Abstract Background Central sleep apnea (CSA) is a breathing disorder caused by the intermittent absence of central respiratory drive. Transvenous phrenic nerve stimulation is a new therapeutic option, recently approved by the FDA , for the treatment of CSA. Objective To describe the technique used to implant the transvenous phrenic nerve stimulation system (the remedē System, Respicardia, Inc). Methods The remedē System is placed in the pectoral region, typically on the right side. A single stimulation lead is placed in either the left pericardiophrenic vein (PPV) or the right brachiocephalic vein (RBC). A sensing lead is placed into the azygous vein to detect respiration. Results In the remedē System Pivotal trial, 147 of 151 (97%) patients were successfully implanted with the system. Sixty‐two percent of stimulation leads were placed in the PPV and 35% in the RBC. Mean procedure time was 2.7 ± 0.8 hours and 94% of patients were free from implant‐related serious adverse events through 6 months. Conclusion In patients with CSA, transvenous phrenic nerve stimulation is an effective and safe therapy with an implant procedure similar to that of cardiac implantable electronic devices.

Phrenic nerve

Central sleep apnea

10.1111/jce.13898

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Citations (20)

Protecting Fulbright Spring: Can We Beat the Odds?

Timothy W. Smith

Odds

Beat (acoustics)

Source

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Citations (0)

High-Risk Drinking

Springer eBooks (2012)

Sheina Orbell Havah Schneider Sabrina Esbitt Jeffrey S. Gonzalez Jeffrey S. Gonzalez

10.1007/978-1-4419-1005-9_100802

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Speech‐Induced Atrial Tachycardia: An Unusual Presentation of Supraventricular Tachycardia

Journal of Cardiovascular Electrophysiology (2013)

Nada Memon David Briceño Diego Torres‐Russotto Jane Chen Timothy W. Smith

A 63-year-old male radio announcer was admitted with a narrow complex, long RP tachycardia. While in the awake state, the patient spoke in his radio voice, initiating and maintaining the tachycardia. Three-dimensional electroanatomic mapping during electrophysiology study localized the tachycardia to the ostium of the right superior pulmonary vein. After single radiofrequency energy application, no further arrhythmias were inducible with speech. At more than 1 year of follow-up, the patient had no recurrences and continues to work as a radio announcer.

Supraventricular Tachycardia

Electrophysiology study

Atrial tachycardia

10.1111/jce.12278

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Citations (8)

Hostility, Anger, Aggressiveness, and Coronary Heart Disease: An Interpersonal Perspective on Personality, Emotion, and Health

Journal of Personality (2004)

Timothy W. Smith Kelly Glazer John Ruiz Linda C. Gallo

Abstract The related traits of hostility, anger, and aggressiveness have long been suggested as risk factors for coronary heart disease (CHD). Our prior review of this literature (Smith, 1992) found both considerable evidence in support of this hypothesis and important limitations that precluded firm conclusions. In the present review, we discuss recent research on the assessment of these traits, their association with CHD and longevity, and mechanisms possibly underlying the association. In doing so, we illustrate the value of the interpersonal tradition in personality psychology (Sullivan, 1953; Leary, 1957; Carson, 1969; Kiesler, 1996) for not only research on the health consequences of hostility, anger, and aggressiveness, but also for the general study of the effects of emotion, personality and other psychosocial characteristics on physical health.

Hostility

10.1111/j.1467-6494.2004.00296.x

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Citations (540)

What's so unhealthy about hostility? Construct validity and psychosocial correlates of the Cook and Medley Ho scale.

Health Psychology (1985)

Timothy W. Smith Karl D. Frohm

Hostility

10.1037/0278-6133.4.6.503

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Citations (269)

Associations Between Approach and Avoidance Coping, Psychological Distress, and Disordered Eating Among Candidates for Bariatric Surgery