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Hypoplastic left heart syndrome
Hypoplastic left heart syndrome

... compared to normal. Even though stage I surgery can now be offered with an early mortality rate of some 15%, parents have to understand fully the implications of embarking on long term palliative care of their newborn child. Survival at 1, 5 and 10 years is some 75%, 70% and 65%, respectively, in th ...
Lecture 7 Chapter 13:Therapeutic/Prosthetic
Lecture 7 Chapter 13:Therapeutic/Prosthetic

... 6. Draw the 2 possible of paddles placement in the case of external electrodes. 7. Can one use a defibrillator with a patient on a OR table? Why? ...
Atrial septal defect - Great Ormond Street Hospital
Atrial septal defect - Great Ormond Street Hospital

... any symptoms at all. Frequent chest infections can be a sign that the oxygenation process is not working efficiently due to extra blood flow to the lungs. Large defects can cause extra strain on the heart causing the right-hand side of the heart to dilate (stretch). Babies with large defects may be ...
the value of right ventricular systolic and diastolic parameters to
the value of right ventricular systolic and diastolic parameters to

... and progression of ischemic or dilated cardiomyopathy. This mechanism may explain higher rate of mortality and morbidity as well as poor long-term survival. In the present study we suggested that right ventricular dysfunction assessed by echocardiography parameters not only can predict adverse clini ...
the Right Atrium, Right Ventricle, and Left
the Right Atrium, Right Ventricle, and Left

Cardiac structure and function in humans: a new cardiovascular
Cardiac structure and function in humans: a new cardiovascular

... automatically inflating pressure cuff (Prodigy II, model 2200, Colin Medical Instruments, $2,500) to measure arterial pressure and electronically calculate mean arterial pressure (while the pressure cuff also measured heart rate, this was mostly collected from the echo). The total expense was a one- ...
Treating patients with ventricular ectopic beats
Treating patients with ventricular ectopic beats

... The first recorded description of intermittent perturbations interrupting the regular pulse, that could be consistent with VEBs, was from the early Chinese physician Pien Ts’Io, around 600 BC, who was the master in pulse palpation and diagnosis.1 He noted that these irregularities did not interfere ...
Stingray Barb Injury: A Cause of Late Coronary Occlusion and
Stingray Barb Injury: A Cause of Late Coronary Occlusion and

... STINGRAY BARB INJURY ...
Prevalence of electrocardiographic changes in patients with acute
Prevalence of electrocardiographic changes in patients with acute

... coronary ischemia or infarction, and therefore, healthcare professionals must anticipate and recognize these changes. Evidence from a number of studies indicates that patients with SAH are at high risk for malignant ventricular arrhythmias if the QTc interval is prolonged. [4‑6] A decrease in cardia ...
The Canadian Cardiovascular Society Quality Indicators E
The Canadian Cardiovascular Society Quality Indicators E

... The percentage of Cardiac Rehabilitation (CR) patients who achieved a half metabolic equivalent (MET) increase in their exercise capacity from the initial to the final exercise session. A subset of the denominator representing a number of patients who achieved a half metabolic equivalent (MET) incre ...
The Role of Epicardial Adipose Tissue in Heart
The Role of Epicardial Adipose Tissue in Heart

... function of EAT, obesity and CAD. Anatomy and physiological function of epicardial fat The epicardium is the inner serous layer of the pericardium formed by mesothelial cells and lying directly upon the heart. In the embryological phase these cells migrate onto the surface of the heart from the part ...
COMPLETE HEART BLOCK LACKING FUNC
COMPLETE HEART BLOCK LACKING FUNC

... otherwise a healthy male who has his own business works 8 hours a day. The definitive treatment of complete heart block is implantable pacemaker device unless it is due to the medication that can be put an end to or an infectious process that can be completely and easily treated. According to Americ ...
Systolic and Diastolic Heart Failure: Differences and Similarities Review Articles
Systolic and Diastolic Heart Failure: Differences and Similarities Review Articles

... definition is ‘‘a condition resulting from an increased resistance to filling of one or both ventricles leading to symptoms of congestion due to an inappropriate upward shift of the diastolic pressure-volume relation (that is, during the terminal phase of the cardiac cycle).’’4 Another proposed defi ...
changes in left atrial size and cardiac rhythm in patients after mitral
changes in left atrial size and cardiac rhythm in patients after mitral

... been achieved in 80 to 93% of the patients (18,19,20). All these surgical techniques require great skills and are time consuming. Recently, cryoablation or radiofrequency ablation of the pulmonary veins have been used. However, although early and midterm outcomes are promising, the long-term results ...
Percutaneous Management of Atrial Septal Defects
Percutaneous Management of Atrial Septal Defects

... occluder, the left atrium disk is larger than the right atrium disk. The reported success rate of these devices in closing ASD is as high as 98%.14,15 The proposed advantages of the Amplatzer device include ease of use, deliverability using smaller-diameter catheters, and ability to retrieve and rep ...
SECTION 2
SECTION 2

... identify areas of myocardial ischemia, injury, or infarction. By doing this, the most appropriate treatment can be given. The ECG cannot stop a heart attack, nor can it reperfuse areas of ischemic myocardium; fibrinolytic medications (clot-busters) and invasive procedures (eg, cardiac catheterizatio ...
Giant Right Atrium Yücel Özen, Murat Bulent Rabuş, Sabit Sarıkaya
Giant Right Atrium Yücel Özen, Murat Bulent Rabuş, Sabit Sarıkaya

... Giant right atrium is a rare condition and often seen in childhood due to congenital anomalies. The most important explicable factors for adults are valvuler pathologies. Both tricuspid valve stenosis and insufficiency can lead to right atrial dilatation. The underlying pathology in our patient was ...
Potential Adverse Cardiovascular Effects From Excessive
Potential Adverse Cardiovascular Effects From Excessive

... A routine of regular exercise is highly effective for prevention and treatment of many common chronic diseases and improves cardiovascular (CV) health and longevity. However, long-term excessive endurance exercise may induce pathologic structural remodeling of the heart and large arteries. Emerging ...
Wearable Cardioverter Defibrillators - bcbsks.com
Wearable Cardioverter Defibrillators - bcbsks.com

... being clinically managed. Once treatment is completed, the permanent ICD should be implanted. ...
Chapter20
Chapter20

... A transient rise in blood pressure will cause a reflex ___________ in cardioinhibitory center activity and a reflex ____________ in cardioacceleratory center activity. a. Increase – increase b. Increase – decrease c. Decrease – decrease d. Decrease – increase ...
Poor long-term patient and graft survival after primary percutaneous
Poor long-term patient and graft survival after primary percutaneous

... Primary percutaneous coronary intervention (PCI) for ST segment elevation myocardial infarction (STEMI) due to saphenous vein graft (SVG) occlusion has been associated with poor procedural results and poor short-term outcomes, but long-term graft patency and patient survival have not been evaluated. ...
In-vitro Pulsatile Performance Evaluation
In-vitro Pulsatile Performance Evaluation

A review of Duchenne muscular dystrophy focusing on cardiac
A review of Duchenne muscular dystrophy focusing on cardiac

... Cardiac failure is the major cause of death in DMD despite the introduction of cardioprotective treatment such as angiotensin-converting-enzymes (ACE) inhibitors and beta-blockers (Ameen and Robson, 2010). DMD patients develop hypertrophic and dilated cardiomyopathy, which ultimately results in card ...
CARDIOVASCULAR SYSTEM
CARDIOVASCULAR SYSTEM

... SA node not firing properly ~ defective pacemaker ...
Comparison of Hemodynamic Effects of Inhaled Milrinone and Inhaled Prostacyclin
Comparison of Hemodynamic Effects of Inhaled Milrinone and Inhaled Prostacyclin

... in this prospective, randomized non-blind study. The patients were randomly allocated to one of 2 groups, GroupI: Received inhaled milrinone which was administered through endotracheal tube by inhalation preceding the initiation of CPB.5milligrams (1mg/ml) was administered, resulting in a dose rangi ...
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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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