Urban-Rural Disparity in Cardiac Implantable Electronic Device Use: A 10-Year Statewide Cohort
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Patients in rural and regional areas received fewer cardiac implantable electronic device (CIED) implantations. These patients also experienced higher 5-year mortality rates, indicating a significant geographical disparity in cardiovascular care.
Area Of Science
- Cardiology
- Public Health
- Health Services Research
Background
- Geographical remoteness impacts access to cardiovascular care.
- Cardiac implantable electronic devices (CIEDs) are crucial for managing heart conditions.
- Disparities in CIED implantation and outcomes based on location are a concern.
Purpose Of The Study
- To investigate CIED implantation rates in rural and regional versus urban populations.
- To analyze CIED subtypes (pacemaker, defibrillator, CRT) implantation.
- To assess 5-year mortality rates associated with CIED implantation in different geographical areas.
Main Methods
- Retrospective cohort study of adult cardiovascular hospitalizations in New South Wales, Australia (2008-2018).
- Analysis of CIED implantation for arrhythmia, cardiomyopathy, and syncope.
- Comparison of implantation rates and 5-year mortality between urban, regional, and rural residents, adjusted for age and comorbidities.
Main Results
- Regional and rural residents received significantly fewer pacemakers (PPM), implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices.
- These disparities were observed across various cardiac conditions, including complete heart block and cardiomyopathies.
- Five-year mortality rates were higher for rural patients who received PPM, ICD, or CRT compared to urban counterparts.
Conclusions
- Geographical remoteness is associated with reduced CIED implantation.
- Higher mortality rates in rural CIED recipients highlight significant healthcare inequities.
- Further research is needed to understand and address the root causes of these disparities in cardiovascular care access and outcomes.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...