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The artificial heart [[electronic resource] ] : prototypes, policies, and patients / / Committee to Evaluate the Artificial Heart Program of the National Heart, Lung, and Blood Institute, Division of Health Care Services, Institute of Medicine ; John R. Hogness and Malin VanAntwerp, editors
| The artificial heart [[electronic resource] ] : prototypes, policies, and patients / / Committee to Evaluate the Artificial Heart Program of the National Heart, Lung, and Blood Institute, Division of Health Care Services, Institute of Medicine ; John R. Hogness and Malin VanAntwerp, editors |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1991 |
| Descrizione fisica | 1 online resource (312 p.) |
| Disciplina | 617.4/120592 |
| Altri autori (Persone) |
HognessJohn R
VanAntwerpMalin |
| Soggetto topico | Heart, Artificial |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-280-20364-1
9786610203642 0-309-55600-7 0-585-02005-1 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910455137403321 |
| Washington, D.C., : National Academy Press, 1991 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The artificial heart : prototypes, policies, and patients / / Committee to Evaluate the Artificial Heart Program of the National Heart, Lung, and Blood Institute, Division of Health Care Services, Institute of Medicine ; John R. Hogness and Malin VanAntwerp, editors
| The artificial heart : prototypes, policies, and patients / / Committee to Evaluate the Artificial Heart Program of the National Heart, Lung, and Blood Institute, Division of Health Care Services, Institute of Medicine ; John R. Hogness and Malin VanAntwerp, editors |
| Pubbl/distr/stampa | Washington, D.C. : , : National Academy Press, , 1991 |
| Descrizione fisica | 1 online resource (312 pages) |
| Disciplina | 617.4/120592 |
| Altri autori (Persone) |
HognessJohn R
VanAntwerpMalin |
| Soggetto topico | Heart, Artificial |
| ISBN |
1-280-20364-1
9786610203642 0-309-55600-7 0-585-02005-1 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778883803321 |
| Washington, D.C. : , : National Academy Press, , 1991 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The artificial heart : prototypes, policies, and patients / / Committee to Evaluate the Artificial Heart Program of the National Heart, Lung, and Blood Institute, Division of Health Care Services, Institute of Medicine ; John R. Hogness and Malin VanAntwerp, editors
| The artificial heart : prototypes, policies, and patients / / Committee to Evaluate the Artificial Heart Program of the National Heart, Lung, and Blood Institute, Division of Health Care Services, Institute of Medicine ; John R. Hogness and Malin VanAntwerp, editors |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1991 |
| Descrizione fisica | 1 online resource (312 pages) |
| Disciplina | 617.4/120592 |
| Altri autori (Persone) |
HognessJohn R
VanAntwerpMalin |
| Soggetto topico | Heart, Artificial |
| ISBN |
9786610203642
9781280203640 1280203641 9780309556002 0309556007 9780585020051 0585020051 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
The Artificial Heart -- Copyright -- Acknowledgments -- Preface -- Contents -- The Artificial Heart -- Executive Summary -- TECHNOLOGICAL PROGRESS AND BARRIERS -- MAKING DECISIONS ABOUT FUTURE RESEARCH -- CLINICAL EFFECTIVENESS -- PROJECTED PATIENT NEED -- HEALTH-RELATED QUALITY OF LIFE -- COST-EFFECTIVENESS -- APPROPRIATENESS OF USE OF MECHANICAL CIRCULATORY SUPPORT -- PATIENT ACCESS TO MCSSS -- ETHICAL CONSIDERATIONS -- RESEARCH AND DEVELOPMENT POLICY ISSUES -- REGULATORY DECISIONS ABOUT NEW TECHNOLOGIES -- DEVELOPMENT OF TOTAL ARTIFICIAL HEARTS -- CONTINUED DEVELOPMENT OF VENTRICULAR ASSIST DEVICES -- ADDITIONAL RESEARCH -- USING THIS REPORT -- 1 The Artificial Heart Program: Current Status and History -- END-STAGE HEART DISEASE -- HOW LONG-TERM IMPLANTABLE DEVICES COULD HELP -- Ventricular Assist Devices -- Total Artificial Hearts -- Temporary Circulatory Support -- THE ARTIFICIAL HEART PROGRAM -- THE INSTITUTE OF MEDICINE STUDY -- REFERENCES -- 2 Total Artificial Hearts: Technological Potential and Research and Development Costs -- TEMPORARY CIRCULATORY SUPPORT -- LONG-TERM DEVICES UNDER DEVELOPMENT -- ENGINEERING ASSESSMENT OF MECHANICAL CIRCULATORY SUPPORT DEVICES -- Mechanical Failure -- Device Components as Limiting Factors -- Device Longevity -- CLINICAL COMPLICATIONS WITH MECHANICAL CIRCULATORY SUPPORT DEVICES -- ALTERNATIVE TECHNOLOGIES FOR PREVENTING AND TREATING END-STAGE HEART DISEASE -- Conventional Medical Treatment -- Other Cardiac Assistance Technologies -- Heart Transplantation -- SUMMARY OF THE CURRENT AND FUTURE STATE OF TOTAL ARTIFICIAL HEART TECHNOLOGY -- RESEARCH AND DEVELOPMENT COSTS OF TOTAL ARTIFICIAL HEARTS -- Stages of the Innovative Process -- Support for the Artificial Heart Program -- Considering the Costs of Research and Development to Industry -- CONCLUSIONS -- REFERENCES.
3 Decisions for Future Research and Development -- ALLOCATING RESEARCH FUNDS -- JUDGMENT-BASED DECISION MAKING -- QUANTIFIED AIDS TO DECISION MAKING -- Cost-Effectiveness Analysis -- Application of Methods -- DECISION-MAKING AIDS SUGGESTED BY THE COMMITTEE -- Explicit Criteria for Allocation of Funds -- The More Important Criteria -- Important Criteria -- Less Important Criteria -- Application of Decision Criteria -- A NOTE ABOUT INDUSTRY RESEARCH AND DEVELOPMENT DECISIONS -- SUMMARY AND CONCLUSIONS -- REFERENCES -- 4 Clinical Effectiveness and Need For Long-Term Circulatory Support -- ESTIMATING THE NEED FOR LONG-TERM SUPPORT -- FROM TEMPORARY TO LONG-TERM USE -- PROJECTING DEVICE RELIABILITY AND EFFECTIVENESS -- RELATING CLINICAL EFFECTIVENESS AND DEVICE USE -- The Role of Comorbidities -- OTHER INFLUENCES ON THE USE OF CIRCULATORY SUPPORT DEVICES -- The Impact of Other Heart Disease Treatment Technologies -- Quality-of-Life Determinants -- Patient Preferences for Life-Sustaining Treatment -- Other Factors -- EPIDEMIOLOGICAL PROJECTIONS -- Previous Studies -- The Committee's Projection -- Effect of a Less-than-Ideal Device -- Less Disabled Patients -- Additional Potential Patients -- VENTRICULAR ASSISTANCE VERSUS A TOTAL ARTIFICIAL HEART -- THE NEED FOR MORE RESEARCH -- Basic and Clinical Research Concerning Heart Failure -- Epidemiological Research -- SUMMARY AND CONCLUSIONS -- REFERENCES -- 5 Quality of Life and Mechanical Circulatory Support Systems -- THE IMPORTANCE OF QUALITY-OF-LIFE CONSIDERATIONS -- From the Perspective of the Patient -- Methods for Assessing the Quality of Care -- Health State Utilities -- HEALTH, HEALTH STATUS, AND QUALITY OF LIFE -- DOMAINS OF QUALITY OF LIFE RELEVANT TO END-STAGE HEART DISEASE PATIENTS -- Domains for Utility Assessment -- Other Domains Relevant to These Quality-of-Life Issues. Machine Dependence and Societal Reaction -- Meaning and Purpose of Life Versus Fear of Death -- Spiritual Well-Being -- QUALITY OF LIFE AND ITS DETERMINANTS FOR PATIENTS WITH END-STAGE HEART DISEASE -- Heart Transplantation -- Automatic Implantable Cardioverter Defibrillator -- Providing Support in the Postoperative Phase -- Perspectives from Prior Studies of the Artificial Heart -- IMPLICATIONS OF QUALITY-OF-LIFE CONSIDERATIONS IN CLINICAL TRIALS AND STUDIES OF MECHANICAL CIRCULATORY SUPPORT PATIENTS -- Concepts and Methods -- Costworthiness: Patients' and Societal Perspectives -- SUMMARY AND CONCLUSIONS -- REFERENCES -- 6 Cost-Effectiveness Analysis -- THE USE OF COST-EFFECTIVENESS ANALYSIS IN HEALTH CARE -- Capabilities and Limitations -- COST-EFFECTIVENESS OF TOTAL ARTIFICIAL HEARTS -- Sensitivity Analysis -- Implications -- Cost-Effectiveness of Ventricular Assist Devices -- Treatment to Prevent End-Stage Disease -- COST-EFFECTIVENESS ANALYSIS AND RESEARCH FUNDING LEVELS -- Sensitivity Analysis -- Implications -- CONCLUSIONS -- The Borderline Cost-Effectiveness of Artificial Heart Use -- Using Cost-Effectiveness to Decide Funding Levels -- REFERENCES -- CHAPTER 6 APPENDIX: DESCRIPTION OF HEALTH STATES -- 7 The Appropriate Use of Technology -- WHAT APPROPRIATE TECHNOLOGY USE IS -- The Relationship Between Technology Use and Cost -- Factors That May Affect Future Use of New Technologies -- Past Failures to Limit Technology Use -- WAYS TO PROMOTE APPROPRIATE USE OF MECHANICAL CIRCULATORY SUPPORT DEVICES -- Clinical Practice Guidelines -- Developing Practice Guidelines -- Implementing Practice Guidelines -- Appropriate Use of Other Technologies -- Technology Assessment -- Postmarketing Surveillance -- Follow-Up Studies -- Credentialing for Technology Use -- Selective Coverage -- INVOLVING THE RIGHT PARTICIPANTS. AVOIDING UNREASONABLE PATIENT EXPECTATIONS -- SUMMARY AND CONCLUSIONS -- REFERENCES -- 8 Ethical and Societal Issues -- ISSUES RAISED BY INCOMPLETE TECHNOLOGIES -- Maximizing Benefits in the Provision of Health Care -- Conceptualizing Access to Incomplete Technologies -- ISSUES RAISED BY THE TOTAL ARTIFICIAL HEART -- Access to Total Artificial Hearts -- Criteria for Use -- Aggregate Societal Costs -- PROTECTING THE INDIVIDUAL PATIENT -- Informed Consent and Advance Directives -- CONCLUSIONS -- REFERENCES -- 9 Roles of Government and Industry in Medical Technology Research, Development, and Use -- ROLE OF THE FEDERAL GOVERNMENT IN THE DEVELOPMENT OF MEDICAL TECHNOLOGY -- Rationale for Federal Support of Research and Development -- Theoretical Considerations -- Practical Implications -- Status of the Artificial Heart Program -- Management and Accountability -- Social (Health) Benefits -- Industrial-Policy Considerations -- Conclusions -- ROLE OF GOVERNMENT IN THE USE OF MEDICAL TECHNOLOGY -- Food and Drug Administration -- Medicare and Other Third-Party Payers -- Conclusions About Regulatory Constraints -- ENCOURAGING INTERDISCIPLINARY AND INDUSTRY-ACADEME COLLABORATION -- Role of Biomedical Engineering Research -- Current Collaborative Structures -- Conclusions About Collaborative Research -- EFFECT OF INDUSTRY SUPPORT ON COMMUNICATION AMONG RESEARCHERS -- Conclusions -- SUMMARY AND CONCLUSIONS -- REFERENCES -- 10 Conclusions and Recommendations -- FOCUS OF THIS STUDY -- PROMOTING APPROPRIATE USE OF MECHANICAL CIRCULATORY SUPPORT DEVICES -- ACCESS BY ALL TO CIRCULATORY SUPPORT DEVICES? -- Access via Third-Party Payers -- Clinically Limited Access -- Limiting Access by Inadequate Payments -- CLINICAL AND COST-EFFECTIVENESS -- Clinical Effectiveness -- Quality of Life -- Cost-Effectiveness -- Cost-Effectiveness in Research and Development Decisions. MAKING IMPORTANT DECISIONS -- Allocation of Research Funds -- Regulatory Decisions About Technologies -- Food and Drug Administration -- Third-Party Payers -- CONTINUING DEVELOPMENT OF TOTAL ARTIFICIAL HEARTS -- Considerations for the Next Decision Point -- OTHER RECOMMENDATIONS -- Future Development of Ventricular Assist Devices -- Clinical Trials and Patient Follow-up -- Clinical Trials -- Postmarketing Surveillance -- Posttrial Follow-up -- Fostering Collaborative Interdisciplinary Research -- Patients' Quality of Life and Treatment Preferences -- Research Needs -- Heart Failure Research -- Epidemiological Research -- Communication Among MCSS Researchers -- HOW THIS REPORT SHOULD BE USED -- REFERENCE -- Appendixes -- A History and Methods of This Evaluation -- ADDENDUM -- B A Chronology of the National Heart, Lung, and Blood Institute Artificial Heart Program and Related Events -- C Technological Opportunities and Barriers in the Development of Mechanical Circulatory Support Systems -- CURRENT STATE OF THE TECHNOLOGY IN MECHANICAL CIRCULATORY SUPPORT SYSTEMS -- Short-Term-Use Devices (fewer than 180 days) -- Total Artificial Heart -- Animal and Clinical Results -- Technological Development of Pneumatic Total Artificial Hearts -- Univentricular or Biventricular Assist Devices -- Pulsatile Devices (Sac/Diaphragm) -- Steady-Flow Devices -- Summary -- Permanent or Long-Term-Use Mechanical Circulatory Support Systems (more than 180 days) -- Unilateral Assist Devices -- In Vitro and In Vivo Test Results -- Permanent Total Artificial Hearts -- University of Utah System -- Nimbus/Cleveland Clinic System -- ABIOMED/Texas Heart System -- Pennsylvania State University System -- Non-U.S. Systems -- Summary -- CURRENT TECHNOLOGICAL BARRIERS TO DEVELOPMENT OF A SUCCESSFUL MECHANICAL CIRCULATORY SUPPORT SYSTEM -- What Is a Successful MCSS?. Short-Term Devices (fewer than 180 days). |
| Record Nr. | UNINA-9910974437303321 |
| Washington, D.C., : National Academy Press, 1991 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Heart failure [[electronic resource] ] : device management / / edited by Arthur M. Feldman
| Heart failure [[electronic resource] ] : device management / / edited by Arthur M. Feldman |
| Pubbl/distr/stampa | Chichester, West Sussex, UK ; ; Hoboken, NJ, : Wiley-Blackwell, 2010 |
| Descrizione fisica | 1 online resource (197 p.) |
| Disciplina |
616.1290645
617.4120028 |
| Altri autori (Persone) | FeldmanArthur M <1949-> (Arthur Michael) |
| Soggetto topico |
Heart failure - Treatment
Heart, Artificial |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-282-38506-2
9786612385063 1-4443-1442-4 1-4443-1443-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Heart Failure; Contents; Contributors; Preface; 1 Cardiac Resynchronization Therapy; 2 Implantable Cardioverter-Defibrillator Therapy; 3 Chronic Implantable Monitoring; 4 Cardiac Contractility Modulation by Electrical Signals Applied during the Absolute Refractory Period as a Treatment for Chronic Heart Failure; 5 The Role of Cardiac Restraint Devices in the Treatment of Patients with Dilated; 6 The Role of Right Heart Catheterization in the Management of Patients with Heart; 7 Impedance Cardiography
8 The Use of Echocardiography in Evaluating the Heart Failure Patient and Response to Therapy9 Revascularization for Left Ventricular Dysfunction; 10 Minimally Invasive Treatment of Mitral Valve Disease; 11 Percutaneous Mechanical Assist Devices; 12 Left Ventricular Assist Devices for Acute and Chronic Heart Failure; 13 The Role of Enhanced External Counterpulsation in Heart Failure Management; 14 Ultrafiltration in the Management of Heart Failure; Conclusion: Finding the Right Device or the Right Patient; Index; Conflict of Interest Table |
| Record Nr. | UNINA-9910139960403321 |
| Chichester, West Sussex, UK ; ; Hoboken, NJ, : Wiley-Blackwell, 2010 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Heart failure [[electronic resource] ] : device management / / edited by Arthur M. Feldman
| Heart failure [[electronic resource] ] : device management / / edited by Arthur M. Feldman |
| Pubbl/distr/stampa | Chichester, West Sussex, UK ; ; Hoboken, NJ, : Wiley-Blackwell, 2010 |
| Descrizione fisica | 1 online resource (197 p.) |
| Disciplina |
616.1290645
617.4120028 |
| Altri autori (Persone) | FeldmanArthur M <1949-> (Arthur Michael) |
| Soggetto topico |
Heart failure - Treatment
Heart, Artificial |
| ISBN |
1-282-38506-2
9786612385063 1-4443-1442-4 1-4443-1443-2 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Heart Failure; Contents; Contributors; Preface; 1 Cardiac Resynchronization Therapy; 2 Implantable Cardioverter-Defibrillator Therapy; 3 Chronic Implantable Monitoring; 4 Cardiac Contractility Modulation by Electrical Signals Applied during the Absolute Refractory Period as a Treatment for Chronic Heart Failure; 5 The Role of Cardiac Restraint Devices in the Treatment of Patients with Dilated; 6 The Role of Right Heart Catheterization in the Management of Patients with Heart; 7 Impedance Cardiography
8 The Use of Echocardiography in Evaluating the Heart Failure Patient and Response to Therapy9 Revascularization for Left Ventricular Dysfunction; 10 Minimally Invasive Treatment of Mitral Valve Disease; 11 Percutaneous Mechanical Assist Devices; 12 Left Ventricular Assist Devices for Acute and Chronic Heart Failure; 13 The Role of Enhanced External Counterpulsation in Heart Failure Management; 14 Ultrafiltration in the Management of Heart Failure; Conclusion: Finding the Right Device or the Right Patient; Index; Conflict of Interest Table |
| Record Nr. | UNINA-9910830727803321 |
| Chichester, West Sussex, UK ; ; Hoboken, NJ, : Wiley-Blackwell, 2010 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Heart failure : device management / / edited by Arthur M. Feldman
| Heart failure : device management / / edited by Arthur M. Feldman |
| Pubbl/distr/stampa | Chichester, West Sussex, UK ; ; Hoboken, NJ, : Wiley-Blackwell, 2010 |
| Descrizione fisica | 1 online resource (197 p.) |
| Disciplina | 616.1/29 |
| Altri autori (Persone) | FeldmanArthur M <1949-> (Arthur Michael) |
| Soggetto topico |
Heart failure - Treatment
Heart, Artificial |
| ISBN |
9786612385063
9781282385061 1282385062 9781444314427 1444314424 9781444314434 1444314432 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Heart Failure; Contents; Contributors; Preface; 1 Cardiac Resynchronization Therapy; 2 Implantable Cardioverter-Defibrillator Therapy; 3 Chronic Implantable Monitoring; 4 Cardiac Contractility Modulation by Electrical Signals Applied during the Absolute Refractory Period as a Treatment for Chronic Heart Failure; 5 The Role of Cardiac Restraint Devices in the Treatment of Patients with Dilated; 6 The Role of Right Heart Catheterization in the Management of Patients with Heart; 7 Impedance Cardiography
8 The Use of Echocardiography in Evaluating the Heart Failure Patient and Response to Therapy9 Revascularization for Left Ventricular Dysfunction; 10 Minimally Invasive Treatment of Mitral Valve Disease; 11 Percutaneous Mechanical Assist Devices; 12 Left Ventricular Assist Devices for Acute and Chronic Heart Failure; 13 The Role of Enhanced External Counterpulsation in Heart Failure Management; 14 Ultrafiltration in the Management of Heart Failure; Conclusion: Finding the Right Device or the Right Patient; Index; Conflict of Interest Table |
| Record Nr. | UNINA-9911019935303321 |
| Chichester, West Sussex, UK ; ; Hoboken, NJ, : Wiley-Blackwell, 2010 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Journal of cardiac arrhythmias
| Journal of cardiac arrhythmias |
| Pubbl/distr/stampa | São Paulo : , : Linceu Editorial, , [2019]- |
| Descrizione fisica | 1 online resource |
| Disciplina | 610 |
| Soggetto topico |
Arrhythmia
Electrophysiology Cardiac pacemakers Heart, Artificial |
| Soggetto genere / forma |
Periodicals.
Zeitschrift |
| ISSN | 2674-7472 |
| Formato | Materiale a stampa |
| Livello bibliografico | Periodico |
| Lingua di pubblicazione | eng |
| Altri titoli varianti |
Journal of cardiac arrithmias
JCA |
| Record Nr. | UNISA-996347640103316 |
| São Paulo : , : Linceu Editorial, , [2019]- | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. di Salerno | ||
| ||
Journal of cardiac arrhythmias
| Journal of cardiac arrhythmias |
| Pubbl/distr/stampa | São Paulo : , : Linceu Editorial, , [2019]- |
| Descrizione fisica | 1 online resource |
| Disciplina | 610 |
| Soggetto topico |
Arrhythmia
Electrophysiology Cardiac pacemakers Heart, Artificial |
| Soggetto genere / forma |
Periodicals.
Zeitschrift |
| ISSN | 2674-7472 |
| Formato | Materiale a stampa |
| Livello bibliografico | Periodico |
| Lingua di pubblicazione | eng |
| Altri titoli varianti |
Journal of cardiac arrithmias
JCA |
| Record Nr. | UNINA-9910403773303321 |
| São Paulo : , : Linceu Editorial, , [2019]- | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
