New Frontiers in CIEDs: Leveraging Hemodynamic Data in Managing ICD Therapies and Heart Failure-New Frontiers in CIEDs: Leveraging Hemodynamic Data in Managing ICD Therapies and Heart Failure

Video Transcription

Video Summary

The session, led by cardiac electrophysiologist Dr. D.J. Lakharedi, highlighted innovations in hemodynamic aspects of cardiac devices. Cardiac devices have seen limited innovation over the past decades, particularly in implantable cardioverter defibrillator (ICD) therapies. Dr. Chandra Boma discussed clinical outcomes after ICD therapies and the survival benefits, quality of life, and mortality risks associated with both appropriate and inappropriate ICD shocks. Studies indicate that appropriate shocks generally increase survival, while inappropriate ones can result in psychological distress and heightened mortality.<br /><br />Dr. Niraj Varma spoke on heart failure diagnostics in current cardiac implantable electronic devices (CIEDs), demonstrating how remote monitoring devices can predict heart failure events but noted limitations, such as high false-positive alerts. Dr. Mark Kroll, meanwhile, examined ICD detection algorithms, emphasizing the complexity and occasional failures in current technology.<br /><br />Dr. Ji Chang explored the potential of embedding miniaturized hemodynamic sensors in leads to accurately assess cardiac output and stability, indicating this could drastically reduce inappropriate shocks by distinguishing between hemodynamically stable and unstable rhythms. Finally, Dr. Nilesh Mathuria proposed future applications of hemodynamic data, such as optical strain sensors embedded in leads, to enhance heart failure management through real-time, detailed hemodynamic monitoring.<br /><br />Overall, the discussions highlighted both current capabilities and future potential for improving cardiac device functionality and patient outcomes through advanced monitoring and smarter diagnostics.

Keywords

cardiac electrophysiologist

hemodynamic innovations

implantable cardioverter defibrillator

ICD therapies

remote monitoring

heart failure diagnostics

ICD detection algorithms

miniaturized hemodynamic sensors

optical strain sensors

cardiac device functionality