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Unrecognised ventricular dysfunction in COPD
Unrecognised ventricular dysfunction in COPD

... proportional hazards regression model to adjust the association of ventricular dysfunction and airway obstruction with all-cause mortality and survival free of hospitalisations. All multivariate analyses were adjusted for the following covariates: age, sex, body mass index, heart rate, diabetes, hyp ...
Performance of QRS detection for cardiac MRI with a novel
Performance of QRS detection for cardiac MRI with a novel

... falls within the real-time definition for cardiac MRI triggering. Five patients had arrhythmias consisting of premature ventricular depolarizations (PVDs) and supraventricular extra systoles. For those patients with PVDs, all arrhythmic beats were rejected unless they passed through the algorithm’s ...
An Automated External Defibrillator (AED) is a
An Automated External Defibrillator (AED) is a

... An Automated External Defibrillator (AED) is a small portable device that analyzes the heart's rhythm and prompts the user to deliver a shock if needed. AEDs are specially designed for easy use by "first responders", those who typically arrive first on the scene of a medical emergency. Lifebeats Fir ...
Diagnosis and treatment of catecholaminergic polymorphic
Diagnosis and treatment of catecholaminergic polymorphic

... et al11 showed that 10 (56%) of 18 patients resuscitated from an unexplained cardiac arrest (normal coronary arteries, normal ventricular function, and normal ECG) can be diagnosed as having catecholaminergic polymorphic VT. Overall, these data seem to support the idea that catecholaminergic polymor ...
The thoracic cavity and heart
The thoracic cavity and heart

... of the interventricular septum and divides into right and left branches which are distributed to their respective ventricles. Some of the right branch traverses the septomarginal band to reach the anterior ventricular wall. The branches ramify and form the subendocardial plexus which is distributed ...
Right heart failure in the intensive care unit
Right heart failure in the intensive care unit

... activation of endogenous proteases [6] or induction of apoptosis [7]. Whereas the RV can in some cases adapt to slowly rising pulmonary pressure, chronically elevated right-ventricular pressure more typically causes progressive adverse remodeling and right-ventricular contractile dysfunction [8]. Pr ...
* Cardiovascular Issues in Respiratory Care
* Cardiovascular Issues in Respiratory Care

... withstand the increased work of breathing. Initiation of mechanical ventilatory support will improve oxygen delivery to the remainder of the body by decreasing oxygen consumption. To the extent that mixed venous oxygen also increases, PaO2 will increase without any improvement in gas exchange. Simil ...
Original Article
Original Article

... CaCNB2b channels in 5 infants with ventricular tachycardia or VF, in whom a diagnosis could not be initially determined. The only reported case of an infant with VF and ECG changes had ST depressions and atrioventricular block before VF. This 3-month-old infant was diagnosed with suspected coronary ...
Syncope
Syncope

Goldman MJ (1986): Principles of Clinical Electrocardiography, 12th
Goldman MJ (1986): Principles of Clinical Electrocardiography, 12th

... 19.4.1 Differentiating the P-, QRS- and T-waves Because of the anatomical difference of the atria and the ventricles, their sequential activation, depolarization, and repolarization produce clearly differentiable deflections. This may be possible even when they do not follow one another in the corre ...
Sinus Rhythms
Sinus Rhythms

... ECG wave for one or more cardiac cycles. Electrical activity is resumed when either the SA node resets itself and resumes discharge or when a lower latent pacemaker begins to discharge producing escape complex or rhythm. ...
Myocardial infarction: redefined or reinvented? - Heart
Myocardial infarction: redefined or reinvented? - Heart

... For the time being we recommend that cardiologists should continue to diagnose acute myocardial infarction in the accepted way until sufficient evidence emerges to justify the unqualified endorsement of a new definition. The use of troponins to exclude cardiac damage in suspected acute coronary dise ...
Randomized Control of Sympathetic Drive With Continuous
Randomized Control of Sympathetic Drive With Continuous

... DRKS00000766) (J Am Coll Cardiol Intv 2016;9:231–40) © 2016 by the American College of Cardiology Foundation. ...
Heart Failure Patient Supplement
Heart Failure Patient Supplement

... Some medicines may have side-effects that make you feel sick. Tell your doctor immediately. Continue to work with your doctor to find the medicines that will work best for YOU. Remember, you want to get the benefits of the medicines you are taking but have little or no side-effects. ...
Right ventricular diastolic function in chronic obstructive lung disease
Right ventricular diastolic function in chronic obstructive lung disease

... filling phase; and d) the atrial contraction. Studies of left ventricular (LV) diastolic function and Doppler mitral inflow parameters have demonstrated that the isovolumic relaxation time depends not only on the rate of relaxation but also on the aortic pressure and left atrial pressure. The E wave ...
Complete heart blockin rheumatoid arthritis
Complete heart blockin rheumatoid arthritis

... Cosh" one developed complete heart block, giving an incidence of 1 in about 1600 patient years. One other developed first-degree block and at necropsy was found to have a granuloma ajoining the AV node. Chausse et al.'s 10 patients12 with complete heart block were found over a period of 18 years amo ...
Treatment Considerations for a Dual Epidemic of Atrial Fibrillation
Treatment Considerations for a Dual Epidemic of Atrial Fibrillation

... Adapted from Mamas M A et al. Eur J Heart Fail 2009;11:676-683. Permission obtained from European Journal of Heart Failure ...
Mechanisms of Fixed Splitting of the Second Heart Sound
Mechanisms of Fixed Splitting of the Second Heart Sound

... were studied before and after surgical closure of the defect. In each iiistance the surgeon was satisfied with the technical result of the 1)roc.edure. Ten of the patients had the R8r'-V1 pattern9 in the electrocardiogram and oile patient had the pattern of complete right bundle-branch block.3 The Q ...
Approach to Arrhythmias
Approach to Arrhythmias

... Physical exam EKG (sinus rhythm, tachycardia) ...
Stable angina pectoris
Stable angina pectoris

... Risk factors and prevention of atherosclerosis CHD is due to the imbalance between myocardial oxygen supply and demand Two large groups of CHD: chronic(stable angina pectoris) and ACS ACS composed of UAP/NSTEMI and STEMI, resulting from the plaque rupture or erosion, with differing degree of thr ...
The european infarction study experience
The european infarction study experience

... with slow release oxprenolol and 378 with placebo. In the oxprenolol group, 22 patients (6.1 %) died during the 1 year follow-up period as compared with 17 patients (4.5%) in the placebo group. Because these patients were recruited on the basis of willingness of the hospital to participate in this p ...
Arrhythmogenic Right Ventricular Dysplasia / Cardiomyopathy : A
Arrhythmogenic Right Ventricular Dysplasia / Cardiomyopathy : A

... prevention of arrhythmic sudden death is the first objective of treatment, management of patients with ARVD/C must be individualized and based on local experience because, at present, there are still no precise guidelines to determine which patients need treatment and what therapy is the best 4-6. T ...
Management of Patients With Atrial Fibrillation
Management of Patients With Atrial Fibrillation

... persistent. Termination with pharmacological therapy or direct-current cardioversion does not alter the designation. First detected AF may be either paroxysmal or persistent. The category of persistent AF also includes cases of long-standing AF (e.g., >1 year), usually leading to permanent AF, in wh ...
The Heart of the Matter: Cardiac Imaging of Sarcoidosis
The Heart of the Matter: Cardiac Imaging of Sarcoidosis

... 5. Greulich S, Deluigi CC, Gloekler S, et al. CMR imaging predicts death and other adverse events in suspected cardiac sarcoidosis. JACC Cardiovasc Imaging. 2013;6:501–511. 6. Blankstein R, Osborne M, Naya M, et al. Cardiac positron emission tomography enhances prognostic assessments of patients wit ...
Activity 4.2.3: EKG
Activity 4.2.3: EKG

... messages. Electrical energy is what directs and choreographs the rhythmic beating of your heart. Each beat is initiated by an electrical signal. This electrical activity can be monitored and recorded in the form of a graph. The graph made in this process is called an electrocardiogram and is abbrevi ...
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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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