Publications by authors named "Charles Yao-Cheng Ho"
Lead Management: Device Programming and Defibrillation Threshold Testing.
Card Electrophysiol Clin
December 2024
Article Synopsis
- Implantable cardioverter-defibrillators (ICDs) help prevent sudden cardiac death (SCD) and enhance survival for patients with serious heart rhythm issues or those at high risk for SCD.
- Despite their benefits, ICD patients sometimes experience inappropriate shocks, which can lead to adverse effects such as increased anxiety, decreased quality of life, and even higher mortality rates.
- The article focuses on the importance of careful programming and operational decisions by physicians to optimize the effectiveness and safety of ICD therapy based on clinical trial evidence.
Background And Aims: The last two decades in New Zealand have seen increased availability of primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) and early invasive coronary angiography (ICA) for other high-risk acute coronary syndrome (ACS) patients. One metric to assess the clinical appropriateness of these invasive strategies is to examine the false-positive rate for the investigation (ie, the rate of non-ACS diagnoses).
Methods: All patients presenting to New Zealand public hospitals with suspected ACS who underwent ICA between 2015 and 2019 were recorded prospectively in the All New Zealand Acute Coronary Syndrome Quality Improvement registry.
Background: Concomitant atrial fibrillation (AF) and acute coronary syndrome (ACS) present the difficult therapeutic dilemma of balancing bleeding, cardio-embolic and coronary thrombotic risks with appropriate combinations of antithrombotic medications. We aim to evaluate current New Zealand practice by identifying the incidence of AF in ACS; describe the population characteristics; and assess our antithrombotic management.
Methods: Consecutive patients ≥18y presenting with ACS who had coronary angiography (2017-2018) were identified from the All New Zealand ACS Quality Improvement (ANZACS-QI) registry.