Monday, October 3, 2022

New Device For Congestive Heart Failure

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Congestive Heart Failure Treatment Devices Market Research 2030

Managing Heart Failure & New Device-Based Therapy for Heart Failure

The global congestive heart failure treatment devices market was valued at $11.9 billion in 2020, and is projected to reach $20.5 billion by 2030, growing at a CAGR of 5.6% from 2021 to 2030.

The COVID-19 pandemic has restrained the industry growth significantly due to decrease in number of cardiac surgeries has led to decline in the usage and production of congestive heart failure treatment devices.

In addition,the market is restrained by high cost of the procedure and certain risks associated with the congestive heart failure treatment devices.

Congestive Heart Failure Treatment Devices Market Segmentation

The congestive heart failure treatment devices market is segmented on the basis of product and region. On the basis of product, it is divided into pacemakers, cardiac resynchronization therapy , implantable cardioverter defibrillator , and ventricular assist device .Pacemaker is further bifurcated into implantable pacemaker and external pacemakers. In addition, CRT devices segment is segmented into two major types, namely, CRT-P and CRT-D. Furthermore, ICDs is further segmented into transvenous implantable cardioverter defibrillator and subcutaneous implantable cardioverter defibrillator . Moreover, VADs is also segmented into left ventricular assist device , right ventricular assist device , and biventricular assist device .

Segment review

Can Cardiac Resynchronization Therapy Cure Heart Failure

While CRT can help many people with heart failure resume some of their usual activities and improve their quality of life, it is not a cure. Though you can often manage heart failure, it cannot be cured.

Its worth noting that CRT is usually just one component of heart failure treatment. If you have heart failure, you may also be prescribed anti-hypertensive medications to lower blood pressure, including beta blockers, which slow the heart rate and ease the burden on the heart muscle.

Other medications you may be prescribed include digoxin , which strengthens heart contractions. And, if you have high cholesterol, you may need to take a statin to lower your LDL cholesterol levels.

Depending on the cause, heart failure may be treated with other procedures. For instance, if you have valve disease, surgery or catheter-based procedures to replace or repair a valve may improve your symptoms.

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Keeping Track Of Your Information

Many ICD and CRT devices have built-in features that let your doctor or nurse keep track of your heart rhythm, heart function, and your activity level. You may need to send information to your healthcare provider using a phone or device called a personal digital assistant . If you need to send information, your doctor or nurse will teach you how.

A newer internal monitoring device is the size of a small paper clip. It is placed in a blood vessel near your heart to keep track of pressure in the blood vessel and the left ventricle. The information is sent to a computer server.

Your healthcare provider uses the information sent from the device to make sure you are getting the best treatment possible for your condition and to see if you need any changes in your medication, diet or activity level.

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New Device Helps Musicians Congestive Heart Failure

God has put together the best team at Saint Lukes, bringing doctors from around the world to work on my case. – Seabrun “Candy” Hunter

The hallway to Seabrun Candy Hunters apartment seemed to get longer every day. The 68-year-old musician had to stop midway to recover his breath and strength to finish the journey.

A series of heart attacks and strokes since 2001 had weakened his heart and caused congestive heart failure. It robbed energy from the musician who used to tour the world performing with Little Richard and stay up nights composing songs like Rockin Rockin Boogie.

Heart failure had not only enlarged Candys heart and diminished its pumping capacity, but also kept his mitral valve from closing properly. Blood leaked back into his lungs instead of going out to energize his body. This mitral regurgitation worsened the heart failure in a destructive cycle.

About half of people with congestive heart failure die within five years of diagnosis, according to the American Heart Association. The 10-year survival is less than 25 percent.

Candy was so down that he started composing a letter for his friends and family to read after his death. His doctors, however, werent quite ready to give up on their patient.

Iatrogenic Dyssynchrony Caused By Right Ventricular Apical Pacing And Alternate Sites Of Pacing

PPT

Another important point to consider is the accumulating evidence that not only is spontaneous left bundle branch block harmful to our patients, but the iatrogenic left bundle branch block produced by right ventricular apical pacing is equally deleterious. In a study involving 24 young patients in need of permanent pacing compared with 33 age- and basal surface area-matched healthy control individuals over a mean follow-up of 9.5 years, right ventricular apical pacing led

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What Is A Cardiac Device

A cardiac device is used to keep your heart beating with a normal rhythm. There are several types of devices available. If you have heart failure with reduced ejection fraction and need a device, your doctor will let you know and talk with you about the best type to meet your needs. Please let your doctor or nurse know about any questions or concerns you have about this type of treatment.

Current Acc/aha/napse Guidelines For Crt

  • Patients with symptomatic heart failure despite optimal medical treatment.

  • Prolonged QRS width on 12 lead ECG.

  • Left ventricular end diastolic diameter greater than 55 mm.

  • Ejection fraction less than 35%.

The MIRACLE ICD trial had 369 patients with NYHA III/IV heart failure on optimal treatment, with an EF < 35% and a QRS interval > 130 ms. All the patients had a combination device placed, in the control group the CRT portion of the device was switched off, in the active treatment group the CRT portion was switched on. All of the patients had the ICD facility switched on. At six months after device implantation, the active treatment group showed improved quality of life scores , improved functional class , improved peak oxygen consumption , and improved exercise function on a treadmill . No pro-arrhythmiathic tendencies were seen in the active treatment group. In this group there was also no impairment of arrhythmia termination capabilities by the ICD portion. Unfortunately, the MIRACLE ICD trial was not powered or designed to evaluate an effect on mortality.

These two trials therefore showed that combination devices could be used safely to provide a significant improvement in both symptoms and mortality. The current ACC/AHA/NAPSE guidelines for CRT insertion are shown in the box, NICE are currently in the process of establishing guidelines for CRT and these should be available in the near future.

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What Is A Lvad

A left ventricular assist device is a pump that we use for patients who have reached end-stage heart failure. We surgically implant the LVAD, a battery-operated, mechanical pump, which then helps the left ventricle pump blood to the rest of the body. LVADs can be used as:

  • Bridge-to-transplant therapy: This is a life-saving therapy for patients awaiting a heart transplant. Patients use the LVAD until a heart becomes available. In some cases, the LVAD is able to restore the failing heart, eliminating the need for a transplant. Learn more about heart transplant.
  • Destination therapy: Some patients are not candidates for heart transplants. In this case, patients can receive long-term treatment using an LVAD, which can prolong and improve patients’ lives.

What Happens After The Pacemaker Is Implanted

New device helps monitor heart failure symptons

Hospital stay: After the pacemaker implant, you will be admitted to the hospital overnight. The nurses will monitor your heart rate and rhythm. You will also have a monitor . It will record your heart rhythm while you are in the hospital. This is another way to check proper pacemaker function. The morning after your implant, you will have a chest X-ray to check your lungs and the position of your pacemaker and leads. Your pacemaker will be checked to make sure its working properly. The results of the test will be reported to your doctor.

Final pacemaker check: For your final pacemaker check, you will sit in a reclining chair. A small machine known as a programmer is used to check your pacemaker. It has a wand that is placed directly over the device. This machine allows the technician to read your pacemaker settings and make changes during testing. With these changes, the function of the pacemaker and leads can be evaluated. You may feel your heart beating faster or slower. This is normal however, report all symptoms to the technician. Results of the pacemaker check are discussed with your doctor who will then determine your pacemaker settings.

After your pacemaker check, an echocardiogram may be done. The technician nurse will be there during your echo and will check your pacemaker settings. The echocardiogram will be repeated with each setting to evaluate heart function. The pacemaker will keep the settings that were associated with your best heart function.

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Who Should Consider Crt

CRT is not appropriate for all people with heart failure. The best candidates are those who have:

  • A poor ejection fraction . Ejection fraction is a measurement of how much blood the left ventricle of the heart is able to pump out with each beat.
  • An ejection fraction between 36% and 50% accompanied by another indication for a permanent pacemaker, such as heart block
  • Severe to moderately severe heart failure symptoms
  • Seen no improvement in heart failure symptoms despite medication and lifestyle changes
  • Delayed electrical activation of the heart
  • History of cardiac arrest or are at risk for cardiac arrest

People with heart failure who would not benefit from or need cardiac resynchronization therapy include those who have:

  • Mild heart failure symptoms
  • Heart problems that do not involve dissonance in how the heart chambers beat
  • A reduced ejection fraction but no other symptoms or other indications for pacing
  • A limited life-expectancy due to some non-cardiac condition
  • Limited functional capacity due to a chronic non-cardiac condition
  • Deterioration of the skin near the implanted device

  • Movement of the device from the site of implantation or movement of the leads placed in the heart

  • Irritation or damage electrodes may cause to heart tissue and nerves

  • Malfunctioning of the device for any reason

  • Receiving electrical impulses when they are not needed

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What Is A Crt Device

CRT is a clinically proven treatment option for some individuals with heart failure. A CRT device sends small electrical impulses to both lower chambers of the heart to help them beat together in a more synchronized pattern. This may improve the hearts ability to pump blood and oxygen to your body.

A CRT system is made up of two parts.

  • The heart device, which is actually a tiny computer, plus a battery, contained in a small titanium metal case that is about the size of a pocket watch.
  • Insulated wires, called leads, that are implanted to carry information signals from your heart to the heart device and to carry electrical impulses to your heart

After the device system is implanted, an external computer, called a programmer, located at your doctors office or clinic can be used to program the heart device and retrieve information from your heart device that will assist your doctor in your heart failure treatment. Your doctor will schedule periodic monitoring which may be done remotely if physician deems appropriate.

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Types Of Cardiac Devices

Cardiac implantable electronic devices, including pacemakers, implantable cardioverter defibrillator , biventricular pacemakers, and cardiac loop recorders, are designed to help control or monitor irregular heartbeats in people with certain heart rhythm disorders and heart failure.

If you have received a diagnosis of bradycardia, ventricular arrhythmia, or a supraventricular arrhythmia such as atrial fibrillation and atrial flutter, your doctor at NYU Langones Heart Rhythm Center may recommend that you receive one of these devices.

After the device is placed, it continuously collects information about your heart rhythm. This information is transmitted wirelessly to our cardiac device team, either automatically, through prescheduled transmissions, or manually, when you notice symptoms. Remote monitoring allows us to review your hearts electrical activity as needed, without the need for a doctors visit.

Your Beat Monitored Remotely

Global Congestive Heart Failure (CHF) Treatment Devices Market

There are more ways to allow you to live life to the fullest. Remote monitoring of your Abbott implanted CRT heart device may help you do just that, and it gives you and your doctor the feeling of safety and security of continuous monitoring of your heart from the time of implant to the time you are at home.

With remote monitoring, your CRT device is able to communicate to your doctors office or clinic without you having to go in for an in-person visit. Your doctor may schedule your in-person visits less frequently, based on the data they receive from your device.

After your CRT device is implanted, you will use either a transmitter or downloadable mobile app to transmit information to your doctor.

Indications, Safety & Warnings

Rx Only

Brief Summary: Prior to using these devices, please review the Users Manual for a complete listing of indications, contraindications, warnings, precautions, potential adverse events and directions for use.

Refer to the Users Manual for detailed indications, contraindications, warnings, precautions and potential adverse events.

MAT-2115398 v1.0

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Predictors Of Response To Cardiac Resynchronization Therapy

Cardiac resynchronization is indicated in patients with heart failure, systolic dysfunction, and prolonged QRS interval since it could decrease mortality in this group of patients. Unfortunately, up to 40% do not experience clinical improvement to this therapy. Table 1 shows the probable causes of this absence of response.

  • Presence of a large myocardial scar

  • Progressive heart failure

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Are You Struggling With Heart Failure Hope Is Here Through Ccm Therapy Delivered By The Optimizer Smart Mini

The system is for patients with advanced symptoms of heart failure such as weakness and shortness of breathsymptoms that diminish their quality of life.

TREATMENT

This implantable, device-based treatment senses the hearts electrical activity and delivers therapy throughout the day.

OUTCOMES

WHAT CAN YOU EXPECT

Implanted in over 7,000 patients struggling with heart failure to date, the OptimizerĀ® Smart Mini and its predecessors are safe and effective for its intended use and performs as intended.

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What Is An Implantable Heart Failure Monitoring System

An implantable heart failure monitoring system is a device that is implanted into the pulmonary artery that can monitor the changes in blood pressure through the pulmonary artery. Your doctor will use this information to adjust your treatment plan or medications to stop your heart failure from worsening.

To implant the device, your doctor will use a catheter to insert a guide wire and sensor on top of the wire into the pulmonary artery.

The goal of the system is to reduce hospital readmissions and improve quality of life for heart failure patients.

Who is a candidate for an implantable heart failure monitoring system?

Patients who have been hospitalized in the past year for heart failure are candidates for an implantable heart failure monitoring system.

How does an implantable heart failure monitoring system work?

What are the benefits of an implantable heart failure monitoring system?

What are risks of an implantable heart failure monitoring system?

There are few major risks associated with an implantable heart failure monitoring system, but they may include:

Description Of Included Studies

Riverside is using a new type of Pacemaker to treat congestive heart failure

All nine of the trials enrolled only patients with prolonged QRS duration: > 120 millisecond in three trials,> 130 msec in two trials,> 140 msec in one trial,> 150 msec in one trial,> 180 msec in one trial, and > 200 msec in the remaining trial. Left bundle branch block was present in 64 percent of patients, and 95 percent of patients were in sinus rhythm. All trials also restricted enrollment to patients with reduced ejection fractions , and the mean ejection fractions were similar in all trials .

In total, 3,574 patients were enrolled and 3,216 were randomized to receive CRT or control in the nine trials. The mean age was 64 years, 74 percent were male, 75 percent had NYHA Class III symptoms, and 10 percent had NYHA Class IV symptoms. Two trials included some patients with NYHA Class II symptoms., Most of the patients in these trials had ischemic etiologies for their heart failure .

Including the nine additional singlearm prospective cohort studies, a total of 3,512 patients who had undergone CRT implantation were included in the safety analyses.

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Fda Approves New Heart Implant To Treat Advanced Heart Failure

A heart implant that provides therapeutic stimulation to those with advanced heart failure was recently approved by the U.S. Food and Drug Administration. This device, the Barostim Neo System, is a cardiac neuromodulator that stimulates the baroreceptors of patients who are not suited for other heart failure treatments like cardiac resynchronization therapy. This device was granted Breakthrough Device designation by the FDA, being that it treats a fatal condition and addresses the unmet medical needs of those who do not have success with other treatments.

With 5.7 million U.S. citizens experiencing heart failure, this potentially debilitating condition is very prevalent. Heart failure is most commonly caused by diseases that damage the hearts integrity such as diabetes and high blood pressure. Current treatments for heart failure include treating the root causes of the disease, alleviating symptoms like swelling in the lower legs, and pharmaceutical intervention. Physicians often prescribe angiotensin converting enzyme inhibitors, beta blockers, and other drug treatments to decrease the blood pressure and strain put on the heart. Diuretics are also frequently used to reduce the fluid buildup in the body, lowering blood pressure and reducing symptoms. The Barostim Neo System, however, offers a new potential treatment for heart failure that utilizes a unique implant.

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