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Allied Professional Roles in the Management of Arrhythmias in the Young

  • Brynn E. DechertEmail author
  • Sarah S. LeRoy
Chapter

Abstract

Effective teamwork in pediatric electrophysiology (EP) is the key to providing high quality and patient-focused care. Individuals function optimally when they work as part of a high functioning team which encompasses respect, communication, trust, collaboration, and fosters creativity among the team members. During the past several decades the care of children and adolescents with arrhythmias has significantly improved. These advances are largely technological, including catheter ablation as first-line therapy for many childhood arrhythmias as well as the use of implantable cardioverter-defibrillators (ICDs) for life-threatening ventricular arrhythmias, often genetically mediated or occurring in adolescents and young adults who have survived complex congenital heart surgery. The complex technologies involved in the diagnosis and treatment of pediatric arrhythmias necessitates a multidisciplinary approach and a skilled, knowledgeable electrophysiology team. Effective, competent allied professionals are essential to the function of the EP team. The many different roles of allied professional team include EP technicians, nurses, and advance practice nurses.

Keywords

Advanced practice nursing Device management nursing care Psychological support Social services Technical support 

Suggested Reading

  1. Campbell LA, Kirkpatrick SE, Berry CC, et al. Psychological preparation of mothers of preschool children undergoing cardiac catheterization. Psychol Health. 1992;7:175–85.CrossRefGoogle Scholar
  2. Campbell LA, Kirkpatrick SE, Berry CC, Lamberti JJ. Preparing children with congenital heart disease for cardiac surgery. J Pediatr Psychol. 1995;20:313–28.CrossRefPubMedGoogle Scholar
  3. Chiu C. Certification of international allied professionals in cardiac pacing and electrophysiology: opportunities. Can J Cardiol. 2010;26:e24–6.PubMedCentralCrossRefPubMedGoogle Scholar
  4. Crossley GH, Poole JE, Rozner MA, et al. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists expert consensus statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: facilities and patient management: executive summary. Heart Rhythm. 2011;8:1114–54.CrossRefPubMedGoogle Scholar
  5. Czosek RJ, Bonney WJ, Cassedy A, et al. Impact of cardiac devices on the quality of life in pediatric patients. Circ Arrhythm Electrophysiol. 2012;5:1064–72.CrossRefPubMedGoogle Scholar
  6. Deering TF, Clair WK, Delaughter MC, et al. A Heart Rhythm Society Workforce study: current survey analysis of physician workforce trends. Heart Rhythm. 2010;7:1346–55.CrossRefPubMedGoogle Scholar
  7. Dunbar SB, Dougherty CM, Sears SF, et al. Educational and psychological interventions to improve outcomes for recipients of implantable cardioverter defibrillators and their families: a scientific statement from the American Heart Association. Circulation. 2012;126:2146–72.CrossRefPubMedGoogle Scholar
  8. Guru MT, Bubien RS, Belco KM, et al. North American Society of Pacing and Electrophysiology standards of professional practice for allied professional in pacing and electrophysiology. Pacing Clin Electrophysiol. 2003;26:127–31.CrossRefGoogle Scholar
  9. LeRoy S, Elixon M, O’Brien P, et al. American Heart Association Scientific Statement: recommendations for preparing children and adolescents for invasive cardiac procedures. Circulation. 2003;1008:2550.CrossRefGoogle Scholar
  10. O’Brien P. The role of the nurse practitioner in congenital heart surgery. Pediatr Cardiol. 2007;28:88–95.CrossRefPubMedGoogle Scholar
  11. Sears SF, St. Amant JB, Zeigler V. Psychological considerations for children and young adolescents with implantable cardioverter defibrillators: an update. Pacing Clin Electrophysiol. 2009;32:S80–2.CrossRefPubMedGoogle Scholar
  12. VonBergen NH, Atkins DL, Dick M, et al. Multicenter study of effectiveness of implantable cardioverter defibrillators in children and young adults with heart disease. Pediatr Cardiol. 2011;32:399–405.CrossRefGoogle Scholar
  13. Wilkoff BL, Auricchio A, Brugada J, et al. Heart Rhythm Society/European Heart Rhythm Association expert consensus on the monitoring of cardiovascular implantable electronic devices (CIEDs): description of techniques, indications, personnel, frequency and ethical consideration. Heart Rhythm. 2008;5:907–25.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, New York 2015

Authors and Affiliations

  1. 1.Pediatric Cardiology, The University of Michigan Congenital Heart Center, Department of Pediatrics and Communicable DiseasesDepUniversity of MichiganAnn ArborUSA
  2. 2.Department of NursingWayne State University College of NursingDetroitUSA

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