Alexander Steger
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View article: Addressing Complications in Cardiac Implantable Electronic Devices: A Guideline to Prevention of CIED Infection
Addressing Complications in Cardiac Implantable Electronic Devices: A Guideline to Prevention of CIED Infection Open
Background: Cardiac implantable electronic devices (CIEDs) are vital for managing arrhythmias but carry a notable risk of infection, which increases patient morbidity, mortality, and healthcare burden. This review examines current evidence…
View article: Clearing the way through telemedicine: visualizing and analyzing patient flow and challenges in heart failure telemonitoring
Clearing the way through telemedicine: visualizing and analyzing patient flow and challenges in heart failure telemonitoring Open
Aim This study aims to explore the implementation steps, challenges, and optimization strategies for telemonitoring in the management of patients with heart failure, a method that holds promise for improving clinical outcomes and reducing …
View article: Respiratory rate and its associations with disease and lifestyle factors in the general population – results from the KORA-FF4 study
Respiratory rate and its associations with disease and lifestyle factors in the general population – results from the KORA-FF4 study Open
Objective The aim of the study was to derive median age- and sex-specific respiratory rates in a population-based sample of adults and to identify disease and lifestyle factors associated with elevated respiratory rates. Methods In the pop…
View article: Expiration-Triggered Sinus Arrhythmia Predicts Mortality Risk in the General Elderly Population
Expiration-Triggered Sinus Arrhythmia Predicts Mortality Risk in the General Elderly Population Open
Reduced respiratory sinus arrhythmia, quantified as expiration-triggered sinus arrhythmia (ETA) from simultaneous electrocardiogram and respiration recordings, is a strong long-term mortality predictor in myocardial infarction survivors. H…
View article: Post-extrasystolic variation of ST segment and T wave as a mortality risk predictor after myocardial infarction
Post-extrasystolic variation of ST segment and T wave as a mortality risk predictor after myocardial infarction Open
Aims Efficient use of preventive cardiac therapies is often limited by inefficient risk prediction, calling for new prediction tools. Ventricular premature complexes (VPCs) elicit electrocardiographic changes in the repolarization of the f…
View article: Deceleration capacity derived from a five-minute electrocardiogram predicts mortality in the general population
Deceleration capacity derived from a five-minute electrocardiogram predicts mortality in the general population Open
View article: Out-of-Hospital Cardiac Arrest 30-Day-Outcomes: The Importance of the First Electrocardiogram After Successful Resuscitation
Out-of-Hospital Cardiac Arrest 30-Day-Outcomes: The Importance of the First Electrocardiogram After Successful Resuscitation Open
Several different electrocardiographic findings are associated with increased mortality in patients with OHCA due to MI.
View article: Efficacy and safety of pulsed field ablation compared to cryoballoon ablation in the treatment of atrial fibrillation: a meta-analysis
Efficacy and safety of pulsed field ablation compared to cryoballoon ablation in the treatment of atrial fibrillation: a meta-analysis Open
Aims Pulmonary vein isolation (PVI) represents the gold standard in the treatment of atrial fibrillation (AF) and the use of single-shot techniques, such as cryoballoon ablation (CBA) and pulsed field ablation (PFA) using a pentaspline cat…
View article: Be prepared for the unexpected: Mind‐stretching in ST‐elevation myocardial infarction with situs inversus totalis
Be prepared for the unexpected: Mind‐stretching in ST‐elevation myocardial infarction with situs inversus totalis Open
Key Clinical Message Situs inversus totalis is a rare diagnosis, but the likelihood of experiencing myocardial infarction is presumed to be comparable to the general population average. In individuals exhibiting situs inversus with suspect…
View article: Smart hospital: achieving interoperability and raw data collection from medical devices in clinical routine
Smart hospital: achieving interoperability and raw data collection from medical devices in clinical routine Open
Introduction Today, modern technology is used to diagnose and treat cardiovascular disease. These medical devices provide exact measures and raw data such as imaging data or biosignals. So far, the Broad Integration of These Health Data in…
View article: QRS fragmentation does not predict mortality in survivors of acute myocardial infarction
QRS fragmentation does not predict mortality in survivors of acute myocardial infarction Open
Background Despite advances in coronary revascularization and in heart failure management, myocardial infarction survivors remain at substantially increased mortality risk. Precise risk assessment and risk‐adapted follow‐up care are crucia…
View article: Telemedical monitoring in patients with inborn cardiac disease – experience of a tertiary care centre
Telemedical monitoring in patients with inborn cardiac disease – experience of a tertiary care centre Open
View article: Prostaglandin E2 receptor EP1 expression in vulvar cancer
Prostaglandin E2 receptor EP1 expression in vulvar cancer Open
Purpose In recent years, incidence of vulvar cancer has been on the rise, whereas therapeutic options are still restricted. Therefore, new prognosticators and therapeutic targets are essential. Chronic inflammation plays an important role …
View article: Prostaglandin E2 receptor EP1 expression in vulvar cancer
Prostaglandin E2 receptor EP1 expression in vulvar cancer Open
Purpose In recent years incidence of vulvar cancer has been on the rise, whereas therapeutic options are still restricted. Therefor new prognosticators and therapeutic targets are essential. Chronic inflammation plays an important role in …
View article: The Polyscore of autonomic parameters predicts mortality and identifies low-risk individuals among diabetic survivors of acute myocardial infarction
The Polyscore of autonomic parameters predicts mortality and identifies low-risk individuals among diabetic survivors of acute myocardial infarction Open
Survivors of an acute myocardial infarction with diabetes mellitus retain an increased mortality risk. Reliable assessment of individual risk is required for effective and cost-efficient medical care in these patients. The Polyscore is a p…
View article: Telemedical cardiac risk assessment by implantable cardiac monitors in patients after myocardial infarction with autonomic dysfunction (SMART-MI-DZHK9): a prospective investigator-initiated, randomised, multicentre, open-label, diagnostic trial
Telemedical cardiac risk assessment by implantable cardiac monitors in patients after myocardial infarction with autonomic dysfunction (SMART-MI-DZHK9): a prospective investigator-initiated, randomised, multicentre, open-label, diagnostic trial Open
German Centre for Cardiovascular Research (DZHK) and Medtronic Bakken Research Center.
View article: D-CNNTRN: Discrete Wavelet Transform Based ECG Classification Using a Convolutional Transformer
D-CNNTRN: Discrete Wavelet Transform Based ECG Classification Using a Convolutional Transformer Open
View article: Heartbeat Classification by Random Forest With a Novel Context Feature: A Segment Label
Heartbeat Classification by Random Forest With a Novel Context Feature: A Segment Label Open
This study demonstrates that the segment label can contribute to precisely classifying heartbeats, especially those that require rhythm information as context information (e.g. SVEB). Clinical impact: Using a medical devices embeddi…
View article: Remote monitoring of COVID-19 positive high-risk patients in domestic isolation: A feasibility study
Remote monitoring of COVID-19 positive high-risk patients in domestic isolation: A feasibility study Open
Background If a COVID-19 patient develops a so-called severe course, he or she must be taken to hospital as soon as possible. This proves difficult in domestic isolation, as patients are not continuously monitored. The aim of our study was…
View article: Early Bronchoscopy Improves Extubation Rates after Out-of-Hospital Cardiac Arrest: A Retrospective Cohort Analysis
Early Bronchoscopy Improves Extubation Rates after Out-of-Hospital Cardiac Arrest: A Retrospective Cohort Analysis Open
Background: Patients suffering from out-of-hospital cardiac arrest (OHCA) frequently receive a bronchoscopy after being admitted to the ICU. We investigated the optimal timing and the outcome in these patients. Methods: All patients who su…
View article: Immunogenomic Identification for Predicting the Prognosis of Cervical Cancer Patients
Immunogenomic Identification for Predicting the Prognosis of Cervical Cancer Patients Open
Cervical cancer is primarily caused by the infection of high-risk human papillomavirus (hrHPV). Moreover, tumor immune microenvironment plays a significant role in the tumorigenesis of cervical cancer. Therefore, it is necessary to compreh…
View article: The Telecovid Study: Remote Monitoring of COVID-19 Positive High-Risk Patients in Domestic Isolation
The Telecovid Study: Remote Monitoring of COVID-19 Positive High-Risk Patients in Domestic Isolation Open
View article: Nocturnal respiratory rate predicts ICD benefit: A prospective, controlled, multicentre cohort study
Nocturnal respiratory rate predicts ICD benefit: A prospective, controlled, multicentre cohort study Open
View article: Augmented Oscillations in QT Interval Duration Predict Mortality Post Myocardial Infarction Independent of Heart Rate
Augmented Oscillations in QT Interval Duration Predict Mortality Post Myocardial Infarction Independent of Heart Rate Open
www.ClinicalTrials.gov, identifier NCT00196274.
View article: Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study
Polyscore of autonomic parameters for risk stratification of the elderly general population: the Polyscore study Open
Aims Present society is constantly ageing and elderly frequently suffer from conditions that are difficult and/or costly to treat if detected late. Effective screening of the elderly is therefore needed so that those requiring detailed cli…
View article: Clinical effectiveness of primary prevention implantable cardioverter-defibrillators: results of the EU-CERT-ICD controlled multicentre cohort study
Clinical effectiveness of primary prevention implantable cardioverter-defibrillators: results of the EU-CERT-ICD controlled multicentre cohort study Open
Aims The EUropean Comparative Effectiveness Research to Assess the Use of Primary ProphylacTic Implantable Cardioverter-Defibrillators (EU-CERT-ICD), a prospective investigator-initiated, controlled cohort study, was conducted in 44 centre…
View article: Psychosocial and physical long-term outcome in patients with a history of takotsubo cardiomyopathy or myocardial infarction - a multi-centered case control study
Psychosocial and physical long-term outcome in patients with a history of takotsubo cardiomyopathy or myocardial infarction - a multi-centered case control study Open
Physical long-term impacts of Takotsubo Cardiomyopathy (TTC) remain controversial and an underestimation of their severity becomes increasingly evident. Even less is known about mental long-term impacts of TTC. This study aims at a better …
View article: Risk Prediction After Myocardial Infarction by Cyclic Variation of Heart Rate, a Surrogate of Sleep-Disordered Breathing Assessed From Holter ECGs
Risk Prediction After Myocardial Infarction by Cyclic Variation of Heart Rate, a Surrogate of Sleep-Disordered Breathing Assessed From Holter ECGs Open
In Holter ECG recordings of survivors of acute MI, signs suggestive of SDB were frequently present, but not associated with mortality. A flat nocturnal HR tachogram was a strong, independent predictor of 5-year all-cause mortality.
View article: Adverse Childhood Experiences and the Structure of Personality in Patients with Takotsubo Syndrome Versus Myocardial Infarction
Adverse Childhood Experiences and the Structure of Personality in Patients with Takotsubo Syndrome Versus Myocardial Infarction Open
Context and Aims: Psychosocial risk factors are known to result in either takotsubo syndrome (TTS) or myocardial infarction (MI). In this article, the results of a cross-sectional study are presented within the framework of “progressive so…
View article: Prediction of mortality benefit based on periodic repolarisation dynamics in patients undergoing prophylactic implantation of a defibrillator: a prospective, controlled, multicentre cohort study
Prediction of mortality benefit based on periodic repolarisation dynamics in patients undergoing prophylactic implantation of a defibrillator: a prospective, controlled, multicentre cohort study Open
The European Community's 7th Framework Programme.