Tag Archives: prognosis

Introduction There is a wide range of cardiac conditions that may significantly increase the risk of sudden cardiac death (SCD). They range from ischaemic heart disease to inherited cardiac conditions, such as hypertrophic obstructive cardiomyopathy, and these may be in the setting of primary or secondary prevention. Potential device candidates are expected to have a reasonable life-expectancy of at least one year.1 While clear guidelines help cardiologists and their multi-disciplinary teams to steer the right patients forward for a defibrillator device and to the right type, it is recognised that it may be difficult to assess the frailty of

Introduction In ambulatory individuals with high-grade atrioventricular (AV) block, it is well-established that restoration of AV synchrony with dual-chamber pacing confers important physiological benefits over single-chamber pacing, including improvements in exercise capacity, reduction in incident atrial fibrillation (AF), and avoidance of pacemaker (PPM) syndrome.1,2 The impact of dual-chamber pacing on mortality remains disputed and, in older people, it has been proposed that the expected advantages of physiological pacing strategies may be mitigated by the higher prevalence of comorbidities and non-arrhythmic death.1,3 Accordingly, the

Easily accessible routine clinical data are summarised that identify patients whose claims are most likely to succeed.  Introduction Dr Christopher Ward The financial difficulties of the NHS, including those of cardiac services, are often highlighted in the medical press. However, patients’ financial problems are rarely addressed and the specific issue of helping heart failure patients to obtain their financial entitlements has never been discussed in the Journals. It is now widely accepted that patients with heart failure have similar needs for supportive and palliative care as do patients with cancer: to control physical and psychologica

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