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THE HUMAN HEART
THE HUMAN HEART

... prevent blood from flowing back into the heart chambers after it has contracted atrioventricular valves are found between the atrium and ventricle of each side of the heart semilunar valves are found in the arteries leaving the heart to prevent blood from flowing back into the ventricles ...
Inspiratory muscle training can benefit all the three disciplines of a
Inspiratory muscle training can benefit all the three disciplines of a

... inspiratory pressure (PIP / PImax) is the highest level of pressure applied to the lungs during inhalation, this way this maneuver helps to improve a person’s PIP(peak inspiratory volume) During the training period, the training group continued to show a small increase in the PI,max, which suggests ...
Pulmonary Hypertension:
Pulmonary Hypertension:

... best made with invasive catheterization of the main pulmonary artery with a direct blood pressure measurement. This is typically not practical in patients with severe respiratory distress, as it requires general anesthesia in dogs. The best way to non-invasively diagnose this condition is through th ...
Transaortic Transcatheter Aortic Valve Implantation as a second
Transaortic Transcatheter Aortic Valve Implantation as a second

... Background and Aims: In this report, we present our experience with the transaortic transcatheter aortic valve implantation using the SAPIEN valve. The procedural success, 30-day outcome, and survival up to 2 years are compared with the transapical access performed in patients in our institution. Ma ...
Biology 212: Anatomy and Physiology II Lab #4
Biology 212: Anatomy and Physiology II Lab #4

... electrodes are placed, this permits the evaluation of electrical changes across each very specific axis. Each pair of location is called a LEAD, and there are many different leads that can be used clinically. Einthoven's triangle represents three (I, II and III) when the positive and negative electr ...
EKG INTERPRETATION
EKG INTERPRETATION

... ST segment elevation (high-take off, benign early repolarisation) Exaggerated sinus arrhythmia Sinus bradycardia Wandering atrial pacemaker Wenckebach phenomenon Junctional rhythm 1st degree heart block ...
Shock – manifestation of pulmonary atresia with aorto
Shock – manifestation of pulmonary atresia with aorto

... and single ventricle physiology presenting with shock very early following birth. Methods and results: We describe a newborn infant who developed shock with severe metabolic acidosis and respiratory distress several hours following birth. Cardiac ultrasound showed pulmonary atresia and ventricular s ...
PDF
PDF

... “ Omnipresent ECG -oversee android watch” is designed to implement the increasing awareness of alteration in the rhythm of heart beat and coronary heart diseases due to stress and other risk factors. Death caused by heart diseases are high it can be reduced when a person’s heart beat rate is monitor ...
cardiac output and myocardial function - pact
cardiac output and myocardial function - pact

... fixed proportion of total left ventricular output over a wide range of flows and pressures. Approximately 75% of the total cardiac output passes through the descending aorta and this proportion is little changed in high-output states; in those with low cardiac outputs, however, the proportion falls ...
Severe right heart failure in two patients with thyrotoxicosis
Severe right heart failure in two patients with thyrotoxicosis

... 5 months later showed only mild TR with a mildly inotropic and chronotropic action on the heart. It dilated right ventricle of 2.6 cm. The RVSP was 21.6 also increases the total blood volume and decreases mm Hg. He declined radioactive iodine treatment, the total systemic vascular resistance. All th ...
1 electrocardiography in two models of
1 electrocardiography in two models of

... 5mg/kg and 150mg/kg resulted in death rates of 46% and 55%, respectively within the premedication period. Surviving animals were used for the experiments 24h after the last application of 5mg/kg isoproterenol or 14 days after administration of single overdose. Systolic blood pressure and heart rate ...
Acute and Chronic Heart Dilation Model
Acute and Chronic Heart Dilation Model

... Congestive heart failure is characterized by impaired quality of life and markedly shortened life expectancy. There are currently many medical and surgical modalities that aim to treat patients with heart failure, which implies the need for an animal heart failure model for the development and testi ...
heart histology of the four chambers in the spotted scat, scatophagus
heart histology of the four chambers in the spotted scat, scatophagus

... Ferguson, 2006, Senarat et al., 2016). Under a light microscope, it was revealed that the heart structure typically consisted of 4 chambers including the sinus venosus (data not shown), the soft atrium, the muscular ventricle, and the bulbus arteriosus (Figure 1(a-e)). Similarly, the heart morpholog ...
7 Coronary Artery Disease – Acute Coronary Syndromes
7 Coronary Artery Disease – Acute Coronary Syndromes

... Though there are no individual physical signs diagnostic of STEMI, many patients have evidence of autonomic nervous system activation (pallor, sweating) and either hypotension or narrow pulse pressure, as well as irregularities of the pulse including bradycardia or tachycardia. The 12-channel ECG sh ...
Heart failure with preserved ejection fraction
Heart failure with preserved ejection fraction

... with disparate responses to medical therapies would all suggest that they are two discrete disease processes. Heart failure with preserved ejection fraction is currently observed in 50% of HF patients, and outcomes are similar to those seen in HFrEF.20 The dismal prognosis is likely a reflection of ...
Phytotherapy for Angina
Phytotherapy for Angina

... Modern use of hawthorn in clinical trials has focussed on assessing its value in mild cases of congestive heart failure. A meta-analysis reviewing eight clinical trials from 1989 to 1994 found standardized hawthorn leaf and flower extract to be efficacious for treating heart failure (mostly of NYHA ...
Transposition of the Great Arteries
Transposition of the Great Arteries

...  Atrial fibrillation  Atrial flutter  Other atrial tachycardias (Paroxysmal or persistent) o Ventricular tachycardia  Sustained or not sustained  Related to progressive RV deterioration o Associated with pacemaker placement  Sick sinus syndrome  Complete heart block  Related to medical treat ...
ppt by Dr. J
ppt by Dr. J

...  APB produces different looking P wave, because depolarization vector is abnormal  QRS complex has normal duration and same morphology ...
View Abstract - Association of Black Cardiologists
View Abstract - Association of Black Cardiologists

... On hospital day 4, the patient felt better and ambulated to her commode to urinate. As she stood up, she again developed severe acute substernal chest pain and went into PEA. ACLS was initiated, and 80 mL of blood was aspirated through her pericardial drain. She rapidly regained pulses. Given recurr ...
assets.baptistonline.org
assets.baptistonline.org

... • Russert was recording voiceovers when he collapsed. • Previously diagnosed with asymptomatic coronary artery disease. ...
Transcutaneous Pacing
Transcutaneous Pacing

...  temporary and is indicated for short intervals as a bridge until transvenous pacing can be initiated or until the underlying cause of the bradyarrhythmia (e.g., hyperkalemia, drug overdose can be reversed ...
Gene Therapy for Cardiac Arrhythmias
Gene Therapy for Cardiac Arrhythmias

... CPVT, catecholaminergic polymorphic ventricular tachycardia; LQTS, long QT syndrome; OMI-VT, ventricular tachycardia related to an old myocardial infarction. ...
Canadian Cardiovascular Society commentary on
Canadian Cardiovascular Society commentary on

... The model shows that if by fiscal year 2008/2009, 6500 new devices are implanted annually (up from the 2300 implanted in fiscal year 2003/2004), the rate of new implants would increase from 72 per million to 204 per million and the prevalence of treated patients would increase from 7000 to 23,617. T ...
Right atrial thrombus and its causes
Right atrial thrombus and its causes

... likely the case with the large tubular thrombus we describe in this case. The actual incidence of RA masses is unknown and the condition is likely underdiagnosed, since only symptomatic patients are referred for workup (1). A review from Sweden reported a prevalence of RA thrombi of 7% in 23,796 aut ...
Surviving Left Ventricular Free Wall Rupture after Elective Left Heart
Surviving Left Ventricular Free Wall Rupture after Elective Left Heart

... On hospital day 4, the patient felt better and ambulated to her commode to urinate. As she stood up, she again developed severe acute substernal chest pain and went into PEA. ACLS was initiated, and 80 mL of blood was aspirated through her pericardial drain. She rapidly regained pulses. Given recurr ...
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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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