care at Vassar Brothers Medical Center AirStrip Case Study An All-Star Team Approach to Cardiac Care at Vassar Brothers Medical Center Through sophisticated technology, a team approach to care and a new model centered on uniform adoption of

More information

HEART & VASCULAR SERVICES. Heart & Vascular Services www.mhsystem.org

HEART & VASCULAR SERVICES. Heart & Vascular Services www.mhsystem.org HEART & VASCULAR SERVICES Heart & Vascular Services www.mhsystem.org Heart Services Testing Before Your Procedure If you are scheduled for a procedure in the catheterization lab, there will be blood work

More information

CARDIOLOGY 10 YEARS PAST 10 YEARS FUTURE

CARDIOLOGY 10 YEARS PAST 10 YEARS FUTURE CARDIOLOGY 10 YEARS PAST 10 YEARS FUTURE Maarten L Simoons Thoraxcenter Erasmus MC Rotterdam President ESC 2000-2002 Cardiology, the next 10 years (?) Break through of genetics cardiomyopathy, ion channel

More information

Atrial Fibrillation. My follow-up questions: A Patient s Guide to Understanding. sjm.com

Atrial Fibrillation. My follow-up questions: A Patient s Guide to Understanding. sjm.com My follow-up questions: Global Headquarters Cardiac Rhythm One St. Jude Medical Drive Management Division St. Paul, Minnesota 55117 15900 Valley View Court USA Sylmar, California 91342 + 1 651 756 2000

More information

SUTTER MEDICAL CENTER, SACRAMENTO Department of Cardiovascular Disease Cardiology - Delineation of Privileges

SUTTER MEDICAL CENTER, SACRAMENTO Department of Cardiovascular Disease Cardiology - Delineation of Privileges INITIAL: [ ] RENEWED: [ ] DATE: ADDITIONAL: [ ] Privileges are granted for Sutter General Hospital, Sutter Memorial Hospital, Sutter Center for Psychiatry, Sutter Oaks Midtown and the Capitol Pavilion

More information

Heart Disease in Women

Heart Disease in Women Heart Disease in Women Introduction Worldwide, heart disease is one of the leading causes of death and disability among women. More women than men die of heart disease each year. The older a woman gets,

More information

Questions & Answers About Angioplasty & Stenting

Questions & Answers About Angioplasty & Stenting ngiography and Interventions uestions & nswers bout ngioplasty & Stenting The following are questions patients and their families sometimes ask about angioplasty and stents. The information provided here

More information

Facing Coronary Artery Bypass Surgery? Learn about minimally invasive da Vinci Surgery

Facing Coronary Artery Bypass Surgery? Learn about minimally invasive da Vinci Surgery Facing Coronary Artery Bypass Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Coronary Artery Disease Coronary artery disease is a form of heart disease that affects your arteries.

More information

HEART CENTER. Touching Lives

HEART CENTER. Touching Lives HEART CENTER Touching Lives with INNOVATIVE TOOLS and an EXPERIENCED TEAM THE HEART MATTERS If you or someone you love is faced with a heart problem, you want to put your trust in experienced professionals

More information

The Heart. and. Myotonic Dystrophy. by Dr Chris Turner

The Heart. and. Myotonic Dystrophy. by Dr Chris Turner The Heart and Myotonic Dystrophy by Dr Chris Turner MRCP PhD. Consultant Neurologist MRC Centre for Neuromuscular Disease The National Hospital for Neurology and Neurosurgery, Queen Square London. and

More information

Cardiology services Prepared for the Auditor General for Scotland

Cardiology services Prepared for the Auditor General for Scotland Cardiology services Prepared for the Auditor General for Scotland February 2012 Auditor General for Scotland The Auditor General for Scotland is the Parliament s watchdog for helping to ensure propriety

More information

Listen to Your Heart. What Everyone Needs To Know About Atrial Fibrillation & Stroke. The S-ICD System. The protection you need

Listen to Your Heart. What Everyone Needs To Know About Atrial Fibrillation & Stroke. The S-ICD System. The protection you need Listen to Your Heart The S-ICD System What Everyone Needs To Know About Atrial Fibrillation & Stroke The protection you need without Stroke. touching Are you your at heart risk? Increase your knowledge.

More information

CENTRAL MONITORING AUTHORITY for CARDIOLOGY at EU LEVEL

CENTRAL MONITORING AUTHORITY for CARDIOLOGY at EU LEVEL Outline of Cardiology Training Chapter 6 Article 1 CENTRAL MONITORING AUTHORITY for CARDIOLOGY at EU LEVEL 1.1. The central monitoring authority for the specialty will be the European Board for the Specialty

More information

HEART DISEASE IN THE ELDERLY

HEART DISEASE IN THE ELDERLY CHAPTER 21 HEART DISEASE IN THE ELDERLY LAWRENCE H. YOUNG, M.D. INTRODUCTION The elderly represent the fastest-growing segment of the American population. By the year 2000, it is estimated that people

More information

Implantable Cardioverter Defibrillator

Implantable Cardioverter Defibrillator For further information call: Heart Rhythm Nurse Specialists on 0151 600 1270 or Tel; 0151 600 1336 Monday-Friday 9-5pm For advice out of hours contact: Coronary Care Unit 0151 600 1173. Pacing Clinic:

More information