Atrial Fibrillation Health Literacy and Information Technology Trial in Pittsburgh, PA
Atrial FibrillationFamilial Atrial Fibrillation4 moreAtrial fibrillation (AF) is a common, morbid condition with increasing prevalence. Poor health-related quality of life is common in AF. Patients experience debilitating symptoms and challenging adherence to long-term (possibly lifelong) anticoagulation. The increased risks of stroke, heart failure and mortality associated with AF persist even with optimal treatment. Morbidity in AF is further exacerbated by social factors. Limited health literacy carries challenges of learning a specialized terminology and navigating specialized treatments. In multiple cardiovascular diseases, self-care has demonstrated improvement in self-efficacy, health-related quality of life, symptom burden, and health care utilization - essential components of patient success with AF. Selfcare can provide the critical skills to navigate a challenging chronic disease and improve patient-centered outcomes. Delivery of self-care as a mobile health intervention can complement standard care with a longitudinal intervention to improve patient-centered strategies for AF. While self-care interventions for AF have focused foremost on self-monitoring of anticoagulation,self-care has demonstrated its potential to meet the "triple aim" of improved patient experience, reduced health care utilization, and lower costs.
Atrial Fibrillation Health Literacy and Information Technology Trial in Rural PA Counties
Atrial FibrillationFamilial Atrial Fibrillation4 moreAtrial fibrillation (AF) is a highly prevalent, morbid condition. Anticoagulation to prevent thromboembolic strokes is a foremost priority in AF but adherence is challenging for patients and lapses in anticoagulation are common. Chronic disease self-management (CDSM) is a recognized program to enhance self-efficacy and improve adherence, quality of life, and patient-centered health outcomes. Rural patients with AF experience increased vulnerability to adverse outcomes due to geographic and social isolation, poor health care access, and limited health literacy. This study uses an innovative, scalable CDSM intervention to improve anticoagulation adherence in rural patients with AF.
Anonymized Data Collection From the CS6BP for Heart Arrythmias Measurements
Heart ArrythmiasThe purpose of this clinical study is to collect data simultaneously with the CS6BP watch sensors during EPS in order to characterize different evoked arrhythmias and record Blood Pressure during the procedures that blood pressure is collected by an automated cuff.
Bridge Occlusion Balloon in Lead Extraction Procedure
C.Surgical Procedure; CardiacCardiac Dysrhythmia1 moreTo evaluate the use of an occlusion balloon (Bridge™ Occlusion Balloon, Spectranetics) within the Superior Vena Cava in lead extraction patients.
HIPACE High Frequency Low Energy Pacing to Terminate Fast Ventricular Arrythmias
ArrhythmiasPeople that have survived, or are at high risk of a lifethreatening ventricular arrhythmia are routinely offered a defibrillator (ICD). An ICD is an implanted device which can recognise a ventricular arrhythmia and then try to treat it, either by rapidly pacing the heart or by shocking the heart. Currently, very fast ventricular arrhythmias, known as VF, can only be treated with a shock. Patients find shocks painful and this study is intended to find out whether it is possible to pace the heart at very high rates during VF. It is hoped that if this is possible, further research could lead to effective treatment of VF with pacing rather than shocks, and therefore better outcomes for patients.
PORTuguese Research on Telemonitoring With CareLink® (PORTLink)
ArrhythmiaCompare use of Carelink system - monitoring system - with traditional in-clinic follow up, in patients with implantable cardiac desfibrilator (ICD)
Comparison Between Lidocaine, Dexmedetomidine, and Their Combined Infusion in Subjects Undergoing...
Unstable AnginaCoronary Artery Bypass Graft5 moreThe aim of the present study is to compare the antiarrhythmic and myocardial protective effect between lidocaine, dexmedetomidine, and their combined infusion in subjects undergoing coronary artery bypass graft.
A Multi-centre Study Comparing the Effects of AZD2927 and Placebo on the Electrical Activity in...
ArrhythmiaMedical Products Agency
CAPTURE - Complete Automatic Pacing Threshold Utilization Recorded by EnPulse
ArrhythmiaBradycardiaThis study compares the pacemaker's automatic pacing threshold measurements to the manual measurements conducted by a health care provider.
Pharmacokinetics of Amiodarone in Children
Heart Rhythm DisorderPK-AMIO study is a population pharmacokinetic study of Amiodarone in children in order to : study the pharmacokinetic parameters (Pop PK) of Amiodarone in children; identify covariates explaining the variability of these pharmacokinetic parameters; study the relationship between the concentration, the efficacy of treatment and its tolerance to optimize the use of Amiodarone in pediatrics. Indeed, there is no consensus on the optimal oral dosage in children. Few pharmacokinetic studies have been performed with only a small number of patients per study. Our study will include 70 children aged 0 to 18 years old.