Esophageal Doppler Ultrasound-Based Cardiac Output Monitoring for Real-Time Therapeutic Management of Hospitalized Patients
The Centers of Medicare & Medicaid Services (CMS) requested that AHRQ commission an evidence report to inform CMS of the evidence regarding ultrasound-based monitoring of cardiac output (Doppler). This is currently listed as a Category II procedure (clinical...
Systematic Review of ECG-based Signal Analysis Technologies for Evaluating Patients with Acute Coronary Syndrome
Objective: To summarize the clinical and scientific evidence for commercially available ECG-based signal analysis technologies used or proposed to be used to evaluate patients at low to intermediate risk of coronary artery disease (CAD) who have chest pain or other...
ECG-based Signal Analysis Technologies
In patients where coronary artery disease (CAD) is suspected - either because of the presence of risk factors for CAD or because of symptoms that may represent manifestations of CAD (e.g., chest pain) - the standard electrocardiogram (ECG) is one of the most commonly...
Effectiveness of Cochlear Implants in Adults with Sensorineural Hearing Loss
Sensorineural hearing loss is the third leading cause of disability during the adult years, according to the World Health Organization. This type of hearing loss is usually permanent, most commonly occurs gradually, and becomes worse with increasing age with clinical...
Assessment on Implantable Defibrillators and the Evidence for Primary Prevention of Sudden Cardiac Death
Implantable cardioverter–defibrillators (ICDs) are battery-powered implantable devices that monitor heart rhythm and deliver therapy in the form of either electric shock or antitachycardia pacing (ATP) when a life-threatening ventricular arrhythmia is detected. ICDs...
Catheter Ablation for Treatment of Atrial Fibrillation
This report evaluates the current state of evidence regarding effectiveness and harms of catheter ablation for atrial fibrillation (AF) with a focus on longer-term outcomes and evidence relevant to the Medicare population. Using predefined criteria, randomized...
Implantable devices for closure of patent foramen ovale (PFO) in adults
Percutaneous closure of patent foreman ovale (PFO) is one of the treatment options for patients with PFO suffering from transient ischemic attacks (TIA), cryptogenic stroke or persistent migraine. At time of writing, none of the several CE marked PFO closure devices...
Ultrasonic energy devices for surgery
Ultrasonic energy devices for surgery were developed in the early 1990s and are now available for both open and endoscopic surgical procedures. The operating principles of the ultrasonic energy devices for surgery are mainly related to the high-frequency...
Implantable cardiac resynchronization therapy and defibrillator (CRT-D) in patient with heart failure
In Italy, cardiovascular disease is a leading cause of mortality, morbidity, and disability. Among all cardiovascular diseases, a prominent role is played by heart failure (HF), with 600,000 people suffering from heart failure. It is estimated that the frequency of...
Implantable LVAD (Left Ventricular Assist Device) in addition to guideline directed medical therapy (GDMT) in end stage heart failure
Left ventricular assist device (LVAD) is considered an alternative to transplantationin end stage acute or chronic left ventricular congestive heart failure (HF). Use of LVAD improves the allocation of transplants alleviating the shortage of donors. The target...
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