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4. 2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients

Author

Chang, Philip M., Drago, Fabrizio, Dubin, Anne M., Etheridge, Susan P., Kongpatanayothin, Apichai, Moltedo, Jose Manuel, Nabar, Ashish A., Van Hare, George F., Shah, Maully J., Silka, Michael J., Avari Silva, Jennifer N., Balaji, Seshadri, Beach, Cheyenne M., Benjamin, Monica N., Berul, Charles I., Cannon, Bryan, Cecchin, Frank, Cohen, Mitchell I., Dalal, Aarti S., Dechert, Brynn E., Foster, Anne, Gebauer, Roman, Gonzalez Corcia, M. Cecilia, Kannankeril, Prince J., Karpawich, Peter P., Kim, Jeffery J., Krishna, Mani Ram, Kubuš, Peter, LaPage, Martin J., Mah, Douglas Y., Malloy-Walton, Lindsey, Miyazaki, Aya, Motonaga, Kara S., Niu, Mary C., Olen, Melissa, Paul, Thomas, Rosenthal, Eric, Saarel, Elizabeth V., Silvetti, Massimo Stefano, Stephenson, Elizabeth A., Tan, Reina B., Triedman, John, Von Bergen, Nicholas H., and Wackel, Philip L.

Published
2021
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5. 2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients: Developed in Collaboration With and Endorsed by the Heart Rhythm Society (HRS), the American College of Cardiology (ACC), the American Heart Association (AHA), and the Association for European Paediatric and Congenital Cardiology (AEPC) Endorsed by the Asia Pacific Heart Rhythm Society (APHRS), the Indian Heart Rhythm Society (IHRS), and the Latin American Heart Rhythm Society (LAHRS)

Author

Shah, Maully J., Silka, Michael J., Silva, Jennifer N. Avari, Balaji, Seshadri, Beach, Cheyenne M., Benjamin, Monica N., Berul, Charles I., Cannon, Bryan, Cecchin, Frank, Cohen, Mitchell I., Dalal, Aarti S., Dechert, Brynn E., Foster, Anne, Gebauer, Roman, Gonzalez Corcia, M. Cecilia, Kannankeril, Prince J., Karpawich, Peter P., Kim, Jeffery J., Krishna, Mani Ram, Kubuš, Peter, LaPage, Martin J., Mah, Douglas Y., Malloy-Walton, Lindsey, Miyazaki, Aya, Motonaga, Kara S., Niu, Mary C., Olen, Melissa, Paul, Thomas, Rosenthal, Eric, Saarel, Elizabeth V., Silvetti, Massimo Stefano, Stephenson, Elizabeth A., Tan, Reina B., Triedman, John, Bergen, Nicholas H. Von, and Wackel, Philip L.

Published
2021
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6. 2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients

Author

Shah, Maully J., Silka, Michael J., Silva, Jennifer N. Avari, Balaji, Seshadri, Beach, Cheyenne M., Benjamin, Monica N., Berul, Charles I., Cannon, Bryan, Cecchin, Frank, Cohen, Mitchell I., Dalal, Aarti S., Dechert, Brynn E., Foster, Anne, Gebauer, Roman, Gonzalez Corcia, M. Cecilia, Kannankeril, Prince J., Karpawich, Peter P., Kim, Jeffery J., Krishna, Mani Ram, Kubuš, Peter, LaPage, Martin J., Mah, Douglas Y., Malloy-Walton, Lindsey, Miyazaki, Aya, Motonaga, Kara S., Niu, Mary C., Olen, Melissa, Paul, Thomas, Rosenthal, Eric, Saarel, Elizabeth V., Silvetti, Massimo Stefano, Stephenson, Elizabeth A., Tan, Reina B., Triedman, John, Bergen, Nicholas H. Von, and Wackel, Philip L.

Published
2021
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7. 2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients: Executive Summary

Author

Silka, Michael J., Shah, Maully J., Silva, Jennifer N. Avari, Balaji, Seshadri, Beach, Cheyenne M., Benjamin, Monica N., Berul, Charles I., Cannon, Bryan, Cecchin, Frank, Cohen, Mitchell I., Dalal, Aarti S., Dechert, Brynn E., Foster, Anne, Gebauer, Roman, Gonzalez Corcia, M. Cecilia, Kannankeril, Prince J., Karpawich, Peter P., Kim, Jeffery J., Krishna, Mani Ram, Kubuš, Peter, LaPage, Martin J., Mah, Douglas Y., Malloy-Walton, Lindsey, Miyazaki, Aya, Motonaga, Kara S., Niu, Mary C., Olen, Melissa, Paul, Thomas, Rosenthal, Eric, Saarel, Elizabeth V., Silvetti, Massimo Stefano, Stephenson, Elizabeth A., Tan, Reina B., Triedman, John, Von Bergen, Nicholas H., and Wackel, Philip L.

Published
2021
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9. Utility of routine follow‐up defibrillation safety margin testing in young patients with epicardial implantable cardioverter‐defibrillators.

Author

Leng, Tomas, Griffeth, Elaine, Stephens, Elizabeth H., Dearani, Joseph A., Cannon, Bryan C., Ackerman, Michael J., and Wackel, Philip L.

Subjects
ELECTRIC countershock, PATIENT safety, DESCRIPTIVE statistics, IMPLANTABLE cardioverter-defibrillators, MEDICAL equipment reliability, PATIENT aftercare
Abstract

Background: Routine defibrillation threshold testing (DFT) of transvenous implantable defibrillators (ICDs) has largely been in decline. In patients with non‐transvenous ICDs that utilize subcutaneous and pleural ICD leads, serial DFT testing can detect a significant number of failures. Data about the utility of follow‐up defibrillation safety margin testing (DSM) testing in pediatric patients and young adults with an epicardial ICD are lacking. Methods: Patients aged < 25 years old who underwent epicardial ICD placement at Mayo Clinic from 2014 to 2023 with at least one follow‐up DSM test were included. The patients were divided into a "routine" (R) and "clinically indicated" (CI) group based on the index of clinical concern. Inadequate DSM was defined as unsuccessful defibrillation at an output of less than 10 J below the maximum output of the device. The purpose of this study was to assess the utility of follow‐up DSM testing. Results: An epicardial ICD system was placed in 122 patients. A total of 26 patients met inclusion criteria and underwent a total of 47 DSM follow up tests. Inadequate DSM occurred in 1/33 (3%) in the R group and 2/14 (14%) DSM tests in the CI group. The median follow‐up period was 54 and 36 months for the R and CI group, respectively. Conclusions: Our data suggest that epicardial ICDs are reliable and routine follow‐up DSM testing may not be necessary for all patients. DSM testing should be performed in individuals with epicardial ICD systems when there is clinical concern about lead or coil performance. [ABSTRACT FROM AUTHOR]

Published
2024
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18. 2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients

Author

Shah, Maully J., primary, Silka, Michael J., additional, Avari Silva, Jennifer N., additional, Balaji, Seshadri, additional, Beach, Cheyenne M., additional, Benjamin, Monica N., additional, Berul, Charles I., additional, Cannon, Bryan, additional, Cecchin, Frank, additional, Cohen, Mitchell I., additional, Dalal, Aarti S., additional, Dechert, Brynn E., additional, Foster, Anne, additional, Gebauer, Roman, additional, Gonzalez Corcia, M. Cecilia, additional, Kannankeril, Prince J., additional, Karpawich, Peter P., additional, Kim, Jeffery J., additional, Krishna, Mani Ram, additional, Kubuš, Peter, additional, LaPage, Martin J., additional, Mah, Douglas Y., additional, Malloy-Walton, Lindsey, additional, Miyazaki, Aya, additional, Motonaga, Kara S., additional, Niu, Mary C., additional, Olen, Melissa, additional, Paul, Thomas, additional, Rosenthal, Eric, additional, Saarel, Elizabeth V., additional, Silvetti, Massimo Stefano, additional, Stephenson, Elizabeth A., additional, Tan, Reina B., additional, Triedman, John, additional, Von Bergen, Nicholas H., additional, Wackel, Philip L., additional, Chang, Philip M., additional, Drago, Fabrizio, additional, Dubin, Anne M., additional, Etheridge, Susan P., additional, Kongpatanayothin, Apichai, additional, Moltedo, Jose Manuel, additional, Nabar, Ashish A., additional, and Van Hare, George F., additional

Published
2021
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19. 2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients: Executive summary

Author

Silka, Michael J., primary, Shah, Maully J., additional, Avari Silva, Jennifer N., additional, Balaji, Seshadri, additional, Beach, Cheyenne M., additional, Benjamin, Monica N., additional, Berul, Charles I., additional, Cannon, Bryan, additional, Cecchin, Frank, additional, Cohen, Mitchell I., additional, Dalal, Aarti S., additional, Dechert, Brynn E., additional, Foster, Anne, additional, Gebauer, Roman, additional, Gonzalez Corcia, M. Cecilia, additional, Kannankeril, Prince J., additional, Karpawich, Peter P., additional, Kim, Jeffery J., additional, Krishna, Mani Ram, additional, Kubuš, Peter, additional, LaPage, Martin J., additional, Mah, Douglas Y., additional, Malloy-Walton, Lindsey, additional, Miyazaki, Aya, additional, Motonaga, Kara S., additional, Niu, Mary C., additional, Olen, Melissa, additional, Paul, Thomas, additional, Rosenthal, Eric, additional, Saarel, Elizabeth V., additional, Silvetti, Massimo Stefano, additional, Stephenson, Elizabeth A., additional, Tan, Reina B., additional, Triedman, John, additional, Von Bergen, Nicholas H., additional, Wackel, Philip L., additional, Chang, Philip M., additional, Drago, Fabrizio, additional, Dubin, Anne M., additional, Etheridge, Susan P., additional, Kongpatanayothin, Apichai, additional, Moltedo, Jose Manuel, additional, Nabar, Ashish A., additional, and Van Hare, George F., additional

Published
2021
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36. Sudden cardiac death and late arrhythmias after the Fontan operation

Author

Pundi, Kavitha N., primary, Pundi, Krishna N., additional, Johnson, Jonathan N., additional, Dearani, Joseph A., additional, Li, Zhuo, additional, Driscoll, David J., additional, Wackel, Philip L., additional, McLeod, Christopher J., additional, Cetta, Frank, additional, and Cannon, Bryan C., additional

Published
2016
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37. Electrocardiographic abnormalities in elite high school athletes: comparison to adolescent hypertrophic cardiomyopathy.

Author

Thompson, Alex J., Cannon, Bryan C., Wackel, Philip L., Horner, Justin M., Ackerman, Michael J., O'Leary, Patrick W., Eidem, Benjamin W., and Johnson, Jonathan N.

Subjects
HEART abnormalities, HIGH school athletes, HYPERTROPHIC cardiomyopathy, CARDIOMYOPATHIES, ELECTROCARDIOGRAPHY, HEALTH, CARDIAC arrest prevention, BRUGADA syndrome diagnosis, COMPARATIVE studies, LONGITUDINAL method, RESEARCH methodology, MEDICAL cooperation, RESEARCH, SCHOOL health services, SPORTS, EVALUATION research, EARLY diagnosis, DIAGNOSIS
Abstract

Background: In athletes, ECG changes from physiological cardiac remodelling are common but can overlap with findings from a pathological disorder. We compared ECG findings in a group of elite high school athletes to a cohort of adolescents with hypertrophic cardiomyopathy (HCM).Methods/results: We prospectively performed 15-lead ECGs and echocardiograms in 147 elite high school athletes. Student-athlete ECGs were compared in blinded fashion to ECGs of 148 adolescents with HCM of similar age and ethnicity. Standard ECG hypertrophy criteria and established expert opinion guidelines (European Society of Cardiology, ESC and Seattle criteria) were analysed. All student-athletes had normal echocardiograms. Overall, 77/147 (52%) of student-athletes met standard ECG criteria for ventricular hypertrophy compared to 126/148 (85%) adolescents with HCM (p<0.0001). There were 112/148 (76%) adolescents with HCM who had pathological Q-waves, T-wave inversion and/or ST-segment depression compared to 1/147 (1%) athletes (p<0.0001). Most patients with HCM (84%, 124/148) had ≥1 abnormal ECG finding(s) according to Seattle criteria, compared to 1% of student-athletes (2/147). Similarly, 130/148 (88%) patients with HCM met group-2 ESC criteria (abnormal), compared to 36/147 (24%) student-athletes (p<0.0001).Conclusions: Over 50% of elite high school athletes with echocardiographically confirmed normal hearts satisfied standard voltage criteria for ventricular hypertrophy. Pathological Q-waves, T-wave inversion or ST-segment depression were most helpful in distinguishing adolescents with HCM from normals. Both ESC and Seattle criteria successfully stratified the student-athlete and HCM cohorts, however each had a false-negative rate >10% for the HCM cohort. The Seattle criteria demonstrated a significantly lower false-positive rate (1%) than the ESC criteria (24%). [ABSTRACT FROM AUTHOR]

Published
2016
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38. 2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients: Executive Summary.

Author

Silka MJ, Shah MJ, Silva JNA, Balaji S, Beach CM, Benjamin MN, Berul CI, Cannon B, Cecchin F, Cohen MI, Dalal AS, Dechert BE, Foster A, Gebauer R, Corcia MCG, Kannankeril PJ, Karpawich PP, Kim JJ, Krishna MR, Kubuš P, LaPage MJ, Mah DY, Malloy-Walton L, Miyazaki A, Motonaga KS, Niu MC, Olen M, Paul T, Rosenthal E, Saarel EV, Silvetti MS, Stephenson EA, Tan RB, Triedman J, Bergen NHV, and Wackel PL

Published
2022
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39. 2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients.

Author

Shah MJ, Silka MJ, Silva JNA, Balaji S, Beach CM, Benjamin MN, Berul CI, Cannon B, Cecchin F, Cohen MI, Dalal AS, Dechert BE, Foster A, Gebauer R, Gonzalez Corcia MC, Kannankeril PJ, Karpawich PP, Kim JJ, Krishna MR, Kubuš P, LaPage MJ, Mah DY, Malloy-Walton L, Miyazaki A, Motonaga KS, Niu MC, Olen M, Paul T, Rosenthal E, Saarel EV, Silvetti MS, Stephenson EA, Tan RB, Triedman J, Von Bergen NH, and Wackel PL

Subjects
American Heart Association, Cardiac Electrophysiology, Child, Consensus, Electronics, Humans, United States, Cardiology, Defibrillators, Implantable
Abstract

In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences. The document addresses some of the deterrents to CIED access in low- and middle-income countries and strategies to circumvent them. The document sections were divided up and drafted by the writing committee members according to their expertise. The recommendations represent the consensus opinion of the entire writing committee, graded by class of recommendation and level of evidence. Several questions addressed in this document either do not lend themselves to clinical trials or are rare disease entities, and in these instances recommendations are based on consensus expert opinion. Furthermore, specific recommendations, even when supported by substantial data, do not replace the need for clinical judgment and patient-specific decision-making. The recommendations were opened for public comment to Pediatric and Congenital Electrophysiology Society (PACES) members and underwent external review by the scientific and clinical document committee of the Heart Rhythm Society (HRS), the science advisory and coordinating committee of the American Heart Association (AHA), the American College of Cardiology (ACC), and the Association for European Paediatric and Congenital Cardiology (AEPC). The document received endorsement by all the collaborators and the Asia Pacific Heart Rhythm Society (APHRS), the Indian Heart Rhythm Society (IHRS), and the Latin American Heart Rhythm Society (LAHRS). This document is expected to provide support for clinicians and patients to allow for appropriate CIED use, appropriate CIED management, and appropriate CIED follow-up in pediatric patients.

Published
2021
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40. 2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients: executive summary.

Author

Silka MJ, Shah MJ, Silva JNA, Balaji S, Beach CM, Benjamin MN, Berul CI, Cannon B, Cecchin F, Cohen MI, Dalal AS, Dechert BE, Foster A, Gebauer R, Gonzalez Corcia MC, Kannakeril PJ, Karpawich PP, Kim JJ, Krishna MR, Kubuš P, LaPage MJ, Mah DY, Malloy-Walton L, Miyazaki A, Motonaga KS, Niu MC, Olen M, Paul T, Rosenthal E, Saarel EV, Silvetti MS, Stephenson EA, Tan RB, Triedman J, Von Bergen NH, and Wackel PL

Subjects
Child, Death, Sudden, Cardiac, Electronics, Heart, Humans, Defibrillators, Implantable, Tachycardia, Ventricular
Published
2021
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