Basal cell carcinoma on the ear is more frequently found in men, and is significantly more likely to be aggressive, according to a study in the May issue of the Journal of the American Academy of Dermatology .

Newly published research points to a shortage of hand specialists available to provide emergency coverage across Tennessee.

This article focuses on the management of those cardiac arrhythmias most commonly seen in the immediate postoperative period . They include ventricular tachycardia , ventricular fibrillation , atrial flutter , junctional ectopic tachycardia , bradycardia , and atrioventricular block . The mechanisms of cardiac arrhythmias are reviewed followed by a brief overview of the predominant acute arrhythmias, tools used for the diagnostic evaluation of these arrhythmias, management strategies, and, finally, nursing considerations.

Two cases of congestive cardiomyopathy were proved to be due to chronic atrial automatic-focus tachycardia. Surgical elimination of the tachycardia resulted in normalization of cardiac function in both cases. We suggest that patients with congestive cardiomyopathy be carefully screened for supraventricular tachycardia. Patients with chronic supraventricular tachycardia should be treated aggressively to prevent myocardial dysfunc- tion.

Conduction of the sino-atrial impulse from the high right atrium to the ventricles was studied by intracardiac electrography in 21 unoperated patients, age 3 months to 11 years, with endocardial cushion defects (ECD). The high right atrium-to-low right atrium conduction time was prolonged in 15 of 18 subjects (mean 57 ± 20 msec). The low right atrium-to-His bundle conduction time (LRA-H) was normal in 16 of 17 subjects (mean 82 ± 30 msec),

Pacing and Clinical ElectrophysiologyVolume 26, Issue 7p1 p. 1556-1562 NASPE Training Requirements for Cardiac Implantable Electronic Devices: Selection, Implantation, and Follow-Up DAVID L. HAYES, DAVID L. HAYES North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorGERALD V. NACCARELLI, GERALD V. NACCARELLI North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorSEYMOUR FURMAN, SEYMOUR FURMAN North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorVICTOR PARSONNET, VICTOR PARSONNET North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorDWIGHT REYNOLDS, DWIGHT REYNOLDS North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorNORA GOLDSCHLAGER, NORA GOLDSCHLAGER North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorPAUL GILLETTE, PAUL GILLETTE North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorJAMES D. MALONEY, JAMES D. MALONEY North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorLESLIE SAXON, LESLIE SAXON North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorANGEL LEON, ANGEL LEON North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorEMILE DAOUD, EMILE DAOUD North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this author DAVID L. HAYES, DAVID L. HAYES North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorGERALD V. NACCARELLI, GERALD V. NACCARELLI North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorSEYMOUR FURMAN, SEYMOUR FURMAN North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorVICTOR PARSONNET, VICTOR PARSONNET North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorDWIGHT REYNOLDS, DWIGHT REYNOLDS North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorNORA GOLDSCHLAGER, NORA GOLDSCHLAGER North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorPAUL GILLETTE, PAUL GILLETTE North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorJAMES D. MALONEY, JAMES D. MALONEY North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorLESLIE SAXON, LESLIE SAXON North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorANGEL LEON, ANGEL LEON North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this authorEMILE DAOUD, EMILE DAOUD North American Society of Pacing and Electrophysiology, Natick, MassachusettsSearch for more papers by this author First published: 30 June 2003 https://doi.org/10.1046/j.1460-9592.2003.t01-1-00229.xCitations: 43 Address for reprints: Stephanie Mascetta, NASPE, Six Strathmore Road, Natick, MA, 01760-2499. Fax: 508-647-0124; e-mail: [email protected] Parts of this manuscript are from Hayes DL, Naccarelli GV, Furman S, Parsonnet V, and the NASPE Pacemaker Training Policy Conference Group: Report of the NASPE policy conference training requirements for permanent pacemaker selection, implantation, and follow-up. PACE 1994; 17:6–12, by permission of Futura Publishing Company. Received March 18, 2003; accepted March 20, 2003. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL References 1 Parsonnet V, Furman S, Smyth NP, et al. Optimal resources for implantable cardiac pacemakers. Pacemaker Study Group. Circulation 1983; 68: 226A– 244A. 2 Hayes DL, Naccarelli GV, Furman S, Parsonnet V, and the NASPE Pacemaker Training Policy Conference Group: Report of the NASPE policy conference training requirements for permanent pacemaker selection, implantation, and follow-up. PACE 1994; 17: 6– 12. 3 Josephson ME, Maloney JD, Barold SS, et al. Guidelines for training in adult cardiovascular medicine. Core Cardiology Training Symposium (COCATS). Task Force 6. Training in specialized electrophysiology, cardiac pacing and arrhythmia management. J Am Coll Cardiol 1995; 25: 23– 26. 4 Bernstein AD, Parsonnet V. Survey of cardiac pacing and implanted defibrillator practice patterns in the United States in 1997. PACE 2001; 24: 842– 855. 5 American Board of Internal Medicine. From the World Wide Web: http://www.abim.org 6 Gregoratos G, Abrams J, Epstein AE, et al. ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices: Summary article: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines). Circulation 2002; 106: 2145– 2161. 7 Accreditation Council for Graduate Medical Education (ACGME). From the World Wide Web: http://www.acgme.org/index.htm 8 Furman S, Bilitch M. NASPExAM. PACE 1987; 10: 278– 280. 9 Wilkoff BL, Byrd CL, Love C. NASPE Guidelines for Lead Extraction. PACE 2000; 23: 544– 551. Citing Literature Volume26, Issue7p1July 2003Pages 1556-1562 ReferencesRelatedInformation