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Venous Stenosis After Transvenous Lead Placement: A Study of
Venous Stenosis After Transvenous Lead Placement: A Study of

... occlusion following device implantation are limited, and the risk factors for the development of this complication are not well defined. In more than one study, it was shown that various degrees of venous stenosis occur in 20% to 50% of patients following device implantation.4,6–9 Lead size was thoug ...
TEMPORARY PACEMAKER
TEMPORARY PACEMAKER

... - An electrode is placed next to the heart wall and small electrical charges travel through the wire to the heart. - Most pacemakers are demand pacemakers .They have a sensing device. - It turns the signal off when the heart rate is above a certain level. - It turns the signal back on when the heart ...
Scripps Cardiovascular Care
Scripps Cardiovascular Care

... cells shed from the culprit artery to determine its use in emergency departments. • Becoming one of the leading centers evaluating new therapies to avoid blood thinners in patients with atrial fibrillation. • Evaluation of new catheter-based, minimally invasive approaches for the treatment of mitral ...
Medic One/Emergency Medical Services
Medic One/Emergency Medical Services

... ETCO2 – carbon dioxide content of air measured at the end of exhalation impedence threshold device (ITD) – valve that prevents air from entering lungs during the decompression phase of CPR; aka ResQ POD inclusion/exclusion criteria – decision list to determine whether a victim of cardiac arrest meet ...
The Functional Anatomy of Ventricular Contraction
The Functional Anatomy of Ventricular Contraction

... REVIOUS investigations1"4 have indicated that the two ventricles have different functional and anatomic characteristics. Ventricular contraction cannot be visualized as though the two ventricles were a single unit. The mechanical effectiveness of the various layers of myocardial fibers depends in pa ...
Abnormal Echocardiogram
Abnormal Echocardiogram

... tomography) comprise the three important imaging diagnostic techniques in modern medicine. Ultrasound has many advantages, it is a non-invasive diagnostic technique which can be used in the detection of many human organs, operated easily, not dangerous and not harmful to the patients. It can be repe ...
- Science Publishing Group
- Science Publishing Group

... coronary atherosclerosis, chronic hyperglycemia, prolonged hypertension, microvascular disease, glycosylation of myocardial proteins and autonomic neuropathy.3 Most the research in this field demonstrates that diabetic cardiomyopathy causes diastolic dysfunction in people without chronic heart failu ...
Effect of Combined Sympathetic and Vagal Stimulation on Heart
Effect of Combined Sympathetic and Vagal Stimulation on Heart

... Before describing the effect on heart rate of combined stimulation of sympathetic and vagus nerves to the heart, it is first necessary to describe the relationship between the time course of heart rate and the time course of stimulation of sympathetic nerves (fi) alone and vagus nerves (f3) alone. A ...
Frequency of Left Ventricle Diastolic Dysfunction in
Frequency of Left Ventricle Diastolic Dysfunction in

... echocardiography by measuring their early to late diastolic mitral inflow velocity (E/A ratio) and deceleration time (DT) on Pulse Wave (PW) Doppler and E’ velocity on tissue volume imaging (TVI). Methods: A sample of 97 asymptomatic patients, male and female, was taken from Department of Cardiology ...
Atrioventricular Communication in the Wolff-Parkin son
Atrioventricular Communication in the Wolff-Parkin son

... muscular connections between atrium and ventricle allow electrical activity to bypass the normal cardiac conduction system. The resultant acceleration of electrical conductivity from atrium to ventricle is recorded in the electrocardiogram as the Wolff-Parkinson-White (WPW) syndrome. Although usuall ...
PACING INITIAL ASSESSMENT Successful and non
PACING INITIAL ASSESSMENT Successful and non

Age as a Risk Factor for Stroke in Atrial Fibrillation Patients
Age as a Risk Factor for Stroke in Atrial Fibrillation Patients

... have already demonstrated that long-term oral anticoagulation therapy can reduce the risk of stroke by approximately 64% per year in patients with nonvalvular AF. Nevertheless only 15% to 44% of AF patients at risk of stroke are prescribed warfarin. This clinical evidence-clinical practice gap is mo ...
Congenital_Heart_Dz
Congenital_Heart_Dz

... Cerebrovascular accidents (due to the rupture of an intracerebral aneurysm) If uncorrected 3/4 die by the age of 50, and 90% by the age of 60 ...
The Heart Rhythm Society (HRS)/American Society of
The Heart Rhythm Society (HRS)/American Society of

... Therefore, in many instances, an approach that limits electrosurgery usage to short bursts may be a safer approach to patient-CIED management than either re-programming the CIED or placement of a magnet over the pulse generator. Functional pacemaker dependence can also influence hemodynamic stabilit ...
Ca 2+
Ca 2+

... myocardial ischaemia, and immediately following coronary bypass surgery. • The concept is that ischaemia does something that impairs mechanical function or activity even after the actual ischaemic event is over. ...
A Glucagon-Like Peptide-1 Analog Reverses the
A Glucagon-Like Peptide-1 Analog Reverses the

... by 16 weeks. One-week treatment with liraglutide (30 µg/kg twice daily) did not reduce body weight, but reversed insulin resistance, cardiac tumor necrosis factor-α expression, nuclear factor kappa B translocation, obesity-induced perturbations in cardiac endothelial nitric oxide synthase, connexin- ...
Reservoir and conduit function of right atrium: impact on - AJP
Reservoir and conduit function of right atrium: impact on - AJP

... right atrial (RA) reservoir and conduit function and to determine how hemodynamic changes influence this relationship and its impact on cardiac output. In 11 open-chest sheep, RA reservoir and conduit function were quantified as RA inflow with the tricuspid valve closed versus open, respectively. Co ...
World Heart Day - ESL Holiday Lessons
World Heart Day - ESL Holiday Lessons

... strokes could live / life longer if they changed their lifestyle. Fewer people would die from heart complaints if they were more awareness / aware of the main risks. These include smoking, eating an unhealthy / healthy diet and not exercising. Experts say heart disease will lose China’s economy arou ...
left ventricular endocardial longitudinal and transverse changes during
left ventricular endocardial longitudinal and transverse changes during

... semilunar valves, the ventricular cavities are completely enclosed with a rising tension without change in ventricular volume. Later, Rushmer (23) showed that the initial phase of contraction was not an isometric contraction of all myocardial fibers of the left ventricle (LV). During IVC, he observe ...
Magnetic Resonance–Guided Cardiac Interventions Using Magnetic
Magnetic Resonance–Guided Cardiac Interventions Using Magnetic

... imaging (MRI) has been used to guide intravascular interventions in the past, but mainly in animals. Translation of MR-guided interventions into humans has been limited by the lack of MR-compatible and safe equipment, such as MR guide wires with mechanical characteristics similar to standard guide w ...
Role of the Posterior Left Atrium and Pulmonary Veins
Role of the Posterior Left Atrium and Pulmonary Veins

... In patient 1, atrial flutter was induced at the postoperative EP study. One week after surgery, the patient had documented spontaneous atrial flutter. At EP study, entrainment mapping during atrial flutter confirmed this to be isthmus dependent. Termination of flutter occurred on the second RF appli ...
Acute myocardial infarction in a child with myocardial bridge
Acute myocardial infarction in a child with myocardial bridge

... segment elevated 0.3-0.6 mV in the II, III, aVF, V2V6 leads. Combined with upright T, ST segment wave formed a single curve, and Q wave appeared after the disappearance of the curve. This was in accordance with the Towbin diagnosis.[14] Cardiac troponin-I, which appears in the blood at 4-6 hours aft ...
EMS Information Bulletin No. 2013
EMS Information Bulletin No. 2013

...  The EMS agency, overseen by the agency medical director, must perform a QI review of care and outcome for every patient that receives CPR.  QI must be coordinated with local receiving hospitals to identify and document percentage of patients that are discharged from hospital with good neurologic ...
Clinical Utility of Blood Natriuretic Peptide Levels
Clinical Utility of Blood Natriuretic Peptide Levels

... at high risk of re-admission after decompensated heart failure”, J.Am. Coll. Cardiol. (February 18 2004);43(4): pp. 635–641. ...
PDF
PDF

... related to the HR increase with exercise, recovery PVCs were related to CAD and ST-segment depression.20 They demonstrated that “recovery-only” exercise-induced PVCs also have prognostic significance that augments established risk factors, whereas “exercise-only” exercise-induced PVCs have limited p ...
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Cardiac contractility modulation



Cardiac contractility modulation (CCM) is a treatment for patients with moderate to severe left ventricular systolic heart failure (NYHA class II–IV). The short- and long-term use of this therapy enhances both the strength of ventricular contraction and the heart’s pumping capacity. The CCM mechanism is based on stimulation of the cardiac muscle by non-excitatory electrical signals (NES). CCM treatment is delivered by a pacemaker-like device that applies the NES, adjusted to and synchronized with the electrical action in the cardiac cycle.In CCM therapy, electrical stimulation is applied to the cardiac muscle during the absolute refractory period. In this phase of the cardiac cycle, electrical signals cannot trigger new cardiac muscle contractions, hence this type of stimulation is known as a non-excitatory stimulation. However, the electrical CCM signals increase the influx of calcium ions into the cardiac muscle cells (cardiomyocytes). In contrast to other electrical stimulation treatments for heart failure, such as pacemaker therapy or implantable cardioverter defibrillators (ICD), CCM does not affect the cardiac rhythm directly. Rather, the aim is to enhance the heart’s natural contraction (the native cardiac contractility) sustainably over long periods of time. Furthermore, unlike most interventions that increase cardiac contractility, CCM is not associated with an unfavorable increase in oxygen demand by the heart (measured in terms of Myocardial Oxygen Consumption or MVO2). This may be explained by the beneficial effect CCM has in improving cardiac efficiency. A meta-analysis in 2014 and an overview of device-based treatment options in heart failure in 2013 concluded that CCM treatment is safe, that it is generally beneficial to patients and that CCM treatment increases the exercise tolerance (ET) and quality of life (QoL) of patients. Furthermore, preliminary long-term survival data shows that CCM is associated with lower long-term mortality in heart failure patients when compared with expected rates among similar patients not treated with CCM.
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