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Multiple Hydatid Cysts of Pericardium and Epicardium
Multiple Hydatid Cysts of Pericardium and Epicardium

... was normal. The patient was given albendazole treatment (20 mg/kg/day) and was submitted to open heart surgery after ten days. Median sternotomy was performed, and multiple cysts surrounding his heart were demonstrated. Enucleation of cysts was planned without cardiopulmonary bypass (CPB) due to the ...
Assessment of Left Ventricular Mass by Cardiovascular Magnetic
Assessment of Left Ventricular Mass by Cardiovascular Magnetic

... Patient factors can sometimes limit the usefulness of the technique. Because of the enclosed nature of the CMR scanner, some people find this too claustrophobic. In practice, the incidence of this is ⬇3% to 5%, though light intravenous anxiolysis with diazepam to can reduce this to 1%.57 Advances in ...
Global Bi-ventricular endocardial distribution of activation rate
Global Bi-ventricular endocardial distribution of activation rate

... detectable difference in the AR between them. When analyzing the distribution of the AR within the bi-ventricles at 3 min of LDVF, the posterior LV was activated fastest, while the anterior was slowest. In the HF group, a detectable AR gradient existed between the two ventricles within 3 min of VF, ...
Obesity, CAD and Heart Failure: A Triple Jeopardy
Obesity, CAD and Heart Failure: A Triple Jeopardy

... obesity on CAD, a concept showing that obesity is independently associated with coronary endothelial dysfunction irrespective of the presence of CAD. PDAY (Pathobiological Determinants of Atherosclerosis in Youth) study in individuals within 15–34 years of age revealed that the extent of atheroscler ...
Rapid Communications - Circulation Research
Rapid Communications - Circulation Research

... partially inactivating the normal channel subunits encoded by the WT allele in heterozygous patients.16 –18 By contrast, mutations responsible for JLN syndrome have no pronounced dominant-negative effect but abolish the current in the homozygous state.16,17 Transgenic and gene-targeted mice have gai ...
Understanding your child`s heart Large ventricular septal defect
Understanding your child`s heart Large ventricular septal defect

... successful and carries a very low risk of death. There are small risks of complications such as brain damage, kidney damage, damage to the heart’s electrical system (which may need treatment with a pacemaker), or serious lung infections such as pneumonia. It is not unusual for there to be still a sm ...
PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM
PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM

... malformation: in approximately 80 per cent of the cases the right ventricular cavity is small, while in the remainder it is dilated. Muscular hypertrophy is common to both types. The cause of the ventricular dilatation is believed to be tricuspid regurgitation. The systolic murmur, noted to the righ ...
AHA Scientific Statement
AHA Scientific Statement

... heart disease who is monitored after uncomplicated catheter ablation does not need to be monitored for ST segment changes of ischemia or for QT interval prolongation (if no proarrhythmic drugs are being administered); however, a patient with acute myocardial infarction (MI) given an antiarrhythmic a ...
rate versus rhythm control in atrial fibrillation
rate versus rhythm control in atrial fibrillation

... the average duration of the studies, and therefore likely to result in a higher mortality rate than the meta-analysis revealed. The results from individual studies are summarized in Tables 3 and 4. Figures 1 and 2 represent the forest plots for all-cause and cardiovascular mortality respectively. Fr ...
STUDIES ON THE VENOUS PULSE. SOUNDS.* The present
STUDIES ON THE VENOUS PULSE. SOUNDS.* The present

... of determining transmission time and for comparison of the position of the cardiogram. I n t h e d o g , t h e h e a r t s o u n d s w e r e r e c o r d e d as d e s c r i b e d a b o v e . The venous pulse tracings were obtained by the use of the venous pulse sounds devised by Fredericq (2), which ...
1. name of the medicinal product
1. name of the medicinal product

... Children with hypertension from 6 years to 17 years of age The recommended antihypertensive oral dose in paediatric patients ages 6-17 years is 2.5 mg once daily as a starting dose, up-titrated to 5 mg once daily if blood pressure goal is not achieved after 4 weeks. Doses in excess of 5 mg daily hav ...
Development of the Heart - Temple University Sites
Development of the Heart - Temple University Sites

... FGF8  is  also  important  for  heart  specific  proteins ...
The Morphology of Heart Development in Xenopus
The Morphology of Heart Development in Xenopus

... nor do we yet know the extent to which they are driven by cell lineage or local signalling. In principle, the amphibian embryo provides an attractive model for studying these events due to its size, its availability, and the ready access it provides to all stages of heart development. Furthermore, i ...
Welcome to Renton Technical College
Welcome to Renton Technical College

... heartbeat. This may make some people very anxious. Many people also describe an irregular fluttering sensation in their chests. Some become light-headed or faint. Other symptoms include weakness, lack of energy or shortness of breath (SOB) with effort, and chest pain. The biggest complication of A F ...
Pericardium - mStudyGroup.com
Pericardium - mStudyGroup.com

... and vagus nerves. ...
ARVD Review Rhythm 2.. - Tehran Arrhythmia Center
ARVD Review Rhythm 2.. - Tehran Arrhythmia Center

... infiltration, dilatation, aneurysms) of the right ventricle, ECG abnormalities, and presentation with ventricular tachycardias with left bundle branch block pattern or sudden death. The disease often is familial with an autosomal inheritance. The typical hallmarks of ARVD/C are distributed in the so ...
smart cpr - BHVtotaal
smart cpr - BHVtotaal

... include the degree of underlying heart disease and the cause of the arrest. It is not surprising, therefore, that recent studies are showing that patients with rhythms typical of short-duration VF respond better when they receive an initial treatment of defibrillation, while patients with rhythms ty ...
PowerPoint Sunusu
PowerPoint Sunusu

... continue for an average of 7 months (up to 17 months) before slowly waning in severity. * Recently, elevated titers of “antineuronal antibodies” recognizing basal ganglion tissues have been found in over 90% of patients. The levels of the antineuronal antibody titer are positively related to the sev ...
Assessment of Atrial Septal Defect Area Changes During Cardiac
Assessment of Atrial Septal Defect Area Changes During Cardiac

... intraoperative defect area was calculated assuming an ellipsoidal shape, because it was difficult to measure directly. Therefore, in agreement with other studies 7,8), we assumed most ASDs were ellipsoidal shape and we used only directly measured major and minor axes. Another limitation of the prese ...
ECG Case Studies
ECG Case Studies

... Clinically RR 16 BP 135/75 P 75 Heart sounds normal, no mumurs ...
Antitachycardia Pacing for Ventricular Tachycardia
Antitachycardia Pacing for Ventricular Tachycardia

Anatomy of Cardiac Nodes and Atrioventricular Specialized
Anatomy of Cardiac Nodes and Atrioventricular Specialized

... increases with respect to the area occupied by the nodal cells.21 On the periphery of the node, specialized cells are mixed with those of the working myocardium (Figures 3a and b). In addition, multiple radiations or extensions interdigitating with the working atrial myocardium have been described. ...
Adenosine-Provoked Atrial Fibrillation Originating From€Non
Adenosine-Provoked Atrial Fibrillation Originating From€Non

... to determine the predictors of recurrent arrhythmias. Variables whose univariable analyses had p values <0.05 were included in the multivariable Cox regression model. A Kaplan-Meier analysis was used to determine the percentage of patients free from recurrence. The difference in the arrhythmia-free ...
THE CARDIAC IMPULSE AND THE MOTION OF THE HEART
THE CARDIAC IMPULSE AND THE MOTION OF THE HEART

... was relatively small, and that its outward movement always terminated well before the second heart sound. The impulse cardiogram showed the length of the impulse in relation to the heart sounds and it was noted that it always ended before the last third of systole (Fig. 5). In analysing the apical i ...
ATRIAL FIBRILLATION IN CHILDHOOD WITH FAMILIAL
ATRIAL FIBRILLATION IN CHILDHOOD WITH FAMILIAL

... For the past 180 years, the medical literature has been replete with documented genes e.g. LMNA and SCNRA, and chromosomes, which can be autosomal dominant e.g. 10q22-24, and autosomal recessive e.g. 5p13, and ways that hyperthyroid states may affect the heart. These data point to multifactorial rea ...
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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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