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Melody TPV Value Summary
Melody TPV Value Summary

... • Cardiopulmonary bypass is required during surgery and has been shown to carry significant complications including:8,11 • Stroke ...
Defective Reflex Control of Heart Rate in Dialysis
Defective Reflex Control of Heart Rate in Dialysis

... using the results from the heart-rate-based tests of overall autonomic function, into those with overall normal autonomic function (no, or at most one, abnormal test) and overall abnormal autonomic function (at least two out of three abnormal tests) and their response to atropine was re-examined (Fi ...
Prevention of sudden cardiac death in
Prevention of sudden cardiac death in

... Education in Heart Family history of SCD SCD in families of patients with HCM was examined as a predictor of SCD using survival analysis in a number of studies, but only three, using different definitions for family history of SCD (FHSCD), have shown a significant association.10 w15 w21 In general, FH ...
Effects of captopril on ventricular arrhythmias in the early and late
Effects of captopril on ventricular arrhythmias in the early and late

... from the onset of symptoms of suspected acute myocardial infarction. ST segment elevation of the initial ECG was present in 73% of the patients (33% in anterior leads, 38% in inferior leads alone and 2% in both or other leads). Slightly more of the patients allocated captopril had evidence of inferi ...
MUScUlAR VENtRicUlAR SEPtAl DEFEct
MUScUlAR VENtRicUlAR SEPtAl DEFEct

... option available to some patients. The procedure involves making a small incision, typically in the groin, and inserting a small tube, called a catheter or sheath, to navigate through the blood vessels to the procedure site within the heart (Figure 4). In patients with a muscular VSD, the doctor wil ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... Diabetes mellitus is one of the most common diseases in the world and is acquiring epidemic proportions. More than 5 % of adults has this disease, with prevalence of about 1 % in the youth to 13 % in those older than 60 years. The epidemic of diabetes represents a major burden to health care systems ...
Current View - HCC Learning Web
Current View - HCC Learning Web

... After completing Chapter 20, you will be able to: 1. Identify and describe the interior and exterior anatomy of the heart. 2. Describe the path of blood through the heart and out of the heart. 3. Explain the cardiac conduction system. 4. Describe the process and purpose of an electrocardiogram. 5. E ...
Clinical cardiac involvement in thrombotic
Clinical cardiac involvement in thrombotic

Update on Management of Non-Valvular Atrial Fibrillation
Update on Management of Non-Valvular Atrial Fibrillation

... recommendation that patients should achieve a TTR of >70% (time in the therapeutic range).12 However problems with warfarin therapy include the high inter- and intra-individual variation in INRs and significant drug, food and alcohol interactions;12,13 in order to achieve optimal control, regular m ...
130814-ae-FINAL-Beta blockers-Page 1
130814-ae-FINAL-Beta blockers-Page 1

... receptors for the hormone adrenaline. When adrenaline is released in the body it will activate these receptors so that the organ becomes more active. This is best illustrated when you are physically active, at which time adrenalinee is released to ensure that your heart rate increases to maintain yo ...
Recurrent acute heart failure caused by sliding hiatus hernia
Recurrent acute heart failure caused by sliding hiatus hernia

... penalising effect on alcohol consumption.2 3 However, disulfiram has been widely abandoned because of its unfavourable safety profile. Inadvertent ingestion of alcohol may cause severe acetic aldehyde reaction requiring medical assistance.4 Fulminant hepatitis after the use of disulfiram usually occ ...
mosaic turner syndrome in young woman with severe restrictive
mosaic turner syndrome in young woman with severe restrictive

... Andres, I look forward to learning from the Master about this case and this entity. My knowledge of Turner Syndrome dates back to Medical School and I have never encountered a case in my clinical career. As such, I am really looking forward to the final discussion. I am going to start with the ECG ...
Atrial Fibrillation - Ulster Medical Society
Atrial Fibrillation - Ulster Medical Society

... Episodes last greater than 7 days or require either DC or chemical cardioversion ...
methylene blue for cardiogenic shock.indd
methylene blue for cardiogenic shock.indd

... pathophysiology of cardiogenic shock involves both heart failure and increased afterload, but sometimes, not frequently may present as a vasodilatory state secondary to systemic inflammation, which requires treatment with high doses of inotropics and vasopressors. Objective: We present 3 cases of pa ...
CARDIAC DISEASES
CARDIAC DISEASES

... passing through its chambers but by a specialized network of blood vessels. Known as the coronary arteries, these blood vessels encircle the heart like a crown.  Three main coronary arteries—the right, the left circumflex, and the left anterior descending—nourish different regions of the heart musc ...
Guidelines for cardiac pacing and cardiac - Af
Guidelines for cardiac pacing and cardiac - Af

... Slide-set © European Society of Cardiology ...
the cardiovascular effects of cocaine
the cardiovascular effects of cocaine

... (reduce myocardial O2 supply and exacerbate hypertension) ...
The Current Status of Performing Left Ventriculography in Taiwan
The Current Status of Performing Left Ventriculography in Taiwan

... the quality of LVG is difficult to optimize. Ventricular arrhythmia and inadequate opacification of the ventricular cavity can cause unsatisfactory resulting images. According to Deligonul et al., even when utilized by experienced operators using biplane imaging, only 20% of imaging quality was cons ...
LEFT ATRIAL MYXOMA WITH CORONARY ARTERY DISEASE: AN UNEXPECTED PREOPERATIVE FINDING m
LEFT ATRIAL MYXOMA WITH CORONARY ARTERY DISEASE: AN UNEXPECTED PREOPERATIVE FINDING m

... large LA mass [5 cm x 3.5 cm] attached to fossa ovalis with specks of calcification. The mass was prolapsing into mitral valve during diastole [Fig. 1] and the mitral valve was normal. LA appendage had no thrombus but there was a 4 mm layered atheroma in the descending ...
The clinical utility of new cardiac imaging modalities in Australasian
The clinical utility of new cardiac imaging modalities in Australasian

... to image at higher heart rates, with algorithms to reconstruct cardiac motion, and are becoming more widely available. ...
Regional Wall Motion Abnormalities During Early Diastole in
Regional Wall Motion Abnormalities During Early Diastole in

... tricular hypertrophy, and shows normal systolic function and abnormal diastolic filling properties. Although the regional relaxation abnormality is an important determinant of global left ventricular diastolic dysfunction in coronary artery disease18–20 and hypertrophic cardiomyopathy7,21–22, the ro ...
The Right Angle
The Right Angle

... nodules suggest the possibility of a systemic disease. Given the absence of other features consistent with systemic lupus erythematosus and the negative ANA test, I think that diagnosis is unlikely. Acute tuberculosis could have been the cause of the patient’s previously reported pneumonia. Sarcoido ...
The Right Angle
The Right Angle

... nodules suggest the possibility of a systemic disease. Given the absence of other features consistent with systemic lupus erythematosus and the negative ANA test, I think that diagnosis is unlikely. Acute tuberculosis could have been the cause of the patient’s previously reported pneumonia. Sarcoido ...
Myocardial infarction in an individual with Wolff-Parkinson
Myocardial infarction in an individual with Wolff-Parkinson

... suddenly after admission, with no response to resuscitation maneuvers and before other investigations were performed. Autopsy examination of the heart revealed no accessory atrioventricular connection, but revealed a recent myocardial infarction. The case underlines the potential danger of the Wolff ...
Arrhythmogenic right ventricular dysplasia masquerading as right
Arrhythmogenic right ventricular dysplasia masquerading as right

... RV and RVOT although small anatomical changes have been demonstrated during MRI examination [3, 4]. The difference between ARVD and RVOT is important when discussing prognosis and management options. An RVOT is considered to be curative with radiofrequency catheter ablation. This is the first line t ...
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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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