Aims To develop a suite of quality indicators (QIs) for the management of patients with ventricular arrhythmias (VA) and the prevention of sudden cardiac death (SCD). Methods and results The... Show moreAims To develop a suite of quality indicators (QIs) for the management of patients with ventricular arrhythmias (VA) and the prevention of sudden cardiac death (SCD). Methods and results The Working Group comprised experts in heart rhythm management including Task Force members of the 2022 European Society of Cardiology (ESC) Clinical Practice Guidelines for the management of patients with VA and the prevention of SCD, members of the European Heart Rhythm Association, international experts, and a patient representative. We followed the ESC methodology for QI development, which involves (i) the identification of the key domains of care for the management of patients with VA and the prevention of SCD by constructing a conceptual framework of care, (ii) the development of candidate QIs by conducting a systematic review of the literature, (iii) the selection of the final set of QIs using a modified-Delphi method, and (iv) the evaluation of the feasibility of the developed QIs. We identified eight domains of care for the management of patients with VA and the prevention of SCD: (i) structural framework, (ii) screening and diagnosis, (iii) risk stratification, (iv) patient education and lifestyle modification, (v) pharmacological treatment, (vi) device therapy, (vii) catheter ablation, and (viii) outcomes, which included 17 main and 4 secondary QIs across these domains. Conclusion Following a standardized methodology, we developed 21 QIs for the management of patients with VA and the prevention of SCD. The implementation of these QIs will improve the care and outcomes of patients with VA and contribute to the prevention of SCD. Show less
Pavesi, D.; Poll, R.C.J. van de; Krasovic, J.L.; Figueiredo, M.; Gruter, G.J.M.; Koper, M.T.M.; Schouten, K.J.P. 2020
CO2 electroreduction to formate powered by renewable energy is an attractive strategy to recycle air-based carbon. At the moment, the electrode materials showing high selectivity for formate at... Show moreCO2 electroreduction to formate powered by renewable energy is an attractive strategy to recycle air-based carbon. At the moment, the electrode materials showing high selectivity for formate at high current density are post transition metals such as In, Sn, Bi, and Pb. Scaling up the CO2 electroreduction technology to industrial size requires, among other things, cheap and clean methods to produce cathode materials in the form of particles to fabricate the square meters of the electrode surface area needed for the industrial electrolyzers. We show here that it is possible to easily produce catalytic powders based on Sn and Pb via a process known as cathodic disintegration, driving the reaction with electric power and avoiding the use of organic solvents, stabilizers, and reducing agents. The catalysts produced with this method are highly selective for the reduction of CO2 to formate and show promise for use in industrial electrolyzers. Moreover, the process of cathodic disintegration is quick and clean, it has a high atom efficiency, it uses dilute aqueous electrolytes as solvents, and it has the possibility to be driven by renewable energy. Show less
CO(2)electroreduction powered by renewable energy is an attractive strategy to recycle air-based carbon. One of the current challenges for the scale up of the technology is that the catalysts that... Show moreCO(2)electroreduction powered by renewable energy is an attractive strategy to recycle air-based carbon. One of the current challenges for the scale up of the technology is that the catalysts that show high faradaic yield at high current density (post-transitional metals such as In, Sn, Bi, Pb) suffer from very high overpotentials of more than 1 V. On the other hand, Pd can convert CO(2)to formate with almost no overpotential, but is readily poisoned by CO and deactivates when trying to reach industrially relevant currents. In this work we show the effect of the interaction of In and Pd in bimetallic nanoparticles, reaching the conclusion that this interaction causes a loss of selectivity towards formate and at the same time suppresses CO poisoning of Pd sites. The results of the catalyst characterization suggest the formation of intermetallic PdIn compounds that in turn cause the aforementioned behavior. Based on these results, it seems that geometric and electronic effects in Pd based intermetallic compounds can alleviate CO poisoning on Pd sites. In the case of PdIn intermetallics this leads to the loss of CO(2)reduction activity, but this strategy may be useful for other electrochemical reactions that suffer from the same problem of deactivation. It remains to be seen if intermetallic compounds of Pd with other elements can yield viable CO(2)reduction catalysts. Show less
