Periprocedural Considerations During Implantation of ICD In A Patient With Dextrocardia

In this case report we present a patient with dextrocardia, who undergone implantation of dual chamber implantable cardioverter-defibrillator (ICD). Here we aimed to underline several specific considerations which must be noted when one considers to implant an ICD in a patient with dextrocardia

MAIN DIRECTIONS OF ACCELERATING REGIONAL SOCIO-ECONOMIC DEVELOPMENT IN THE DIGITAL ERA

International experiences show that one of the most important indicators for the sustainable and balanced development of each country is the socio-economic development level of the country's regions. The digital information presented by the digital economy is widely used in the direction of solving the socio-economic problems of the regions and opens great opportunities for increasing the effectiveness of the economic policy of the regions. Ensuring sustainable economic and social development of regions is part of the regional economic policy implemented by the state. Currently, in the international practice, the regional policy of the state is evaluated as an activity of managing economic and social development in the country through the creation of economic relations between the state and the regions of the country. Despite the implementation of a number of state programs in the field of socio-economic development of regions in the country, as well as the attention paid to regional development issues in a some program documents of the government and the achievement of certain progress in this direction, sharp differences and inequality between the levels of socio-economic development of the country's regions continue. does. This difference is particularly sharp between the Baku-Absheron zone and all other regions of the country. In the article, the current state of inequality in regional socio-economic development is analyzed based on official statistical data and its causes are investigated. Then, the policy steps implemented by the government so far in order to eliminate this problem are examined.The article examines the impact of measures resulting from the analysis of state programs and strategic road maps on the socio-economic development of regions. In the end, the economic benefits of digitization in economic regions were specified and presented in the form of recommendations

European Society of Cardiology: Cardiovascular Disease Statistics 2019

Aims The 2019 report from the European Society of Cardiology (ESC) Atlas provides a contemporary analysis of cardiovascular disease (CVD) statistics across 56 member countries, with particular emphasis on international inequalities in disease burden and healthcare delivery together with estimates of progress towards meeting 2025 World Health Organization (WHO) non-communicable disease targets. Methods and results In this report, contemporary CVD statistics are presented for member countries of the ESC. The statistics are drawn from the ESC Atlas which is a repository of CVD data from a variety of sources including the WHO, the Institute for Health Metrics and Evaluation, and the World Bank. The Atlas also includes novel ESC sponsored data on human and capital infrastructure and cardiovascular healthcare delivery obtained by annual survey of the national societies of ESC member countries. Across ESC member countries, the prevalence of obesity (body mass index ≥30 kg/m2) and diabetes has increased two- to three-fold during the last 30 years making the WHO 2025 target to halt rises in these risk factors unlikely to be achieved. More encouraging have been variable declines in hypertension, smoking, and alcohol consumption but on current trends only the reduction in smoking from 28% to 21% during the last 20 years appears sufficient for the WHO target to be achieved. The median age-standardized prevalence of major risk factors was higher in middle-income compared with high-income ESC member countries for hypertension {23.8% [interquartile range (IQR) 22.5–23.1%] vs. 15.7% (IQR 14.5–21.1%)}, diabetes [7.7% (IQR 7.1–10.1%) vs. 5.6% (IQR 4.8–7.0%)], and among males smoking [43.8% (IQR 37.4–48.0%) vs. 26.0% (IQR 20.9–31.7%)] although among females smoking was less common in middle-income countries [8.7% (IQR 3.0–10.8) vs. 16.7% (IQR 13.9–19.7%)]. There were associated inequalities in disease burden with disability-adjusted life years per 100 000 people due to CVD over three times as high in middle-income [7160 (IQR 5655–8115)] compared with high-income [2235 (IQR 1896–3602)] countries. Cardiovascular disease mortality was also higher in middle-income countries where it accounted for a greater proportion of potential years of life lost compared with high-income countries in both females (43% vs. 28%) and males (39% vs. 28%). Despite the inequalities in disease burden across ESC member countries, survey data from the National Cardiac Societies of the ESC showed that middle-income member countries remain severely under-resourced compared with high-income countries in terms of cardiological person-power and technological infrastructure. Under-resourcing in middle-income countries is associated with a severe procedural deficit compared with high-income countries in terms of coronary intervention, device implantation and cardiac surgical procedures. Conclusion A seemingly inexorable rise in the prevalence of obesity and diabetes currently provides the greatest challenge to achieving further reductions in CVD burden across ESC member countries. Additional challenges are provided by inequalities in disease burden that now require intensification of policy initiatives in order to reduce population risk and prioritize cardiovascular healthcare delivery, particularly in the middle-income countries of the ESC where need is greatest

Diagnostic trilemma: Isorhythmic AV dissociation mimicking intermittent preexcitation and acute inferior myocardial infarction

In this case report, we present a patient with intermittent isorhythmic atrioventricular dissociation mimicking two different electrocardiographic entities: ventricular preexcitation pattern and recurrent acute inferior myocardial infarction

Complete transection of epicardial pacing lead during pregnancy

Herein, we presented a case of pregnancy associated complete transection of epicardial pacing lead

Unusual electrocardiographic presentation of pacemaker battery depletion with lead failure: pacing spike, artefact or native QRS? A short communication

Herein we report an unusual electrocardiographic presentation of a patient with pacemaker battery depletion and lead insulation failure

Isorhythmic Dissociation or "Pseudo-Bygeminy" of Depleted Pacemaker

We present an unusual electrocardiogram obtained from a patient with critically depleted pacemaker. (PACE 2010; 33:e24-e25)