简介：Earlydefibrillationiscriticaltosurvivalinanypatientwithacardiacarrest.ElectrophysiologistswhoimplantICDs(implantablecardioverterdefi-brillators)testthembyfibrillatingthepatientfollowedbyimmediatedefibrillation.Thisemphasizesthepointthatearlydefibrillationresultsinsurvivalofthesepatients;CPRisdoneonlyifthereisadelayinobtainingthedefibrillatororiftheICDisnotworking.

简介：Cardiaccatheterizationandpercutaneouscoronaryinterventionplayanimportantroleinthemanagementofcoronaryarterydisease.Althoughthetransfemoralapproachhasbeenthetraditionallydominantmethod,therehasbeenanincreasedutilizationofthetransradialapproach.Multipleobservationalstudiesandrandomizedclinicaltrialshaveshownfewerbleedingcomplications,reducedmorbidityandmortality,improvedqualityoflife,andbettereconomicoutcomeswhenthetransradialapproachisutilizedwhencomparedtothetransfemoralapproach.Despiteitsmanybenefits,utilizationofthisapproachincertaincountriesincludingtheUnitedStateshasbeenlessthanoptimalduetoaloweradoptionratesmostlydrivenbylackoftrainingopportunitiesanddecreasedawarenessofclinicalbenefitsofthetransradialapproach.Inthisreview,thehistory,observationaltrends,efficacy,andtechnicalaspectsoftransradialcardiaccatheterizationandpercutaneouscoronaryinterventionarediscussed.