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Endomyocardial fibrosis: Report of eight cases
Endomyocardial fibrosis: Report of eight cases

... .this contributes significantly to cardiac output. The hemodynamic findings of biventricular endomyocardial fibrosis mimic those of constrictive pericarditis, so it is essential for patients in whom the latter is suspected to undergo biventricular angiocardiography. The left ventricular end-diastoli ...
Cardiology for Psychiatrists Dr. Patrick Gladding, FRACP
Cardiology for Psychiatrists Dr. Patrick Gladding, FRACP

... –  thioridazine, pimozide, sertindole, IV haloperidol. ...
HFrEF: ANSWERS YOU NEVER GET TO QUESTIONS YOU
HFrEF: ANSWERS YOU NEVER GET TO QUESTIONS YOU

... Use the combination to reduce mortality and morbidity in African Americans + HFrEF +NYHA III-IV +already on optimum therapy with evidence-based beta blockers, ACEI (or ARB), and aldosterone antagonist Use the combination to reduce mortality and morbidity in HFrEF + contraindication to ACEI or ARB (d ...
RT30 EKG Strips - respiratorytherapyfiles.net
RT30 EKG Strips - respiratorytherapyfiles.net

... Regularity: The R-R intervals are constant; the rhythm is regular. Rate: The atrial and ventricular rates are equal; heart rate is greater than 100 bpm (usually between 100-160 bpm). P wave: There is a uniform P wave in front of every QRS complex. PRI: The PR interval measure between 0.12 and 0.20 s ...
EECP Articles
EECP Articles

... countries. The study group consisted of 1532 patients enrolled in the registry from 44 clinical sites between January 1998 and September 2000 and thus had reached their 1-year follow-up time point. Registry methodology has been described previously.[22] All treatment was carried out using EECP equip ...
the rural traveler
the rural traveler

... Angioplasty studies show that albumin is modified within minutes of the onset of ischaemia. IMA levels rise rapidly, remain elevated for 2-4 h + return to baseline ...
Recommendations for participation in leisure
Recommendations for participation in leisure

... nodal conduction forms part of the physiological adaptations to exercise [15–17]. Athletes have a large prevalence of first-degree atrioventricular block or seconddegree Wenckebach-type atrioventricular block (Mobitz type I), typically occurring at rest or during sleep [13,20,22–24]. Therefore, thes ...
The Thebesian valve and coronary sinus in cardiac magnetic
The Thebesian valve and coronary sinus in cardiac magnetic

... (CMR). In this examination, it is possible to visualize the function of the heart as well as its anatomy in a noninvasive way using the next generation of CMR devices. An exact analysis of the ejection fraction in some patients for whom suboptimal images in the echo examination were obtained is reco ...
Balloon Pulmonary Valvuloplasty in patients with Congenital
Balloon Pulmonary Valvuloplasty in patients with Congenital

... of transvalvular pressure gradient on average which is slight lower to those of other centers (60% and 63%). Significant infundibular PS is a problem which may cause high residual pressure gradient after BPV. It was suggested by experts that myomectomy should be performed if immediate postprocedure ...
Progress Preentation
Progress Preentation

... The Holter monitor records electrical signals from the heart via a series of electrodes attached to the chest. Responsible for keeping a log of the heart's electrical activity throughout the recording period (usually 24 or 48 hr period) with a sampling frequency of between 500Hz and 1kHz It is also ...
Value of sequential monitoring of left ventricular ejection fraction in
Value of sequential monitoring of left ventricular ejection fraction in

... symptomatic heart disease and cardiac death occurred more frequently. Thus, in patients with asymptomatic LVEF changes, as defined in “Patients, materials, and methods,” the odds of subsequent heart disease were 25 times those of patients with normal LVEF (P ⬍ .001). Only 1 of 47 patients for whom t ...
Congenital cardiac defect in a pygmy goat (Capra hircus)
Congenital cardiac defect in a pygmy goat (Capra hircus)

... The contemporaneous presence of atrioventricular dysplasia and other congenital heart defects, such as septal defect and pulmonary and subaortic stenosis, is common both in humans (7) and in animals (8), but, until now, it has not been described in goats. Only Gardner et al. (5) reported a case of E ...
Improvement of left ventricular ejection fraction, heart failure
Improvement of left ventricular ejection fraction, heart failure

... studies have included patients with mild to moderate left ventricular (LV) dysfunction. Assessment of viable myocardium and prediction of functional recovery after revascularization, however, bears most clinical relevance in patients with severely depressed LV function, because these patients are ex ...
A simple bedside test of 1-minute heart rate variability during deep
A simple bedside test of 1-minute heart rate variability during deep

... resulting from sinus node depolarization) was measured manually with a scaled caliper. R-R intervals surrounding premature ventricular contractions were excluded from the analysis. The change in heart rate was calculated as the difference between the shortest and the longest R-R interval (Figure 1): ...
Article - infekt.ch
Article - infekt.ch

... the participants received a letter with their results. Participants who were at high risk for cardiovascular disease were advised to contact their general practitioner for follow-up. For our study, we surveyed a sample of participants from the TROFINN study (who lived in 10 municipalities along the ...
Exercise Stress Testing
Exercise Stress Testing

... • Wave form is also important • Atrial arrhythmias are also associated with increased mortality ...
ATRIAL FIBRILLATION DECISION AID
ATRIAL FIBRILLATION DECISION AID

... heart. This allows a natural sequence of contraction where the upper chambers (atria) beat first thus filling the lower chambers (ventricles). This sequence allows priming of the pumping chambers and contributes as much as 20% of the output of the heart. In atrial fibrillation, the heart’s natural p ...
MRI as a Lifesaving Tool in Hypertrophic Cardiomyopathy
MRI as a Lifesaving Tool in Hypertrophic Cardiomyopathy

... Our patient: delayed gadolinium enhancement on cardiac MR ...
Cardio6Activity5A.pdf
Cardio6Activity5A.pdf

... 1.) What is the EKG sensor sensing from your body? 2.) What parts of the heart create the electrical charge that is record by the EKG? ...
Unstable Angina and Non–ST-Segment Elevation Myocardial
Unstable Angina and Non–ST-Segment Elevation Myocardial

... Recurrent angina or ischemia with symptoms of congestive heart failure, an S3 gallop, pulmonary edema, worsening rales, or new or worsening mitral regurgitation High-risk findings on noninvasive stress testing Depressed left ventricular function (e.g., ejection fraction < 40% on noninvasive study) H ...
Effect of omitting regular ACE inhibitor
Effect of omitting regular ACE inhibitor

... reports of adverse events in the perioperative period, including hypotension on induction of anaesthesia3–5 and an increased requirement for vasoconstrictors during and after separation from cardiopulmonary bypass (CPB).6 7 Although normal preoperative practice is to advise patients to take their re ...
Comparison of Different Forms of Exercise Training in Patients With
Comparison of Different Forms of Exercise Training in Patients With

Clinicopathologic characteristics of elderly patients with
Clinicopathologic characteristics of elderly patients with

... onset of illness, had a deteriorating clinical course and died 4 months after the onset of illness. The initial clinical outcome was favorable in the remaining 11 patients in the present study. Only two patients reported a "flu-like" illness characterized by fever, malaise, generalized aches and sor ...
Vacuum-assisted closure of post-sternotomy mediastinitis as
Vacuum-assisted closure of post-sternotomy mediastinitis as

... COPD, chronic obstructive pulmonary disease; BMI, body mass index. 3 on the severity scale. ...
stabilization of the congestive heart failure patient in the er
stabilization of the congestive heart failure patient in the er

... absence of taurine deficiency as cats with taurine deficiency often respond well, if they can be made to survive for the first 2-3 weeks. Cats with normal taurine concentrations often respond poorly to medical therapy and may only live for a short time (days to months). In addition to oxygen, thorac ...
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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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