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Dynamics of low-frequency R-R interval oscillations preceding
Dynamics of low-frequency R-R interval oscillations preceding

... episode of VT per patient was analyzed. Electrocardiographic data were digitized at 400 Hz, and the.QRS complexes were classified with the use of a commercial scanning system and custom software (Burdick, Inc, Milton, Wis) and verified by a cardiologist. The'R-R intervals between normal QRS complexe ...
Non-Invasive Transcutaneous Pacing
Non-Invasive Transcutaneous Pacing

... channel blockers, procainamide), permanent pacemaker failure, idioventricular bradycardias, symptomatic atrial fibrillation with slow ventricular response, refractory bradycardia during resuscitation of hypovolemic shock, and bradyarrhythmias with malignant ventricular escape mechanisms. b. PEA indi ...
Autonomic Nervous System Responses to
Autonomic Nervous System Responses to

... 0.0 to 0. 15 Hz (P,) and 0. 15 to 1.0 Hz (Ph) was calculated. ...
In this Issue
In this Issue

... are of low intensity (focal grade I or II/VI). Murmurs not fitting this profile are more likely to be representative of a congenital heart defect or other cardiovascular pathology. While heart murmurs fitting this profile are more likely to be representative of a functional murmur, an equivocal or m ...
BiPACS Accomplishments - UCLA Department of Surgery
BiPACS Accomplishments - UCLA Department of Surgery

... tools for pharmacologic and mechanical support. This predetermines increased dependence on these tools, increased costs, and an increase in related complications. ...
1. CS .Note the characteristic ECG sign of sinus bradycardia A . PQ
1. CS .Note the characteristic ECG sign of sinus bradycardia A . PQ

... 61. CM. Specify characteristics of third degree atrioventricular block located in the AV node: A. It is often congenital B. In most patients AV junctional rhythm is registered with the heart rate40-60 b / min C. During exercise and stress the heart rates is accelerating up to 100 b / min D. heart ra ...
Pacemakers and ICDs-2012 - UCSF Department of Anesthesia and
Pacemakers and ICDs-2012 - UCSF Department of Anesthesia and

... who can provide answers to clinical questions when the patient cannot. The back of the card provides a technical support telephone number for the manufacturer. The phone numbers are answered 24-hours a day by a real person who is usually quite helpful. Evaluating a preoperative ECG in a patient with ...
Assessment of Patients After Coronary Artery Bypass
Assessment of Patients After Coronary Artery Bypass

... and progression of coronary artery disease in nongrafted or grafted coronary arteries distal to the bypass.15Our study shows that dobutamine stress echocardiography is a moderately sensitive and highly specific technique for detection of vascular compromise in these patients. Sensitivity was relativ ...
Outpatient Clinic
Outpatient Clinic

... Moss and Adams’ Heart Disease in Infants, Children, and Adolescents, 8th Edition. Allen HD, Driscoll HP, Feltes T, Shaddy R, eds. Lippincott Williams and Wilkins; 2013 ...
Slides - Clinical Trial Results
Slides - Clinical Trial Results

... probable stent thrombosis or BARC type 2, 3 or 5 bleeding at 12 and 24 months. – MI, Urgent Target Vessel Revascularization (coronary artery bypass surgery or percutaneous coronary intervention because of acute cardiac ischemia), All-bleeding events and All-cause mortality at 30 days, 6, 12 and 24 m ...
Internal Cardioversion
Internal Cardioversion

... very quickly and ineffectively. Cardioversion – The conversion of an irregular heartbeat to a normal rhythm. Catheter – Long flexible tube containing wires for the electrical conduction which is inserted into the heart. Defibrillator – External energy source that is applied to the heart, either throug ...
Prognostic value of Holter monitoring in congestive heart failure
Prognostic value of Holter monitoring in congestive heart failure

... age but usually achieving ventricular rates between 60 and 80 beats per minute at rest and between 90 and 115 beats per minute during moderate exercise is indicated [21]. Tachycardia-related unfavorable impact of AF on CHF has been recognized for years, however the question whether tachycardia itsel ...
The coronary angiographic analysis of 16573 patients for coronaro
The coronary angiographic analysis of 16573 patients for coronaro

... acquired coronary artery abnormalities in which blood is shunted into a cardiac chamber, great vessel or other structure, bypassing the myocardial capillary network. They are the most common congenital coronary anomalies affecting hemodynamic parameters. The acquired causes of coronary fistulas incl ...
1. CS .Note the characteristic ECG sign of sinus bradycardia A . PQ
1. CS .Note the characteristic ECG sign of sinus bradycardia A . PQ

... 61. CM. Specify characteristics of third degree atrioventricular block located in the AV node: A. It is often congenital B. In most patients AV junctional rhythm is registered with the heart rate40-60 b / min C. During exercise and stress the heart rates is accelerating up to 100 b / min D. heart ra ...
3 Ventricular Function
3 Ventricular Function

... increased fiber stretch, which in turn causes length activation, thought to be explicable in part by sensitization of the contractile proteins to the prevailing cytosolic calcium concentration. An increased afterload may indirectly, through stimulation of stretch-sensitive channels, increase cytosol ...
SUMMARY OF PRODUCT CHARACTERISTICS
SUMMARY OF PRODUCT CHARACTERISTICS

... As with other agents inhibiting the renin-angiotensin-aldosterone system, changes in renal function including acute renal failure may be anticipated in susceptible patients treated with Atacand®. When Atacand® is used in hypertensive patients with renal impairment, periodic monitoring of serum potas ...
1 The Cardiac Cycle - Hamilton Grammar School Science Website
1 The Cardiac Cycle - Hamilton Grammar School Science Website

... The pressure exerted on the blood in the ventricles causes the SL valves to be pushed open Blood is pumped out of the heart into the aorta and pulmonary arteries 5. What is responsible for making ‘heart sounds’? The opening and closing of the AV and SL valves are responsible for making the heart sou ...
Severe aortic stenosis in a Persian kitten Estenose aórtica
Severe aortic stenosis in a Persian kitten Estenose aórtica

... detected by radiography in severely affected animals (Liu, 1968; Bolton and Liu, 1977; Stepien and Bonagura, 1991). In some cases, however, thoracic radiographs may be normal (Sisson et al., 2000). Only sinus tachycardia was observed on the electrocardiogram. Although the electrocardiogram is genera ...
TRANSCATHETER REPAIR OF CONGENITAL HEART DEFECTS
TRANSCATHETER REPAIR OF CONGENITAL HEART DEFECTS

... In recent decades, tremendous medical advances have been made. Therapeutic cardiac catheterisation for repair of congenital heart defects has become the standard mode of therapy. Catheter techniques have progressed. They now provide temporary palliation, prepare the patient for surgical reconstructi ...
Congenital Heart Diseases - Institute of Physical Medicine
Congenital Heart Diseases - Institute of Physical Medicine

... Fallot as a result of; • right ventricular hypertrophy; • the proximal aorta is typically larger than normal, with a diminished pulmonary trunk. • The left-sided cardiac chambers are normal sized, while the right ventricular wall is markedly thickened and may even exceed that of the left. • The VSD ...
Arrythmia_2014 - University of Washington
Arrythmia_2014 - University of Washington

... Causes of sinus tach  Fever ...
老人心電圖之表現差異 EKG Changes in The Elderly
老人心電圖之表現差異 EKG Changes in The Elderly

... • Aging à increase in arterial stiffness and pulse pressure à Hypertension • Parameters of blood pressure and arterial stiffness were related to the PR interval and also influenced its long-term progression • Link between baseline increased pulse pressure or arterial stiffness with the prolongation ...
Rajiv Gandhi University Of Health Sciences, Karnataka
Rajiv Gandhi University Of Health Sciences, Karnataka

... recovery slowest, in the group with severe poisoning. The mortality was higher in moderate and severe groups, death was sudden and clinically unexpected in patient who were appearing to be recovering normally clinically. Abnormal ECG changes were present in 40% of mild cases, 87% of moderate cases, ...
Heart ppt File
Heart ppt File

... conducted from AV node along the bundle of His The bundle fibres divide into numerous Purkinje fibres that permeate throughout the ventricular muscles The spread of electrical impulses throughout the ventricles triggers ventricular systole ...
Main Title
Main Title

... When looking at the heart movie or a picture of the heart, students may realize that the right side is labeled “left” and vice-versa. The heart is always labeled according to the owner’s perspective, not the viewer’s. It can help to hold a picture of the heart up to the teacher’s chest to illustrate ...
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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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