S-ICD – Subcutaneous Implantable Cardioverter Defibrillator – Boston Scientific

S-ICD – Subcutaneous Implantable Cardioverter Defibrillator – Boston Scientific ‘Regular’ Pacemaker/ICD with Leads and a ‘Can’ When we think of Pacemakers and ICD’s we naturally think of a ‘Can’ and Leads that track down into the heart. Whilst these devices work fantastically well and will continue to do so. Unfortunately the ‘lead’ part of the device opens the door for …

Exercise Tolerance Tests and the Unmasking of Coronary Artery Disease

Exercise Tolerance Tests and the Unmasking of Coronary Artery Disease! Image courtesy of www.novameddiagnostics.com What is an Exercise Tolerance Test (ETT)? An Exercise Tolerance Test is a simple Cardiology test to assess the behaviour of a persons heart when it is stressed (working harder). To stress the heart the patient is asked to walk/run on a treadmill to increase their …

Atrial Flutter Explained – Cardiac/Heart Arrhythmias and Palpitations

Chambers of the Heart Atrial Flutter Explained – Cardiac/Heart Arrhythmias and Palpitations What is Atrial Flutter? Atrial Flutter is an irregular rhythm of the heart that originates from the Atria (the top of the heart). There are a few different types of Atrial Flutter but all usually lead to an unnecessarily fast heart rate around 150 bpm. As with any …

Worlds Smallest Implantable Heart Monitor from Medtronic

On the way out??Medtronics Current Implantable Loop Recorder What is the New Medtronic Heart Monitor? CLICK HERE FOR NEWEST ARTICLE MEDTRONIC LINQ The new device is an Implantable Loop Recorders (ILR) – ILR’s are subcutaneous (live under the skin) recorders designed to constantly monitor the heart rate and rhythm. If they see something they don’t like they record an electrogram, this …

Pacemaker Advice – Improving YOUR Follow Up – 8 Top Tips

8 Top Tips – Improving YOUR Pacemaker Follow Up  Pacemakers… You set the Pace. Here I bring you my article first published in GUCH News Issue 75 the Somerville Foundation Newsletter for patients with Congenital Heart Disease. Senior Cardiac Physiologist Carl Robinson specialises in pacemakers and shares his simple tips to help you get the most out of your follow …

Angina and Coronary Heart Disease/Ischaemic Heart Disease

Angina and Coronary Heart Disease/Ischaemic Heart Disease What is Angina? Angina is a common symptom of Coronary Heart Disease and therefore  often a precursor to a heart attack (Myocardial Infarction). Patients suffering angina usually describe a pressure, heaviness, tightness or squeezing sensation in the chest neck or left arm. Angina most commonly presents itself during exertion and when the heart is …

THE PAD Monthly DECEMBER – Cardiology, Arrhythmia and Pacemakers Newsletter

The Heart, Electrophysiology, Pacemakers and Defibrillators! Bula Vinaka! THE PAD Monthly – Edition 3 – Christmas Edition. Editors letter, So I am late… its taken me till the 2nd of December to get my newsletter out and I have no excuse other than poor time management and…. nope thats all. oooops! October has seen new posts on Heart Failure that …

Cardiac Sewing for Heart Failure Patients

Scar Tissue in the Heart Caused by aHeart Attack (Myocardial Infarction) Cardiac Sewing for Heart Failure Patients One of the biggest known causes of Heart Failure is Coronary Heart Disease (CHD). CHD is the build up of atheroma (fatty deposits) occur in the Coronary Arteries. If this fatty deposit ruptures or becomes so large that it completely blocks off a …

Cardiac Pacemakers and Complete Heart Block – Simplified.

Pacemakers and Complete Heart Block. Treating Complete Heart Block (CHB) with a Cardiac Pacemaker is probably one of the easier concepts for me to explain! Before we continue we need to understand Complete Heart Block. How the Heart Beats. The S.A. Node (Sinoatrial) is the hearts natural pacemaker it lives in the top of the heart (top of the Right …

Hypertrophic Cardiomyopathy #LETSCHANGETHEGAME Cardiac Screening in Sport

Image Courtesy of http://www.healthcentral.com/ Hypertrophic Cardiomyopathy – #LETSCHANGETHEGAME Cardiac Screening in Sport. Those of you who have read last months newsletter would have seen the article regarding a young footballer  (soccer player for my American readers) named Tobi Alabi, who collapsed during a match. I had focused on this event to encourage sports teams to have a Defibrillator on site as …

Atrioventricular NODAL Reentrant (Reciprocal) Tachycardia – AVNRT – Cardiac Arrhythmias Explained

Atrioventricular NODAL Reentrant (Reciprocal) Tachycardia – AVNRT – Cardiac Arrhythmias Explained Another incredibly long named arrhythmia…. Atrioventricular Nodal Reentrant Tachycardia or to save time AVNRT is an abnormal heart rhythm that is caused by a reentrant circuit within/very near to the AV Node. The most common symptom of AVNRT is fast palpitations that can sometimes be accompanied by lightheadedness or …

Heart Failure Treatment – CRT-P or CRT-D

Heart Failure Treatment – CRT-P or CRT-D and the Medtronic Screenlink App for Healthcare Professionals. We now know that, in advanced heart failure (NYHA III & IV) and cardiac dysynchrony, cardiac resynchronization (CRT) improves symptoms and the quality of life and reduces complications and the risk of death. (1) Graph A makes it nice and clear for all to see…   …

Is Septal Pacing the Answer…. if Right Ventricular Apex Pacing Isn’t?

Is Right Ventricular Septal Pacing the Answer if Right Ventricular Apex Pacing Isn’t? When you are growing up and your parents tell you that recreational drugs are bad (and rightly so), but then you become a teenager and you question this, maybe even do your own research (what a night that was!) and you become more informed… In the same …

Heart Failure – What is Heart Failure and How is it Treated

Heart Failure – What is Heart Failure and How is it Treated? I think one of the biggest problems with Heart Failure is the name itself! HEART FAILURE, before I started this job I assumed heart failure was acute and imminent, if you had heart failure surely you would have minutes left to live? your heart has failed…. I was …

Atrioventricular Reentrant (Reciprocal) Tachycardia – AVRT – Cardiac Arrhythmias Explained

Atrioventricular Reentrant (Reciprocating) Tachycardia – AVRT One of the longest named cardiac arrhythmias, it is easy to see why it is only ever referred to by its acronym A.V.R.T. As we know an arrhythmia is an abnormal heart rhythm and symptoms of AVRT include:- Palpitation, lightheadedness, dizziness, shortness of breath, reduced exercise capacity, weakness, fatigue, chest discomfort, and sweating episodes …

Accessory Pathways and Wolff Parkinson White Explained – Cardiac Arrhythmias

Accessory Pathways and Wolff Parkinson White & Its Link to Arrhythmia Wolff Parkinson White Syndrome is one of the best known and most common cardiac conduction disorders caused by having an additional pathway between the top of the heart (Atria) and the bottom of the heart (Ventricles). Having an accessory pathway can cause problems!!! Lets review the heart conduction system …

ICD’s Discriminators Part 1 – How ICD’s Recognise Heart Rhythms.

ICD Discriminators – Pacemakers and ICD’s Simplified. If you have read my earlier post on how ICD’s work you will have noticed that I mention that an ICD can categorise an arrhythmia and decide on the most appropriate action. This is important because some Arrhythmias like VT and VF are dangerous where as others like Atrial Fibrillation are not life threatening. …

Minimising Ventricular Pacing 4 – Genuine Example AAI<=>DDD Sorin SafeR

Sorins SafeR – Minimising Ventricular Pacing!!!!Lets get our Geek on… A little bit different from our usual post in that it is a little bit techie! but this will be my last post on Minimising Ventricular Pacing for a bit and I wanted to let you have a little insight into the real world of a pacemaker technician. This is …