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In Press: |
DR.
EMAD AZIZ, D.O., MB.CHB, FACC AMONG FIRST IN THE UNITED
STATES TO IMPLANT NEW DEVICES TO TREAT A SLOW HEARTBEAT |
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New York, NY (May 9, 2012) --
St. Luke’s and Roosevelt Hospitals is among the first hospitals in the U.S. and
the first in the east coast to treat patients with an INGENIO™ pacemaker,
manufactured by BostonScientific. Pacemakers are designed to treat bradycardia,
a condition in which the heart beats too slowly -- usually less than 60 beats
per minute -- depriving the body of sufficient oxygen.
“The INGENIO device enables
physicians to treat pacemaker patients with an advanced and comprehensive set of
therapies,” said Emad Aziz, DO, MB, C HB, FACC, Attending Electrophysiologist,
the Department of Medicine and Cardiology at St. Luke’s and Roosevelt Hospitals
in New York “using the patient most accurate parameter of breathing; minute
ventilation (MV), The INGENIO pacemaker’s MV sensor is easy to optimize and will
provide needed therapy for patients with chronotropic incompetence to help them
feel less fatigued during physical activity.”
INGENIO pacemakers feature
RightRate™ technology. RightRate utilizes Boston Scientific’s minute
ventilation (MV) sensor and adds programming options that promote ease of use
and time savings in-clinic. Boston Scientific’s MV sensor is the only sensor
clinically proven to restore chronotropic competence. Chronotropic Incompetence
(CI) is the inability of the heart to regulate its rate appropriately in
response to physical activity, which may cause patients to feel tired or short
of breath during daily activities such as walking or carrying groceries. CI
affects up to 42 percent of pacemaker patients.
The INGENIO pacemaker will also
have the capacity to transmit implantable cardiac device data from the device to
physicians and other healthcare providers. Boston Scientifics' new LATITUDE NXT®
Remote Patient Management system, currently under review by the FDA, will let
physicians conduct remote follow-ups of these device patients to monitor
specific device information and heart health status. The system will also
detect clinical events between scheduled visits and send relevant data directly
to a secure website, which can be accessed by physicians. This wireless
technology will allow patients to transmit data to physicians from most
locations in North America without the need for landline-based technology.
Read More.
In The News: |
The
Second
ESCAPE Sudden
Cardiac Death Awareness Symposium 2012 |
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On
Tuesday, April 24, over 100 healthcare professionals from St.
Luke’s and Roosevelt Hospitals attended an educational symposium
at St. Luke’s Hospital to promote sudden cardiac death (SCD)
awareness that was hosted by the ACAP Cardiac Research Group.
The event featured Andrew D. Krahn, MD, FACC, FHRS, President of
the Canadian Heart Rhythm Society, who spoke on the genetic
predictors related to this disorder.
Several University Medical Practices Associates (UMPA)
cardiologists also gave presentations, including Emad F. Aziz,
DO, MB C HB,
FACC; Farooq A. Chaudhry, MD, FACC, FASE; and Eyal Herzog, MD,
FACC.
Dr. Aziz spoke on the gap in healthcare management and the role
of the Advanced Cardiac Admission Program (ACAP). Dr. Chaudhry
discussed the role of echocardiography in identifying patients
at risk for SCD and the role of CRT therapy for heart failure
patients. And Dr. Herzog spoke about the use of a novel clinical
pathway – called ESCAPE – (low Ejection fraction and
Sudden Cardiac death Awareness and Prevention
Eligibility) to prevent sudden cardiac arrest. The
symposium also included a question and answer session. According
to Dr. Aziz, one of the key presentation highlights was the
finding that only about 20 percent of all patients eligible for
implantable cardioverter defibrillator (ICD) therapy receive it.
The rest are lost to follow-up or are not referred for
evaluation for this treatment. Various myths about sudden
cardiac death were also discussed during the event. Dr. Andrew
Krahn’s lecture highlighted that the road is still in its
beginning in identifying the genetics behind sudden cardiac
death; “We only touched the peak of the iceberg when it comes to
genetic predisposition and sudden cardiac death” said Dr. Krahn.
Read More.
Another SCD educational symposium is being
planned for October, which is National Sudden Cardiac Arrest
Awareness Month.
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In The News: |
The
second Chilling in New York Conference; Focus on Women 2012 |
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The
ACAP program at St. Luke's and Roosevelt Hospitals hosted the
second Chilling in Manhattan Symposium "Voices
of Survivors'; Focus on Women". Sudden cardiac death
women survivors joined doctors at this symposium last week to
discuss the benefits of the procedure, which literally froze
them close to death in order to save their lives. The chilling
procedure has become a way for doctors at St. Luke’s to reduce
damage to vital organs following a period of insufficient blood
flow.
The program included Dr. Janet Shapiro, director of the
Intensive Care Unit, Dr. Jacqueline Holland-Tamis, Director of
Interventional Fellowship and Dr. Eyal Herzog, spoke about women
and heart disease, the utility of the hypothermia therapy after
out of hospital cardiac arrest and voice
of survivors, their families and first responders. It was great
emotional and uplifting conference with an amazing honor for all
the patients and their families.
Read More.
We
also introduced a new addition to the ACAP website with the
Voice
of Survivors & Families of Non-Survivors Blog:
The aim of this resource is to connect our patient and their
experiences to the world, and became a valuable resource to all
others as well as a way of communication in the form of
comments, questions or a story telling.
In the Photo, Nereida Carlo, Dr.
Eyal Herzog and Catherine Cole. Carlo and Cole, both of Harlem,
credit induced therapeutic hyperthermia with saving their lives
after heart attacks.
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In The News: |
ACAP
Presentation at the American College of Cardiology’s (ACC's)
61st Annual Scientific Session in Chicago |
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The
ACAP program at St. Luke's and Roosevelt Hospitals presented
their latest research at the American College of Cardiology 61st
Annual scientific session in Chicago last month. The research
paper titled "A Major Gap Still Exists in Applying Published
Guidelines for primary Prevention of Sudden Cardiac Death and
Underutilization of Device Implantation; An ESCAPE Registry
Analysis" aimed to to evaluate the number of implanted devices
in a cohort of eligible patients according to the guidelines,
patient outcomes including all-cause mortality at 90 days and
heart failure readmissions at 30 days, and identifying any
differences among different race groups, sexes and Over-all
event rates at 24 month.
This paper is relevant in lieu of
the recent JAMA article of data extracted from the National
Cardiovascular Data Registry (NCDR) revealed that there is
deviations from the evidence-based guidelines for ICD
implantation with an estimated 22.5% of these procedures did not
meet the criteria. In our real life representation study
we have shown an astonishing results with only 19% of all
eligible patient according to the AHA/ACC guideline receiving
ICD implantation. Patient who received ICD had much better
survival outcome than those who didn't receive the evidence
based therapy. In addition there were discrepancies among women
and African American patients.
We concluded that in this real world prospective study
contradicts the recent published data of ICD overuse and reveals
the significant gap and underutilization of ICD among eligible
patients’
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