Physician Specialty Backgrounds Flashcards
“EP” - Cardiac Electrophysiologist
electrician
focused on testing & treating the heart for rhythm problems
completed specialized education and
various procedures:
ablations -
EP Mapping
Pacemakers
Cardioversions
EP Studies
ICD implants
understanding the opportunity for EPs
are you concerned about patients being lost to F/U?
what type of patients are referred? When?
Do you percevie LifeVest to be a benefit to apatients at risk for SCD during the ICD waiting period?
Would you prefer if patientes were referred to you already wearing LV?
What patients do you thik are most at risk for SCD?
General Cardiologist
focused: symptom management, GDMT, f/up
types pf patients - post MI, heart fauilure NICM, ialted cardiomyoptahy
procedures: medical management, GDMT, stress testing, Cardiac
find them: clinic, hospital floors, everywhere
Often believe GDMT helps their HF patients immediately, so may not be as concerned with SCD risk
meeting with GC - how long does it take to get a referral appt with EP? - what can ep do about the arrhythmis during the waiting eriod? who manges the patient in the interm?
Open ended questions with GC?
whats your experience been with ZOLL and LifeVest?
Help me understand, how SCD risk is managed in newly diagnosed heart failure patietns with areduced EF?
could you walk me thorugh the GDMT optimization process for newly diagnosed heart failure patients?
understanding the opportunity - Hospitalists
who refers mto cardiology or has the sahred decision making conversation with the patient or family?
Meeting with CV/CT Surgeon
Where do we find them? - surgery center and OR
Ask questions to uncover who manages pre and post surgical revascularization patients at risk for SCD - what do we need to learn?
often believe they’re fixing the problem and are not thinking of SCDoncerns do you have about SCD risk i the early post CABG
undertnind gCt/CV
ata show that recued EF patients scheduled for CABG are at risk of SCD while waitig revascularization procedure
almost 60% of all CABG procedures are elctive
7% of post operative CABG patiestn wthat were not wearing ALV died compared to a 4% that were proescribed LV were alive at 90 days post procuedure
How are patietsns at risk for SCD re/post CABG identified
Does it make sense to protect a newly revascularized patietns from SCD with LV?
Kuhn study from 2022 - impactful study for CT and PA surgerons - all these work on these pts, its like a scarlet letter for them
Interventional Cardiologist
Cath Lab
often believe they fixed the problem (plumbing)
refer patietns to EP who how arrhythmic irritability during PCI - how long does it take tho to see the EP?
understanding the opportu
how are patietns at risk for?
each facility/hospital
when is guideline directed medical therapy (GDMT) started?
who owns the decisoin process regarding tests, treatmeant plans?
when is the cariologist consulted? Post d/c? during hositaliation?
who makes discharge decisions and lead shared decisionmaking conversations?
are there circumstances where a cradiologist is not consulted?
Advanced )Practice Practitioners (APPs)
remember for any specialty NP and PA may have responsibility for ordering LifeVest
