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VIDEO: Where Have all the STEMI Cases Gone Amid COVID-19?

Coronavirus (COVID-19) | May 01, 2020

Thomas Maddox, M.D., MSc, FACC, the chair of the American College of Cardiology (ACC) Science and Quality Committee, explains concerns by ACC in a large drop in ST-elevation myocardial infarction (STEMI) heart attacks and strokes since the U.S. spread of COVID-19. Maddox is also the executive director of the Healthcare Innovation Lab of BJC Healthcare and Washington University School of Medicine, St. Louis. He is also an assistant professor of cardiology at Washington University.

The ACC is concerned about the 35-40 percent drop in STEMI and stroke patients presenting to emergency rooms across the U.S. and internationally since the start of the novel coronavirus (COVID-19, SARS-CoV-2) pandemic. Maddox is alarmed by the drop in cases and suspects patients are deciding to stay home rather than go to the hospitals out of fear about catching COVID-19. ACC launched a public relations campaign April 14, 2020, aimed at the public to get them to call 911 or go to hospitals if they have symptoms of stoke of a heart attack. Maddox said hospitals are still seeing and treating non-COVID-19 patients and the cardiovascular departments are still activating their cath labs to handle and acute cardiac cases that come in. 

He said Spain, which was hit earlier than the U.S. by the virus, saw a STEMI case decrease of about 40 percent. Based on limited U.S. data, he said U.S. cath lab activations are down about 35 percent. A clearer picture of the actual numbers of STEMI and other PCI cases will not be known from the ACC National Cardiovascular Data Registry (NCDR) until later this year, since most hospitals pull this data quarterly.

ACC is offering resources for the public  at www.cardiosmart.org/Coronavirus to evaluate their symptoms and help decide it they should go to the hospital or call 911.

Read the related article "Rapid Drop in Heart Attacks and Stroke at Hospitals Concerns ACC."

Watch another interview with Maddox in the VIDEO: What Cardiologists Need to Know about COVID-19.

 

Conference Coverage

Cardiovascular Ultrasound | June 27, 2017

Partho Sengupta, M.D., professor of medicine, director of cardiovascular imaging and chair of cardiac innovations at the West Virginia University Heart and Vascular Institute, discusses the 2017 Echovation Challenge, which highlighted workflow efficiency, at the 2017 American Society of Echocardiography (ASE) annual meeting. See all the stories and VIDEOS from ASE 2017 in the "Top Echocardiography News and Video From ASE 2017."
 

 

Cardiovascular Business | June 23, 2017

Linda Gillam, M.D., MPH, FACC, FAHA, FASE, chair, cardiovascular medicine, Atlantic Health System, suggests how cardiology-related services can demonstrate their value to providers and patients at the 2017 American Society of Echocardiography (ASE) annual meeting.

Watch the related VIDEO "MACRA's Impact on Cardiology," an interview with Kim A. Williams, Sr., M.D., chief of cardiology at Rush University Medical Center, Chicago. 

Read the article "HHS Finalizes Cardiology Bundled Payment Model to Lower Healthcare Costs."

 

 

Cardiovascular Ultrasound | June 19, 2017

DAIC Editor Dave Fornell takes a tour of some of the most innovative new cardiac ultrasound technologies at the American Society of Echocardiography (ASE) 2017 annual scientific sessions. Watch the related ASE VIDEO "Ultrasound Technology Trends and Technology to Watch."

Cardiovascular Ultrasound | June 15, 2017

Madhav Swaminathan, M.D., FASC, FAHA, clinical director of cardiothoracic anesthesiology, at Duke University Medical Center, discusses use of cardiac ultrasound in cardiac surgery and interventional structural heart procedures at the 2017 American Society of Echocardiography (ASE) annual meeting. Watch the related VIDEO "What is Required for Interventional Echo - Discussion With Rebecca Hahn," or read the article “Requirements for Interventional Echocardiographers.” 

Cardiovascular Ultrasound | June 15, 2017

Partho Sengupta, M.D., professor of medicine, director of cardiovascular imaging and chair of cardiac innovations at the West Virginia University Heart and Vascular Institute, discusses futuristic technologies that are entering cardiac ultrasound at the 2017 American Society of Echocardiography (ASE) annual meeting. Watch the related ASE 2017 VIDEO "Ultrasound Technology Trends and Technology to Watch."

 

Heart Valve Technology | June 14, 2017

A discussion with Rebecca Hahn, M.D., FASE, director of interventional echocardiography and professor of medicine at Columbia University Medical Center / New York-Presbyterian Hospital, New York. She is the national principal investigator for the SCOUT I Trial for the Trialign Percutaneous Tricuspid Valve Annuloplasty System. For information on the development of transcatheter mitral valve  technologies read the article "Transcatheter Mitral Valve Replacement Devices in Development." Watch a video with Hahn explaining the requirements for creating an interventional echo program to support structural heart interventions.

Cardiovascular Ultrasound | June 07, 2017

Chi-Ming Chow, M.D., MSc, FRCPC, FACC, FASE, attending staff cardiologist, St. Michael's Hospital, and associate professor, Department of Medicine, University of Toronto, discusses new technology trends in ultrasound and what developments will effect the future of cardiac ultrasound. Read the article "Automation Enhances, Streamlines Echocardiography." Chow also discusses advancements in strain imaging and how this diagnostic tool is becoming more important. Watch this VIDEO session on the basics of cardiac strain imaging from the American Society of Echocardiography (ASE) 2016.

 

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Ultrasound Enhances Quality as Technology Advances

Access the most current version of the Ultrasound Systems Comparison Chart (www.itnonline.com/content/ultrasound-systems). This will require a login, but it is free and only takes a minute to complete the form.

 

 

Cardiovascular Business | June 06, 2017

Andrea Natale, M.D., FACC, FHRS, FESC, executive medical director, Texas Cardiac Arrhythmia Institute at St. David's Medical Center, discusses how to build an electrophysiology (EP) program at the 2017 Heart Rhythm Society (HRS) annual meeting.

He explains what centers need to consider when creating an EP program, including what is required for device programs that include pacemakers, implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy (CRT), as well as the technologies and know-how for catheter ablation programs. He discusses who should be involved in creating an EP program and how EP needs to interface with other departments and subspecialties around the hospital.

Natale is a world recognized leader in the field of electrophysiology. Prior to the establishment of Texas Cardiac Arrhythmia Institute at St. David’s Medical Center, Natale was a member of the Cardiovascular Medicine Department at the Cleveland Clinic from 1999 to 2007, and served as section head for the Department of Cardiac Pacing and Electrophysiology and as medical director for the Cleveland Clinic’s Center for Atrial Fibrillation. In 2006, Dr. Natale was named to the U.S. Food and Drug Administration (FDA) Task Force on Atrial Fibrillation.

Read the article "Growing a Cardiac Rhythm Program in a Community Setting."
 

 

Implantable Cardioverter Defibrillator (ICD) | June 01, 2017

Lucas Boersma, M.D., Ph.D., FESC, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands, discusses how subcutaneous implantable cardioverter defibrillator (S-ICD) technology works, selecting patient appropriate patients and new S-ICD technologies in development at the 2017 Heart Rhythm Society annual meeting. Read the article "Subcutaneous ICD System Shows Positive Outcomes in Largest Real-world Study."

Watch the related VIDEO: How to Install a Subcutaneous ICD System

Read the related article New Technology and Market Challenges Facing Implantable Cardioverter Defibrillators.
 

 

EP Lab | May 26, 2017

DAIC Editor Dave Fornell takes a tour of some of the most innovative new electrophysiology (EP) technology at the 2017 Heart Rhythm Society (HRS) annual meeting. This included new ablation and electromapping systems to improve cardiac ablation effectiveness, new wearable monitoring technologies that are replacing traditional Holter monitors, implantable cardiac monitors, new pacemaker and implantable cardioverter defibrillators (ICD), and other EP lab technologies. 

Find links and more news from the Heart Rhythm Society 2017 late-breaking electrophysiology trials.
 

Cardiovascular Ultrasound | May 26, 2017

This video, provided in partnership with the American Society of Echocardiography (ASE), is titled "Intraoperative Transesophegeal Echo (TEE) for Left Ventricular Assist Devices (LVAD)." It is presented by Kent Rehfeldt, M.D., FASE, associate professor of anesthesiology, Mayo Clinic, Rochester, Minn. This is one of the educational seminars presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.

Cardiovascular Ultrasound | May 26, 2017

This video, provided in partnership with the American Society of Echocardiography (ASE), is titled "Strain Fundamentals Made Easy - Strain in Routine clinical Practice: Knobology and Beyond." It is presented by Teerapat Yingchocharoen, M.D., FASE, from Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. He is also a co-director of the Echo ASE ASEAN conference. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.

Leads Implantable Devices | May 25, 2017

Bruce Wilkoff, M.D., director of cardiac pacing and tachyarrhythmia devices at Cleveland Clinic, discusses advancements in lead management technology at the 2017 Heart Rhythm Society (HRS) annual meeting. Read the article “ Study Shows Occlusion Balloon Saves Lives During Lead Extraction.”  Read the articles “Advances in Transvenous Lead Extraction,” and  “Strategies, New Technologies Aid Lead Management.”

 

Pacemakers | May 23, 2017

Vivek Reddy, M.D., director of cardiac arrhythmia services and professor of medicine, cardiology, Mount Sinai Hospital, N.Y., discusses advancements in leadless pacemaker technology at the 2017 Heart Rhythm Society (HRS) annual meeting. He explains the pros and cons of leadless pacemaker technology as it stands today. One of the issues is that leadless pacing is currently limited to single chamber pacing, while most patients require dual chamber pacing. Reddy discusses the technology that currently has U.S. FDA market clearance, the Medtronic Micra, and new technologies in development to overcome the limitations the Micra.

Read the related articles “Leadless Endocardial CRT Pacing Effective for Heart Failure Patients,” and “New Data Showcases Long-term Benefits of Nanostim Leadless Pacemaker.”

 

Cardiac Resynchronization Therapy Devices (CRT) | May 23, 2017

This video, provided by ERB, demonstrates the function and implantation of the WiSE CRT (Wireless Stimulation Endocardially for cardiac resynchronization therapy) leadless CRT pacing system for heart failure patients. Read the article “Leadless Endocardial CRT Pacing Effective for Heart Failure Patients.” 

Atrial Fibrillation | May 17, 2017

Hugh Calkins, M.D., FACC, FAHA, FHRS, director of cardiac arrhythmia services and professor of medicine at Johns Hopkins Hospital, discusses advancements in AF ablation at the 2017 Heart Rhythm Society (HRS) annual meeting. Read about the new AF expert consensus statement released at HRS 2017.

 

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New Technologies to Improve Atrial Fibrillation Ablation

Landmark CABANA Trial Confirms Ablation Equal To or Superior to Drug Therapy

VIDEO: Cryoballoon Ablation Best Practice Guidelines — Wilber Su, M.D.

 

 

EP Lab | May 17, 2017

This video, provided by Spectranetics, demonstrates how to deploy the Bridge Occlusion Balloon used to seal accidental tears in the superior vena cava (SVC) during EP device lead extraction procedures. A review of post-market release data shown it can bridge the patient to open surgical repair and significantly reduce the usual 50 percent mortality associated with this complication. Read the article about the late-breaking clinical trial presentation from Heart Rhythm 2017.

Pacemakers | May 16, 2017

This video, provided by Medtronic, demonstrates the implantation of Micra transcatheter pacing system (TPS). The device is a leadless pacemaker for single chamber pacing and eliminated the need for a surgical pocket or transvenous leads. The design concept is to simplify pacemaker implantation and eliminate the need for leads, which open the patient up to additional device and infection complications. 

Watch the VIDEO “Current State of Leadless Pacemaker Technology,” an interview with Vivek Reddy, M.D., at the Heart Rhythm Society 2017 meeting.

 

Related Micra Leadless Pacemaker Content:

FDA Clears Medtronic Micra AV to Treat AV Block

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Novel Mechanical Sensor in Medtronic Micra Transcatheter Pacing System Detects Atrial Contractions, Restores AV Synchrony

New Algorithms in Medtronic Micra Pacemaker May Improve Synchrony and Cardiac Function in AV Block

FDA Approves World's Smallest Pacemaker for U.S. Patients

Safety, Performance of the World's Smallest Pacemaker Reinforced in Real-world Patients

One-Year Results for Micra TPS Pacemaker Trial Presented at ESC 2016

Leadless Pacemaker Gains Medicare Reimbursement

Wireless and Leadless Pacemaker Being Developed by Texas Heart Institute With Federal Grant

 

Cardiovascular Business | May 03, 2017

Kim A. Williams, Sr., M.D., chief of cardiology at Rush University Medical Center, Chicago and former president of both the American College of Cardiology (ACC) and the American Society of Nuclear Cardiology (ASNC), explains the impact of healthcare reform on cardiology and specifically on nuclear perfusion imaging. Read the article "HHS Finalizes Cardiology Bundled Payment Model to Lower Healthcare Costs."

 

 

Angiography | May 03, 2017

Tom Kloetzly, sales and marketing VP for Shimadzu Medical Systems USA, explains the evolution of Shimadzu Corporation since its founding 142 years ago. Kloetzly focuses on the Trinias Interventional X-ray line shown at RSNA 2016. Kloetzly states “A key feature of Trinias, is the ability to image from fingertip to fingertip during a transradial approach which makes for much shorter hospital stay with the patient up and moving almost immediately after the procedure. Features Like RSM-DSA, a type of motion correction subtraction, eliminates patient movement during acquisition while STENTVIEW, is an enhanced visualization during stent placement in real-time." For more information: www.shimadzu.com/med/products/angio/index.html.

 

Ventricular Assist Devices (VAD) | April 14, 2017

A discussion with William O'Neill, M.D., FACC, FSCAI, medical director of the Center for Structural Heart Disease at Henry Ford Hospital, Detroit. He presented a late-breaking study on the outcomes for 15,259 U.S. patients with acute MI in cardiogenic shock supported with the Impella percutenous ventricular assist device. Read more about the Detroit Cardiogenic Shock Initiative.

Analytics Software | April 13, 2017

The shift to value-based payment models requires focused attention on quality and cost. Lumedx’s Cardiovascular Performance Program offers a new approach to managing this transition so hospitals can improve outcomes — and dramatically reduce costs. See how complications reduction, cost-per-case variations and other key metrics delivered in real-time can drive radical change.  For more information, visit www.lumedx.com.

EP Lab | April 10, 2017

A discussion with Heart Rhythm Society (HRS) President Michael Gold, M.D., Ph.D., director of cardiology and associate dean at the Medical University of South Carolina (MUSC), at the American College of Cardiology 2017 annual meeting. He discusses advances to treat atrial fibrillation, new ablation and electro mapping technologies and innovations in implantable devices.

Read the article "What is New in Electrophysiology Technologies."
 

 

ACC | April 03, 2017

DAIC Editor Dave Fornell takes a tour of some of the interesting new technologies from the vendor booths on the expo floor at the 2017 meeting of the American College of Cardiology (ACC). For key technology trends at ACC.17, watch the VIDEO "Cardiac Technology Trends at ACC.17."

Stents Bioresorbable | March 30, 2017

Stephen Ellis, M.D., professor of medicine and director of interventional cardiology at Cleveland Clinic, discusses the two year outcomes of the ABSORB III trial of Absorb vs. Xience. The late-breaking trial was presented at ACC 2017. Read the article on the ABSORB III results.  Watch a VIDEO with Gregg Stone, M.D., "Poor Outcomes for Bioresorbable Stents in Small Coronary Arteries."

Cath Lab | March 28, 2017

MDBuyline analyst Tom Watson shares some of the most important trends in cardiac technology he saw at the 2017 American College of Cardiology (ACC) Scientific Sessions. For a list of late-breaking trials and links to related articles read "ACC 2017 Late-Breaking Trials." Watch a VIDEO of Watson's assessment of trends at ACC.16.

Heart Valve Technology | March 24, 2017

Michael Reardon, M.D., professor of cardiothoracic surgery at Houston Methodist DeBakey Heart and Vascular Center, discusses the positive results of the SURTAVI trial that were presented at ACC.17. Reardon was the principal investigator for the SURTAVI trial. Read the article "TAVR Stands Equal to Surgical Valve Replacement." 

Analytics Software | March 15, 2017

Pam Rush, RN, MS, clinical program director, cardiovascular service line, and Craig Strauss, M.D., MPH, medical director, explain how Minneapolis Heart Institute (MHI) achieved significant savings by leveraging analytics software for reductions in patient complications, better vendor negotiations and other areas. Read the article “Advanced Analytics Software for Cardiology.”

Learn more about the different aspects of the structural heart team at Minneapolis Heart Institute in these videos:

VIDEO: Transcatheter Mitral Valve Replacement Planning — Interview with Joao Cavalcante, M.D., director of structural heart CT and cardiac MRI

VIDEO: Conscious Sedation for TAVR Procedures — Interview with  Mario Goessl, M.D., Ph.D., director of research and education at the Minneapolis Heart Institute
 

 

HIMSS | March 10, 2017

ITN Editor Dave Fornell takes a tour of some of the most innovative new technology that was displayed on the expo floor at the 2017 Healthcare Information and Management Systems Society (HIMSS) annual meeting. The two most significant technology advances are discussed in Fornell's blog "Two Technologies That Offer a Paradigm Shift in Medicine at HIMSS 2017."

Stents Bifurcation | March 06, 2017

This video, provided by Tryton, demonstrates the implantation of the Tryton Side Branch Stent. It became the first bifurcation stent cleared by the FDA in March 2017. The stent is deployed in the side branch artery using a standard single wire balloon-expandable stent delivery system. A conventional drug eluting stent is then placed in the main vessel. Read the articles "FDA Clears First Dedicated Coronary Bifurcation Stent" and "New Designs May Ease Bifurcation Stenting."
 

 

Enterprise Imaging | March 03, 2017

Enterprise imaging system expert Louis Lannum was in charge of Cleveland Clinic's efforts to connect images and other data from 33 of its departments into a single, centralized database that could deliver the content through a viewer in the electronic medical record. He spoke on the key requirements for enterprise imaging systems at HIMSS 2017. Read the article and watch related videos at "RSNA Technology Report 2016: Enterprise Imaging."

Artificial Intelligence | March 01, 2017

Machine learning is now being commercialized in medical imaging products designed to help improve workflow efficiency and augment the clinical user, not replace them. Steve Holloway with the U.K.-based healthcare market intelligence firm Signify Research discussed the expanding roles of artificial intelligence in imaging applications at the 2017 HIMSS healthcare IT conference. Read the article from HIMSS 2017 "How Artificial Intelligence Will Change Medical Imaging."

Heart Failure | February 27, 2017

Ursula Wright, MSN/MBA, FNP-BC, from Mercy Health System, explains how the nation's fifth largest Catholic health system used heart failure pathways and order sets to reduce length of stay and $14 million in costs to treat heart failure patients. Mercy earned the 2016 HIMSS Enterprise Davies Award for its leverage of information technology to impact its clinical outcomes and reduce healthcare costs. 

 

Related Heart Failure Management Content:

3 New Approaches to Reduce Heart Failure Readmissions

Device Technologies to Reduce Heart Failure Readmissions

VIDEO: Population Health to Identify High Risk Cardiovascular Patients

New Heart Failure Devices and Drugs to Treat Heart Failure
 

EP Mapping and Imaging Systems | February 01, 2017

This video, provided by Medtronic, demonstrates the CardioInsight electro-anatomical mapping system. It was cleared by the FDA in early 2017. It uses an ECG lead vest to noninvasively create a 3-D electrophysiology (EP) electro-map of the heart to help identify arrhythmia and plan catheter ablation procedures. Read the related article on the technology. 

Cardiovascular Ultrasound | January 13, 2017

Detailed imaging is needed to support complex interventions for the assessment and procedure guidance.  See how the GE Healthcare cardiovascular ultrasound systems fit into the in Interventional space – from the Vivid E95 with cSound premium system to the Vivid iq compact system. For more information, go to www3.gehealthcare.com/en/products/categories/ultrasound/vivid/vivid_e95.

 

 

Cardiac Imaging | January 06, 2017

ITN and DAIC Editor Dave Fornell takes a tour of some of the most innovative new technologies being displayed on the expo floor at the Radiological Society of North America (RSNA) 2016 meeting. For key take away trends at RSNA, watch the video "Key Trends, New Technology at RSNA 2016."

Heart Valve Technology | January 03, 2017

This video, provided by Valtech, demonstrates the Cardioband transcatheter mitral annuloplasty system. It allows transcatheter repair of functional mitral regurgitation (FMR). It has a CE mark in Europe and a study to evaluate its safety and efficacy is planned in the United States. Read the article “Transcatheter Annuloplasty For Repair Versus Replacement in Functional Mitral Regurgitation.”
 

 

 

Radiation Dose Management | December 19, 2016

Mahadevappa Mahesh, MS, Ph.D., chief physicist and professor of radiology and radiological science at Johns Hopkins Hospital, explains the basics of medical imaging dose monitoring technologies. This includes monitoring and recording software meet new Joint Commission requirements, state dose laws and to improve patient safety regarding X-ray radiation exposure. Read the article “The Role of Dose Tracking Systems in Radiation Safety Programs.”