EP Lab Digest - October 2007 - (Page 17)

OCTOBER 2007 (Committee on Clinical Application of Echocardiography) Developed in Collaboration With the American Society of Echocardiography. Circulation 1997;95:1686-1744. German Society of Pneumology. Recommendations for use of echocardiography in pneumologic diagnosis. Pneumologie 1998;52:519-521. Stewart W, Douglas PS, Sagar K, et al. Echocardiography in Emergency Medicine: A Policy Statement by the American Society of Echocardiography and the American College of Cardiology. The Task Force on Echocardiography in Emergency Medicine of the American Society of Echocardiography and the Echocardiography TPEC Committees of the American College of Cardiology. J Am Soc Echocardiogr 1999;12:82-84. Malergue MC, Abergel E, Bernard Y, et al. Recommendations of the French Society of Cardiology concerning indications for Doppler echocardiography. Arch Mal Coeur Vaiss 1999;92:1347-1379. Zarnke KB, Levine M, McAlister FA, et al. The 2000 Canadian recommendations for the management of hypertension: Part two — diagnosis and ECHO TECHNIQUES Echocardiogr 2006;19:522-528. 10. Kanzaki H, Nakatani S, Kawada T, et al. Right ventricular dP/dt/p(max), not dP/dt(max), noninvasively derived from tricuspid regurgitation velocity is a useful index of right ventricular contractility. J Am Soc Echocardiogr 2002;15:136-142. 11. Szili-Torok T, McFadden EP, Jordaens LJ, Roelandt JR.Visualization of elusive structures using intracardiac echocardiography: Insights from electrophysiology. Cardiovasc Ultrasound 2004;2:6. 12. Morton JB, Kalman JM. Intracardiac echocardiographic anatomy for the interventional electrophysiologist. J Interv Card Electrophysiol 2005;13(Suppl 1):11-16. 13. Hansen WH, Gilman G, Finnesgard SJ, et al. The transition from an analog to a digital echocardiography laboratory: the Mayo experience. J Am Soc Echocardiogr 2004;17:1214-1224. 14. Gilman G, Lutzi CA, Daniels BK, et al.The architecture of a mobile outreach echocardiography service. J Am Soc Echocardiogr 2006;19:1526-1528. 17 operating rooms, as well as the reduced cost of smaller imaging systems, will fuel the next decade of the utility of echocardiography in the clinical and research settings. We in the field of echocardiography have been fortunate to benefit from the recognition of the value of this diagnostic modality, and the resulting efforts by research clinicians and industry to advance every aspect of its functionality and clinical application for the betterment of patient care.When we look to the horizon, we can anticipate further surges toward efficient web-based digital image transfer, ubiquitous web-based information access and management, and platform miniaturization.Today’s state-of-the-art echocardiography laboratory has evolved from a videotape media to full digitization format of echocardiographic images.13 These developments have facilitated the significant expansion of the mobile outreach echo practice,14 offering echo laboratories an improved efficiency in the image review process.Along these lines, there is a requirement for ready access to patient information. We believe this will best be accomplished through web-based echo imaging and information management systems.These systems must meet the highest standards of secure patient data management, based upon regulatory guidelines, accreditation standards and appropriate testing criteria, while providing workflow management to maximize human and material resource utilization. Additional interpretive logic and automated functions within the application would be helpful to facilitate the necessary documentation of diagnostic findings and streamline the laboratory workflow. In order to be safe, diagnostic testing needs to expose the patient to minimal risk of radiation exposure. In order to be prognostic, research needs to support findings that directly correlate imaging technology with the diagnosis and management of disease. To be cost-effective, testing modalities must be portable and produced with minimal expenditure for instrumentation. Based upon these criteria, in the field of cardiovascular imaging, no other modality competes with echocardiography. Its power to screen for and diagnose cardiopulmonary disease is based upon a foundation of decades of complimentary research efforts and hundreds of platform iterations to arrive at a peerless masterpiece of innovation. Echocardiography is the preeminent front line screening and diagnostic tool for diagnostic screening and physiologic assessment in cardiovascular medicine. 6. 2. 3. 7. 8. 4. 9. 5. assessment of people with high blood pressure. Can J Cardiol 2001;17:1249-1263. Quiñones MA, Douglas PS, Foster E, et al. ACC/AHA clinical competence statement on echocardiography: A report of the American College of Cardiology/American Heart Association/American College of PhysiciansAmerican Society of Internal Medicine Task Force on clinical competence. J Am Soc Echocardiogr 2003;16:379-402. Gottdiener JS, Bednarz J, Devereux R, et al. American Society of Echocardiography recommendations for use of echocardiography in clinical trials. J Am Soc Echocardiogr 2004;17:1086-1119. Waggoner AD, Rovner A, de las Fuentes L, et al. Clinical outcomes after cardiac resynchronization therapy: Importance of left ventricular diastolic function and origin of heart failure. J Am Soc Echocardiogr 2006;19:307-313. Bruch C, Rothenburger M, Gotzmann M, et al. Risk stratification in chronic heart failure: Independent and incremental prognostic value of echocardiography and brain natriuretic peptide and its N-terminal fragment. J Am Soc EPLD Survey First Annual SALARY SURVEY Readers, this is your last chance to participate in EP Lab Digest’s first salary survey! Results will be published in our next issue of EP Lab Digest. RETURN SURVEYS TO: jelrod@hmpcommunications.com or via fax at 817-549-1472 In order for your survey to be included, you MUST answer all questions. 1. Are you a: (check all that apply, but also circle what you consider your “dominant” credential) ❏ RN ❏ CVT ❏ RT(R) ❏ CCRN ❏ RCIS ❏ Manager/Supervisor ❏ Director ❏ Other (please specify) 2. Your region: ❏ Midwest (IA, IL, IN, MI, MN, MO, MS, OH, WI) ❏ Pacific Coast (AK, CA, HI, OR, WA) ❏ New England/Middle Atlantic (CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VE) ❏ Middle South/South (AL, AR, FL, GA, KY, LA, MS, NC, SC, TN, WV, VA) ❏ Central/Mountain Region/Southwest (AZ, CO, ID, KS, MT, ND, NE, NM, NV, OK, SD, TX, WY, UT) 3. Years of experience in the EP lab: ❏ 0-2 years ❏ 3-5 years ❏ 6-9 years 4. Size of your EP lab facility: 5. I am paid: ❏ 10+ years Procedures per year EP lab suites Hourly (amount) $ ❏ Certification (RCIS, CCRN) 6. In the past year, I received the following bonus: ❏ None ❏ Retention ❏ Referral ❏ New Hire 7. Does your lab tie pay raises/advances to completion of continuing education, mentoring or preceptoring of ❏ Yes ❏ No new employees, or service on department committees? ❏ Yes ❏ No 8. Does your lab offer an increase in pay upon completion of the EP associated professional certification? If you are a manager and you will be responding for your entire lab, please list salaries below by credential and years of experience. Also, please fill out the survey above to add your own information to the survey. Salary for: RN RCIS CVT RT (R) other: 0-2 years 3-5 years 6-9 years 10+years References 1. Cheitlin MD, Alpert JS, Armstrong WF, et al. ACC/AHA Guidelines for the Clinical Application of Echocardiography:A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines

Table of Contents Feed for the Digital Edition of EP Lab Digest - October 2007

Finally! The New Registered Cardiac Electrophysiology Specialist (RCES) Credential: Interview with Christopher M. Nelson, RN, RCIS, FSICP ECG 101: Closing the Gap Phenomenon Contents Letter from the Editor ICD Patient Support Group: St. Peter’s Hospital Spotlight Interview: Community Healthcare System Use of Magnetic Catheter Navigation for Ablation of Focal Tachycardias Echocardiography: The Preeminent Front Line Screening and Diagnostic Tool for Cardiovascular Imaging and Physiological Assessment First Annual EP Lab Digest Salary Survey: Last Chance! Clinical Trial Update: 2007 Email Discussion Group Adopting and Implementing the AF Ablation Consensus Statement Electrophysiology in the West Summit Events Calendar The Sustained Treatment of Paroxysmal Atrial Fibrillation (STOP AF) Clinical Trial: Interview with Kevin Wheelan, MD Industry News and Products

EP Lab Digest - October 2007

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