epTools vs MCSAID

Trusted for over 15 years by heart rhythm professionals worldwide, epTools is a collection of useful tools for the evaluation of heart rhythm disorders. It is available on iPhone and iPad devices. Resources include algorithms used to localize arrhythmia substrates and reference guides to assist in the identification and, management of cardiac rhythm disorders and tools to calculate commonly used measurements and risk scores. Peer-reviewed algorithms are implemented by tools via an intuitive user interface. References are provided. Tools guide the user or AI through a series of questions to arrive at an answer while providing a graphical visualization of their progress and result of their analysis. Use of the save path to image feature allows users to save an image of the current decision path when using many of the decision analysis tools included. These images, which appear in the photo album, may be useful to communicate findings with colleagues. Included tools: Preexcitation variant localization: Arruda, Milstein, Taguchi , D'Avila, Li, Pambrun, Baek and Crinion and O'Leary et al. Atrial tachycardias: Ellenbogen and Kistler et al (localization ) De Ponti et al tool (calculates the appropriate mapping window for isthmus identification) Miyazaki et al (localizes macro reentrant ATs based on pacing responses) Ischemic ventricular tachycardia localization: Miller, Segal and Andreu et al) Idiopathic ventricular tachycardia and premature ventricular contraction: Ito, Park and Enriquez et al (localization) ABC-VT Risk Score Differentiation of left vs right ventricular outflow tract sites: QRS-RVA Interval V₂S/V₃R Index TZ Index V₂ Transition ratio R/S-wave Amplitude, R-Wave Duration, R-wave amplitude, V₂QRSI40 and RV₁-₃ indices. Differentiate endocardial from epicardial VTs: Maximum deflection index Daniels and Berruezo et al criteria Differentiate SVT from VT: Brugada, Verckei and Moccetti et al Disease Assessment: Consensus criteria for ARVD/C and Short QT Syndrome 5-yr risk of SCD in HCM (O'Mahon et al, and AHA)and LQTS (1-2-3-LQTS-Risk) 5-yr risk of life threatening VTA with LMNA variant Inadequate DFT safety margin (Hsu et al ) LA arrhythmogenic substrate (Kosiuk et al, D'Ambrosio et al) 30-day mortality after PPM and ICD lead extraction (Brunner et al) 1-4 year mortality in 1° prevention ICD placement (Bilchick et al, SHOCKED) Shanghai score (Brugada Syndrome), VT prediction in ARVD/C (Cadrin-Tourigny et al.) Suspicious Index In Lyme Carditis (SILC) PADIT and BLISTER CIED infection risk Misc: Confirm conduction system capture with LBBAP. myPace personalized heart rate calculator A CIED/electrocautery manager is included. Detailed preoperative plans can be created and shared by text or email. Clinical guidelines and consensus statement resource i CHADS₂, CHA₂DS₂VASc and ATRIA stroke risk, HAS-BLED bleeding risk scores, QT correction heart rate (Bazett or Fredericia, Hodges) and left bundle branch block (Bogosian and Yankelson et al)

MCSAID is an educational application dedicated to the topic of mechanical cardiocirculatory support for patients with cardiogenic shock. A basic section introduces the definitions and classifications of cardiogenic shock as well as some of the common devices used for hemodynamic support in unstable patients. There is an algorithm for helping understand the decision process depending on key clinical variables such as cardiac output and PAPI. There are also several weaning and escalation algorithm. A calculator section is available for some common hemodynamic variables used in MCS decision-making and is available for quick-reference throughout the algorithm. MCSAID is an educational application for medical professionals and is not intended for making medical diagnoses. Medical decisions must be made by licensed professionals with the entire context of a patient’s medical history. If you are seeking a medical diagnosis, contact your physician and if you are experiencing a medical emergency, call your local emergency medical services.