42 results on '"P. Peytchev"'
Search Results
2. Ultrasound-guided puncture of femoral veins versus standard palpation approach in patients undergoing pulmonary vein isolation
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Addeo, Lucio, Valeriano, Chiara, Valcher, Stefano, Abbate, Vincenza, Mistrulli, Raffaella, Buytaert, Dimitri, Geelen, Peter, Peytchev, Peter, De Schouwer, Koen, and De Potter, Tom
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- 2025
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3. Financial Record Checking in Surveys: Do Prompts Improve Data Quality?
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Murphy, Joe, Rosen, Jeffrey, Richards, Ashley, Riley, Sarah, Peytchev, Andy, and Lindblad, Mark
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Self-reports of financial information in surveys, such as wealth, income, and assets, are particularly prone to inaccuracy. We sought to improve the quality of financial information captured in a survey conducted by phone and in person by encouraging respondents to check records when reporting on income and assets. We investigated whether suggestive prompts influenced unit response, compliance with the request to check records, precision of estimates, and accuracy. We conducted a split sample experiment in the Community Advantage Panel Survey in which half of telephone respondents and half of in-person household interview respondents were encouraged to check the records. We found a modest positive effect of prompts on compliance but no effect on unit response, precision, or accuracy.
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- 2016
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4. Evaluation of a fully automated anatomical left atrial mapping pipeline enabled by artficial intelligence
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D Buytaert, C Valeriano, D Fabbricatore, K De Schouwer, P Peytchev, P Geelen, and T De Potter
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Physiology (medical) ,Cardiology and Cardiovascular Medicine - Abstract
Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Dr. Fabbricatore and Dr Valeriano have been supported by a research grant provided by the Cardiopath PhD program (University of Naples Federico II) Background Pulmonary vein isolation (PVI) is increasingly performed globally for the treatment of atrial fibrillation [1]. Using a standardized and reproducible workflow, we previously reported an average procedure time of 76.1 ± 26.2 min [2]. Over the last few years, due to workflow optimization and new technological developments, we were able to reduce the skin-to-skin time towards 47.3 ± 7.1 min (unpublished data). Our workflow implements rotational angiography (RA) of the left atrium (LA), which is segmented manually, then converted to a 3D mesh and finally imported into the electroanatomical mapping system (EAM). A second 3D mesh is created by cutting the left bottom anterior part of the LA, including the left atrial appendage, in order to clearly visualize the ridge (Figure 1). Recently, we developed an integrated artificial intelligence (AI) pipeline to automate this process (Figure 2). OBJECTIVE The aim of the study was to evaluate the efficiency of the new AI-based fully automated anatomical mapping of the LA and the efficacy of the automated segmentation. Methods The last 50 PVI procedures that were manually segmented in our lab were processed once more using the AI pipeline. The efficiency of the AI pipeline was assessed by comparing the elapsed time, for both our current manual workflow and the AI pipeline, between the reconstruction of the computed tomography (CT) volume from the 2D RA and the moment both 3D meshes are imported into the EAM. The efficacy of the pipeline was analyzed by calculating the Dice coefficient between the manual and automated segmentation as well as by visually grading segmentation quality on a 4-point Likert scale (1: Bad,2: Sufficient, 3: Good, 4: Excellent) by an experienced cardiac electrophysiologist. Significance testing of timing and visual grading differences between both workflows was performed using a one-sided Wilcoxon signed-rank test. Variables were summarized using median (Q1-Q3). Results The time to segment the LA, create the 3D meshes and import them into the EAM was significantly reduced from 560.0 (513.0–636.5) seconds to 52.0 (49.0–56.0) seconds for the manual and automated workflow respectively (p Conclusion We developed an efficient and effective AI pipeline enabling fully automated anatomical mapping of the LA, potentially reducing our current PVI skin-to-skin time by 18%. The robustness of the AI segmentation model has been validated objectively (Dice coefficient) and subjectively. The efficacy of the AI cut model, the second model in the pipeline, remains to be verified.
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- 2023
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5. Initial experience of left bundle branch area pacing using stylet-driven pacing leads: a multicenter study
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J De Pooter, E Ozpak, S Calle, P Peytchev, W Heggermont, S Marchandise, F Provenier, BART Francois, W Anne, C Barbaud, K Gillis, F Vanheuverswyn, R Tung, A Wauters, and JB Le Olain De Waroux
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Physiology (medical) ,Cardiology and Cardiovascular Medicine - Abstract
Funding Acknowledgements Type of funding sources: None. Background Left bundle branch area pacing (LBBAP) has been performed exclusively using lumen-less pacing leads (LLL) with fixed helix design. This study is the first to explore in a multicenter population the safety and feasibility of LBBAP using stylet-driven leads (SDL) with extendable helix design. Methods This study prospectively enrolled all consecutive patients who underwent LBBAP for anti-bradycardia pacing or heart failure indications at 8 Belgian hospitals. LBBAP was attempted either using SDL or LLL delivered through dedicated delivery sheaths. Implant success, complications, procedural and pacing characteristics were recorded at implant and follow-up. Results The study enrolled 412 patients (mean age 74 ± 38 years, 44% female). LBBAP with SDL and LLL was successful in 334/353 (94%) and 52/59 (88%) respectively (p=0.058). Implant success for LBBAP using SDL varied from 93 to 100% among centers. Mean paced QRS duration and stimulus to left ventricular activation time were comparable for SDL and LLL (126 ± 21ms versus 125 ± 22ms, p=0.861 and 74 ± 17 and 75 ± 21ms, p=0.756). SDL LBBAP resulted in low pacing thresholds (0.6 ± 0.4V at 0.4ms), which remained stable at 1, 6 and 12 months of follow-up. Lead revisions for SDL LBBAP occurred in 5(1.4%) patients: 2 dislodgements at day 1, 1 late septal perforation at week 3, 1 Twiddler’s syndrome at 5 months, 1 lead fracture at 6 months. Conclusion This multicenter study confirms the safety and feasibility of LBBAP using SDL, which is characterized by high implant success, low complication rate and low and stable pacing thresholds.
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- 2022
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6. Minimizing right ventricular pacing in pacemaker patients with intact and compromised atrioventricular conduction: Results from the EVITA Trial
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Bauer, A., Vermeulen, J., Toivonen, L., Voitk, J., Barr, C., and Peytchev, P.
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- 2015
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7. Cryoballoon ablation of atrial fibrillation in octogenarians: one year results from the Cryo Global Registry
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D Lawin, C Stellbrink, K R J Chun, H E Lim, V Obidigbo, J M Selma, P Peytchev, D Q Nguyen, C Foldesi, and T Lawrenz
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Cardiology and Cardiovascular Medicine - Abstract
Background A few studies have demonstrated the safety and efficacy of cryoballoon ablation (CBA) in elderly patients (≥75 years old) with atrial fibrillation (AF). However, global utilization and outcomes of CBA in the octogenarian population (≥80 years old) have not been reported. Purpose To evaluate the efficacy and safety of CBA of AF in patients ≥80 years old. Methods The Cryo Global Registry (NCT02752737) is an ongoing, prospective, multicenter registry. In this analysis, 1674 patients with paroxysmal or persistent AF were included in 37 global centers who treated at least one octogenarian with CBA. Analysis cohorts were defined as patients ≥80 and patients Results The average age of the octogenarians (n=101) was 82±2 years vs 62±10 years in the control group (n=1573). More females were found in the octogenarian population (51.5% vs 35.7%, p0.05). Success rates of acute pulmonary vein isolation did not differ between the groups (95.0% vs 96.2%, p=0.59). No differences were observed between ≥80- (5.9%) and Conclusion Cryoballoon ablation for the treatment of AF is a safe procedure in octogenarians, with efficacy and complication rates comparable to younger patients. Funding Acknowledgement Type of funding sources: Private company. Main funding source(s): Medtronic, Inc.
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- 2022
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8. Downsizing: Measuring the Costs of Failure.
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Appelbaum, Steven H., Lavigne-Schmidt, Suzanne, Peytchev, Mihail, and Shapiro, Barbara
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Review of literature on downsizing from 1994 to 1998 found evidence that some downsizing is inevitable and can have positive outcomes (increased efficiency, competitiveness, profits). However, poor implementation by unprepared managers makes the experience worse than necessary for individuals and organizations. (SK)
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- 1999
9. Phase-I/II study to evaluate dose limiting toxicity, maximum tolerated dose, and tolerability of bendamustine HCl in pre-treated patients with B-chronic lymphocytic leukaemia (Binet stages B and C) requiring therapy
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Lissitchkov, T., Arnaudov, G., Peytchev, D., and Merkle, Kh.
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- 2006
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10. Traffimatics — Intelligent Co-Operative Vehicle Highway Systems
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Bilchev, G, Marston, D, Hristov, N, Peytchev, E, and Wall, N
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- 2004
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11. Responsive and Adaptive Survey Design: Use of Bias Propensity During Data Collection to Reduce Nonresponse Bias
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Peytchev, Andy, Pratt, Daniel, and Duprey, Michael
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Reduction in nonresponse bias has been a key focus in responsive and adaptive survey designs, through multiple phases of data collection, each defined by a different protocol, and targeting interventions to a subset of sample elements. Key in this approach is the identification of nonrespondents who, if interviewed, can reduce nonresponse bias in survey estimates. From a design perspective, we need to identify an appropriate model to select targeted cases, in addition to an effective intervention (change in protocol). From an evaluation perspective, we need to compare estimates to a control condition that is often omitted from study designs, in addition to the need for benchmark estimates for key survey measures to provide estimates of nonresponse bias. We introduced a bias propensity approach for the selection of sample members to reduce nonresponse bias. Unlike a response propensity approach in which the objective is to maximize the prediction of nonresponse, this new approach deliberately excludes strong predictors of nonresponse that are uncorrelated with survey measures and uses covariates that are of substantive interest to the study. We also devised an analytic approach to simulate which sample members would have responded in a control condition. This study also provided a rare opportunity to estimate nonresponse bias, using rich sampling frame information, prior round survey data, and data from extensive nonresponse follow-up. The bias propensity model yielded reasonable fit despite the exclusion of the strongest predictors of nonresponse. The intervention was found to be effective in increasing participation among identified sample members. On average, the responsive and adaptive survey design reduced nonresponse bias by more than one-quarter—almost one percentage point—regardless of the choice of benchmark estimates. Effort under the control condition did not reduce nonresponse bias. While results are strongly encouraging, we argue for replication with varied populations and methods.
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- 2022
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12. Cardioconnect©: A digital remote monitoring and coaching pilot project for discharged Acute Coronary Syndrome and Heart Failure patients. First in Man Experience
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R. Dierckx, S. Schnock, M. Vanderheyden, P. Peytchev, and M. Tomas
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medicine.medical_specialty ,Acute coronary syndrome ,business.industry ,Vital signs ,medicine.disease ,Coaching ,Monitoring program ,Patient satisfaction ,Quality of life ,Heart failure ,Emergency medicine ,Medicine ,Cardiology and Cardiovascular Medicine ,business ,Patient education - Abstract
Introduction Despite modern therapy, many patients remain at high risk for major complications following an acute coronary syndrome (ACS) or acute heart failure (AHF) episode. More than half of early readmissions are due to patient non-compliance or lack of surveillance. Patients should actively be empowered to manage their condition. This objective can be achieved by offering a combination of remote monitoring of symptoms and vital signs together with patient education, and lifestyle advice. Purpose The objective of this proof of concept trial was to test the feasibility, performance and usability of a new digital remote monitoring and coaching program in patients being discharged after ACS or AHF. Methods Patients were included for a period of 3 months in 2017. Adherence to telemonitoring, medication, patient satisfaction and reliability of technology were measured. Key performance indicators include% of daily measurements, perceived impact on quality of life, user-friendliness of the program. Results Thirteen patients (11 men, 2 women) have been included. Eight patients were hospitalised for ACS, 5 for heart failure. Mean age was 56 year (32–79). The mean duration of the program was 89 days (57–126). Mean adherence to the program was 90% (69%–100%). Mean medication adherence was 92% (69,4%–100%). Patient satisfaction was quoted very high by 3 patients and high by the 10 others. Eight patients on 11 reported to be satisfied or very satisfied with the user-friendliness. No patient was re-hospitalised during the study period. Conclusion The Cardioconnect© remote monitoring program was appreciated by the patients as evidenced by the high% of adherence to the program and high level of satisfaction. Therefore remote monitoring tools such as Cardioconnect© combining telemonitoring and patient coaching might be helpful in the follow-up of patients discharged after ACS and AHF. Further studies are needed to explore the role of Cardioconnect© in preventing readmission.
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- 2019
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13. Adenosine plus dipyridamole: a novel strategy to enhance adenosine-induced conduction recovery after pulmonary vein isolation
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Martin Eisenberger, Conor J McCann, Tom De Potter, Peter Geelen, and P. Peytchev
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Male ,Adenosine ,Time Factors ,medicine.medical_treatment ,Catheter ablation ,Pulmonary vein ,Electrocardiography ,Bolus (medicine) ,Predictive Value of Tests ,Physiology (medical) ,Atrial Fibrillation ,medicine ,Humans ,Prospective Studies ,Infusions, Intravenous ,Aged ,Chi-Square Distribution ,medicine.diagnostic_test ,business.industry ,fungi ,Atrial fibrillation ,Dipyridamole ,Middle Aged ,medicine.disease ,Catheter ,Treatment Outcome ,Pulmonary Veins ,Anesthesia ,Injections, Intravenous ,Catheter Ablation ,Female ,Electrophysiologic Techniques, Cardiac ,Cardiology and Cardiovascular Medicine ,business ,medicine.drug - Abstract
Aims Intravenous administration of adenosine after a pulmonary vein (PV) isolation procedure can unmask residual, so-called ‘dormant’, conduction that would otherwise remain unnoticed. Elimination of these dormant potentials is challenging because of the transient effect of adenosine, often requiring repeated injections. We tested the hypothesis that dipyridamole, a drug which inhibits adenosine deamination, can provoke longer-lasting unmasking of dormant conduction. Methods and results In 191 patients with drug refractory paroxysmal atrial fibrillation, a bolus of 12–24 mg of adenosine was administered after all 764 PVs were isolated. In the case of transient dormant conduction, a short infusion of dipyridamole 50 mg was given and a bolus of adenosine was repeated. In all cases, re-isolation was attempted guided by the activation pattern in the PV on a circular mapping catheter. Duration of adenosine-induced dormant conduction before and after dipyridamole was recorded as the time between administration of adenosine and cessation of dormant conduction either spontaneously or by catheter ablation. Transient dormant conduction was re-established by a single bolus of adenosine in 24 of 191 patients (12.6%). Mean duration of adenosine-induced dormant conduction before dipyridamole was 13.1 ± 6.4 s, whereas it was significantly longer at 218.9 ± 165.6 s after dipyridamole ( P < 0.0001). Eighteen of the 24 PVs were re-isolated by catheter ablation before spontaneous cessation of dormant conduction, and in 6 cases dormant conduction disappeared spontaneously before PV re-isolation was achieved. Conclusion Dipyridamole significantly prolongs the effect of adenosine to unmask dormant conduction after PV isolation and may thus facilitate its elimination by catheter ablation.
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- 2012
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14. Minimizing right ventricular pacing in pacemaker patients with intact and compromised atrioventricular conduction : Results from the EVITA Trial
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J Voitk, C Barr, A Bauer, Lauri Toivonen, J Vermeulen, and P Peytchev
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Bradycardia ,Adult ,Male ,medicine.medical_specialty ,Comorbidity ,law.invention ,Young Adult ,Randomized controlled trial ,law ,Risk Factors ,Physiology (medical) ,Internal medicine ,medicine ,Prevalence ,Humans ,Single-Blind Method ,Longitudinal Studies ,PR interval ,Adverse effect ,Atrioventricular Block ,Survival rate ,Aged ,Aged, 80 and over ,business.industry ,Cardiac Pacing, Artificial ,Middle Aged ,medicine.disease ,Cardiac surgery ,Europe ,Survival Rate ,Treatment Outcome ,Heart failure ,Anesthesia ,Therapy, Computer-Assisted ,Cardiology ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Atrioventricular block ,hormones, hormone substitutes, and hormone antagonists ,Algorithms - Abstract
Unnecessary ventricular pacing is associated with increased morbidity and mortality. Over the years different algorithms have been developed to reduce right ventricular pacing.Goal of the present study was to test the efficacy of the ventricular intrinsic preference (VIP) algorithm in patients with atrioventricular intact (AVi) and atrioventricular compromised (AVc) AV-conduction.Evaluation of VIP feature in pacemaker patients (EVITA) was a multicenter, prospective, randomized trial (Trials.gov Identifier: NCT00366158). In total, 389 patients were randomized to AVc group: n = 140/132 VIP OFF/VIP On, AVi group: n = 54/63 VIP OFF/VIP ON). One-month post-implantation AV conduction testing (AVc: PR/AR interval 210 ms) was performed. Follow-up visits occurred 6 and 12 months after DDD-pacemaker implantation.In AVi and AVc-patients initiation of the VIP feature significantly reduced incidence of ventricular pacing (AVi: 53 ± 38 vs. 9 ± 21%, p = 0.0001; AVc: 79 ± 31 vs. 28 ± 35%, p = 0.0001). DDD-pacemaker implantation per se significantly reduced incidence of AF in VIP ON (AVi 27 vs. 0%, p 0.0001; AVc 29 vs. 3%, p 0.0001) and VIP OFF patients (AVi 43 vs. 4%, p 0.0001; AVc 33 vs. 3, p 0.0001), without significant differences between VIP ON and OFF groups (p 0.05). In the AVc group activation of VIP significantly reduced incidence of adverse events (AE). All-cause mortality was not significantly different in VIP ON (n = 5) and VIP OFF (n = 4, p 0.05) patients.AV search hysteresis (VIP) markedly reduces ventricular pacing both in patients with normal AV conduction and in patients with prolonged PR interval or intermittent AV block.
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- 2015
15. Split-Sample Design with Parallel Protocols to Reduce Cost and Nonresponse Bias in Surveys
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Peytchev, Andy
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Response rates in household surveys are declining, increasing the risk of nonresponse bias in survey estimates. Survey costs are increasing. As a result, design features such as higher monetary incentives are needed but often cannot be afforded. Two or more survey protocols could be implemented in parallel, where some have lower nonresponse while others have lower cost, as long as the data can be combined in a way that reflects the reduced potential for nonresponse bias under the more intensive protocol. We describe the main barrier to the use of such an approach—that traditional methods ignore the expected lower bias in one condition. The proposed approach includes random assignment of sample members to a data collection protocol and adjustment of survey estimates to the superior protocol, based on key survey variables—if differences in estimates are found. This represents a major departure from the current practice in constructing nonresponse adjustments and leverages the use of the same sampling design, survey instrument, and measurement procedures in each condition. An illustrative example is presented using data from a national survey. Methods to address both bias reduction and variance estimation are described. We end with limitations and suggestions for future research.
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- 2020
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16. Modular Survey Design: Experimental Manipulation of Survey Length and Monetary Incentive Structure
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Peytchev, Andy, Peytcheva, Emilia, Conzelmann, Johnathan G, Wilson, Ashley, and Wine, Jennifer
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Survey length and monetary incentives are design features that have been found to affect survey participation in opposing ways. Declining response rates make these key design features even more important. However, survey length has received surprisingly little attention, possibly being viewed as a static survey attribute rather than an alterable design feature. In addition, experimental tests of the interaction between survey length and monetary incentives could not be found, despite calls for the need for such research and theories that support such an interaction.Leverage-salience theory leads to opposing expectations, depending on the relative importance people give to different factors affecting survey participation. Making the survey request in parts, to reduce burden, may increase participation. Yet, it may instead decrease participation relative to the status quoof offering the full incentive for the entire survey if incentives play a larger role than survey length. When factoring both burden and motivation, the results for survey length could likely depend on the structure of monetary incentives. We designed an experiment to test a modularized survey, ending one part of the survey with a request to complete another part. Respondents in the modular survey design were also assigned to proportionate or disproportionate incentives—offering a larger proportion of the incentive for the initial survey request. Surprisingly, the two-part survey request led to not lower but greater nonresponse. There was increased potential for nonresponse bias attributable to nonresponse to the second request, without reduction in item nonresponse and measurement error. Disproportionate allocation of incentives across modules seemed to increase overall participation compared with proportionate allocation. The lack of a beneficial effect of a request for a shorter survey and the results on incentive allocation have important implications for survey practitioners. Furthermore, the inconsistency in findings on survey length requires further research to identify mediating factors.
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- 2020
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17. An Examination of an Interviewer-Respondent Matching Protocol in a Longitudinal CATI Study
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West, Brady T, Elliott, Michael R, Mneimneh, Zeina, Wagner, James, Peytchev, Andy, and Trappmann, Mark
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This article presents results from an experimental study in Germany designed to test the effectiveness of a novel protocol for matching participants in a national panel survey with interviewers employing computer-assisted telephone interviewing (CATI) on selected sociodemographic features, including sex, age, and education. We specifically focus on the ability of the protocol to engender close matches between respondents and interviewers in terms of these features, using both theory and empirical evidence to suggest that this type of matching will improve cooperation rates in surveys employing CATI. We also focus on indicators of “success” at first contact (defined as a successful interview or establishment of an appointment for an interview) as a function of whether the matching protocol was in use on a given day and whether specific types of matches generated higher rates of success overall. We find strong evidence of the protocol effectively establishing close matches, and we also observe that matches based on education proved especially effective for rates of “success” in a panel survey that focused primarily on labor market topics. We conclude with thoughts on practical implementation of this approach in other settings and suggested directions for future work in this area.
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- 2020
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18. P1731Cavotricuspid isthmus ablation guided by contact force and 3D mapping: impact on acute efficacy and clinical outcome
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P. Peytchev, T De Potter, E. Silva Garcia, S. Chatzikyriakou, and Peter Geelen
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medicine.medical_specialty ,3d mapping ,business.industry ,Physiology (medical) ,medicine.medical_treatment ,Medicine ,Cardiology and Cardiovascular Medicine ,business ,Ablation ,Outcome (game theory) ,Contact force ,Surgery - Published
- 2017
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19. Cibenzoline induced Brugada ECG pattern
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Andrea Sarkozy, Peter Geelen, Axel Caenepeel, Pedro Brugada, Marc De Zutter, P. Peytchev, and Internal Medicine Specializations
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congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,Bundle-Branch Block ,chemistry.chemical_compound ,Electrocardiography ,Sodium channel blocker ,Physiology (medical) ,Internal medicine ,medicine ,Palpitations ,ST segment ,Humans ,Brugada syndrome ,cardiovascular diseases ,ECG ,business.industry ,ST elevation ,Imidazoles ,Middle Aged ,medicine.disease ,Discontinuation ,Ajmaline ,chemistry ,Cibenzoline ,Anesthesia ,Cardiology ,Female ,Human medicine ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Anti-Arrhythmia Agents ,medicine.drug ,Sodium Channel Blockers - Abstract
We report a case of a 61-year-old female patient who presented with palpitations. The baseline electrocardiogram showed incomplete right bundle branch block with saddle back pattern of the ST segment in one precordial lead, but without any significant ST elevation. She was treated with oral cibenzoline. The subsequent ECG showed a coved Brugada ECG (type 1) pattern, which resolved following the discontinuation of cibenzoline. An ajmaline test reproduced the coved type Brugada ECG pattern. Our case is the first report of oral cibenzoline therapy unmasking the diagnostic coved Brugada ECG pattern in a patient with a baseline normal ECG. Cibenzotine, a class I sodium channel blocker antiarrhythmic drug, should probably be avoided in the treatment of patients with Brugada syndrome. (c) 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
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- 2005
20. Contact-force controlled catheter ablation in atrial fibrillation is associated with better acute results in lesion formation and improved 1-year clinical outcome
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A. Viggiano, P. Peytchev, T De Potter, L. Stefan, and Peter Geelen
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medicine.medical_specialty ,business.industry ,Radiofrequency ablation ,medicine.medical_treatment ,Atrial fibrillation ,Catheter ablation ,Lesion formation ,Cardiac Ablation ,Ablation ,medicine.disease ,Contact force ,law.invention ,law ,Internal medicine ,medicine ,Cardiology ,Sinus rhythm ,Cardiology and Cardiovascular Medicine ,business - Published
- 2013
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21. Exposure reduction by optimization of the imaging toolchain in pulmonary vein isolation
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T De Potter, P. Peytchev, L. Stefan, E. Celentano, A. Viggiano, and Peter Geelen
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medicine.medical_specialty ,medicine.diagnostic_test ,Cumulative dose ,Image quality ,business.industry ,Pulmonary vein ,Catheter manipulation ,Exposure reduction ,Mauriceau–Smellie–Veit maneuver ,Angiography ,medicine ,Fluoroscopy ,Radiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Purpose: We implemented a strategy of cumulative dose rate savings in the setting of pulmonary vein isolation (PVI) and report on its effectiveness and impact on image quality. Methods: All patients that underwent PVI with 3D rotation angiography (3DRA) were included over 18 months. Dose per frame of the 3DRA acquisition was reduced by 50% and dose per frame of standard fluoroscopy acquisition was lowered. Results: In 133 patients (84 male, mean age 61.3±10.9 years, mean BMI 27.2), baseline procedure duration was 155.1±37.9 minutes and mean total dose area product (DAP) 34.73±16.85 Gy.cm2. The use of 3DRA accounted for 52.8% of total DAP (17.05±9.39 Gy.cm2). After 3DRA optimization, cine DAP was 10.06±4.30 Gy.cm2 (59.0% reduction). Image quality was unaffected in all patients. After fluoro optimization, fluoro DAP dropped to 5.64±7.01 Gy.cm2 (70.6% reduction). Average DAP rate dropped from 81 Gy.cm2/h to 31 Gy.cm2/h with the new protocol (p < 0.05). Image quality was sufficient for catheter manipulation in all patients. Mean total DAP using combined optimizations was 13.96±9.43 Gy.cm2 (estimated effective exposure of 2.8 mSv). Conclusion: Impressive exposure reduction is possible by optimizing X-ray acquisition parameters. In specific electrophysiological procedures, further gains are expected to be possible by compromising on image quality
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- 2013
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22. Poster Session 4
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H. Tada, H. Yamasaki, Y. Sekiguchi, M. Igarashi, K. Kuroki, T. Machino, K. Yoshida, K. Aonuma, F. R. Heinzel, H. Forstner, P. Lercher, E. Bisping, B. Rotman, F. M. Fruhwald, B. M. Pieske, R. Dabrowski, I. Kowalik, A. Borowiec, E. Smolis-Bak, A. Trybuch, C. Sosnowski, H. Szwed, M. A. Baturova, A. Lindgren, Y. V. Shubik, B. Olsson, P. G. Platonov, K. C. Van Den Broek, J. Denollet, J. Widdershoven, N. Kupper, R. Allam, R. A. G. A. B. Allam, W. A. G. D. Y. Galal, H. A. Y. A. M. El-Damnhoury, A. Y. M. A. N. Mortada, J. Jimenez-Candil, A. Martin, J. Hernandez, F. Martin, M. Gallego, C. Martin-Luengo, J. G. Quintanilla, J. Moreno Planas, R. Molina-Morua, T. Archondo, M. J. Garcia-Torrent, N. Perez-Castellano, C. Macaya, J. Perez-Villacastin, J. Saiz, C. Tobon, J. F. Rodriguez, F. Hornero, J. M. Ferrero, K. Ito, T. Date, M. Kawai, M. Hioki, R. Narui, S. Matsuo, M. Yoshimura, T. Yamane, N. Tabatabaei, G. Lin, B. D. Powell, R. Smairat, J. F. Glockner, P. A. Brady, S. Fichtner, U. Czudnochowsky, H. Estner, T. Reents, C. Jilek, S. Ammar, G. Hessling, I. Deisenhofer, D. C. Shah, J. Kautzner, N. Saoudi, C. Herrera, P. Jais, G. Hindricks, P. Neuzil, K. H. Kuck, K. C. K. Wong, M. Jones, N. Qureshi, A. Muthumala, T. R. Betts, Y. Bashir, K. Rajappan, T. Vogtmann, M. Wagner, J. Schurig, P. Hein, B. Hamm, G. Baumann, A. Lembcke, B. Saad, C. Slater, L. A. Oliveira, R. Elias, A. Camiletti, D. Moura, P. Maldonado, L. E. Camanho, A. Bulava, J. Hanis, D. Sitek, A. Novotny, W. B. Chik, T. W. Lim, H. K. Choon, V. A. See, R. Mccall, L. Thomas, D. L. Ross, S. P. Thomas, J. Chen, A. De Bortoli, O. Rossvoll, P. I. Hoff, E. Solheim, L. Z. Sun, P. Schuster, O. J. Ohm, A. V. Ardashev, E. Zhelyakov, M. S. Rybachenko, A. V. Konev, Y. U. N. Belenkov, M. Gunawardene, K. R. J. Chun, B. Schulte-Hahn, V. Windhorst, M. Kulikoglu, B. Nowak, B. Schmidt, G. A. Albina, R. S. Rivera, F. Scazzuso, R. L. Laino, G. A. Giniger, E. Arbelo, N. Calvo, D. Tamborero, D. Andreu, R. Borras, A. Berruezo, J. Brugada, L. Mont, L. Stefan, M. Eisenberger, E. Celentano, P. Peytchev, O. Bodea, P. Geelen, T. De Potter, M. M. Oliveira, N. Silva, P. S. Cunha, J. Feliciano, A. Lousinha, A. Toste, S. Santos, R. C. Ferreira, H. Matsuda, T. Harada, K. Soejima, Y. Ishikawa, K. Mizukoshi, T. Sasaki, K. Mizuno, F. Miyake, P. P. Adragao, D. Cavaco, R. Miranda, M. Santos, F. Morgado, K. Reis Santos, R. Candeias, S. Marcelino, F. Zoppo, G. Grandolino, F. Zerbo, E. Bertaglia, S. M. Schlueter, O. Grebe, E. G. Vester, A. L. Miracle Blanco, A. Arenal Maiz, F. Atienza Fernandez, T. Datino Romaniega, E. Gonzalez Torrecilla, G. Eidelman, J. Hernandez Hernandez, F. Fernandez Aviles, K. Fukumoto, S. Takatsuki, T. Kimura, N. Nishiyama, Y. Aizawa, T. Sato, S. Miyoshi, K. Fukuda, B. Richter, M. Gwechenberger, A. Socas, G. Zorn, S. Albinni, M. Marx, J. Wojta, H. Goessinger, T. Deneke, O. Balta, M. Paesler, K. Buenz, H. Anders, M. Horlitz, A. Muegge, D.- I. Shin, K. Natsuyama, K. M. Yamaguchi, Y. N. Nishida, J. Kosiuk, K. Bode, A. Arya, C. Piorkowski, T. Gaspar, P. Sommer, A. Bollmann, D. Wichterle, P. Peichl, J. Simek, S. Havranek, V. Bulkova, R. Cihak, A. Jurado Roman, R. Salguero Bodes, M. Lopez Gil, A. Fontenla Cerezuela, M. De Riva Silva, F. Arribas Ynsaurriaga, A. I. Fernandez Herranz, S. De Dios Perez, A. S. Revishvili, M. Dishekov, Z. Tembotova, S. Barsamyan, D. Vaccari, C. Alvarenga, I. Jesus, J. Layher, A. Takahashi, N. Singh, P. Siot, J. P. Elkaim, I. Savelieva, L. Mcclelland, A. Lovegrove, S. Jones, J. Camm, A. F. Folino, R. Breda, P. Calzavara, J. Comisso, F. Borghetti, S. Iliceto, G. Buja, R. Mlynarski, A. Mlynarska, M. Sosnowski, J. Wilczek, P. Mabo, G. Carrault, P. Bordachar, A. Makdissi, L. Duchemin, C. Alonso, G. Neri, G. Masaro, S. Vittadello, A. Gardin, A. Barbetta, F. Di Gregorio, E. Sciaraffia, M. R. Ginks, J. S. Gustafsson, M. C. Hollmark, C. A. Rinaldi, C. Blomstrom Lundqvist, S. Brusich, D. Tomasic, B. Ferek-Petric, Z. Mavric, A. Kutarski, B. Malecka, A. Kolodzinska, M. Grabowski, E. V. Dovellini, L. Giurlani, G. Cerisano, N. Carrabba, R. Valenti, D. Antoniucci, G. Opolski, G. Tomassoni, J. Baker, R. Corbisiero, D. Martin, I. Niazi, R. Sheppard, J. Sperzel, K. Gutleben, J. Petru, L. Sediva, J. Skoda, P. Mazzone, G. Ciconte, P. Vergara, A. Marzi, G. Paglino, N. Sora, S. Gulletta, P. Della Bella, R. Pietura, M. Czajkowski, N. Cabanelas, V. P. Martins, M. Alves, F. X. Valente, L. Marta, A. Francisco, R. Silva, G. Ferreira Da Silva, Y. Huo, F. Holmqvist, J. Carlson, U. Wetzel, P. Platonov, E. Nof, R. Abu Shama, R. Kuperstein, M. S. Feinberg, M. Eldar, M. Glikson, D. Luria, P. Kubus, O. Materna, R. A. Gebauer, T. Matejka, R. Gebauer, T. Tlaskal, J. Janousek, A. Muessigbrodt, S. Richter, M. Stockburger, S. Boveda, P. Defaye, P. Stancak Branislav, G. Kaliska, M. Rolando, J. Moreno, M.- A. G. Ohlow, B. Lauer, B. Buchter, M. Schreiber, J. C. Geller, J. E. Val-Mejias, S. Ouali, S. Azzez, S. Kacem, H. Ben Salem, S. Hammas, E. Neffeti, F. Remedi, E. Boughzela, H. Miyazaki, S. Miyanaga, K. Shibayama, M. Tokuda, T. Kudo, B. Coppola, R. E. N. Shehada, P. Costandi, J. Healey, S. H. Hohnloser, M. R. Gold, A. Capucci, I. C. Van Gelder, M. Carlson, C. P. Lau, S. J. Connolly, M. D. Bogaard, G. E. Leenders, B. Maskara, A. E. Tuinenburg, P. Loh, R. N. Hauer, P. A. Doevendans, M. Meine, B. Thibault, M. Dubuc, E. Karst, K. Ryu, P. Paiement, T. Farazi, V. Puetz, C. Berndt, J. Buchholz, A. Dorszewski, C. Mornos, D. Cozma, A. Ionac, L. Petrescu, A. Mornos, S. Pescariu, M. Benser, G. Roscoe, S. De Jong, G. Roberts, P. Boileau, A. Rec, C. Folman, A. Morttada, M. Abd El Kader, R. Samir, R. Roushdy, S. Khaled, M. Abo El Maaty, B. Van Gelder, P. Houthuizen, F. A. Bracke, J. Osca Asensi, D. Tejada, J. M. Sanchez, B. Munoz, O. Cano, M. Rodriguez, M. J. Sancho-Tello, J. Olague, W. Hou, S. Rosenberg, S. Koh, J. Poore, J. Snell, M. Yang, D. Nirav, G. Bornzin, T. Deering, D. Dan, A. C. Wickliffe, S. Cazeau, K. Karimzadeh, S. Mukerji, C. Loghin, B. Kantharia, M. A. Jones, J. Lamba, C. S. Simpson, D. P. Redfearn, K. A. Michael, M. Fitzpatrick, A. Baranchuk, M. Heinke, B. Ismer, H. Kuehnert, R. Surber, A. M. Haltenberger, D. Prochnau, H. R. Figulla, N. Delarche, O. Bizeau, P. Couderc, A. Chapelet, W. Amara, A. Lazarus, S. Krupickova, C. J. M. Van Deursen, M. Strik, K. Vernooy, A. Van Hunnik, M. Kuiper, H. J. G. M. Crijns, F. W. Prinzen, N. Islam, D. Gras, W. Abraham, L. Calo, U. Birgersdotter-Green, C. Clyne, J. Herre, N. Klein, O. Kowalski, R. Lenarczyk, P. Pruszkowska, A. Sokal, T. Kukulski, T. Zielinska, S. Pluta, Z. Kalarus, J. O. Schwab, M. Gasparini, F. Anselme, J. Clementy, M. Santini, J. Martinez Ferrer, V. Burrone, E. Santi, R. Nevzorov, A. Porter, J. Kusniec, G. Golovchiner, T. Ben-Gal, B. Strasberg, M. Haim, R. Rordorf, S. Savastano, A. Sanzo, A. Vicentini, B. Petracci, M. De Amici, L. Striuli, M. Landolina, J. M. Tolosana, A. M. Martin, A. Hernandez-Madrid, A. Macias, I. Fernandez-Lozano, J. Osca, A. Quesada, Y. Noguchi, S. Shahrzad, N. Karim Soleiman, A. Tavoosi, S. Taban, Z. Emkanjoo, M. Fukunaga, M. Goya, K. Hiroshima, M. Ohe, K. Hayashi, M. Iwabuchi, H. Nosaka, M. Nobuyoshi, D. Doiny, A. Perez-Silva, S. Castrejon Castrejon, A. Estrada, M. Ortega, J. L. Lopez-Sendon, J. L. Merino, F. J. Garcia Fernandez, R. Gallardo, M. Pachon, J. Almendral, J. Martin, D. Yahya, B. Al-Mogheer, S. Gouda, E. Eweis, M. El Ramly, A. Abdelwahab, W. Kassenberg, F. H. M. Wittkampf, I. E. Hof, J. H. Heijden, K. G. E. J. Neven, R. N. W. Hauer, F. Baratto, E. Bignami, F. Pappalardo, G. Maccabelli, D. Nicolotti, A. Zangrillo, M. Nagashima, Y. An, A. Okreglicki, C. Russouw, R. Tilz, Y. Yoshiga, S. Mathew, A. Fuernkranz, A. Rillig, E. Wissner, F. Ouyang, A. De Sisti, J. Tonet, F. Gueffaf, F. Touil, P. Aouate, F. Hidden-Lucet, H. Makimoto, K. Satomi, Y. Yamada, H. Okamura, T. Noda, W. Shimizu, N. Aihara, S. Kamakura, A. Perez Silva, S. Castrejon, M. Gonzalez Vasserot, J. Senges, J. Brachmann, D. Andresen, E. Hoffmann, B. Schumacher, S. Willems, B. Springer, C. Kolb, F. Akca, T. Bauernfeind, N. M. S. De Groot, B. Schwagten, M. Witsenburg, L. Jordaens, T. Szili-Torok, Y. Hata, R. Nakagami, T. Watanabe, A. Sato, H. Watanabe, T. Kabutoya, T. Mituhashi, D. A. M. J. Theuns, T. Smith, S. S. Pedersen, L. Dabiri-Abkenari, M. W. Prull, S. Unverricht, A. Bittlinsky, H. Wirdemann, B. Sasko, S. Wirdeier, H. J. Trappe, E. Zorio Grima, J. Rueda, P. Medina, T. Jaijo, T. Sevilla, M. A. Arnau, A. Salvador, A. H. Starrenburg, K. Kraaier, M. F. Scholten, J. Van Der Palen, S. De Haan, J. Commandeur, K. De Boer, A. M. Beek, A. C. Van Rossum, C. P. Allaart, P. Berne, J. M. Porres, J. A. Arnaiz, R. Brugada, S. Man, A. C. Maan, J. Thijssen, E. E. Van Der Wall, M. J. Schalij, L. Burattini, R. Burattini, C. A. Swenne, A. Bonny, I. Ditah, F. Larrazet, R. Frank, G. Fontaine, P. H. Van Der Voort, M. Alings, A. Shimane, K. Okajima, G. Kanda, K. Yokoi, S. Yamada, Y. Taniguchi, T. Hayashi, T. Kajiya, M. C. Santos, J. Wright, J. Betts, R. Denman, L. Dominguez-Perez, M. A. Arias Palomares, J. Toquero, E. Diaz-Infante, L. Tercedor, I. Valverde, A. Napp, S. Joosten, D. Stunder, M. Zink, N. Marx, P. Schauerte, J. Silny, M. E. Trucco, M. Arce, J. Palazzolo, F. Femenia, J. M. Glad, S. J. Szymkiewicz, J. Fernandez-Armenta, O. Camara, L. L. Mont, E. Diaz, E. Silva, A. Frangi, B. Brembilla-Perrot, F. Laporte, J. Morinigo, C. Ledesma, C. Hadid, M. Ortiz, C. Wolpert, E. Cobo, X. Navarro, F. Arribas, Y. Miki, S. Naitoh, K. Kumagai, K. Goto, K. Kaseno, S. Oshima, K. Taniguchi, S. Rivera, G. Albina, A. Klein, R. Laino, V. Sammartino, A. Giniger, M. Muggenthaler, H. Raju, M. Papadakis, N. Chandra, R. Bastiaenen, E. R. Behr, S. Sharma, N. Samniah, Y. Radezishvsky, H. Omari, U. Rosenschein, A. R. Perez Riera, M. Ferreira, W. M. Hopman, W. F. Mcintyre, A. R. Baranchuk, W. Wongcharoen, K. Keanprasit, A. Phrommintikul, R. Chaiwarith, A. Yagishita, H. Hachiya, T. Nakamura, Y. Tanaka, K. Higuchi, M. Kawabata, K. Hirao, M. Isobe, V. Stoickov, S. Ilic, M. Deljanin Ilic, P. Aagaard, A. Sahlen, L. Bergfeldt, F. Braunschweig, A. Sousa, A. Lebreiro, C. Sousa, S. Oliveira, A. S. Correia, I. Rangel, J. Freitas, M. J. Maciel, E. Asensio Lafuente, A. A. C. Aguilera, M. A. C. C. Corral, K. L. M. C. Mendoza, P. E. N. D. Nava, A. L. R. C. Rendon, L. V. C. Villegas, L. C. M. Castillo, R. Schaerf, R. Develle, C. Oliver, P. Y. Zinzius, R. A. Providencia, A. Botelho, J. Trigo, J. Nascimento, N. Quintal, P. Mota, A. M. Leitao-Marques, J. Borbola, P. Abraham, C. S. Foldesi, A. Kardos, S. Almeida, M. B. Santos, R. Quaresma, F. B. Morgado, P. Adragao, M. Fatemi, R. Didier, G. Le Gal, Y. Etienne, Y. Jobic, M. Gilard, J. Boschat, J. Mansourati, M. Zubaid, W. Rashed, A. Alsheikh-Ali, W. Almahmeed, A. Shehab, K. Sulaiman, N. Asaad, H. Amin, L. V. A. Boersma, M. Swaans, M. Post, B. Rensing, K. Jarverud, M. Broome, K. Noren, T. Svensson, S. Hjelm, M. Hollmark, A. Bjorling, K. Maeda, M. Takagi, K. Suzuki, H. Tatsumi, M. Yoshiyama, E. Simeonidou, C. Michalakeas, S. Kastellanos, C. Varounis, A. Nikolopoulou, C. Koniari, M. Anastasiou-Nana, T. Furukawa, R. Maggi, C. Bertolone, D. Fontana, M. Brignole, A. Z. Pietrucha, M. Wnuk, I. Bzukala, D. Mroczek-Czernecka, E. Konduracka, O. Kruszelnicka, W. Piwowarska, J. Nessler, N. Edvardsson, G. Rieger, C. Garutti, N. Linker, C. Jorge, J. Silva Marques, A. Veiga, J. Cruz, M. J. Correia, J. Sousa, G. Miltenberger-Miltenyi, A. Nunes Diogo, D. Matic, I. Mrdovic, G. Stankovic, M. Asanin, N. Antonijevic, M. Matic, N. Kocev, Z. Vasiljevic, M. A. Ramirez-Marrero, B. Perez-Villardon, J. L. Delgado-Prieto, M. Jimenez-Navarro, E. De Teresa-Galvan, M. De Mora-Martin, K. Sztefko, A. Malek, N. De Groot, T. Shalganov, M. Schalij, N. Rivas, J. Casaldaliga, I. Roca, A. Pijuan, J. Perez-Rodon, L. Dos, D. Garcia-Dorado, A. Moya, A.- E. Baruteau, A. Behaghel, S. Chatel, J. J. Schott, J. C. Daubert, H. Le Marec, V. Probst, J. Navarro-Manchon, P. Molina, B. Igual, M. Bermejo, J. Giner, V. J. A. Bourgonje, M. A. Vos, S. Ozdemir, N. Doisne, M. A. G. Van Der Heyden, A. A. B. Van Veen, K. Sipido, G. Antoons, P. I. Altieri, N. Escobales, M. Crespo, H. L. Banchs, L. Sciarra, R. Bloise, G. Allocca, E. Marras, E. Lioy, P. Delise, S. Priori, and L. Calo'
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medicine.medical_specialty ,business.industry ,Physiology (medical) ,Internal medicine ,Diastole ,medicine ,Cardiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
spectively), (p
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- 2011
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23. Abstracts: Ablation therapy of supraventricular arrhythmias
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J. C. Lyne, Marija Polovina, Roman Gebauer, G. Spadacini, Anders Kirstein Pedersen, P. Moretti, L. Di Biase, Jan Janoušek, M.J. Schalij, Peter Geelen, S. Mrdja, P. Goethals, Nico A. Blom, J. Keegan, R. A. Kaba, J. P. Van Kuijk, Sabine Ernst, Philip J. Kilner, Michael A. Gatzoulis, B. Gal, Tatjana S. Potpara, Petr Kubuš, Etienne Delacrétaz, Peter S. Hansen, Massimo Tritto, M. Grujic, Sonya V. Babu-Narayan, Peter Lukac, Natasa Mujovic, Aleksandar Kocijancic, N. De Groot, Conor J McCann, Nebojsa Mujovic, and P. Peytchev
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medicine.medical_specialty ,Supraventricular arrhythmia ,business.industry ,Physiology (medical) ,Internal medicine ,medicine ,Cardiology ,Ablation Therapy ,Cardiology and Cardiovascular Medicine ,business - Published
- 2009
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24. AB26-4
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Francis Wellens, Andrea Sarkozy, Georgios Kourgiannides, Sergio Richter, Gian-Battista Chierchia, Peter Geelen, Pedro Brugada, P. Peytchev, and Tim Boussy
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medicine.medical_specialty ,Long term follow up ,business.industry ,Physiology (medical) ,Internal medicine ,medicine ,Cardiology ,Cardiology and Cardiovascular Medicine ,medicine.disease ,business ,Brugada syndrome - Published
- 2006
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25. P.3.6 Acute and chronic electrical characteristics of atrial leads: A data registry
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P. Peytchev, P. De Vusser, Eric Falkenberg, W. Van Mieghem, J. Vermeulen, and Yougandh Chitre
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medicine.medical_specialty ,Atrium (architecture) ,business.industry ,Physiology (medical) ,Internal medicine ,medicine ,Cardiology ,Cardiology and Cardiovascular Medicine ,business - Published
- 2003
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26. Following Up Nonrespondents to an Online Weight Management Intervention: Randomized Trial Comparing Mail versus Telephone.
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Couper, Mick P., Peytchev, Andy, Strecher, Victor J., Rothert, Kendra, and Anderson, Julia
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WEIGHT loss ,INTERNET in medicine ,RANDOMIZED controlled trials ,MAIL surveys ,TELEPHONE surveys ,LOGISTIC regression analysis - Abstract
Background: Attrition, or dropout, is a problem faced by many online health interventions, potentially threatening the inferential value of online randomized controlled trials. Objective: In the context of a randomized controlled trial of an online weight management intervention, where 85% of the baseline participants were lost to follow-up at the 12-month measurement, the objective was to examine the effect of nonresponse on key outcomes and explore ways to reduce attrition in follow-up surveys. Methods: A sample of 700 nonrespondents to the 12-month online follow-up survey was randomly assigned to a mail or telephone nonresponse follow-up survey. We examined response rates in the two groups, costs of follow-up, reasons for nonresponse, and mode effects. We ran several logistic regression models, predicting response or nonresponse to the 12-month online survey as well as predicting response or nonresponse to the follow-up survey. Results: We analyzed 210 follow-up respondents in the mail and 170 in the telephone group. Response rates of 59% and 55% were obtained for the telephone and mail nonresponse follow-up surveys, respectively. A total of 197 respondents (51.8%) gave reasons related to technical issues or email as a means of communication, with older people more likely to give technical reasons for noncompletion; 144 (37.9%) gave reasons related to the intervention or the survey itself. Mail follow-up was substantially cheaper: We estimate that the telephone survey cost about US $34 per sampled case, compared to US $15 for the mail survey. The telephone responses were subject to possible social desirability effects, with the telephone respondents reporting significantly greater weight loss than the mail respondents. The respondents to the nonresponse follow-up did not differ significantly from the 12-month online respondents on key outcome variables. Conclusions: Mail is an effective way to reduce attrition to online surveys, while telephone follow-up might lead to overestimating the weight loss for both the treatment and control groups. Nonresponse bias does not appear to be a significant factor in the conclusions drawn from the randomized controlled trial. [ABSTRACT FROM AUTHOR]
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- 2007
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27. The Effects of Differential Interviewer Incentives on a Field Data Collection Effort
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Rosen, Jeffrey, Murphy, Joe, Peytchev, Andy, Riley, Sarah, and Lindblad, Mark
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Surveys routinely offer incentives to motivate respondents and increase the likelihood of their participation, yet surprisingly little is known about the effectiveness of interviewer incentives. If interviewer incentives increase interviewers’ success in gaining cooperation, they could help address declining survey response rates. In this article, we present the results of an experiment testing the effectiveness of interviewer incentives in the form of cash bonuses for each successfully completed field interview. We did not find evidence that higher payments to interviewers for each completion led to increased effort on the part of interviewers nor did they lead to higher levels of success in securing respondent cooperation. These findings suggest that per complete interviewer incentives may not be cost effective in reducing survey nonresponse.
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- 2011
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28. Comparison of Cell Phone and Landline Surveys: A Design Perspective
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Carley-Baxter, Lisa, Peytchev, Andy, and Black, Michele
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Rapidly decreasing coverage of landline surveys is increasing the need to implement dual-frame surveys for inference to the adult U.S. population. Vast differences between the way cell phones and landlines are used, and the populations using them, require separate data collection designs. Yet research comparing cell phone surveys to landline telephone surveys is scarce with respect to operational outcomes. The authors test hypothesized differences between cell phone and landline interviewing through experiments on survey topic and length and find that these factors may not have the same impact in cell phone surveys. To help optimize calling cell phone numbers in future studies, the authors present self-reported cell phone use patterns and other factors affecting the probability of contact and sampling design.To inform the inclusion of adults with both a cell and landline phone, they compare cell phone use among cell phone only and cell with landline cases. The authors found notable differences between the cell only and cell with landline respondents in terms of cell phone use. Implications and directions for future work are discussed.
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- 2010
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29. Granular Analysis of Traffic Data for Turning Movements Estimation
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Bargiela, Andrzej, Kosonen, Iisakki, Pursula, Matti, and Peytchev, Evtim
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The paper discusses the principles and the algorithm of granular analysis of data in a specific context of urban traffic monitoring and control (EIS). The proposed granular information processing enables extraction of information on the pattern of journeys from the detailed traffic counts. This facilitates progression from the local optimisation of traffic on individual crossroads to the more holistic optimisation of traffic in a road network. The proposed EIS makes use of readily available stop-line queue data, which is used for adaptive tuning of traffic signals, and adds a data processing layer referred to as granular analysis. It is argued that granular analysis is preferred to statistical data processing since it does not require any assumptions about statistical characterisation of traffic. The granulation algorithm has two distinctive features: (1) the information granules are formed by means of hierarchical optimisation of information density, and (2) the granules are created as hyperboxes thus being readily interpretable in the pattern space. The granular estimates of turning movements are calibrated using an HUTSIM micro-simulator.
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- 2006
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30. AB26-4: Inappropriate shocks during long term follow-up of patients with Brugada syndrome and primary prophylactic defibrillator implantation.
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Sarkozy, Andrea, Boussy, Tim, Kourgiannides, Georgios, Richter, Sergio, Chierchia, Gian-Battista, Peytchev, Peter, Geelen, Peter, Wellens, Francis, and Brugada, Pedro
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- 2006
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31. Using Geocoded Census Data for Nonresponse Bias Correction: An Assessment
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Biemer, Paul and Peytchev, Andy
- Abstract
Response rates in household surveys have been declining, which increases the risks of bias in the survey results. Nonresponse weight adjustments can reduce these risks to some extent; however, for many studies—particularly in random digit dial (RDD) telephone surveys—data needed to perform the adjustments are scant. A source of data that is being used with increasing frequency by statisticians is census geocoded (CG) data where block group- or tract-level census data are appended to each sample case for use in the nonresponse adjustment process. Though this method may have some merit, its effectiveness for reducing bias remains unknown. This article reports results of an evaluation of its effectiveness for general household surveys and investigates the conditions that favor its use in the nonresponse adjustment process. Using a unique data set from a national household survey augmented by CG data, we empirically evaluate: (1) the effectiveness of CG data for removing bias in nonresponse adjustments, (2) the effect of using aggregate data and effect of using matching by telephone number on the ability to adjust for nonresponse bias, (3) any potentially adverse effects on the variances of survey estimates and trade-off with bias reduction, and (4) the conditions that enhance or limit its effectiveness. We conclude that aggregate census data have very limited utility in nonresponse adjustment unless (a) the census characteristics used in the adjustment are highly geographically clustered and (b) outcome variables exhibit good correlation with these census characteristics. We provide specific recommendations regarding (a) and (b).
- Published
- 2013
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32. High Dose Imatinib Induction Therapy (800 mg/day, 6 Months) In Pre-Treated Chronic Phase CML Patients Improves Cytogenetic and Molecular Responses but Does Not Improve Overall and Progression Free Survival – Final Results of the CELSG Phase III CML11 “ISTAHIT” Trial
- Author
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Petzer, Andreas L, Fong, Dominic, Lion, Thomas, Dyagil, Irina, Masliak, Zvenyslava, Bogdanovic, Andrija, Griskevicius, Laimonas, Lejniece, Sandra, Goranov, Stefan, Gercheva, Liana, Stojanovic, Aleksandar, Peytchev, Dontcho, Tzetkov, Nikolay, Griniute, Rasa, Oucheva, Radka, Grubinger, Thomas, Kwakkelstein, Marthin, Rancati, Francesca, Gastl, Günther A, and Wolf, Dominik
- Abstract
Imatinib 400 mg/day represents the current standard treatment for de novo as well as pre-treated CML patients in chronic phase (CP). Recent randomized phase III trials revealed conflicting results concerning the potential higher efficacy of dose-increased imatinib in de novo treated CP-CML.We here present the final analyses including response data, OS, EFS and PFS of the multicenter, randomised, 2-arm phase III CELSG “ISTAHIT” trial evaluating imatinib high dose (HD) induction (800 mg/day, 6 months) followed by 400 mg/day as maintenance (experimental arm B) compared to continuous imatinib standard dose (400mg/day; arm A) in pre-treated CP CML patients. ClinicalTrials.gov Identifier: NCT0032726.From a total of 243 patients screened for inclusion, 16 patients were not eligible (mainly due to non sufficient numbers of metaphases obtainable from the bone marrow before the start of the study). Of the remaining 227 patients, 113 patients were randomized into arm A and 114 patients into the experimental arm B. Subsequent data are presented as per protocol. No significant differences between treatment groups were observed regarding sex (55.5% female, 44.5% male), age (median: 46.3 years, range 18 –76), Sokal scores at diagnosis (30% low, 41% intermediate, 16% Sokal high risk, 13% unknown) and different pre-treatments, which included hydroxyurea (96%), interferon (72%), busulfan (17%) and “others” (26%; mainly Ara-C). The median observation time was 673 days. Cytogenetic responses were generally higher in the experimental arm B and revealed statistically significant differences in major cytogenetic responses (MCyR) at 3 and 6 months (month 3: 25.8% arm A, 48.3% arm B, p=0.002; month 6: 41.9% arm A, 58.8% arm B, p=0.029) as well as in complete cytogenetic responses (CCyR) not only during imatinib HD therapy (month 3: 7.5% arm A, 29.9% arm B, p<0.001; month 6: 20.4% arm A, 47.4% arm B, p<0.001) but also thereafter (month 12: 31.8% arm A, 52.9% arm B, p=0.006). The primary endpoint of the study, the achievement of an improved MCyR at 12 month was, however, not significantly different (56.8% arm A, 64.4% arm B). In line with improved cytogenetic responses, major molecular response (MMRIS) rates were also significantly better at 3, 6 and even at 24 months in the HD arm B (month 3: 3.7% arm A, 15.9% arm B, p=0.003; month 6: 9.4% arm A, 34.6% arm B, p<0.001; month 24: 26.5% arm A, 42.5% arm B, p=0.034). Surprisingly, however, this impressing improvement in cytogenetic and molecular remissions in patients achieving high dose imatinib as induction therapy did not translate into a better OS and PFS, both of which were comparable in the two treatment arms (OS: p=0.25; EFS: p=0.37). Moreover, the EFS was even significantly worsened in the experimental arm B (p=0.014). Grade 3/4 non-haematological toxicities during the first 6 months of therapy were comparable, whereas grade 3/4 haematological toxicities were significantly more common in the imatinib HD arm B.Although high dose imatinib induction induces more rapid and higher cytogenetic and molecular remission rates in pre-treated CP CML patients, OS as well as PFS were not improved and EFS was even worsened in the high dose induction arm B. Therefore we conclude that imatinib 400mg/day remains the standard of care for pre-treated CP-CML patients.Petzer: Novartis: Honoraria, Membership on an entity's Board of Directors or advisory committees, Research Funding. Off Label Use: Imatinib 800mg is not licensed as the initial therapy of chronic phase CML. Lion: Novartis: Honoraria, Research Funding. Bogdanovic: Novartis: Consultancy, Honoraria, Membership on an entity's Board of Directors or advisory committees. Griskevicius: Novartis: Research Funding. Kwakkelstein: Celgene: Employment. Rancati: Novartis: Consultancy, Employment, Equity Ownership, Honoraria, Membership on an entity's Board of Directors or advisory committees, Research Funding, Speakers Bureau. Gastl: Novartis: Honoraria, Membership on an entity's Board of Directors or advisory committees, Research Funding. Wolf: Novartis: Honoraria, Membership on an entity's Board of Directors or advisory committees.
- Published
- 2010
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33. High Dose Imatinib Induction Therapy (800 mg/day, 6 Months) In Pre-TreatedChronic Phase CML Patients Improves Cytogenetic and Molecular Responses but Does Not Improve Overall and Progression Free Survival – Final Results of the CELSG Phase III CML11 “ISTAHIT” Trial
- Author
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Petzer, Andreas L, Fong, Dominic, Lion, Thomas, Dyagil, Irina, Masliak, Zvenyslava, Bogdanovic, Andrija, Griskevicius, Laimonas, Lejniece, Sandra, Goranov, Stefan, Gercheva, Liana, Stojanovic, Aleksandar, Peytchev, Dontcho, Tzetkov, Nikolay, Griniute, Rasa, Oucheva, Radka, Grubinger, Thomas, Kwakkelstein, Marthin, Rancati, Francesca, Gastl, Günther A, and Wolf, Dominik
- Abstract
Abstract 2271
- Published
- 2010
- Full Text
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34. CELSG CML 11 “ISTAHIT” Phase III Study – Planned Interim Analysis: High Doses of Imatinib Mesylate (800mg/day) Significantly Improve Rates of Major and Complete Cytogenetic Remissions (MCR, CCR) in Pretreated Ph+/BCR-ABL+ CML Patients in Chronic Phase.
- Author
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Petzer, Andreas L., Wolf, Dominik, Fong, Dominic, Lion, Thomas, Dyagil, Irina, Masliak, Zvenyslava, Boskovic, Darinka, Griskevicius, Laimonas, Lejniece, Sandra, Goranov, Stefan, Gercheva, Liana, Stojanovic, Aleksandar, Peytchev, Dontcho, Tzvetkov, Nikolay, Griniute, Rasa, Oucheva, Radka, Ulmer, Hanno, Kwakkelstein, Marthin, Fincato, Gianluca, and Gastl, Guenther
- Abstract
We have recently reported results from the first planned interim analysis of a multicenter, randomised, 2-arm - phase III study comparing imatinib standard dose (400 mg/day; arm A) with imatinib high dose (HD) induction (800 mg/day; HD arm B) followed by imatinib standard dose maintenance (400 mg/day) in pretreated Ph+/BCRABL+ CML patients in chronic phase (CP; Blood,110,1048a). The first planned interim analysis was performed after 50% of the patients had been treated for 12 months (mo) since randomisation. A total of 227 patients were randomized. Pretreatments included hydroxyurea (96%), interferon (72%), busulfan (17%) and “others” (26%; mainly AraC +/− combinations). Although rates of complete haematological responses did not differ significantly between the 2 arms at 3, 6 and 12 mo, significantly more patients achieved a major (MCR) and a complete cytogenetic response (CCR) at 3 mo (MCR: 21% arm A, 37% arm B, p=0.01; CCR: 6% arm A, 25% arm B, p<0.001) and 6 mo (MCR: 34% arm A, 54% arm B, p=0.009; CCR: 20% arm A, 44% arm B, p<0.001). At 12 mo, following dose reduction of imatinib to 400 mg/d for “maintenance” at mo 6 in the HD arm B, the rates of MCR (the primary endpoint of the study) were comparabel (59% arm A, 57% arm B). Nevertheless, there was still a clear trend to higher rates of CCR (37% arm A, 48% arm B) in the HD arm B, but at the time of the interim analysis these values did not reach statistical significance. In contrast to non-hematological toxicities, grade 3/4 hematological toxicities were significantly more common in the HD arm B (anemia: 2% arm A, 14% arm B; leukopenia: 24% arm A, 46% arm B; thrombocytopenia: 15% arm A, 39% arm B; p≤0.02). Updated results reveal, that the cumulative median doses of imatinib were 400 mg (arm A) and 767 mg (arm B), respectively. The median days of dose interruptions during the first 6 mo were not significantly different (12.5 days arm A, 13 days arm B; p=0.78). Nevertheless, significantly more patients (65.1%) remained on the initial 400mg dose of imatinib in arm A as compared to the initial 800mg dose in the HD arm B (45.6%; p=0.009). 35% of the patients that had to be dose reduced in arm B were reduced to 600mg/day, 63% to 400mg and 2% to 300mg. The cumulative rates of MCR in patients with no dose reduction/interruption were higher in the HD arm B (71%) compared to arm A (59%, p=0.232). Moreover, the cumulative rates of CCR were significantly better for patients with no dose reduction/interruption in the HD arm B (61%) compared to the patients with no dose reduction/interruption in arm A (36%, p=0.014). In addition, in the HD arm B the cumulative rates of CCR were significantly better for patients with no dose reduction/interruption (61%) compared to patients in the HD arm B with an interruption and/or dose reduction (34.9%; p=0.017). Conclusions: These updated phase III data not only support the concept of more rapid and higher rates of cytogenetic remissions (MCR, CCR) when higher doses of imatinib are applied, they also suggested that patients that are capable to tolerate continous high dose imatinib may have a better outcome.
- Published
- 2008
- Full Text
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35. CELSG CML 11 “ISTAHIT” Phase III Study – Planned Interim Analysis: High Doses of Imatinib Mesylate (800mg/day) Significantly Improve Rates of Major and Complete Cytogenetic Remissions (MCR, CCR) in PretreatedPh+/BCR-ABL+CML Patients in Chronic Phase.
- Author
-
Petzer, Andreas L., Wolf, Dominik, Fong, Dominic, Lion, Thomas, Dyagil, Irina, Masliak, Zvenyslava, Boskovic, Darinka, Griskevicius, Laimonas, Lejniece, Sandra, Goranov, Stefan, Gercheva, Liana, Stojanovic, Aleksandar, Peytchev, Dontcho, Tzvetkov, Nikolay, Griniute, Rasa, Oucheva, Radka, Ulmer, Hanno, Kwakkelstein, Marthin, Fincato, Gianluca, and Gastl, Guenther
- Abstract
We have recently reported results from the first planned interim analysis of a multicenter, randomised, 2-arm - phase III study comparing imatinib standard dose (400 mg/day; arm A) with imatinib high dose (HD) induction (800 mg/day; HD arm B) followed by imatinib standard dose maintenance (400 mg/day) in pretreatedPh+/BCRABL+CML patients in chronic phase (CP; Blood,110,1048a). The first planned interim analysis was performed after 50% of the patients had been treated for 12 months (mo) since randomisation. A total of 227 patients were randomized. Pretreatments included hydroxyurea (96%), interferon (72%), busulfan (17%) and “others” (26%; mainly AraC +/− combinations). Although rates of complete haematological responses did not differ significantly between the 2 arms at 3, 6 and 12 mo, significantly more patients achieved a major (MCR) and a complete cytogenetic response (CCR) at 3 mo (MCR: 21% arm A, 37% arm B, p=0.01; CCR: 6% arm A, 25% arm B, p<0.001) and 6 mo (MCR: 34% arm A, 54% arm B, p=0.009; CCR: 20% arm A, 44% arm B, p<0.001). At 12 mo, following dose reduction of imatinib to 400 mg/d for “maintenance” at mo 6 in the HD arm B, the rates of MCR (the primary endpoint of the study) were comparabel (59% arm A, 57% arm B). Nevertheless, there was still a clear trend to higher rates of CCR (37% arm A, 48% arm B) in the HD arm B, but at the time of the interim analysis these values did not reach statistical significance. In contrast to non-hematological toxicities, grade 3/4 hematological toxicities were significantly more common in the HD arm B (anemia: 2% arm A, 14% arm B; leukopenia: 24% arm A, 46% arm B; thrombocytopenia: 15% arm A, 39% arm B; p≤0.02). Updated results reveal, that the cumulative median doses of imatinib were 400 mg (arm A) and 767 mg (arm B), respectively. The median days of dose interruptions during the first 6 mo were not significantly different (12.5 days arm A, 13 days arm B; p=0.78). Nevertheless, significantly more patients (65.1%) remained on the initial 400mg dose of imatinib in arm A as compared to the initial 800mg dose in the HD arm B (45.6%; p=0.009). 35% of the patients that had to be dose reduced in arm B were reduced to 600mg/day, 63% to 400mg and 2% to 300mg. The cumulative rates of MCR in patients with no dose reduction/interruption were higher in the HD arm B (71%) compared to arm A (59%, p=0.232). Moreover, the cumulative rates of CCR were significantly better for patients with no dose reduction/interruption in the HD arm B (61%) compared to the patients with no dose reduction/interruption in arm A (36%, p=0.014). In addition, in the HD arm B the cumulative rates of CCR were significantly better for patients with no dose reduction/interruption (61%) compared to patients in the HD arm B with an interruption and/or dose reduction (34.9%; p=0.017).
- Published
- 2008
- Full Text
- View/download PDF
36. Multicenter, Randomized, Phase III Study Comparing Imatinib (Glivec) Standard Dose (400 mg/d) with Imatinib High Dose Induction (800 mg/d) Followed by Imatinib Maintenance (400 mg/d) in Patients with Pretreated Ph+/BCR-ABL+ CML in Chronic Phase - Results from the First Planned Interim Analysis (CELSG-CML 11 ISTAHIT Study).
- Author
-
Petzer, Andreas L., Wolf, Dominik, Fong, Dominik, Lion, Thomas, Dyagil, Irina, Masliak, Zvenyslava, Boskovic, Darinka, Griskevicius, Laimonas, Lejniece, Sandra, Spasov, Emil, Gercheva, Liana, Stojanovic, Aleksandar, Peytchev, Dontcho, Tzvetkov, Nikolay, Griniute, Rasa, Stanchev, Atanas, Kwakkelstein, Martin, Ulmer, Hanno, and Gastl, Guenther A.
- Abstract
227 patients with pretreated Ph+/BCR-ABL+ CML were randomized into this 2-arm phase III trial comparing standard dose Imatinib (400 mg/d; arm A) with high dose (HD) Imatinib (800 mg/d for 6 months) for induction followed by Imatinib 400 mg/d for maintenance (400 mg/d; arm B). The interim analysis presented here was performed on all patients after 50% of the patients had been treated for 12 months since randomisation. There were no significant differences between treatment arms regarding sex, age and different pretreatments. Rates of complete hematological responses did not differ significantly between both groups at 3, 6 and 12 months (82% arm A, 90% arm B). However, significantly* more patients achieved a major (MCR) and a complete cytogenetic response (CCR) at 3 months (MCR: 21% arm A, 37% arm B; CCR: 6% arm A, 25% arm B) and 6 months (MCR: 34% arm A, 54% arm B; CCR: 20% arm A, 44% arm B). Moreover, significantly* more patients achieved a major molecular response (MMR) at 6 months in the Imatinib HD arm B compared to arm A (20% vs 7%). At 12 months, following dose reduction of Imatinib to 400 mg/d for maintenance at month 6 in the HD arm B, the rates of MCR (the primary endpoint of the study) were comparable (57% arm A, 59% arm B). Nevertheless, there was still a clear trend to higher rates of CCR (37% arm A, 48% arm B) and MMR (16% arm A, 21% arm B) in the HD arm, but at the time of the interim analysis these values did not reach statistical significance. In contrast to non-hematological toxicities, grade 3/4 hematological toxicities were significantly* more common in the HD arm B [anemia: 2% (A), 12% (B); leukopenia: 23% (A), 41% (B), thrombopenia: 14% (A), 34% (B)]. In conclusion, this is the first randomized phase III trial demonstrating significantly* higher rates of MCR, CCR and MMR in chronic phase CML during therapy with HD Imatinib. *p<0.05
- Published
- 2007
- Full Text
- View/download PDF
37. Multicenter, Randomized, Phase III Study Comparing Imatinib (Glivec) Standard Dose (400 mg/d) with Imatinib High Dose Induction (800 mg/d) Followed by Imatinib Maintenance (400 mg/d) in Patients with Pretreated Ph+/BCR-ABL+CML in Chronic Phase - Results from the First Planned Interim Analysis (CELSG-CML 11 ISTAHIT Study).
- Author
-
Petzer, Andreas L., Wolf, Dominik, Fong, Dominik, Lion, Thomas, Dyagil, Irina, Masliak, Zvenyslava, Boskovic, Darinka, Griskevicius, Laimonas, Lejniece, Sandra, Spasov, Emil, Gercheva, Liana, Stojanovic, Aleksandar, Peytchev, Dontcho, Tzvetkov, Nikolay, Griniute, Rasa, Stanchev, Atanas, Kwakkelstein, Martin, Ulmer, Hanno, and Gastl, Guenther A.
- Abstract
227 patients with pretreated Ph+/BCR-ABL+CML were randomized into this 2-arm phase III trial comparing standard dose Imatinib (400 mg/d; arm A) with high dose (HD) Imatinib (800 mg/d for 6 months) for induction followed by Imatinib 400 mg/d for maintenance (400 mg/d; arm B). The interim analysis presented here was performed on all patients after 50% of the patients had been treated for 12 months since randomisation. There were no significant differences between treatment arms regarding sex, age and different pretreatments. Rates of complete hematological responses did not differ significantly between both groups at 3, 6 and 12 months (82% arm A, 90% arm B). However, significantly* more patients achieved a major (MCR) and a complete cytogenetic response (CCR) at 3 months (MCR: 21% arm A, 37% arm B; CCR: 6% arm A, 25% arm B) and 6 months (MCR: 34% arm A, 54% arm B; CCR: 20% arm A, 44% arm B). Moreover, significantly* more patients achieved a major molecular response (MMR) at 6 months in the Imatinib HD arm B compared to arm A (20% vs 7%). At 12 months, following dose reduction of Imatinib to 400 mg/d for maintenance at month 6 in the HD arm B, the rates of MCR (the primary endpoint of the study) were comparable (57% arm A, 59% arm B). Nevertheless, there was still a clear trend to higher rates of CCR (37% arm A, 48% arm B) and MMR (16% arm A, 21% arm B) in the HD arm, but at the time of the interim analysis these values did not reach statistical significance. In contrast to non-hematological toxicities, grade 3/4 hematological toxicities were significantly* more common in the HD arm B [anemia: 2% (A), 12% (B); leukopenia: 23% (A), 41% (B), thrombopenia: 14% (A), 34% (B)]. In conclusion, this is the first randomized phase III trial demonstrating significantly* higher rates of MCR, CCR and MMR in chronic phase CML during therapy with HD Imatinib. *p<0.05
- Published
- 2007
- Full Text
- View/download PDF
38. COMPARATIVE DRUG MONITORING OF CARBAMAZEPIN SUSPENSION (TROYAPHARM) AND TEGRETOL SYRUP (CIBA GEIGY) IN EPILEPTIC CHILDREN
- Author
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Tarulov, Z., Peytchev, L., Chakova, L., and Valtchev, P.
- Published
- 1999
39. Neuromediator changes in rats' brain during the anticonvulsant withdrawal
- Author
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Peytchev, L.
- Published
- 1995
- Full Text
- View/download PDF
40. Initial experience of left bundle branch area pacing using stylet-driven pacing leads: A multicenter study.
- Author
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De Pooter J, Ozpak E, Calle S, Peytchev P, Heggermont W, Marchandise S, Provenier F, Francois B, Anné W, Pollet P, Barbraud C, Gillis K, Timmermans F, Van Heuverswyn F, Tung R, Wauters A, and le Polain de Waroux JB
- Subjects
- Adult, Aged, Aged, 80 and over, Bundle of His, Cardiac Pacing, Artificial adverse effects, Electrocardiography, Female, Humans, Male, Middle Aged, Treatment Outcome, Pacemaker, Artificial, Ventricular Septum
- Abstract
Background: Left bundle branch area pacing (LBBAP) has been performed exclusively using lumen-less pacing leads (LLL) with fixed helix design. This registry study explores the safety and feasibility of LBBAP using stylet-driven leads (SDL) with extendable helix design in a multicenter patient population., Methods: This study prospectively enrolled consecutive patients who underwent LBBAP for bradycardia pacing or heart failure indications at eight Belgian hospitals. LBBAP was attempted using SDL (Solia S60; Biotronik) delivered through dedicated delivery sheath (Selectra3D). Implant success, complications, procedural, and pacing characteristics were recorded at implant and follow-up., Results: The study enrolled 353 patients (mean age 76 ± 39 years, 43% female). The mean number of implants per center was 25 (range: 5-162). Overall, LBBAP with SDL was successful in 334/353 (94%), varying from 93% to 100% among centers. Pacing response was labeled as left bundle branch pacing in 73%, whereas 27% were labeled as myocardial capture. Mean paced QRS duration and stimulus to left ventricular activation time measured 126 ± 21 ms and 74 ± 17. SDL-LBBAP resulted in low pacing thresholds (0.6 ± 0.4 V at 0.4 ms), which remained stable at 12 months follow-up (0.7 ± 0.3, p = .291). Lead revisions for SDL-LBBAP occurred in 5 (1.4%) patients occurred during a mean follow up of 9 ± 5 months. Five (1.4%) septal coronary artery fistulas and 8 (2%) septal perforations occurred, none of them causing persistent ventricular septal defects., Conclusion: The use of SDL to achieve LBBAP is safe and feasible, characterized by high implant success in low and high volume centers, low complication rates, and stable low pacing thresholds., (© 2022 Wiley Periodicals LLC.)
- Published
- 2022
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41. ICD migration as cause of constipation.
- Author
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Chierchia GB, Wellens F, Sarkozy A, Kourgiannides G, Peytchev P, Geelen P, and Brugada P
- Subjects
- Humans, Male, Middle Aged, Pelvic Floor, Constipation etiology, Defibrillators, Implantable adverse effects, Foreign-Body Migration
- Published
- 2006
- Full Text
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42. Cibenzoline induced Brugada ECG pattern.
- Author
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Sarkozy A, Caenepeel A, Geelen P, Peytchev P, de Zutter M, and Brugada P
- Subjects
- Anti-Arrhythmia Agents therapeutic use, Bundle-Branch Block chemically induced, Electrocardiography, Female, Humans, Imidazoles therapeutic use, Middle Aged, Sodium Channel Blockers therapeutic use, Anti-Arrhythmia Agents adverse effects, Bundle-Branch Block diagnosis, Imidazoles adverse effects, Sodium Channel Blockers adverse effects
- Abstract
We report a case of a 61-year-old female patient who presented with palpitations. The baseline electrocardiogram showed incomplete right bundle branch block with saddle back pattern of the ST segment in one precordial lead, but without any significant ST elevation. She was treated with oral cibenzoline. The subsequent ECG showed a coved Brugada ECG (type I) pattern, which resolved following the discontinuation of cibenzoline. An ajmaline test reproduced the coved type Brugada ECG pattern. Our case is the first report of oral cibenzoline therapy unmasking the diagnostic coved Brugada ECG pattern in a patient with a baseline normal ECG. Cibenzoline, a class I sodium channel blocker antiarrhythmic drug, should probably be avoided in the treatment of patients with Brugada syndrome.
- Published
- 2005
- Full Text
- View/download PDF
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