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 have been well received so Heart Failure Posts will continue to appear on www.thepad.pm.

This months newsletter is focused itself around recycling! Quite poignant with just around the corner. Lets be honest, I love Christmas but it is particularly wasteful with wrapping paper and Christmas cards lasting less than a month.
So news on Recycling Pacemakers, Recycling Organs and Recycling ourselves seems very timely.
I won’t take any more of your time except to say thank you again for your continued support and to wish you a festive and enjoyable holiday (if you celebrate such an occasion).

Next Months Newsletter will be taking a new exciting format but until then…

Time for a poor excuse for a contents page….
  • The Pacemaker Pocket – Should we recycle pacemakers?
  • Heart in a Box – Exciting technology in the world of Heart Transplants
  • Stretches for Sonographers – Try to ease your muscular-skeletal discomfort.
  • PADlocks – This is here to stay, a list of the months posts.
  • Good Cause of the Month – Olivia’s Heart Project – The drive for defibrillators in Schools. A mothers mission.
  • Award for ‘Impossible to Drop in to General Conversation” This months winner – Atrioventricular Nodal Reentrant (Reciprocal) Tachycardia.
  • Fish Up A Tree – Worlds LARGEST 
  • App Reviews – Got a Smart Phone? Then use it to be smart!
  • Cardiac Facts – The heart is amazing and here is the proof!
  • Wordsearch – Who doesn’t love a word search and it isn’t even that simple!

The Pacemaker Pocket!

Recycling Pacemakers!?!?

With growing news coverage comes a growing debate over whether or not pacemakers should be recycled. The pacemakers in question are those reclaimed from patients who have passed away whilst their device has years of longevity in reserve. Many pacemakers are buried with the patient and many are laying around in boxes at hospitals and funeral homes having been removed prior to cremation.

The positives of recycling pacemakers to developing countries are clear and it is something that has been going on for several years now.  In a BBC News report heart surgeon and president elect of the Royal College of Medicine Babulal Sethia says – “with safeguards around the re-sterilisation and battery-checking process – the idea is a good one.”

“Pacemakers with significant battery life are potentially life-saving devices for people elsewhere,” 
“In that situation I think our humanitarian response is at least as important as any commercial issues, and if there are such issues we need to address them and modify them so other people can benefit in developing countries.”
The downsides are that:- manufacturers will not support the strategy because they cannot guarantee performance or sterility of recycled goods. Also from a legal side the MHRA states that Devices should only be used once. This jurisdiction ends however as soon as the devices leave the UK. So with the consent of the patients or their families consent – pacemaker donation to a recipient abroad can take place.
Pace4Life is a British Charity starting and initiative to drive Pacemaker Recycling. To read more about them and this issue click here.

Heart in a BOX!

Santa is a bit of a bad example for a Cardiology Newsletter. If you were his doctor you’d be telling him to lose weight and change his diet! Lets be honest with the ‘Modern Santa’ being 150 Years old chances are he has Hypertension too! Alas he is still going.. I guess he has good genetics.

What would be handy is if we could use some of his travelling power to deliver Donor Hearts to their recipients within 6 Hours of being removed from the donors body. This window has restricted, impeded and hampered heart transplantation figures since heart transplants begun.

The longer a heart is in transit the riskier the procedure becomes… 6 Hours is the cut off time!

There is a solution to this issue that is in its infancy but with promising results! the Transmedics Organ Care System:- 

TransMedics has developed the world’s first commercial, portable, warm blood perfusion system that allows a new type of organ transplant, called a living organ transplant. This new technology, called an Organ Care System, is designed to maintain organs in a warm, functioning state outside of the body to optimize their health and allow continuous clinical evaluation. Hearts beat, lungs breathe, kidneys produce urine, livers produce bile.
Through the use of proprietary technology, the Organ Care System is designed to:
  • Increase the amount of time that an organ can be maintained outside the body in a condition suitable for transplantation by reducing time dependent ischemic injury
  • Provide surgeons the opportunity to assess the function of the organ outside the body
  • Enable resuscitation of the organ and potentially improve function after removal from donor
TransMedics has developed the Organ Care System based on the company’s warm blood perfusion technology.
The product contains novel technologies that simulate the conditions of the human body and allow the organ to function as it normally does. Read more on their website here…TransMedics
If all that is a little gibberish fear not!!!!! There is a fantastic short film called Heart in a Box where you can watch the device working in all its glory!
Click Below to Watch the Video!
Watch the HEART IN A BOX Video Click HERE

Stretches for Sonographers
(and anyone else who works too hard)

Since starting www.thepad.pm I have come across many people with different projects two such people are Doug Wuebben, BA, AS, RDCS (Pediatric and Adult Sonographer) and Mark Roozen, M.Ed, CSCS,*D, NSCA-CPT, FNSCA.  In addition to the quite phenomenal number of letters after both their names they are receiving growing recognition for their work into relieving muscular skeletal pain that sonographers in particular struggle with.  For those who don’t know Sonographers are Echocardiographers who spend much of their life leaning over patients in a very uncomfortable position.

*PLEASE NOTE Pacemaker Patients should ONLY do exercise/stretches inline with Guidance from their Doctor or Cardiac Physiologist and should not try these exercises until they have been given approval by a relevant healthcare professional*

Here is their first instalment below I have tried them and actually did feel easier across the shoulders but if you do experience any pain then stop the stretch immedicately.

Eliminating Neck and Shoulder Pain

Overhead Reach 

PHOTO #1A & #1B.
Sitting at your desk, or standing behind your chair, take both arms and reach overhead as high as possible, with palms facing in and thumbs pointing behind you

Now here is the tricky part – AS YOU EXTEND YOUR ARMS OVERHEAD, PUSH YOUR SHOULDERS BACK (think pinching a pencil between your shoulder blades!)

PHOTO #2.
Now keep reaching as high as you can while at the same time BLOW YOUR BREATH OUT – as if you are blowing out a huge candle, actually 5 huge candles.

PHOTO #3
Inhale through your noses and exhale out your mouth.
This should open up your chest, allowing you to breath easier while at the same time relieving stress and strain from your neck and shoulders.

Thumbs Back Reach 

PHOTO #4
Again, sitting at your desk, or standing behind your chair, take both arms and extend them down by your side.

PHOTO #4 PHOTO #5
This time, open the palms to the outside, rotating the hands so the thumb is again pointing behind you.
Again, pinch the shoulders back (think of pinching that pencil between the shoulder blades!) and sit or stand as tall as possible.

PHOTO #6
Now keep reaching back as far as you can while at the same time BLOWING OUT THOSE FIVE HUGE CANDLES! Inhale through your noses and exhale out your mouth.
This is another great movement to open up your chest and allow you to breath easier while at the same time relieving stress and strain from your neck and shoulders. 

Head to Shoulder Reach 

PHOTO #7
In a seated or standing position, simple make yourself as tall as possible. With this
movement, think that someone is taking you by the hair and pulling straight up!

PHOTO #7 PHOTO #8
At the same time, push the shoulders down and back – PINCH THAT PENCIL!

PHOTO #9
Slowing, tilt your head toward the top of your shoulder. Think that you are placing your ear on top of your shoulder.

PHOTO #10
Now, slowing and gently, rotate your head, working to bring your chin up toward the ceiling, while still trying to keep your ear on your shoulder.
Make sure to do both right and left side to use this movement to get GREAT NECK RELIEF AND RELEASE TENSION IN THE MUSCLES IN THE UPPER NECK/SHOULDER AREA!

You can do these movements 2-3 times a day, doing each one, two or three times at a setting (workout!) or any time you start to feel tension build up as you build up your workload throughout the day! 

For more information email Doug and Mark atscanpainfree@gmail.com

Good Cause of the Month

Olivias Heart Project.

Olivia Corinne Hoff died from Sudden Cardiac Death due to LONG QT syndrome aged just 14.

Anyone who has had previous letters or is just a reader of the website will realise that I am very passionate about having greater access to AED’s (Automated External Defibrillators) in sports arenas an clubs. Recently I was contacted by Corinne Ruiz who since sadly losing her daughter Olivia has been campaigning to get schools to have AED’s on their premises.

Corinne is setting up a new website that is soon to go live www.oliviasheartproject.org. There is currently plenty of information on Sudden Cardiac Arrest and Olivias Heart Project on their current website. Click here to view.

I do not think you can argue with this logic :-

“On any given weekday 20% of our population are on school campuses. Over 400,000 people die each year from Sudden Cardiac Arrest (SCA) and a little over 3,000 people per year die from fire. This means we are 100 times more likely to need an Automated External Defibrillator (AED) than a fire extinguisher. Yet we have laws and building codes requiring fire extinguishers and NOTHING for AED’s.”

So, I urge you to sign up for a very worthy cause! Whether you to simply show support, donate or indeed start to campaign for an AED in your local school. Doing so will help raise awareness and in turn save lives.

CLICK HERE to Sign Up for Olivias Heart Project Newsletter.
Would you like to write for THE PAD?
If you think you have what it takes to make a difficult concept simple… Then contact us at thepadct@gmail.com to discuss. Or you can just go right ahead and write an article and send it to us to see if we would like to publish it! πŸ™‚ 
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   App of the Month!

Medtronic Screenlink Calculator
Confused over whether your patient qualifies for a CRT-P, ICD or CRTD? The Medtronic Screenlink Calculator uses all the latest regional guidance to indicate which device is best for your patient. You input patient statistics such as NYHA Class and Ejection Fraction, it will then use all the latest clinical guidance to suggest the appropriate device classification. Used properly this app will certainly help.
What is more impressive is that it does not promote any Medtronic devices and is simply a tool provided by them. Why? well probably because they will benefit financially if more devices and more complex devices are implanted and because at the same time more people will be getting the appropriate healthcare. Which is ultimately what we should all be striving to achieve!!!!! Its one of those instances where everyone will benefit!
Click Here to Download the APP
Cardiac Facts!
Denise Ann Darvall was the Worlds First Heart Transplant Donor
Louis Washkansky was the Worlds First Transplant recipient whom recieved the organ.
The Blue Whales heart beats only 6 times per minute… does this mean that 5 beats per minute is Bradycardia for a Whale?

Remember! Sharing is caring…….

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PADlocks – This Months Posts One Click Away!
CLICK THEN!
Cardiac Pacemakers and Complete Heart Block Explained
Hypertrophic Cardiomyopathy Screening in Young Athletes
Atrioventricular Nodal Reentrant Tachycardia AVNRT Explained
Heart Failure Treatment CRT-D Vs CRT-P
Septal Pacing Versus Right Ventricular Apex Pacing
Heart Failure – What is Heart Failure?
Pacemaker and Syncope – Cardioinhibitory Vasovagal
Atrioventricular Reentrant Tachycardia AVRT Explained
Last Months Newsletter – November 2013
Accessory Pathways and Wolff-Parkinson White Explained
ICD Discriminators Part 1 – How ICDs Know?!?!?
Minimising Ventricular Pacing Part IV Sorin SafeR
Award for impossible to Drop into General Conversation…..
*Drum Roll* 
Atrioventricular Nodal Reentrant (reciprocal) Tachycardia”

Definition:
Atrioventricular Nodal Reentrant Tachycardia is a Arrhythmia caused by a reentrant circuit 
  • Lower amounts of blood being pumped with each heart beat.
  • Rates of Around 150-200 BPM
  • Palpitations and often Dizziness
  • Can occur in people with Dual AV Nodal Physiology a Fast Pathway and a Slow Pathway

Fish Up A Tree

The world’s largest primates stood 10 feet tall and may have coexisted with humans before going extinct!

They’re called Gigantopithecus, and they are an extinct genus of ape that stood around three meters, or ten feet tall! Gigantopithecus was found in China, India, and Vietnam and lived anywhere from nine million years ago to one hundred thousand years ago! OMG Facts

App

For Professionals

IPacemakerPro

WOW! I was introduced to this App at the Heart Rhythm Congress 2013 and absolutely cowered at the Β£15.49 price tag. Since then however I have downloaded it, used it and now feel that the price was far from unreasonable! Think what you would pay for a pacemaker book?
Well does a Pacemaker do all of this and more?….

More than 6.500 devices between pacemaker defibrillators implantable cardiac monitors and leads.

Information available:
– Manufacturer
– Device type
– NBG code
– X ray ID code
– Connectors
– Wrench size
– Battery indicators (ERI/RRT/EOL)

With direct links to product Technical Sheet and product Alerts.
You can search product by specific Name, by Manufacturer, by Category, by X-Ray ID.

TECHNICAL SHEETS:
More than 700 technical sheets with detailed information on cardiac devices.
Information available:
– Product Description
– Physical Characteristics
– Tachyarrhythmias Therapies
– Resynchronization Therapy
– Pacing Therapies
– Diagnostics
– Battery Data
– Device image

COMPARE: side by side comparison of 2 different products (4 products in iPad version)

ONLINE DOCUMENTATION
– direct links for download of hundreds of Devices Manuals, Guidelines, Product Performance Reports.
INDUSTRY NEWS

Too MUCH MORE to mention! Get it here and Safe Yourself Hours in Clinic! Its a Game Changer!

Click Here to Download the APP
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Round Up!

That is the end of my 3rd newsletter! Writing the posts is one thing but the newsletter does command a lot of time! So I know I go on about this but if you have enjoyed the newsletter or even taken one piece of useful information from it. Then PLEASE PLEASE PLEASE share it with your friends, family and colleagues. One day I hope to do my website full time and then the Newsletters and Posts will be particularly good πŸ˜‰
Thanks again for your continued support… Time for your wordsearch – You have earned it…
Christmas Wordsearch Special


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