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In Catheter interventions in Congenital Heart Disease
PDA stenting in infants and neonates to avoid BT shunt (more morbidity) for duct dependent lesions. Even can be used after the duct is closed
In AF treatment management
Vernakalant new drug for AF conversion. Yet to be marketed in India.
In CRT in class I and II heart failure
CRT D or CRT or ICD. CRT triad: Low EF, broad QRS and symptomatic In class III and class IV patients its use is beyond any doubt. In 2002 MIRACLE trial showed 40 % reduction in mortality. In 2004 Companion trials showed similar results.
ICD can prevent SCD in young. 10% of all SCD are in normal hearts (normal ECHO. It is important to screen as 25-40% have re attacks in the next 2 years.
Other What's New Article
What’s new in pace maker functions
Functions of pace makers are to sense properly, pace properly, pace with minimum output and to manage tachy- arrhythmia.
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