Publications by authors named "W O REGAN"
The use of conduction system pacing (CSP) in adults with congenital heart disease (CHD) is growing, however data remain limited. In patients with congenitally corrected transposition of the great arteries following the double switch operation, existing CSP tools and techniques require modification to allow for the anterior displacement of the atrioventricular node and proximal conduction system in addition to navigating the tortuous route of the atrial redirection. We report the successful use of CSP focusing on the technique of delivery tool modification to allow stability on the basal septum for deployment to the area of the distal His bundle and proximal left bundle branch.
View Article and Find Full Text PDFMembrane oxygenator failure remains a concern for perfusion teams. Successful outcomes for this low-frequency, high-risk intervention are predicated on having written institutional protocols for both the oxygenator change-out procedure as well as how often the procedure is practiced by staff perfusionists. A recent review of peer-reviewed journal articles, textbooks and online resources revealed a lack of a unified intervention algorithm for failure to oxygenate during cardiopulmonary bypass (CPB).
View Article and Find Full Text PDFArticle Synopsis
- - Atrioventricular block is a common issue in adults with congenital heart disease, making pacemaker implantation difficult, thus highlighting the importance of atrioventricular synchronous pacing for improved blood flow.
- - A 25-year-old male with a history of complex heart surgeries experienced heart block and had a malfunctioning pacemaker before receiving a dual-chamber leadless pacemaker, which successfully restored his heart's rhythmic function.
- - This case represents a valuable addition to the management options for patients with complex congenital heart diseases, showcasing the effectiveness of leadless pacemakers in ensuring atrioventricular synchrony.
Gaining influence: Developing a Healthy Public Policy Unit at Vancouver Coastal Health.
Can J Public Health
December 2024
Setting: Regional Public Health Unit (Office of the Chief MHO, Vancouver Coastal Health Authority, BC, Canada).
Intervention: Recognizing the need to invest resources that strategically move public health work "upstream" where policies and investments can shape the determinants of health, the Office of the Chief MHO for Vancouver Coastal Health embarked on a process in 2019 to develop a population health team designed to engage in Healthy Public Policy (HPP) and Health in All Policies (HiAP) approaches to health promotion. The mission and design of this unit was informed by internal and external research and engagement which continued even through the COVID-19 pandemic.