Letter
Medicine, General & Internal
Sofia Schierbeck, Leif Svensson, Andreas Claesson
Summary: This case report discusses the use of a drone to deliver an automated external defibrillator for defibrillation in a patient who experienced an out-of-hospital cardiac arrest in Sweden.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Critical Care Medicine
Laura Sarkisian, Hans Mickley, Henrik Schakow, Oke Gerke, Simon Michael Starck, Jonas Junghans Jensen, Jacob Eifer Moller, Gitte Jorgensen, Finn Lund Henriksen
Summary: The study evaluated and compared survival rates after OHCA in densely, moderately, and thinly populated areas where AEDs were used. It was found that the distance of AED retrieval was correlated with reduced survival rates, regardless of population density.
Article
Emergency Medicine
Sang Hun Kim, Jeong Ho Park, Joo Jeong, Young Sun Ro, Ki Jeong Hong, Kyoung Jun Song, Sang Do Shin
Summary: This study aimed to investigate the association between bystander CPR with and without AED use and neurological outcomes after OHCA in Korea. The results showed that bystander CPR was associated with better neurological recovery compared to no bystander CPR, while the benefits of AED use were not significant. The effect of bystander CPR with AED use was more apparent in OHCAs with witnessed arrest and prolonged response time (>= 8 min).
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Critical Care Medicine
Jake Toy
Summary: This study examined the relationship between patient race/ethnicity and the likelihood of lay rescuer provision of AED during OHCA in the United States. The study found that compared to White individuals, American Indian/Alaskan Native, Asian, Hispanic, and Native Hawaiian/Pacific Islander patients had a 31-38% lower likelihood of AED use, while Black patients had a 10% higher likelihood.
Article
Critical Care Medicine
Nicholas Grubic, Yingwei P. Peng, Melanie Walker, Steven C. Brooks
Summary: The study found that bystander CPR and AED use are associated with survival and neurological outcomes after OHCA across urban and rural areas.
Article
Critical Care Medicine
Laura Sarkisian, Hans Mickley, Henrik Schakow, Oke Gerke, Simon Michael Starck, Jonas Junghans Jensen, Jacob Eifer Moller, Gitte Jorgensen, Finn Lund Henriksen
Summary: The study evaluated the usage of automated external defibrillators (AEDs) in the Region of Southern Denmark, finding higher relative usage from public places, nursing homes, sports facilities, and health clinics. AEDs used during out-of-hospital cardiac arrest (OHCA) in residential areas were often collected from public places, and AEDs in both residential areas and public places may have wider coverage areas than suggested in current literature.
Article
Multidisciplinary Sciences
Nigel Rees, Jeremy Howitt, Nigel Breyley, Phil Geoghegan, Carl Powel
Summary: This study successfully delivered an AED through BVLOS using a drone in a simulated OHCA scenario, providing empirical evidence for the use of drone BVLOS. Further research is needed to explore the application of this technology in real medical settings.
Article
Cardiac & Cardiovascular Systems
Martin Jonsson, Ellinor Berglund, Enrico Baldi, Maria Luce Caputo, Angelo Auricchio, Marieke T. Blom, Hanno L. Tan, Remy Stieglis, Linn Andelius, Fredrik Folke, Jacob Hollenberg, Leif Svensson, Mattias Ringh, ESCAPE NET Investigators
Summary: Activation of a volunteer responder system in cases of out-of-hospital cardiac arrest (OHCA) was associated with higher rates of bystander CPR, bystander defibrillation, and 30-day survival compared to no system activation. A randomized controlled trial is necessary to determine the causal effect of volunteer responder systems.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Linn Andelius, Carolina Malta Hansen, Mads C. Tofte Gregers, Astrid M. Rolin Kragh, Lars Kober, Gunnar H. Gislason, Annette Kjaer Ersboll, Christian Torp-Pedersen, Fredrik Folke
Summary: The study found that volunteer citizen responders dispatched to out-of-hospital cardiac arrest reported low risk of physical injury. Monitoring and considering the risk of injury should continue to be an essential safety measure in citizen responder programs.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Cardiac & Cardiovascular Systems
Mario Krammel, Jakob Eichelter, Constantin Gatterer, Elisabeth Lobmeyr, Marco Neymayer, Daniel Grassmann, Michael Holzer, Patrick Sulzgruber, Sebastian Schnaubelt
Summary: This retrospective observational study found that different AED models used by police first responders have varying time durations, but they do not significantly impact clinical patient outcomes. However, these time differences may be significant for training of first responders and development of improved AED designs.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Review
Critical Care Medicine
Xiangguo Liu, Qiuhuan Yuan, Guoying Wang, Yuan Bian, Feng Xu, Yuguo Chen
Summary: This review explores the feasibility and advantages of using drones for delivering automated external defibrillators (AED) in out-of-hospital cardiac arrest (OHCA) cases. It highlights the potential of drones as a new strategy in OHCA but also acknowledges the challenges that need to be addressed.
Article
Multidisciplinary Sciences
Dylan Aeby, Philippe Staeger, Fabrice Dami
Summary: This study examines the positioning of AEDs in relation to past locations of OHCAs in order to enhance public access defibrillation programs. Geodata tools are used to identify hotspots and AED overlays for efficient relocation or addition of AEDs. Prioritizing at-home OHCAs, which have lower AED coverage rates despite being the majority of cases, is recommended for future programs.
Letter
Medicine, General & Internal
Olivier C. Manintveld, Stefan Roest, Yannick J. H. J. Taverne
Summary: In the study by Suverein et al., the use of extracorporeal cardiopulmonary resuscitation (CPR) in patients with refractory out-of-hospital cardiac arrest was examined. The results showed similar survival rates with a favorable neurologic outcome between extracorporeal CPR and conventional CPR. This raises questions about the role of extracorporeal CPR as an adjunct to conventional CPR.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Review
Critical Care Medicine
Thomas Rea, Peter J. Kudenchuk, Michael R. Sayre, Ann Doll, Mickey Eisenberg
Summary: Advances in resuscitation following out-of-hospital cardiac arrest offer an opportunity to improve public health. Through scientific progress and efficient emergency systems, early recognition, CPR, and defibrillation are key components in improving treatment outcomes.
Article
Medicine, General & Internal
Yotam Deri, Baruch Berzon, Debra West, Matan Machloof, Refael Strugo, Tomer Kaplan, Shelly Soffer
Summary: In recent years, efforts have been made to improve the survival rate of out-of-hospital cardiac arrest (OHCA) patients, including placing defibrillators in public places and training first responders. This study retrospectively analyzed data from OHCA patients in Ashdod city, Israel, and found that the initial rhythm, use of defibrillators, and hospital interventions were important factors influencing patient outcomes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Federico Guerra, Antonio D'Onofrio, Ermenegildo De Ruvo, Michele Manzo, Luca Santini, Giovanna Giubilato, Carmelo La Greca, Barbara Petracci, Giulia Stronati, Valter Bianchi, Annamaria Martino, Fabio Franculli, Paolo Compagnucci, Monica Campari, Sergio Valsecchi, Antonio Dello Russo
Summary: The HeartLogic algorithm combines data from multiple implantable defibrillators (ICD)-based sensors to predict impending heart failure (HF) decompensation. This study implemented the algorithm for remote monitoring of HF patients and evaluated the approach to diuretic dosing and timing of intervention in patients with device alerts. The results showed that the use of decongestive treatment adjustments triggered by alerts seemed safe and effective, with early use of decongestive treatment and higher dosages of diuretics associated with more favorable outcomes.
CLINICAL CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Pietro Palmisano, Federico Guerra, Vittorio Aspromonte, Gabriele Dell'Era, Pier Luigi Pellegrino, Mattia Laffi, Carlo Uran, Silvana De Bonis, Michele Accogli, Antonio Dello Russo, Giuseppe Patti, Francesco Santoro, Antonella Torriglia, Gerardo Nigro, Antonio Bisignani, Giovanni Coluccia, Giulia Stronati, Vincenzo Russo, Ernesto Ammendola
Summary: Empiric pacemaker implantation significantly reduces the risk of syncope recurrence compared to ILR monitoring in patients with unexplained, recurrent, traumatic syncope and bifascicular block.
Article
Cardiac & Cardiovascular Systems
Luca Arcari, Ivan J. Nunez-Gil, Thomas Stiermaier, Ibrahim El-Battrawy, Federico Guerra, Giuseppina Novo, Beatrice Musumeci, Luca Cacciotti, Enrica Mariano, Pasquale Caldarola, Giuseppe Parisi, Roberta Montisci, Enrica Vitale, Matteo Sclafani, Massimo Volpe, Miguel Corbi-Pasqual, Manuel Martinez-Selles, Manuel Almendro-Delia, Alessandro Sionis, Aitor Uribarri, Ibrahim Akin, Holger Thiele, Natale Daniele Brunetti, Ingo Eitel, Francesco Santoro
Summary: Male takotsubo syndrome (TTS) is characterized by a distinct high-risk phenotype requiring close monitoring and long-term follow-up.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Thomas Stiermaier, Alexandra Walliser, Ibrahim El-Battrawy, Toni Paetz, Matthias Mezger, Elias Rawish, Mireia Andres, Manuel Almendro-Delia, Manuel Martinez-Selles, Aitor Uribarri, Alberto Perez-Castellanos, Federico Guerra, Giuseppina Novo, Enrica Mariano, Maria Beatrice Musumeci, Luca Arcari, Luca Cacciotti, Roberta Montisci, Ibrahim Akin, Holger Thiele, Natale Daniele Brunetti, Ivan J. Nunez-Gil, Francesco Santoro, Ingo Eitel
Summary: Happy heart syndrome is a rare type of TTS characterized by a higher prevalence of male patients and atypical, nonapical ballooning compared with patients with negative emotional stressors. Despite similar short- and long-term outcomes in our study, additional data are needed to explore whether numerically lower event rates in happy hearts would be statistically significant in a larger sample size.
JACC-HEART FAILURE
(2022)
Article
Cardiac & Cardiovascular Systems
Marcio Jansen de Oliveira Figueiredo, Alejandro Cuesta, David Duncker, Serge Boveda, Federico Guerra, Manlio F. Marquez
Summary: Instant messaging (IM) platforms are widely used in the medical community in Latin America for sharing clinical data and discussing medical cases. The survey results show that most medical professionals in the region use IM apps to send and receive clinical data, with various types of data being shared. However, many respondents are not aware of the legal data protection regulations in their countries.
Letter
Cardiac & Cardiovascular Systems
Federico Guerra, Giulia Stronati, Monica Campari, Sergio Valsecchi
CLINICAL CARDIOLOGY
(2023)
Article
Engineering, Biomedical
Pietro Palmisano, Federico Guerra, Vittorio Aspromonte, Gabriele Dell'Era, Pier Luigi Pellegrino, Mattia Laffi, Carlo Uran, Silvana De Bonis, Michele Accogli, Antonio Dello Russo, Giuseppe Patti, Francesco Santoro, Antonella Torriglia, Gerardo Nigro, Antonio Bisignani, Giovanni Coluccia, Giulia Stronati, Vincenzo Russo, Ernesto Ammendola
Summary: The clinical use of implantable loop recorder (ILR) in elderly patients with recurrent, traumatic, unexplained syncope is still limited. In this specific patient population, there is a lack of data on the actual risk of traumatic syncope recurrence during ILR monitoring. This prospective registry study aimed to assess the risk of traumatic and non-traumatic syncopal recurrences during ILR observation. The findings demonstrate that ILR monitoring is effective and safe in patients with unexplained, recurrent, traumatic syncope. Remote monitoring significantly reduces the time to diagnosis and significantly reduces the risk of syncope recurrence, including both traumatic and non-traumatic syncope.
EXPERT REVIEW OF MEDICAL DEVICES
(2023)
Article
Cardiac & Cardiovascular Systems
Vincenzo Russo, Alfredo Caturano, Federico Guerra, Federico Migliore, Giuseppe Mascia, Andrea Rossi, Martina Nesti, Vincenzo Ezio Santobuono, Emilio Attena, Gianfranco Tola, Luigi Sciarra, Giulio Conte, Alessandro Paoletti Perini, Pietro Francia, Gregory Dendramis, Zefferino Palama, Stefano Albani, Andrea Ottonelli Ghidini, Leonardo Calo, Antonio D'Onofrio, Enrico Baldi
Summary: This study compares device-related complications, infections, and inappropriate therapies between drug-induced type 1 Brugada Syndrome patients with transvenous-ICD (TV-ICD) and subcutaneous-ICD (S-ICD). The results show that there were no significant differences between S-ICD and TV-ICD in terms of inappropriate ICD therapies, device-related complications, and infections. However, the S-ICD group had a trend towards reduced lead-related complications.
Article
Medicine, General & Internal
Giuseppe Boriani, Federico Guerra, Roberto De Ponti, Antonio D'Onofrio, Michele Accogli, Matteo Bertini, Giovanni Bisignani, Giovanni Battista Forleo, Maurizio Landolina, Carlo Lavalle, Pasquale Notarstefano, Renato Pietro Ricci, Gabriele Zanotto, Pietro Palmisano
Summary: The subsequent waves of the COVID-19 pandemic in Italy had a significant impact on cardiac care. During the first wave, there was a reduction in elective pacemaker, defibrillator, and cardiac resynchronization device implantations, as well as ablations. However, there was a gradual return to pre-pandemic volumes in the later waves, with slower recovery for ablations. Emergency procedures showed recovery during the second wave, with some variations. Remote monitoring was widely implemented during the first wave but needs further implementation.
INTERNAL AND EMERGENCY MEDICINE
(2023)
Letter
Cardiac & Cardiovascular Systems
Alessandro Malagoli, Stefano Tondi, Laura Torlai Triglia, Matteo Cameli, Federico Guerra, Giovanni Benfari
JOURNAL OF CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Alessandro Capucci, Giulia Stronati, Federico Guerra
Summary: In recent decades, the treatment of atrial fibrillation has seen significant advancements in risk prevention, anti-coagulation strategies, and improvement of quality of life. However, anti-arrhythmic drugs have been overshadowed by technological advancements, such as devices and procedures, which have become the standard of care for many patients. This paper discusses the current evidence to determine the remaining role of anti-arrhythmic drugs, their proper usage, and the potential for a personalized approach in treatment.
EUROPEAN HEART JOURNAL SUPPLEMENTS
(2023)
Article
Cardiac & Cardiovascular Systems
Giacomo Tini, Paolo Milani, Mattia Zampieri, Angelo G. Caponetti, Francesca Fabris, Andrea Foli, Alessia Argiro, Carlotta Mazzoni, Christian Gagliardi, Simone Longhi, Giulia Saturi, Giuseppe Vergaro, Alberto Aimo, Domitilla Russo, Guerino G. Varra, Matteo Serenelli, Gioele Fabbri, Laura De Michieli, Giuseppe Palmiero, Giuseppe Ciliberti, Samuela Carigi, Eugenio Sessarego, Giulia E. Mandoli, Giulia Ricci Lucchi, Valeria Rella, Enrico Monti, Elisa Gardini, Michela Bartolotti, Lia Crotti, Elisa Merli, Roberta Mussinelli, Pier Filippo Vianello, Matteo Cameli, Francesca Marzo, Federico Guerra, Giuseppe Limongelli, Alberto Cipriani, Stefano Perlini, Laura Obici, Federico Perfetto, Camillo Autore, Italo Porto, Claudio Rapezzi, Gianfranco Sinagra, Marco Merlo, Beatrice Musumeci, Michele Emdin, Elena Biagini, Francesco Cappelli, Giovanni Palladini, Marco Canepa
Summary: This study describes the characteristics of different pathways leading to the diagnosis of wild-type transthyretin cardiac amyloidosis (ATTRwt-CA) and investigates their potential association with survival.
EUROPEAN JOURNAL OF HEART FAILURE
(2023)
Article
Cardiac & Cardiovascular Systems
Paolo Compagnucci, Michela Casella, Valter Bianchi, Fabio Franculli, Francesco Vitali, Luca Santini, Gianluca Savarese, Vincenzo Ezio Santobuono, Raffaele Chianese, Carlo Lavalle, Claudia Amellone, Domenico Pecora, Raimondo Calvanese, Giulia Stronati, Amato Santoro, Matteo Ziacchi, Monica Campari, Sergio Valsecchi, Leonardo Calo, Federico Guerra, Antonio Dello Russo
Summary: This study aimed to assess the predictability of defibrillator therapies using the HeartLogic index among heart failure patients. The results showed a significant association between the HeartLogic index and therapy, suggesting it as an independent dynamic predictor.
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
Dominik Linz, Julian Chun, Federico Guerra, Giulio Conte, Rodrigue Garcia, Varvara Kommata, Katarzyna Malaczynska-Rajpold, Martina Nesti, David Duncker
Summary: This study surveyed the current educational experience and individual requirements for electrophysiologists in training. The survey revealed that hands-on participation and observation of EP procedures are crucial, and the reputation and volume of the center, as well as the availability of a structured EP fellowship program, are the main motivations in choosing an EP fellowship institution. Most respondents expressed satisfaction with their fellowships, but areas of lesser confidence were identified. Conducting research during the fellowship was common and considered beneficial for early career development, although obstacles were reported.
Article
Cardiac & Cardiovascular Systems
Giuseppe Stabile, Federico Guerra, Gianfranco Tola, Pasquale Vergara, Michele Accogli, Matteo Bertini, Giovanni Bisignani, Giovanni Battista Forleo, Carlo Lavalle, Pasquale Notarstefano, Gabriele Zanotto, Maurizio Landolina, Giuseppe Boriani, Renato Pietro Ricci, Antonio D'Onofrio, Roberto De Ponti
Summary: This report summarizes the findings of the 2020 Italian Catheter Ablation Registry, which showed that atrial fibrillation is the most frequently treated arrhythmia with an increasing use of 3D mapping system and near-zero fluoroscopic approach.
GIORNALE ITALIANO DI CARDIOLOGIA
(2023)