Publications by authors named "M John Gass"
Article Synopsis
- A study analyzed data from 666 patients under 19 years old who underwent Holter monitoring after surgery, finding that while 70% had some arrhythmia, only 6% had severe cases.
- The research concluded that routine Holter monitoring may not be necessary for all pediatric patients post-surgery, as the chances of finding severe arrhythmias were low.
Article Synopsis
- Tachycardia-induced cardiomyopathy (TIC) severely affects heart function and can lead to heart failure if not managed, often requiring mechanical support or transplantation.
- In a case involving an 8-year-old girl, her heart function was critically impaired, necessitating mechanical circulatory support and eventually radiofrequency ablation of a rare tachycardia called atypical atrioventricular nodal re-entrant tachycardia (aAVNRT).
- The successful management involved careful heart rate control with medication, which allowed recovery of heart function and the safe removal of the mechanical support device.
As cancer treatments shift from traditional intravenous chemotherapy to inclusion of oral oncolytics, there is a critical need for structured oral chemotherapy monitoring and follow-up programs. To provide continuous care and minimize clinical gaps to Veterans receiving oral chemotherapy, the hematology/oncology clinical pharmacy practitioners designed and initiated a pilot, pharmacist-driven, Oral Chemotherapy Monitoring Clinic at the South Texas Veterans Health Care System supported by an oral chemotherapy certified pharmacy technician. A retrospective evaluation of patients receiving oral chemotherapy at the South Texas Veterans Health Care System was performed before (Phase I) and after (Phase II) pilot implementation to assess the impact of an Oral Chemotherapy Monitoring Clinic on compliance with drug-specific lab and symptom monitoring.
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