Linda K. Ottoboni, PhD, CNS is a member of the Stanford Arrhythmia and Electrophysiology Service and her present work is focused on the patient's response to arrhythmias. Her research area and clinical expertise are focused on improving the experience of individuals who live with arrhythmias.
- Atrial Fibrillation - Comprehensive Approach to Management
- Cardiovascular Arrhythmias- Prevention and Symptom Management
- Clinical Nurse Specialist
Clinical Assistant Professor, Medicine - Primary Care and Population Health
Honors & Awards
Fellow, Heart Rhythm Society (2010)
PhD, University of California, San Francisco, School of Nursing (2017)
Board Certification: American Association of Critical Care Nurses, Clinical Nurse Specialist (2015)
Board Certification: International Board of Heart Rhythm Examiners, Clinical Nurse Specialist (2005)
Masters, University of California San Francisco, Cardiovascular Clinical Nurse Specialist, Physiological Nursing (1987)
Current Research and Scholarly Interests
My early qualitative work was to determine how individual’s experience their lives with atrial fibrillation (AFib). It validated that managing the presence or absence of their cardiac arrhythmia was inadequate and resources/strategies were needed to enable them to live life fully with their arrhythmia. This work provided the foundation for the development of a conceptual model to advance the science of supporting individuals to achieve an optimal quality of life with AFib. I am working collaboratively with other AFib nurse scientists on the development of a conceptual model.
My continued interest in the clinical and psychological outcomes of individuals with Implantable Cardioverter Defibrillators (ICDs) prompted the design and implementation of a longitudinal data base for ICD patients at Stanford to examine associations between activity, cardiovascular status, and patient reported outcomes (Quality of Life, Anxiety, and Depression) in individuals with ICDs: ACPRO-ICD. The aims of the study are to learn more about the challenges of living with an ICD and identify those resources perceived as supportive that are provided or desired.
Feasibility Study to Improve AF Outcomes Using a Digital Application for CV Risk Reduction
The primary outcome of this prospective, RCT study is to determine the feasibility of utilizing AF CARE to provide lifestyle modification support to patients with AF. The secondary outcome will compare the cardiovascular risk factors, AF knowledge, AF Symptom Severity and Burden, and QOL between and within the UC group and the CARE AF group at baseline, 3, and 6 months and 15 months.
Meditation and Education That is Nurse Delivered for Symptom Management in Paroxysmal Atrial Fibrillation (PAF)
The aim of this project is to determine whether the entire intervention (Mindfulness meditation, AF education, and weekly phone visits) that is nurse delivered to individuals with paroxysmal atrial fibrillation is more effective than a combination, single or no intervention in the reduction of overall AF symptoms, anxiety, and negative illness perception; or the improvement of quality of life (QOL) and functional status.
A Mindfulness Intervention for Paroxysmal Atrial Fibrillation Diminishes Illness Perception, Improves AF Knowledge and Reduces CV Risk
LIPPINCOTT WILLIAMS & WILKINS. 2018
View details for Web of Science ID 000528619404341
Experiences and Perceived Needs of Patients Living with Atrial Fibrillation
WILEY-BLACKWELL. 2016: 654
View details for Web of Science ID 000378397900059
Decisional Balance among Potential Implantable Cardioverter Defibrillator Recipients: Development of the ICD-Decision Analysis Scale (ICD-DAS)
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
2014; 37 (1): 63-72
Sudden cardiac death is a well-documented public health problem and the implantable cardioverter defibrillator (ICD) has demonstrated benefit in reducing mortality. Prospective patients must identify and evaluate the ICD's pros and cons and produce a personal decision. The purpose of this study was to create and evaluate a measure of patient-evaluated pros and cons of the ICD, and its relationship to patient decision regarding ICD implantation.The ICD-decision analysis scale (ICD-DAS) was created and tested in prospective ICD recipients (N = 104). Factor analysis was performed to evaluate interitem relationships, and subsequently, identified subscales; additional psychosocial measures were used to predict the ICD decision. A two-factor measure for ICD decision making was established with two subscales: ICD Pros and ICD Cons. The subscales have high internal consistency and were strong predictors of intent to choose an ICD. Other psychosocial measures were not significantly predictive of ICD Choice, yet simultaneous entry of ICD Pros and Cons subscales resulted in a significant increase in R(2) , F(2, 59) = 19.36, P < 0.001. The full model was significantly greater than zero, F(11, 70) = 5.017, P < 0.001, R(2) = 0.48.The ICD-DAS provides the first empirically tested and clinically useful approach to understanding the specific pros and cons for prospective ICD patients. The measure can assist clinicians with patient-centered discussions regarding sudden cardiac arrest treatments. The ICD-DAS will allow for the provision of tailored education or counseling and may be used to predict postdecision outcomes.
View details for DOI 10.1111/pace.12253
View details for Web of Science ID 000329258600008
View details for PubMedID 24219117
PHLEBITIS IN AMIODARONE ADMINISTRATION: INCIDENCE, CONTRIBUTING FACTORS, AND CLINICAL IMPLICATIONS
AMERICAN JOURNAL OF CRITICAL CARE
2013; 22 (6): 498-505
Intravenous amiodarone is an important treatment for arrhythmias, but peripheral infusion is associated with direct irritation of vessel walls and phlebitis rates of 8% to 55%. Objectives To determine the incidence and factors contributing to the development of amiodarone-induced phlebitis in the coronary care unit in an academic medical center and to refine the current practice protocol.Medical records from all adult patients during an 18-month period who received intravenous amiodarone while in the critical care unit were reviewed retrospectively. Route of administration, location, concentration, and duration of amiodarone therapy and factors associated with occurrence of phlebitis were examined. Descriptive statistics and regression methods were used to identify incidence and phlebitis factors.In the final sample of 105 patients, incidence of phlebitis was 40%, with a 50% recurrence rate. All cases of phlebitis occurred in patients given a total dose of 3 g via a peripheral catheter, and one-quarter of these cases (n = 10) developed at dosages less than 1 g. Pain, redness, and warmth were the most common indications of phlebitis. Total dosage given via a peripheral catheter, duration of infusion, and number of catheters were significantly associated with phlebitis.Amiodarone-induced phlebitis occurred in 40% of this sample at higher drug dosages. A new practice protocol resulted from this study. An outcome study is in progress.
View details for DOI 10.4037/ajcc2013460
View details for Web of Science ID 000328167700012
View details for PubMedID 24186821