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IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... independently associated with the development and progression of CAD36–39 and with CVD-related mortality40. In fact, two separate systematic quantitative reviews have found depression (diagnosed with a diagnostic interview or self-report measure) to be a significant and independent risk factor for t ...
Crayfish Heart
Crayfish Heart

... in the absence of any neural input. The cells throughout the heart beat in a coordinated fashion because they are electrically coupled and beat at the same rate as the pacemaker cells in the sino-atrial and atrial-ventricular nodes. In most vertebrates, the blood is pumped into a closed circulatory ...
Heart Rate, Body Temperature and Physical Activity Are Variously
Heart Rate, Body Temperature and Physical Activity Are Variously

... 2002, Karasu et al. 1990). These data suggest that a mechanism that is intrinsic to the heart may partly underlie the bradycardia observed in ALX-induced diabetic heart. It should be noted however, that some studies have reported no effects of ALX on resting heart rate (Lee et al. 1989, Zola et al. ...
rv_systolic_dysfunction
rv_systolic_dysfunction

... familial cardiomyopathy, active myocarditis, and other causes.[1].The RV is usually forgotten during echocardiographic assessment of patients with dilated cardiomyopathy due to its complex shape that not fit with any geometrical assumption, so the majority of the studies were focusing on LV assessme ...
Dilated-Hypokinetic Evolution of Hypertrophic Cardiomyopathy
Dilated-Hypokinetic Evolution of Hypertrophic Cardiomyopathy

... LV cavity dimension, LVEF, and maximum wall thickness are individually represented in Fig. 2). Because all 12 of these patients belonged to the subgroup with regular follow-up data from our institutional program, an actuarial incidence curve was constructed (Fig. 3). The events (onset) were distribu ...
Tachydysrhythmias
Tachydysrhythmias

... – propafenone vs. amiodarone vs. placebo in recent onset Afib (<48h duration) – 78% conversion in propafenone, 83% conversion in amiodarone, 55% conversion in placebo – mean time to conversion 2+/- 3 h for propafenone, 7+/- 5 h for amiodarone – conclusion was both drugs equally effective and safe fo ...
New-born Babies with Abnormal Heart Rhythm CA6034 v1.1
New-born Babies with Abnormal Heart Rhythm CA6034 v1.1

... These audits will be presented at Departmental Clinical Governance Meetings Summary of development and consultation process undertaken before registration and dissemination The authors on behalf of the Neonatal Department, which has agreed the final content, drafted the guideline. It has been discus ...
UNIT –2 - E
UNIT –2 - E

... bipolar and unipolar type electrodes. In case of bipolar electrode, the potential difference between two surface electrodes resting on the skin is measured. In case of unipolar electrode, the reference electrode is placed on the skin and needle electrode which acts as active electrode is inserted in ...
ACC/AHA Guideline Update for Perioperative Cardiovascular
ACC/AHA Guideline Update for Perioperative Cardiovascular

... The major clinical predictors (Table 1) of increased perioperative cardiovascular risk are a recent unstable coronary syndrome such as an acute MI (documented MI less than 7 days previously), recent MI (more than 7 days but less than 1 month before surgery), unstable or severe angina, evidence of a ...
Risk Adjustment Coding Academy- Coding Focus
Risk Adjustment Coding Academy- Coding Focus

... Sinus Tachycardia Sinus tachycardia is a regular increase in the heart rate. The sinoatrial node sends out electrical signals quicker than usual. The heart rate is fast, but the heart beats properly. Sinus tachycardia also leads to ICD-9 code 427.89 (no HCC), Other specified cardiac dysrhythmias. In ...
SRAdoc®/SRA24® Report The SRAdoc®/SRA24® report is
SRAdoc®/SRA24® Report The SRAdoc®/SRA24® report is

... If atrial fibrillation is detected, page 2 and 3 shows the ECG strip with the highest probability of atrial fibrillation. There is great emphasis on a high sensitivity (even with short episodes). This can occur even false positive results. These are rare and relatively easy to evaluate with the 5 mi ...
Tetralogy of Fallot - RSNA Publications Online
Tetralogy of Fallot - RSNA Publications Online

... Findings in a previous study show that recovery kinetics of heart rate and oxygen uptake after exercise are abnormal in pediatric patients after the Fontan procedure (14). Abnormal recovery kinetics may contribute to reduced physical activity in these patients because prolonged duration of recovery ...
1443-ConsultationProtocol-Accessible
1443-ConsultationProtocol-Accessible

... Therefore, this application will propose that ILRs will detect AF as the underlying cause of stroke and thereby improve outcomes via improved management. What is cryptogenic stroke? Identifying an underlying stroke mechanism is crucial in secondary prevention of ischaemic stroke (Yaghi & Elkind, 20 ...
Significance of ST Segment Elevation in Lead aVR in Acute Anterior
Significance of ST Segment Elevation in Lead aVR in Acute Anterior

... 1,aVL,more than 2mm in chest lead All patients received thrombolytic therapy and nearly similar treatment. The study excluded the following patients: 1-previous myocardial infarction 2-patients whom didn’t receive thrombolytic therapy either because they had contraindication or they reached hospital ...
Transposition of the great arteries with atrial switch versus arterial
Transposition of the great arteries with atrial switch versus arterial

... patients (high-risk, investigated for suspected or clinical arrhythmia) ...
Focused 2012 Update of the Canadian Cardiovascular Society Atrial
Focused 2012 Update of the Canadian Cardiovascular Society Atrial

... The Asymptomatic Atrial Fibrillation and Stroke Evaluation in Pacemaker Patients and the Atrial Fibrillation Reduction Atrial Pacing Trial (ASSERT) study13 enrolled 2580 patients with age ⱖ 65 years and hypertension followed for a mean of 2.8 years after implantation of first pacemaker or implantabl ...
Arrhythmogenic Right Ventricular Dysplasia (ARVD) Diagnosis In
Arrhythmogenic Right Ventricular Dysplasia (ARVD) Diagnosis In

... fatty and fibro-fatty replacement are the right ventricular inflow (sub-tricuspid area) and outflow tract including the RV apex.8 The fatty replacement can involve areas of the left ventricle (LV), the interventricular septum is spared in most cases. 9 The ARVD patient may present with a wide clinic ...
Device Closure for Ventricular Septal Defect After Myocardial Infarction
Device Closure for Ventricular Septal Defect After Myocardial Infarction

... catheterization laboratory from procedure-related complications.54 Subsequent in-hospital death is attributed in the series to ventricular failure secondary to extensive infarction or associated comorbidity, such as renal failure, multiorgan failure, and sepsis.15,52 As for surgical repair, if a tra ...
Partial atrioventricular canal defect: Long-term follow-up
Partial atrioventricular canal defect: Long-term follow-up

... failure. Five other deaths (Patients 5, 9, 15, 20 and 28) were related to coronary artery disease and left ventricular dysfunction, complicated in one patient (Patient 9) by diabetes mellitus. Survivors. There were 29 early survivors and 9 late deaths. This yielded 20 known survivors, with follow-up ...
Chapter 16 Cholinesterase Inhibitors
Chapter 16 Cholinesterase Inhibitors

... • Beta blockers • Bradycardia • Heart failure • AV block ...
Copyright Information of the Article Published Online TITLE 12
Copyright Information of the Article Published Online TITLE 12

... characteristic patterns were young males, with a history of unexplained syncope or cardiac arrest during sleep. In addition, at baseline ECG, ER was present mainly in the inferior-lateral leads[10]. Tikkanen also considered the importance of defining a benign form of ER from a malignant one[35,36]. ...
Randomized Trial Amiodarone for the Prevention of Atrial Fibrillation
Randomized Trial Amiodarone for the Prevention of Atrial Fibrillation

... PhD, Department of Cardiology, Thoraxcenter, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB Groningen, the Netherlands ([email protected]). ...
Chapter V Thorax
Chapter V Thorax

... Relative stenosis of the mitral or tricuspid valve may occur in mitral regurgitation, aortic regurgitation, and in some cases of congenital heart disease with left-to-right shunt. This murmur is less intense and shorter in duration than its organic counterpart. The nonobstructed mitral valve with h ...
study of ecg and echocardiographic findings in copd patients in a
study of ecg and echocardiographic findings in copd patients in a

... majority of them belonged to moderate group. In other studies, Saratkumar Reddy et al.6 found other parameters like atrial ectopics, ventricular ectopics, incomplete RBBB, complete RBBB and atrial fibrillation and arrhythmias were seen in more than 50% of their patients. Less common findings include ...
Labeled Phosphate Distribution in Working and Nonworking
Labeled Phosphate Distribution in Working and Nonworking

... yielding- products of high radioehemical purity. The result of a typical fnietionation is illustrated in the ra.dioautogrn.ph reproduced in figure 3. Details concerning the isolation technic and identification of individual components have been presented in an earlier report.7 A further fractionatio ...
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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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