Publications by authors named "T Melchior"

Aims: Modern clinical management of patients with an implantable cardioverter defibrillator (ICD) largely consists of remote device monitoring, although a subset is at risk of mental health issues post-implantation. We compared a 12-month web-based intervention consisting of goal setting, monitoring of patients' mental health-with a psychological intervention if needed-psychoeducational support from a nurse, and an online patient forum, with usual care on participants' device acceptance 12 months after implantation.

Methods And Results: This national, multi-site, two-arm, non-blinded, randomized, controlled, superiority trial enrolled 478 first-time ICD recipients from all 6 implantation centres in Denmark.

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Background And Aim: There are a paucity of studies investigating workforce affiliation in connection with first-time implantable cardioverter defibrillator (ICD)-implantation. This study explored workforce affiliation and risk markers associated with not returning to work in patients with ICDs.

Methods: Using the nationwide Danish registers, patients with a first-time ICD-implantation between 2007 and 2017 and of working age (30-65 years) were identified.

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Background: SARS-CoV-2 may trigger both vasculitis and arrhythmias as part of a multisystem inflammatory syndrome described in children as well as in adults following COVID-19 infection with only minor respiratory symptoms. The syndrome denotes a severe dysfunction of one or more extra-pulmonary organ systems, with symptom onset approximately 2-5 weeks after the COVID-19 infection. In the present case, a seemingly intractable ventricular tachycardia preceded by SARS-CoV2 infection was only managed following the diagnosis and management of aortitis.

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This cohort study evaluates the incidence of arrhythmia in patients receiving psychotropic medication by monitoring of electrocardiographic findings using an implantable loop recorder.

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Article Synopsis
  • A nationwide survey in Denmark assessed the awareness and adherence to driving restrictions among patients who received implantable cardioverter defibrillators (ICDs) between 2013 and 2016.
  • The study found that a significant number of respondents (between 28% and 58% depending on their situation) were unaware of the driving restrictions and over one-third resumed driving during prohibited periods.
  • Despite this, only 0.2% reported experiencing an ICD shock while driving, with a very low estimated risk of harm (0.0002% per person-year).
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