Bruce G . Goldner

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BACKGROUND Recent studies have demonstrated improved cardiopulmonary circulation during cardiac arrest with the use of a hand-held suction device (Ambu CardioPump) to perform active compression-decompression cardiopulmonary resuscitation (CPR). The purpose of this study was to compare active compression-decompression with standard CPR during cardiac arrests(More)
BACKGROUND The Sprint Fidelis implantable cardioverter-defibrillator lead was recalled in 2007 because of an levated risk of lead fracture. Several studies have demonstrated an accelerating risk of lead failure over time. We sought to identify predictors and characterize trends of Fidelis lead failure. METHODS AND RESULTS We evaluated 604 Fidelis leads(More)
Electromagnetic interference can cause implanted devices (pacemakers and defibrillators) to malfunction. This article reviews four cases of device interference and provides a review of the literature, and our recommendations for managing these problems.
Implantable cardioverter-defibrillators (ICDs) are the standard of care for preventing sudden cardiac death in patients who are predisposed to malignant ventricular arrhythmias. Causes of inappropriate ICD shock include equipment malfunction, improper arrhythmia evaluation, misinterpretation of myopotentials, and electromagnetic interference. As the number(More)
BACKGROUND Implantation of transvenous implantable cardioverter defibrillators (ICDs) by use of a nonthoracotomy approach has become routine therapy for survivors of life-threatening tachyarrhythmias. The purpose of this study was to identify and prospectively characterize the frequency of lead- and ICD-related complications from the Antiarrhythmics versus(More)
BACKGROUND The purpose of this study was to compare the safety, efficacy, and cost of conscious sedation administered by electrophysiologists certified in the use of conscious sedation with sedation administered by anesthesiologists during cardioversion of atrial fibrillation or atrial flutter to sinus rhythm. METHODS AND RESULTS Patients with(More)
A 20-year-old man with previous surgical repair of tetralogy of Fallot was admitted with hemodynamically significant ventricular tachycardia that was terminated with cardioversion. He was found at electrophysiological study to have easily inducible ventricular tachycardia that was mapped to the right ventricular outflow tract. Radiofrequency catheter(More)
A simple algorithm that combines QT dispersion with the signal-averaged electrocardiogram QRS duration provides an extremely sensitive method for predicting spontaneous or inducible ventricular tachyarrhythmias. This new algorithm may prove useful in determining which patients are at risk for ventricular tachyarrhythmia.
We report a case of a patient with an implantable cardioverter defibrillator and no prior history of heart block with managed ventricular pacing (MVP) programmed who had frequent recurrent episodes of polymorphic ventricular tachycardia. All of the episodes were initiated by transient atrioventricular block which resulted in short-long-short sequences(More)
BACKGROUND Previous retrospective or observational series suggest that many patients with an implantable cardioverter-defibrillator (ICD) will be treated with antiarrhythmic drugs (AADs) to modify the frequency or manifestation of recurrent ventricular arrhythmias. The relative clinical benefit, however, is uncertain, and deleterious interactions can occur.(More)