Bio


Christine has been a nurse practitioner with Stanford Hospital beginning in April of 2012. She began in the Emergency Department and Clinical Decision Unit. In this role she was responsible for the assessment and management of Emergency Department patients on a 24 hour observation unit. In April of 2014 she transitioned to the Cardiac Electrophysiology Service. In this role she is responsible for assessment and management of patients on the Arrhythmia service, admissions, Emergency Department consults, management of outpatients under the guidance of attending physicians, as well as performing procedures such as cardioversions and interrogation and interpretation of pacemakers and internal cardiac defibrillators. She was awarded the APP Clinical IV, for her contributions to Stanford as an Advanced Practice Provider. In May 2022, she was appointed Lead Advanced Practice Provider for the Inpatient Heart Failure and General Cardiology APP Service and developed a team of advanced practice providers to work in conjunction with the house staff Heart Failure and Cardiology services. Christine is also an adjunct professor at the University of California, San Francisco in the Acute Care and Geriatric Nurse Practitioner program and lectures for the Physician Assistant Masters program at Stanford School of Medicine.

Clinical Focus


  • Nurse Practitioner
  • Cardiac Electrophysiology

Honors & Awards


  • Clinical Advance Practice Provider, level IV, Center for Advance Practice, Stanford Hospital and Clinics

Professional Education


  • Professional Education: UCSF School Of Nursing (2011) CA
  • Professional Education: San Jose State University School of Nursing (2000) CA
  • Board Certification: American Nurses Credentialing Center, Nurse Practitioner (2012)
  • CCRN, American Association of Critical Care Nurses, Critical Care Registered Nurse (2011)

All Publications


  • Antiarrhythmic drug loading at home using remote monitoring: a virtual feasibility study during COVID-19 social distancing. European heart journal. Digital health Shah, R. L., Kapoor, R., Bonnett, C., Ottoboni, L. K., Tacklind, C., Tsiperfal, A., Perez, M. V. 2021; 2 (2): 259-262

    Abstract

    The epidemiological necessity for distancing during the COVID-19 pandemic has resulted in postponement of non-emergent hospitalizations and increase use of telemedicine. The feasibility of virtual antiarrhythmic drug (AAD) loading specifically with digital QTc electrocardiographic monitoring (EM) in conjunction with telemedicine video visits is not well established. We tested the hypothesis that existing digital health technologies and virtual communication platforms could provide EM and support medically guided AAD loading for patients with symptomatic tachyarrhythmia in the ambulatory setting, while reducing physical contact between patient and healthcare system. A prospective pilot, case series was approved by the institutional ethics committee, entailing three subjects with symptomatic arrhythmia during the COVID-19 pandemic who were enrolled for virtual AAD loading at home. Clinicians met with participants twice daily via video visits conducted after QTc analysis (Kardia 6L mobile sensor) and telemetry review (Mobile Cardiac Outpatient Telemetry of silent arrhythmias). Participants received direct instruction to either terminate the study or proceed with the next single dose of AAD. All participants completed contactless loading of five AAD doses, without untoward event. Scheduled video visits allowed dialogue and participant counselling where decision-making was guided by remote review of EM. Participant adherence with transmissions and scheduled visits was 98.3%; a single electrocardiogram was delayed beyond the 2 hours of post-dose schedule. This virtual approach reduced overall expenditures based on retrospective comparison with previous AAD load hospitalizations. We found that a 'virtual hospitalization' for AAD loading with remote EM and twice-daily virtual rounding is feasible using existing digital health technologies.

    View details for DOI 10.1093/ehjdh/ztab034

    View details for PubMedID 37155657

    View details for PubMedCentralID PMC8083679

  • Antiarrhythmic Drug Loading at Home Using Remote Monitoring: A Virtual Feasibility Study During COVID-19 Social Distancing European Heart Journal Digital Health Shah, R. L., Kapoor, R., Bonnett, C., Ottoboni, L. K., Tacklind, C., Tsiperfal, A., Perez, M. V. 2021

    View details for DOI 10.1093/ehjdh/ztab034

  • Guideline-based Management of Patients With Atrial Fibrillation JNP-JOURNAL FOR NURSE PRACTITIONERS Tacklind, C. 2019; 15 (1): 54–59