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  1. Article ; Online: Medical device reuse: the return of Robin Hood?

    Razak, Shakeeb / Yee, Raymond

    Heart rhythm

    2010  Volume 7, Issue 11, Page(s) 1628–1629

    MeSH term(s) Equipment Reuse/legislation & jurisprudence ; Equipment and Supplies/ethics ; Humans
    Language English
    Publishing date 2010-11
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 2229357-7
    ISSN 1556-3871 ; 1547-5271
    ISSN (online) 1556-3871
    ISSN 1547-5271
    DOI 10.1016/j.hrthm.2010.09.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: BioMonitor 2 Pilot Study: Early Experience With Implantation of the Biotronik BioMonitor 2 Implantable Cardiac Monitor.

    Ooi, Sze-Yuan / Ng, Ben / Singarayar, Suresh / Hellestrand, Kevin / Illes, Peter / Mohamed, Uwais / Razak, Shakeeb / Weerasooriya, Rukshen

    Heart, lung & circulation

    2017  Volume 27, Issue 12, Page(s) 1462–1466

    Abstract: Background: The BioMonitor 2 Pilot Study assessed the implantation procedure, the sensing amplitude and the remote monitoring transmission success rate of the second generation implantable cardiac monitor, the BioMonitor 2 (Biotronik, Berlin, Germany).!# ...

    Abstract Background: The BioMonitor 2 Pilot Study assessed the implantation procedure, the sensing amplitude and the remote monitoring transmission success rate of the second generation implantable cardiac monitor, the BioMonitor 2 (Biotronik, Berlin, Germany).
    Methods: This was a prospective, multi-centre, single-arm, non-randomised study involving seven operators in five sites across Australia. Data were collected at implantation, during clinic visits at 1 week and 1 month post-implantation, and through wireless remote monitoring.
    Results: Thirty patients with indications for long-term cardiac monitoring underwent successful insertion of a study device. The median implantation time was 9 minutes (interquartile range (IQR) 5-14 mins). The mean R-wave amplitude at 1 week was 0.75±0.39mV and remained stable over the follow-up period. Within 1 day, 97% of the patients connected to the remote monitoring network and daily messages were transmitted on 93.8% of all study days. Seventy-six per cent of patients transmitted at least one subcutaneous ECG (sECG), with a median number of sECGs per patient of seven (IQR 3-37) within 28 days.
    Conclusions: The results of the BioMonitor 2 Pilot study confirm the excellent sensing amplitudes afforded by this new device and the utility of the implantation tools and technique. Patient compliance with and the transmission success rate of the home monitoring system were excellent.
    MeSH term(s) Aged ; Arrhythmias, Cardiac/physiopathology ; Arrhythmias, Cardiac/therapy ; Defibrillators, Implantable ; Electrocardiography, Ambulatory/instrumentation ; Equipment Design ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Monitoring, Physiologic/instrumentation ; Pilot Projects ; Prospective Studies ; Reproducibility of Results
    Language English
    Publishing date 2017-10-06
    Publishing country Australia
    Document type Clinical Trial ; Journal Article ; Multicenter Study
    ZDB-ID 2020980-0
    ISSN 1444-2892 ; 1443-9506
    ISSN (online) 1444-2892
    ISSN 1443-9506
    DOI 10.1016/j.hlc.2017.09.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Cardiac arrest and chewing gum--an unfortunate combination.

    Thompson, Angus G / Razak, Shakeeb / Jayasinghe, Rohan

    The Medical journal of Australia

    2008  Volume 187, Issue 11-12, Page(s) 635

    MeSH term(s) Airway Obstruction/complications ; Airway Obstruction/etiology ; Chewing Gum/adverse effects ; Heart Arrest/etiology ; Humans ; Male ; Middle Aged
    Chemical Substances Chewing Gum
    Language English
    Publishing date 2008-01-07
    Publishing country Australia
    Document type Case Reports ; Letter
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/j.1326-5377.2007.tb01453.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Complete antral encirclement is not required for pulmonary vein isolation.

    Sy, Raymond W / Gula, Lorne J / Leong-Sit, Peter / Klein, George J / Yee, Raymond / Krahn, Andrew D / Bentley, Cathy / Razak, Shakeeb / Skanes, Allan C

    Heart rhythm

    2011  Volume 8, Issue 1, Page(s) 16–22

    Abstract: Background: Complete circumferential antral ablation may not be necessary for successful pulmonary vein (PV) isolation in patients with paroxysmal atrial fibrillation (AF).: Objective: We examined the feasibility of a noncircumferential approach ... ...

    Abstract Background: Complete circumferential antral ablation may not be necessary for successful pulmonary vein (PV) isolation in patients with paroxysmal atrial fibrillation (AF).
    Objective: We examined the feasibility of a noncircumferential approach limited to segments of the antra required for PV-atrial conduction.
    Methods: During ablation for paroxysmal AF, each PV antrum was divided into six segments, and ablation was sequentially targeted to antral segments with the earliest activity until bidirectional isolation was achieved. Ablation at the ostium was avoided. Patients requiring complete circumferential ablation (circumferential group) were compared with those undergoing incomplete antral ablation (noncircumferential group) with respect to freedom from symptomatic atrial arrhythmia, procedure, and ablation times.
    Results: Ninety-nine patients underwent ablation with successful isolation of PVs (n = 37 circumferential; n = 62 noncircumferential). There were no significant differences in age, gender, AF duration, or LA size. Procedure time (202 ± 45 vs. 185 ± 47 minutes; P = .06) and ablation time (51 ± 15 vs. 41 ± 14 minutes; P = .004) were shorter in the noncircumferential group. During follow-up (12 ± 6 months), freedom from symptomatic recurrence was 73% in both groups (P = .97), with organized atrial tachycardia being more common in the circumferential group (P = .06). In 22 patients undergoing repeat study, PV reconnection was demonstrated in 82% and 81% of PVs in each group. Reconnection in the noncircumferential group occurred in previously ablated segments in 10 (77%) of 13 cases.
    Conclusions: Noncircumferential antral ablation achieves similar success rates with shorter procedure and ablation times than circumferential ablation. Greater attention should be focused on producing permanent lesions rather than on completing antral encirclement after isolation is achieved.
    MeSH term(s) Aged ; Atrial Fibrillation/surgery ; Catheter Ablation/methods ; Electrophysiologic Techniques, Cardiac ; Feasibility Studies ; Female ; Heart Atria/anatomy & histology ; Humans ; Male ; Middle Aged ; Pulmonary Veins/surgery
    Language English
    Publishing date 2011-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2229357-7
    ISSN 1556-3871 ; 1547-5271
    ISSN (online) 1556-3871
    ISSN 1547-5271
    DOI 10.1016/j.hrthm.2010.09.069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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