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MED-TEXT 1 Question #41 http://www
MED-TEXT 1 Question #41 http://www

... amyloidosis. The cause is unknown. It may result in enlargement of the heart, heart failure, arrhythmias, and embolism. There is often no specific treatment but patient improve following the control of heart failure and arrhythmias (Martin, 1987:92). c) Any disease that affects the structure and fun ...
pocket guide to neonatal ecg interpretation, 3rd edition
pocket guide to neonatal ecg interpretation, 3rd edition

...   1. a.    7. a.  13. a.  19. a.  25. a.  31. a.  37. a.  43. a.  49. a.  55. a.  61. a.  67. a.  73. a.  79. a.  b.  b.  b.  b.  b.  b.  b.  b.  b.  b.  b.  b.  b.  b.  c.  c.  c.  c.  c.  c.  c.  c.  c.  c.  c.  c.  c. ...
Hereditary Hemochromatosis (HFE) genotypes in heart failure
Hereditary Hemochromatosis (HFE) genotypes in heart failure

... reverse scoring system; corresponding to a left ventricular ejection fraction ≤ 35%) had to be present[17]. Patients with acute coronary syndrome were not eligible for the study nor were patients with atrioventricular block grade II or III, clinically significant hepatic (severe cirrhosis) or renal ...
View/Open - SUST Repository
View/Open - SUST Repository

... period of time when the heart relaxes after contraction in preparation for refilling with circulating blood. Ventricular diastole is when the ventricles are relaxing, while atrial diastole is when the atria are relaxing. Together they are known as complete cardiac diastole. During ventricular diasto ...
Contents Heartbeat Editorials Review Coronary artery disease
Contents Heartbeat Editorials Review Coronary artery disease

... advertising does not imply endorsement. To the fullest extent permitted by law, the BMJ Publishing Group shall not be liable for any loss, injury or damage resulting from the use of Heart or any information in it whether based on contract, tort, or otherwise. Readers are advised to verify any inform ...
Severe Preeclampsia, Pulmonary Edema, and Peripartum
Severe Preeclampsia, Pulmonary Edema, and Peripartum

... edema. Her medical history was noncontributory, and she had an uncomplicated prenatal course, with the exception of excessive weight gain. Initial vital signs were blood pressure (BP) of 157/100 mm Hg, heart rate (HR) of 140/min, respiratory rate (RR) of 22/min, temperature of 36.6°C, and an oxygen ...
This presentation will deal with the basics of ECG description as well
This presentation will deal with the basics of ECG description as well

... without possibility to omit some important stuff. This detailed ECG description is a need-to-know basis for all medical students. 1. First point includes the rhythm, the basic rhythm is a sinus rhythm. The definition of sinus rhythm is when we see a P wave in front of each QRS complex in any, but at ...
Catheter closure of paravalvular leak
Catheter closure of paravalvular leak

... Golden Valley, USA) was selected and for medium to large defects the double disc Amplatzer muscular VSD device provided effectiveness and stability. Transcatheter mitral paravalvular leak closure was mostly achieved via the inferior vena cava, employing a transseptal puncture approach to left atrium ...
Diltiazem (Cardizem) - Advocate Health Care
Diltiazem (Cardizem) - Advocate Health Care

... When the patient sustains a rapid heart rate it could lead to an increased risk of myocardial damage (cardiomyopathy) and deterioration into ventricular fibrillation. The varying stroke volume (amount of blood pumped out of the ventricle with each contraction) decreases and causes the cardiac output ...
Using the Initial Systolic Time Interval to assess cardiac autonomic... function in Parkinson’s disease
Using the Initial Systolic Time Interval to assess cardiac autonomic... function in Parkinson’s disease

... significantly in controls but not in PD patients. This result can be explained by assuming that the high ISTI variability in PD patients was already at a maximal level at rest. This limited compensatory mechanism of the sympathetic system also explains the reduced RR variability in PD patients durin ...
Impact of hemodialysis on P-wave amplitude, duration, and dispersion
Impact of hemodialysis on P-wave amplitude, duration, and dispersion

... (PWdi), because of its relation to both intra-, and inter-atrial inhomogeneous, interrupted conduction of sinus nodal impulses, is a noninvasive predictor of AF risk.4,5 The consequences of HD on PWdu and PWdi have not been unequivocally documented and understood, and may be complex. In our previous ...
Clinical Features, Triage, and Outcome of
Clinical Features, Triage, and Outcome of

... We studied the impact on triage and outcome of patients presenting to the emergency department (ED) with symptoms suggestive of an acute coronary syndromes (ACS) but without a complaint of pain. Data from a prospective clinical trial of patients with symptoms suggesting an ACS in the EDs of 10 US ho ...
Short PR Interval
Short PR Interval

... Lown-Ganong-Levine (LGL) syndrome, the electrophysiologic mechanism for the short PR interval is abnormal AV node function. Some of these patients have enhanced AV node conduction (EAVNC), which can be demonstrated on electrophysiologic testing. In others, preexcitation may occur via an accessory pa ...
Full Text  - Research in Cardiovascular Medicine
Full Text - Research in Cardiovascular Medicine

... Background: Breathlessness is a common problem in chronic heart failure (CHF) patients, and respiratory muscle strength has been proposed to play an important role in causing breathlessness in these patients. Objectives: The aim of this study was to investigate the relation between respiratory muscl ...
Experimental Models of Spontaneous Ventricular Arrhythmias and of
Experimental Models of Spontaneous Ventricular Arrhythmias and of

... cardiomyopathy, closely resembling the human disease, was described in boxer dogs (Basso et al. 2004). Clinical events included sudden death, ventricular arrhythmias of suspected right ventricular origin, syncope and heart failure. Severe right ventricular myocyte loss with replacement by fatty or f ...
Case report - The Pan African Medical Journal
Case report - The Pan African Medical Journal

... resistance [1] but also the intrinsic severity an underlying heart disease. The increase in heart rate is related to sympathetic stimulation, stress, pregnancy, hormonal phenomena and could generate cardiac arrhythmias [3]. Right ventricular outflow tract tachycardia on its own is a rhythm disturban ...
Nademanee and Pedro Brugada Josep Brugada, Ramon Brugada
Nademanee and Pedro Brugada Josep Brugada, Ramon Brugada

... Methods and Results—The clinical, electrophysiological, and follow-up data of 334 patients with the Brugada phenotype were analyzed. A total of 79 women and 255 men with a mean age at diagnosis of 42⫾16 years were studied. The abnormal ECG was recognized after a resuscitated cardiac arrest in 71 pat ...
Diagnosing Right Ventricular Hypertrophy - e
Diagnosing Right Ventricular Hypertrophy - e

... Diagnosing RVH The diagnosis of RVH requires careful scrutiny of the QRS complex.  The most common ECG finding is right axis deviation of greater than 100. Like LVH, the reason for this is that all cells in the heart muscle depolarize, generating electrical activity. More cells (eg, hypertrophy) cre ...
Low-Gradient Aortic Stenosis
Low-Gradient Aortic Stenosis

... Downloaded from http://circ.ahajournals.org/ by guest on June 15, 2017 ...
Anesthesia for non-cardiac surgery in patients with heart failure
Anesthesia for non-cardiac surgery in patients with heart failure

... echocardiography, magnetic resonance imaging (MRI).7 The most readily available in clinical practice is rest echocardiography, which is not routinely recommended for preoperative evaluation of ventricular function, but may be useful in patients with high surgical risk (IIb/C).7 Perioperative major c ...
Rheumatic heart disease in children: from clinical assessment to
Rheumatic heart disease in children: from clinical assessment to

... cardiomegaly, Carey-Coombs’ murmur or congestive heart failure. These clinical signs are non-specific because also due to hemodynamic overload on the left ventricle from acute/subacute mitral and/or aortic regurgitation. Echocardiographic evaluation provides information related to degree of myocardi ...
If patient was sent out for a cath and returned in 12 hours, it is
If patient was sent out for a cath and returned in 12 hours, it is

... There must be documented evidence that a post-discharge noninvasive stress test was planned, although a definitive appointment date is not required. 98 = there must be definitive documentation in the record that a post-discharge stress test was recommended, and the patient refused the test. Response ...
rajiv gandhi university of health sciences, bangalore, karnataka
rajiv gandhi university of health sciences, bangalore, karnataka

... affected by it, the nurse has an important role in helping the people to live with the disease and control it through various preventive and therapeutic measures. Cardiac rehabilitation teaches the cardiac client how to be more active and make lifestyle changes that can lead stronger hart and better ...
Full Text - Ibrahim Medical College
Full Text - Ibrahim Medical College

... LVDD but got no significant statistical association (p=0.448). However, as plasma BNP level is classified into three groups (i.e. <100 pg/ml as normal, 100-400 pg/ml as doubtful, and >400 pg/ml as confirmatory) for diagnostic purpose of cardiac illness, we also analyzed whether there is any associat ...
Comparison on Time Basis of Atrial Fibrillation with Normal Sinus
Comparison on Time Basis of Atrial Fibrillation with Normal Sinus

... per 1,000 in females, and 8 per 1,000 in males, and with an incidence of 0.2 new cases per 1,000 patient years in females and 0.9 new cases per 1,000 patient years in males [2]. Age, sex and the occurrence of some other similar maladies are directly related to the raised incidence, including high bl ...
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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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