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relationship of echocardiographic geometry of left ventricular
relationship of echocardiographic geometry of left ventricular

... LL Diaz , HB Calleja, GB Rogelio Heart Institute - St. Luke's Medical Center, Quezon City, Philippines This study aimed to search for the ECG characteristics of echocardiographic concentric and eccentric left ventricular hypertrophy (LVH) . The echocardiographic geometry of LVH in patients with card ...
ECG interpretations good
ECG interpretations good

... the heart - “Normal Sinus Rhythm.” To recognize the 17 most common rhythm disturbances (3-Lead) To be shown an acute myocardial infarction on a 12-Lead ECG. ...
Short left main coronary artery causing dynamic left ventricular
Short left main coronary artery causing dynamic left ventricular

... branches of the left coronary system and thus produce ischemia and fibrosis of the left bundle branch. Ischemia as a possible pathogenetic mechanism producing fibrosis, when it affects conducting system, has been found to be the histologic abnormalities in patients with LBBB [5]. This could explain ...
overload of the left ventricle
overload of the left ventricle

The significance of anaemia in patients with acute ST−elevation
The significance of anaemia in patients with acute ST−elevation

... infarction (STEMI) undergoing percutaneous coronary intervention (PCI) are less abundant and the conclusions equivocal. Aim: To evaluate the incidence of anaemia and its impact on early outcomes in patients undergoing primary PCI for STEMI. Methods: Based on a retrospective review of the medical rec ...
Value of Ventricular Stiffness Index and Ventriculoarterial Interaction
Value of Ventricular Stiffness Index and Ventriculoarterial Interaction

Click here for presentation
Click here for presentation

... lead EKG Examine the EKG leads as groups Use EKG clues to guide clinical management and refer when high risk findings are present ...
Treatment of arrhythmogenic right ventricular
Treatment of arrhythmogenic right ventricular

... an ICD for primary prevention reported that the positive and negative predictive value of inducibility for VT or VF was 35 and 70%, respectively. In this study, the type of ventricular tachyarrhythmia inducible at the time of EPS (i.e. VT or VF) did not predict a statistically different arrhythmic o ...
Cardiac Pacemakers From the Patient`s Perspective
Cardiac Pacemakers From the Patient`s Perspective

... patients can even participate in more strenuous activities such as marathons or scuba diving after consultation with their cardiologists. Any activity restrictions usually result from other medical problems and not from the pacemaker. “With my pacemaker I cannot travel.” By always carrying the ident ...
ECG interpretations
ECG interpretations

... the heart - “Normal Sinus Rhythm.” To recognize the 17 most common rhythm disturbances (3-Lead) To be shown an acute myocardial infarction on a 12-Lead ECG. ...
Cardiopulmonary Performance in Lone
Cardiopulmonary Performance in Lone

... Conclusion: In addition to maximal exercise capacity and cardiopulmonary performance, patients with chronic AF without significant structural heart disease had impaired submaximal exercise performance as assessed by Vo2 kinetics. These parameters were not significantly affected by sotalol used for r ...
Heart Failure with Preserved Left Ventricular Systolic Function (HF
Heart Failure with Preserved Left Ventricular Systolic Function (HF

... PSF ranged from qualitative assessment of LVEF to quantitative measurement of fractional shortening (FS), a wall motion score or LVEF; FS was used most frequently but has certain limitations (see the following text). Table 1 and Figure 1 summarize the findings of the 10 studies. The prevalence of bo ...
Cardiac arrest due to coronary spasms in a patient in a lateral
Cardiac arrest due to coronary spasms in a patient in a lateral

... tomy approach or midline sternotomy should be considered if ...
introduction
introduction

... Asians have by far the worst problems when it comes to heart disease .Nearly 50%of CVDrelated deaths in India occur below the age of 70 ,compared with 22% in West6. ...
Percutaneous dilatation of coarctation of the aorta, stenotic
Percutaneous dilatation of coarctation of the aorta, stenotic

... Fallot/pulmonary atresia with ventricular septal defect (VSD) (patients # 1, 4, 9, 15 in Table 1), in 2 patients due to transposition of the great arteries with VSD after a previous Rastelli procedure (patients # 3, 19 in Table 1), and in one patient due to critical pulmonic valvular stenosis (patie ...
Continuous, non-invasive measurement of the - Heart
Continuous, non-invasive measurement of the - Heart

... At Veeda Clinical Research, after their breakfast subjects had a brief physical examination, blood samples were collected for estimation of HbA1c, vascular cell adhesion molecule (VCAM), N-terminal brain natriuretic propeptide (NTProBNP), and urine samples for creatinine and microalbumin estimation. ...
Risk of Arrhythmia Recurrence After Successful Ablation of
Risk of Arrhythmia Recurrence After Successful Ablation of

Original Articles - Circulation: Cardiovascular Interventions
Original Articles - Circulation: Cardiovascular Interventions

... risk factors, and diseased vessels between the IR and CR groups. Pearson ␹2 test was used for categorical variables and the Student t test for continuous variables. Then, a logistic (propensity) model was fit by including all available baseline risk factors as independent variables to predict the pr ...
Heart Murmur Detection using Fractal Analysis
Heart Murmur Detection using Fractal Analysis

... “lub-dub” pair. This sound occurs after the iso-volumetric relaxation period at the end of systole and the beginning of diastole. This sound is further divided into components A2 and P2. The component A2 is due to the closure of Aortic valves and P2 due to the closure of Pulmonary valves [3]. The so ...
On Table Detection of Persistent Left Superior Vena Cava Draining
On Table Detection of Persistent Left Superior Vena Cava Draining

... is caused by the persistence of left anterior cardinal vein2. When LSVC is present,it most commonly drain into coronary sinus7, but in around 7.5% of cases it drain directly in LA4.Persistence of LSVC is of little surgical significance unless it enters the left atrium giving rise to left to right sh ...
Who Discovered the Frank-Starling Mechanism?
Who Discovered the Frank-Starling Mechanism?

... increased (upper record; Fig. 3, left). Thus the heart was able to eject the increased volume against an unchanged peripheral resistance with only a slight increase in blood pressure (middle tracing; Fig. 3, left). When peripheral resistance was elevated (increase in arterial pressure; middle tracin ...
Left Ventricular Assist Devices
Left Ventricular Assist Devices

... common in patients with continuous flow LVADs. Patients who are unconscious do not necessarily need CPR. Cardiopulmonary resuscitation puts patients at risk for device dislodgment. 4. A 65 yo LVAD patient presents with upper GI bleeding. Why is bleeding common in LVAD patients? ...
What proportion of patients with chronic heart failure is eligible for
What proportion of patients with chronic heart failure is eligible for

... Patients were reviewed by HF specialist nurses and doctors at regular intervals, usually at 4 and 12 months, and then annually, unless an appointment was requested sooner by the patient, physician, or specialist nurse. Information on demography, symptoms and signs, haematology, and biochemistry prof ...
Genotype-phenotype assessment in autosomal recessive
Genotype-phenotype assessment in autosomal recessive

... Initial cardiac assessment included a detailed history of cardiac events, physical examination, resting 12-lead electrocardiogram (ECG), 24-h ambulatory ECG and twodimensional echocardiography. These investigations were performed every 12 months during a follow-up period of 7 ⫾ 6 years (range: 1 to ...
IX. Interpretation
IX. Interpretation

... b. Sinus bradycardia. Upright P-wave in Lead II and rate < 60. c. Sinus tachycardia. Upright P-wave in Lead II and rate > 100. d. Sinus arrhythmia (also known as sinus dysrhythmia). Upright P-wave in Lead II and variable rate normally between 60 and 100. In this normal variant, the rate varies +/- 1 ...
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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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