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What is a heart attack
What is a heart attack

... CPK (specifically, the MB fraction of CPK), and troponin, and their levels can be measured in blood. These cardiac enzymes typically are elevated in the blood several hours after the onset of a heart attack. A series of blood tests for the enzymes performed over a 24 hour period are useful not only ...
Relations between pressure in pulmonary special - Heart
Relations between pressure in pulmonary special - Heart

... is continually monitored in order to disclose Direct flow measurements from the pulmonleft ventricular insufficiency and the wedged ary vein and left atrium are in accordance pressure cannot be easily recorded. This is with these results (Morkin et al., i965). now becoming more common in coronary Th ...
Central Venous Pressure
Central Venous Pressure

... Central Venous Pressure (CVP) is the clinical measurement of right atrial pressure. It is used to evaluate the adequacy of circulating blood volume and cardiac preload. Central venous pressure is comprised of the pressure generated by the volume of blood returning to the right atrium and the pressur ...
CARDiAC RHYTHMS AND ARRHYTHMiAS
CARDiAC RHYTHMS AND ARRHYTHMiAS

... means, without prior written permission from the publisher. ...
Cardiac Magnetic Resonance Imaging to Detect and Evaluate
Cardiac Magnetic Resonance Imaging to Detect and Evaluate

... Global cardiac function is an important prognostic indicator and is the result of the contractility of all individual (17 in AHA guidelines) segments.22 However, this parameter does not report the degree of myocardial infarction. It should be recognized that areas with no or little contraction do no ...
Lecture07 RADIOLOGICAL EXAMINATION OF THE
Lecture07 RADIOLOGICAL EXAMINATION OF THE

... MRI, although they are rarely performed primarily for this purpose. Computed tomography and MRI are particularly useful for assessing thickening of the pericardium, whereas echocardiography is poor in this regard. It is unusual to be able to diagnose a pericardial effusion from the plain chest radio ...
For Personal Use. Copyright HMP 2014
For Personal Use. Copyright HMP 2014

... ease of cannulation of posterolateral veins for placement of LV lead of CRT device, predetermined parameters were chosen keeping the above fact Figure 2. Coronary venogram analysis in right anterior oblique view from three patients showing 3 types of coro- in mind. nary sinus. Venograms show that LV ...
Recent Studies in the Pre-Excitation Syndrome
Recent Studies in the Pre-Excitation Syndrome

... Therefore, an even earlier premature atrial beat than in figure 3 may result in complete normalization of the QRS complex if conduction over the accessory pathway fails , since, in this case the ventricles are normally activated only through the normal A-V conduction system and ventricular fusion is ...
Chronic obstructive pulmonary disease in heart failure: accurate
Chronic obstructive pulmonary disease in heart failure: accurate

... ∼10 years earlier than HF (>55 vs. >65 years).1,2 Both conditions can be considered—at least partly—as ‘premature organ ageing’, with profound systemic effects and a chronic progressive course impacting heavily on exercise tolerance and health-related quality of life. Both conditions share non-speci ...
HRS Expert Consensus Statement on remote interrogation and
HRS Expert Consensus Statement on remote interrogation and

... American Society of Cardiac Pacing and Electrophysiology (SOLAECE), the American College of Cardiology (ACC), The American Heart Association (AHA), the European Heart Rhythm Association (EHRA), the Pediatric and Congenital Electrophysiology Society (PACES), and the Asia Pacific Heart Rhythm Society ( ...
Predicting Trends in Dyspnea and Fatigue in Heart Failure Patients
Predicting Trends in Dyspnea and Fatigue in Heart Failure Patients

... tuate with their disease condition. Dyspnea is defined as the subjective experience of breathing difficulty, which could provoke high intense symptom burden and life-threatening distress forcing HF patients to seek emergency care from the hospital.5 However, up to 51.2% of patients in Taiwan were un ...
Investigating stable chest pain of suspected cardiac origin
Investigating stable chest pain of suspected cardiac origin

... is important to establish which patients’ symptoms are caused by obstructive coronary artery disease, so that these patients can be optimally managed to control angina and reduce mortality.3 To support clinical decision making, the National Institute for Health and Care Excellence (NICE) published g ...
Electrophysiological Study of Human Heart Muscle
Electrophysiological Study of Human Heart Muscle

... from the human heart exposed during surgery have been reported by Woodbury et al.1 and Bromberger-Barnea et al.2 In these studies, rather large variation in the amplitude and time course of the potentials was observed, perhaps related to the circumstances of working with flexibly mounted micro-elect ...
Palpitations - Australian Doctor
Palpitations - Australian Doctor

... the duration of the symptoms on each occasion. These include giving the patient a request form for an ECG to be performed during symptoms. Depending on the severity of the symptoms and the comorbidities present, the patient may be instructed to call an ambulance or present to the emergency departmen ...
Paediatric ECG Interpretation
Paediatric ECG Interpretation

... WPW syndrome is characterised by the occurrence of SVT plus specific ECG findings in sinus rhythm. The characteristic pre-excitation is evidenced by a short PR interval and widened QRS with a slurred upstroke or delta wave. It is caused by earlier ventricular excitation occurring via the accessory pat ...
P Waves  full chart
P Waves full chart

... well defined P waves. When seen together, these “flutter” waves have a sawtooth appearance ...
HF CARE - Critical Diagnostics
HF CARE - Critical Diagnostics

... reduced the risk of heart failure by as much as 11 percent over the decade that the subjects were followed, according to a study published in Circulation: Heart Failure. The effects of coffee have been the subject of numerous studies. Coffee contains several compounds that are known to affect human ...
Acquired Heart Diseases - Akademija nauka i umjetnosti Bosne i
Acquired Heart Diseases - Akademija nauka i umjetnosti Bosne i

... Endomyocardial biopsy is a criterion for differential diagnosis in a patient with dilated cardiomyopathy. It is performed in circumstances of: unexplainable heart failure within two weeks, with or without LV dilatation; suspected fulminant or giant cell myocarditis; patients who do not respond to th ...
Cardiac Magnetic Resonance Imaging and Computed Tomography
Cardiac Magnetic Resonance Imaging and Computed Tomography

... data, and the timing of peak tube current is based on the duration of the R-R interval of the preceding heartbeats. After the study, all imaging data obtained at the same point in the cardiac cycle, across heartbeats, are ‘stitched’ together to create a 3D volume for each desired cardiac phase. Tota ...
2013 - Texas Children`s Hospital
2013 - Texas Children`s Hospital

... One of the joys of our work is seeing children thrive. In this year’s edition, we check in on three congenital heart patients who have become part of our extended family. These young people have not let heart disease hold them back from living full and active lives. As our patients enter adulthood, ...
Methods - American Society of Exercise Physiologists
Methods - American Society of Exercise Physiologists

... measured by VO2peak, however no significant differences were found for quality of life as measured with the MLHFQ. Furthermore, VO2peak was not related to the total score or the physical sub-scale score of the MLHFQ. The authors stated that these findings might be related to the limited sensitivity ...
Radiofrequency Ablation for Atrial Fibrillation
Radiofrequency Ablation for Atrial Fibrillation

... The other treatments for A-fib fall into two different groups. One slows down the heart rate, and the other puts the heart back into its normal rhythm. Doctors usually recommend trying to control the heart rate first. For many people, medicine to control the heart rate is all that is needed. If peop ...
Preoperative Supervised Exercise Improves
Preoperative Supervised Exercise Improves

... envelopes containing the treatment allocation, according to a computer-generated sequence prepared by an independent professional. Patients were randomized into one of the 2 groups—the exercise (intervention) group or the standard treatment (control) group. The randomization process was witnessed by ...
Cardiovascular emergency crisis: Arrhythmias EKG and Cardiac Arrest
Cardiovascular emergency crisis: Arrhythmias EKG and Cardiac Arrest

... • Each of these nonsinus pacemakers can rescue an inadequate sinus node by providing just one or a continual series of escape beats. Of all of the available escape mechanisms, Junctional escape is by far the most common. • With junctional escape, depolarization originates near the AV node, and the u ...
The effect of baroreceptor activity on cardiovascular regulation
The effect of baroreceptor activity on cardiovascular regulation

... come from peripheral changes of the tension. However, during acute systemic hypoxia, where there is also significant increase of AP, the inhibitory action of baroreceptors is abolished and the heart sympathetic depolarization is more intense32. In general, the increased afferent activity of barorece ...
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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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