Interventions in the Diagnosis and Adoption of Pacemaker
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Overview
So the study that I am talking about is a sequential, prospective, quality improvement initiative conducted in India and Bangladesh where patients with symptomatic bradycardia were enrolled. In Phase I, physicians assessed and treated patients per standard care.
Phase II was conducted after implementing educational materials for physicians and patients. Primary objectives were to evaluate the impact of the intervention on sinus node dysfunction diagnosis and pacemaker implant.
A total of 978 patients were enrolled that is , 508 in Phase I and 470 in Phase II. The results of the study highlighted that the diagnosis of sinus node dysfunction and implantation of pacemaker increased significantly from Phase I to Phase II. Pacemaker implantation was not feasible in 41% of patients due to insurance/cost barriers. Both patient Quality of Life and caregiver burden improved at 6-months post-pacemaker implant.
Hence, it was concluded that a process improvement initiative conducted at centers across India and Bangladesh significantly increased the diagnosis of Sinus Node Dysfunction and subsequent treatment with Pacemaker therapy despite the socio-economic constraints
Reference: ishi Sethi, Fazila Tun Nesa Malik, Ajay Naik, et al; Interventions in the Diagnosis and Adoption of Pacemaker Therapy in Sinus Node Dysfunction Patients: Results from the IMPROVE Brady study, Indian Heart Journal, 2022; DOI: https://doi.org/10.1016/j.ihj.2022.09.004.
Speakers
Dr. Nandita Mohan
BDS, MDS( Pedodontics and Preventive Dentistry)
Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
