Device Management

Care Pathway – ICD Shock Algorithm

This care pathway for ICD shocks is designed to guide appropriate interventions for patients experiencing either appropriate or inappropriate shocks. It provides recommendations on clinic follow-ups, treatment adjustments, and diagnostic…

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Device Clinic Generator ERI/RRT/Replacement Process

The document outlines the process for managing device generator replacements, focusing on cases with elective replacement indicator (ERI) or recommended replacement time (RRT) alerts. It includes protocols for echocardiograms based…

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Health Facts for You: Patient Information Sheets

Education – Patient/Caregiver: The “Health Facts for You: patient information sheets cover the following topics:

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Pace Mapping: Principles and Pitfalls

Education – Clinical: This Foundational EP educational video will review the principles and pitfalls of pace mapping.

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Activation Mapping: How it Works and How it Can Go Wrong

Education – Clinical: This Foundational EP educational video will review Activation Mapping: How it Works and How it Can Go Wrong. Special attention will be given to basic concepts, pitfalls, and windowing. Additional videos created by Joshua M. Cooper, MD, FACC, FHRS include:

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Entrainment Basics and the Post-Pacing Interval

Education – Clinical: This Foundational EP educational video will review the basics of entrainment pacing during reentrant arrhythmias and the significance of the post-pacing interval. Attention will be paid to the specific circumstances that allow the myocardial reentry to occur, and a review of what happens when one performs pacing maneuvers and records electrograms during tachycardia. By starting and stopping pacing at different sites and analyzing what happens right after after pacing is stopped, the size and location of a reentry circuit can be determined. Additional videos created by Joshua M. Cooper, MD, FACC, FHRS include:

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Algorithm for CIED Patients Undergoing Radiation Therapy

Risk stratification and management algorithm for patients with CIEDs who are undergoing radiation therapy.

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Delegation Protocol for Patients with CIEDs Undergoing MRI

Care Pathways/CDS: Algorithm for RN-driven programming of CIEDs for Patients Undergoing MRI

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Management of Pacemaker or Implantable Cardioverter Defibrillator (ICD) Devices in a Procedural Setting

Care Pathways/CDS: The purpose of this guideline document is to establish a process for the safe management of patients with Cardiovascular Implantable Electronic Devices (CIED) around the time of surgeries or procedures.

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Clinic Time Required for Remote and In-Person Management of Patients With Cardiac Devices: Time and Motion Workflow Evaluation

Workflows: This study aims to characterize the workflow and quantify clinic staff time requirements for managing patients with CIEDs.

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