Ashish Patwala

From simulator to patient: transfer of procedural skills to practice in cardiac device implantation

Jorio Mascheroni, Martin A. Stockburger, Ashish Patwala, Hartwig Retzlaff et autres

Abstract Aims Cardiac implantable electronic devices (CIED) training for novice implanters typically occurs in vivo, varies across countries/institutions, and results in inconsistent skill levels. Proficiency-based progression (PBP) simulation training—requiring attainment of expert-derived performance benchmarks before clinical practice—reduced procedural errors by 61–77% compared …

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Beyond the badge: quantitative insights of skill gaps in licensed early-career cardiac device implanters and evidence-based pathways to proficiency

Jorio Mascheroni, Martin A. Stockburger, Ashish Patwala, Hartwig Retzlaff et autres

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Rigor of cardiac device implant training affects performance outcome

Jorio Mascheroni, Martin A. Stockburger, Ashish Patwala, Hartwig Retzlaff et autres

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Assessment of Antitachycardia Pacing in Primary Prevention Patients

Claudio D. Schuger, Boyoung Joung, Kenji Andò, Lluís Mont et autres

Importance: The emergence of novel programming guidelines that reduce premature and inappropriate therapies along with the availability of new implantable cardioverter-defibrillator (ICD) technologies lacking traditional endocardial antitachycardia pacing (ATP) capabilities requires the reevaluation of ATP as a first strategy in terminating fast …

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Surgical skill simulation training to proficiency reduces procedural errors among novice cardiac device implanters: a randomized study

Jorio Mascheroni, Martin A. Stockburger, Ashish Patwala, Lluı́s Mont et autres

AIMS: In cardiac device implantation, having both surgical skills and ability to manipulate catheter/lead/wire is crucial. Few cardiologists, however, receive formal surgical training prior to implanting. Skills are mostly acquired directly on-the-job and surgical technique varies across institutions; suboptimal approaches may increase …

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Optimizing Heart Failure Pathways to Enhance Patient Care: The Program to Optimize Heart Failure Patient Pathways (PRO-HF)

Ashish Patwala, Diane Barker, Antoine Da Costa, Geoffrey Bayard et autres

AIMS: Many European healthcare providers struggle to adopt multidisciplinary, integrated care pathways for people with heart failure (HF) as recommended by the European Society of Cardiology. PRO-HF (Program to Optimize Heart Failure Patient Pathways) was developed to help clinicians identify strengths, gaps, …

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Effect of Metrics-Based Simulation Training to Proficiency on Procedure Quality and Errors Among Novice Cardiac Device Implanters

Jorio Mascheroni, Martin A. Stockburger, Ashish Patwala, Lluı́s Mont et autres

Importance: In cardiac device implant training, there is no common system to objectively assess trainees' ability to perform tasks at predetermined performance levels before in vivo practice; therefore, patients are potentially exposed to risks related to operators' early learning curve. Objective: To …

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A Critical Evaluation of Patient Pathways and Missed Opportunities in Treatment for Heart Failure

Chun Shing Kwok, Duwarakan K. Satchithananda, Fozia Zahir Ahmed, Colin Dominic Chue et autres

BACKGROUND: Heart failure (HF) is a global problem responsible for significant morbidity and mortality. METHODS: This review describes the patient pathways and missed opportunities related to treatment for patients with HF. RESULTS: The contemporary management strategies in HF, including medical therapies, device …

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Missed Opportunities in the Diagnosis of Heart Failure: Evaluation of Pathways to Determine Sources of Delay to Specialist Evaluation

Chun Shing Kwok, Hayley Burke, Sarah McDermott, Vicky Welsh et autres

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A Review of the Wide Range of Indications and Uses of Implantable Loop Recorders: A Review of the Literature

Chun Shing Kwok, Daniel N. Darlington, Joseph E. Mayer, Gaurav Panchal et autres

Implantable loop recorders (ILR) are devices that are implanted subcutaneously on the chest, which enables the continuous monitoring of arrhythmias for up to three years. These devices have an important role in helping to make a diagnosis and supporting decisions about the …

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Efficacy and safety of leadless pacemaker: A systematic review, pooled analysis and meta-analysis

Daniel N. Darlington, Philip Brown, Vanessa Novais de Carvalho, Hayley Bourne et autres

BACKGROUND: Leadless pacemakers have been designed as an alternative to transvenous systems which avoid some of the complications associated with transvenous devices. We aim to perform a systematic review of the literature to report the safety and efficacy findings of leadless pacemakers. …

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Real-World Evidence in a National Health Service: Results of the UK CardioMEMS HF System Post-Market Study

Martín Cowie, Andrew S. Flett, Peter James Cowburn, Paul W.X. Foley et autres

AIMS: The CardioMEMS HF System Post-Market Study (COAST) was designed to evaluate the safety, effectiveness, and feasibility of haemodynamic-guided heart failure (HF) management using a small sensor implanted in the pulmonary artery of New York Heart Association (NYHA) Class III HF patients …

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