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- Oddson, H, et al.
(author)
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Perception and documentation of arrhythmias after successful radiofrequency catheter ablation of accessory pathways
- 2001
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In: Annals of Noninvasive Electrocardiology. - 1082-720X .- 1542-474X. ; 6:3, s. 216-221
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Journal article (peer-reviewed)abstract
- Background: Some patients continue to have palpitations in spite of successful ablation of Wolff-Parkinson-White (WPW) syndrome. Recurrence of accessory pathways as well as unrelated arrhythmias may explain the symptoms. Methods: We followed 194 consecutive patients after successful radiofrequency catheter ablation of overt (147) or concealed (47) WPW syndrome. The mean duration of symptoms was 16 ▒ 13 years. Atrial fibrillation was documented in 54 patients (24%) prior to ablation. 185 patients responded to a questionnaire 24 ▒ 12 months after ablation. Results: The physical well-being was improved in 94%, unchanged in 5%, and deteriorated in 1%. However, 76 patients (39%) reported arrhythmia symptoms, in 40 patients causing pharmacological treatment (14 patients) and/or continued contact with their doctor. The underlying arrhythmias were orthodromic tachycardia (10), atrial fibrillation (12), premature beats (12), atrial flutter (1), and ventricular tachycardia (1), while in four patients no explanation was found. Minor symptoms in the other 36 patients were explained by premature beats in 29, while unexplained in 7. All patients with atrial fibrillation after ablation had atrial fibrillation before ablation. Ten relapses of WPW syndrome occurred: eight were known before the time of the questionnaire, two were confirmed at transesophageal atrial stimulation. Conclusion: 94% patients with a long history of tachyarrhythmias due to the WPW syndrome reported improved physical well-being after ablation, but palpitations were common during a 2-year follow-up period, 8% continued to use pharmacological antiarrhythmic treatment. Five percent had symptomatic relapses and in 6% atrial fibrillation episodes reoccurred, i.e., in half of those who had atrial fibrillation before ablation.
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- Wiklund, H., et al.
(author)
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Innovation and TQM in Swedish higher education development : possibilities and pitfalls
- 2003
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In: The TQM Magazine. - : Emerald Group Publishing Limited. - 1754-2731 .- 0954-478X. ; 15:2, s. 99-107
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Journal article (peer-reviewed)abstract
- Emphasis on quality improvement has been one of the most characteristic features of higher education policy in Nordic and other European countries during the 1990s. In Sweden, the universities’ work with quality management has been evaluated for several years. In January 2001, the National Agency of Higher Education in Sweden introduced a new comprehensive system for quality assessment. The Swedish assessment system stresses that the assessment should have as a corner‐stone the specific prerequisites for each university and subject, e.g. business administration and their development strategy. The comprehensive quality assessments of Swedish higher education institutions are discussed together with stimulating innovation and continuous improvement of higher education.
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