Ομιλία-Παρουσίαση: Καθηγητής Πάνος Ε. Βάρδας MD, Ph D (London, UK), Συντονιστής του Τομέα Καρδίας, Όμιλος ΥΓΕΙΑ, Πρόεδρος της ESC (2012-2014), Επισκέπτης Καθηγητής, Imperial College, UK, Επικεφαλής Στρατηγικού Σχεδιασμού, ESC Τίτλος Ομιλίας: «Η Καρδιαγγειακή Ιατρική στο Σταυροδρόμι Τεχνολογικών Εξελίξεων: Νέες Τεχνολογίες και Value-Based Medicine»

1. Η Καρδιαγγειακή Ιατρική στο Σταυροδρόμι
Τεχνολογικών Εξελίξεων
Καθηγητής Πάνος Ε. Βάρδας MD, PhD (London, UK)
Συντονιστής του Τομέα Καρδίας, Νοσοκομείων Ομίλου Υγεία
Πρόεδρος Ευρωπαϊκής Καρδιολογικής Εταιρίας (2012-2014)
Επικεφαλής Στρατηγικού Σχεδιασμού ESC/EHA Brussels
Visiting Professor, Imperial College, London UK
Νέες Τεχνολογίες και Value-Based Medicine

2. Κ. Καβάφης

4. NEXT TEN YEARS
INNOVATIVE DOMAINS
• Miniaturisation
• Leadless/Scarless/Batteryless Pacing
• Sudden Cardiac Death / Solutions
• Advanced Imaging
• Transcatheter therapies (Heart)
• Big Data / Artificial Intelligence
• Bedless hospitals
• Multisensoring
• Tissue engineering
• 3D Printing / Holography (Education)
• APPs / mHealth
• Genomics and Genetics

5. MINIATURIZATION
LEADLESS PACEMAKERS

6. THE HISTORY OF LEADLESS PACEMAKERS

7. THE HISTORY OF LEADLESS PACEMAKERS

8. THE HISTORY OF LEADLESS PACEMAKERS

9. THE HISTORY OF LEADLESS PACEMAKERS
A 25 years endeavor

10. LEADLESS PACEMAKER IMPLANTATION
Pacemaker still attached

11. LEADLESS PACEMAKER IMPLANTATION
Pull and Hold test

12. BATERYLESS
PACEMAKERS

13. BATTERYLESS PACEMAKER
Initial Experimental Works
Tiny power generators that convert the motion of a beating
heart into electrical energy could eliminate the need for
batteries in pacemakers and other medical devices.
The minimum energy needed for cardiac pacing is 156nj for
a 0.25ms pulse width, 115nj for 0.5ms, 110nj for 0.75ms
and 102nj for 1ms pulse duration
(Hell et al, 1988, Clin. Phys. Meas. 9(1) 41-46)

14. BATTERYLESS PACEMAKER
Initial Experimental Works
…this is the first time we were
able to successfully and safely
Harvest energy from mechanical
biological motion and convert it
into electricity with a realistic
system (Dr. M.S.Slepian)

15. BATTERYLESS PACEMAKER
Initial Experimental Works

16. BATTERYLESS PACEMAKER
Initial Experimental Works

17. BATTERYLESS PACEMAKER
Initial Experimental Works
A new batteryless cardiac
pacemaker based on an automatic
wristwatch and powered by heart
motion was presented at ESC
Congress 2014 by Adrian
Zurbuchen from Switzerland.
The batteryless pacemaker was
tested by connecting the energy
harvesting device to an electronic
circuit that transformed and
stored the signal into a small
buffer capacity.

18. BATTERYLESS PACEMAKER
Initial Experimental Works

19. THE PACEMAKER OF THE FUTURE
The next 25 years’ view
During the next 10-15 years,
a leadless, batteryless,
chronotropic, multifunctional
micro-implant will be developed
to treat bradyarrhythmias.
Further beyond the biological
pacemakers is highly possible
to be safe and effective for a
routine clinical practice use.

20. SUDDEN CARDIAC
DEATH - MANAGEMENT

21. VENTRICULAR FIBRILLATION
The Killer

23. ADVANCED
IMAGING

24. LOOKING TO THE FUTURE
2018 - 2038

25. LOOKING TO THE FUTURE
2018 - 2038

26. LOOKING TO THE FUTURE
2018 - 2038

27. LOOKING TO THE FUTURE
2018 - 2038

28. LOOKING TO THE FUTURE
2018 - 2038

29. LOOKING TO THE FUTURE
2018 - 2038

30. LOOKING TO THE FUTURE
2018 - 2038

31. AUGMENTED REALITY

32. AUGMENTED REALITY

34. TRANSCATHETER
VALVE THERAPIES

35. LOOKING TO THE FUTURE
2018 - 2038

36. LOOKING TO THE FUTURE
2018 - 2038

37. BIG DATA AND
ARTIFICIAL INTELLIGENCE

38. BIG DATA
Definition
Big Data is data sets that are so voluminous and complex
that traditional data processing application software are
inadequate to deal with them.
Lately, the term “big data” tends to refer to the use of
predictive analytics, user behavior analytics or certain
other advanced analytics.

40. IBM WATSON
Watson was created as a question answering (QA)
computing system that IBM built to apply advanced
natural language processing, information retrieval,
knoweledge represenation, automated reasoning and
machine learning technologies.

41. BEDLESS
HOSPITALS

42. LOOKING TO THE FUTURE
2018 - 2038

43. MULTISENSORING

44. LOOKING TO THE FUTURE
2018 - 2038

46. TISSUE ENGINEERING AND
REGENERATIVE MEDICINE

47. LOOKING TO THE FUTURE
2018 - 2038

48. FUTURE MEANS
PROTAGONISTS
DREAMERS
VISIONERS

49. 1967

51. HEALTH ECONOMICS
AND HEALTHCARE

52. AGE PYRAMID FOR EUROPE IN 2004
1
5
9
14
18
22
27
31
35
40
44
48
53
57
61
66
70
74
79
83
88
Age
Men Women
4 3 2 1 0 1 2 3 4
Numbers per million
ESC Report Cardiovascular Diseases in Europe 2006. WHO data; June 2006.

53. AGE PYRAMID FOR EUROPE IN 2050
1
5
9
14
18
22
27
31
35
40
44
48
53
57
61
66
70
74
79
83
88
Age
Men Women
4 3 2 1 0 1 2 3 4
Numbers per million
ESC Report Cardiovascular Diseases in Europe 2006. WHO data; June 2006.

62. THE POWER OF OUTCOME MEASUREMENT
IN VALUE-BASED HEALTH CARE
• Outcomes are the most important information for patients
• Outcomes define success for every clinician and health care organization
• Outcome drive multidisciplinary care and care innovation
• Outcomes are essential components of any value-based payment model
• Outcomes validate cost reduction that is truly value-enhancing
• Outcomes validate the areas for service line growth and affiliation