Depression as a risk factor for cardiac mortality and morbidity A
... morbidity and mortality in CHD patients [1,2]. Evidence of dysregulation of the autonomic nervous system (ANS) and of the hypothalamic –pituitary –adrenal (HPA) axis in medically well patients with major depressive disorder includes elevated plasma and urinary catecholamines and cortisol [1,2]. Decr ...
... morbidity and mortality in CHD patients [1,2]. Evidence of dysregulation of the autonomic nervous system (ANS) and of the hypothalamic –pituitary –adrenal (HPA) axis in medically well patients with major depressive disorder includes elevated plasma and urinary catecholamines and cortisol [1,2]. Decr ...
Cardiac Sciences Program Learning Module PFO/ASD
... All patients planned for secundum ASD closures will have a general anesthetic and will be seen in CPAC. The pre-angiogram order set will be ordered for admission to the hospital and will include an order for post-procedure limited echo on post-procedure day 1 Presently PFO closures will also have a ...
... All patients planned for secundum ASD closures will have a general anesthetic and will be seen in CPAC. The pre-angiogram order set will be ordered for admission to the hospital and will include an order for post-procedure limited echo on post-procedure day 1 Presently PFO closures will also have a ...
Morbidity outcomes after surgical aortic valve
... included in an observational cohort in our tertiary centre (Oslo University Hospital Rikshospitalet, Norway). Inclusion criteria included age (>18 years), and the ability to read and write Norwegian. Patients without severe AS, unwilling participants, or patients with previous AVR or percutaneous ba ...
... included in an observational cohort in our tertiary centre (Oslo University Hospital Rikshospitalet, Norway). Inclusion criteria included age (>18 years), and the ability to read and write Norwegian. Patients without severe AS, unwilling participants, or patients with previous AVR or percutaneous ba ...
Exercise Training in Patients With Advanced Chronic Heart Failure
... written informed consent was obtained from all patients. The study consisted of 37 male patients ⱕ70 years of age with CHF as a result of ischemic heart disease or dilative cardiomyopathy as assessed by cardiac catheterization. All patients had clinical signs of CHF according to NYHA functional clas ...
... written informed consent was obtained from all patients. The study consisted of 37 male patients ⱕ70 years of age with CHF as a result of ischemic heart disease or dilative cardiomyopathy as assessed by cardiac catheterization. All patients had clinical signs of CHF according to NYHA functional clas ...
Biventricular Pacemakers (Cardiac
... There are numerous cardiac resynchronization therapy (CRT) devices, combined implantable cardiac defibrillator (ICD) plus CRT devices (CRT-D), and combined CRT plus fluid monitoring devices. Some devices are discussed here. For example, in 2001, the InSync® Biventricular Pacing System (Medtronic), a ...
... There are numerous cardiac resynchronization therapy (CRT) devices, combined implantable cardiac defibrillator (ICD) plus CRT devices (CRT-D), and combined CRT plus fluid monitoring devices. Some devices are discussed here. For example, in 2001, the InSync® Biventricular Pacing System (Medtronic), a ...
Contraindications to magnetic resonance imaging
... in patients with permanent pacemakers and ICDs.4 Clinical data are limited, with most existing studies relating to non-cardiac scanning of pacemakers at low field strengths. Moreover, clinically used field strengths have increased to 3 T with currently unknown device interactions.w21 Further, MRI of ...
... in patients with permanent pacemakers and ICDs.4 Clinical data are limited, with most existing studies relating to non-cardiac scanning of pacemakers at low field strengths. Moreover, clinically used field strengths have increased to 3 T with currently unknown device interactions.w21 Further, MRI of ...
16. 7_ortirilgan_yurak_porok
... Before we begin the presentation of material on acquired heart diseases, it should be noted that the outcome of any heart disease is chronic heart failure due to impaired pumping function of one or both ventricles. Proposed a number of classifications of heart failure, including defects in the heart ...
... Before we begin the presentation of material on acquired heart diseases, it should be noted that the outcome of any heart disease is chronic heart failure due to impaired pumping function of one or both ventricles. Proposed a number of classifications of heart failure, including defects in the heart ...
Atrioventricular node ablation: patient monitoring and pacing rate
... A 60-year-old patient with tachycardia-induced cardiomyopathy (fast permanent atrial fibrillation with a mean heart rate of 130 b.p.m.) experienced ventricular fibrillation 2 h after atrioventricular node radiofrequency ablation and biventricular pacemaker implantation, despite a pacing rate at 90 b ...
... A 60-year-old patient with tachycardia-induced cardiomyopathy (fast permanent atrial fibrillation with a mean heart rate of 130 b.p.m.) experienced ventricular fibrillation 2 h after atrioventricular node radiofrequency ablation and biventricular pacemaker implantation, despite a pacing rate at 90 b ...
Pacemaker Lead Perforation during Right Ventricular Outflow Tract
... always lead to a negative complex in lead I [9]. It was not possible to develop an algorithm that correlates ECG parameters with lead position because QRS morphology of RV outflow tract pacing sites may be due to variations in baseline depolarization pattern, size, and function of both the right and ...
... always lead to a negative complex in lead I [9]. It was not possible to develop an algorithm that correlates ECG parameters with lead position because QRS morphology of RV outflow tract pacing sites may be due to variations in baseline depolarization pattern, size, and function of both the right and ...
Heart arrhythmias: Understanding abnormal
... beating too fast. Atrial flutter is usually not life-threatening but can still cause chest pain, faintness or more serious heart problems. Atrial fibrillation is the most common form of SVT. It is when ‘waves’ of uncontrolled electrical signals, rather than the normal regulated signals, travel throu ...
... beating too fast. Atrial flutter is usually not life-threatening but can still cause chest pain, faintness or more serious heart problems. Atrial fibrillation is the most common form of SVT. It is when ‘waves’ of uncontrolled electrical signals, rather than the normal regulated signals, travel throu ...
Primary Cardiac Lymphoma
... achieve complete remission in some cases.12 This patient received chemotherapy associated with radiotherapy, and survived for only 1 year. The causes of death in this case of PCL may be related to refractory control of the disease itself2,13,14 and/or therapeutic complications, such as neutropenia w ...
... achieve complete remission in some cases.12 This patient received chemotherapy associated with radiotherapy, and survived for only 1 year. The causes of death in this case of PCL may be related to refractory control of the disease itself2,13,14 and/or therapeutic complications, such as neutropenia w ...
The CopenHeartSF trial-comprehensive sexual rehabilitation programme for male patients
... and is often related to vascular disease such as diabetes, hypertension and heart disease.10 Studies including 33 451 males estimate that erectile dysfunction in varying degrees exists in 52% of all men, and that age is the most common variable associated with erectile dysfunction.3–5 The probabilit ...
... and is often related to vascular disease such as diabetes, hypertension and heart disease.10 Studies including 33 451 males estimate that erectile dysfunction in varying degrees exists in 52% of all men, and that age is the most common variable associated with erectile dysfunction.3–5 The probabilit ...
Apical Hypertrophic Cardiomyopathy: The Ace-of
... myocardial infarction with a secondary apical LV aneurysm (10%), that might determine the disappearance of the giant T waves.5 Typical features of apical HCM include an audible fourth heart sound, giant T wave negativity on the electrocardiogram, especially in the left precordial leads, a “spade-lik ...
... myocardial infarction with a secondary apical LV aneurysm (10%), that might determine the disappearance of the giant T waves.5 Typical features of apical HCM include an audible fourth heart sound, giant T wave negativity on the electrocardiogram, especially in the left precordial leads, a “spade-lik ...
Module III - Cardiovascular Emergencies and 12 Lead EKG`s
... placement, the more accurate the 12-lead interpretation when interpreted from all other EKG’s taken on this patient 12-leads are often evaluated on a sequential basis, each interpretation made trying to consider the previous one V4-6 should be in a straight line ...
... placement, the more accurate the 12-lead interpretation when interpreted from all other EKG’s taken on this patient 12-leads are often evaluated on a sequential basis, each interpretation made trying to consider the previous one V4-6 should be in a straight line ...
Role of coenzyme Q10 (CoQ10) in cardiac disease, hypertension
... 1968). Doses of 30–60 mg/day (~ 1 kg of body weight) are generally recommended to prevent CoQ10 deficiency and to maintain normal serum concentrations. However optimum clinical benefit requires above normal CoQ10 blood levels which may be 2 to 4 times higher. High blood levels may be required to attai ...
... 1968). Doses of 30–60 mg/day (~ 1 kg of body weight) are generally recommended to prevent CoQ10 deficiency and to maintain normal serum concentrations. However optimum clinical benefit requires above normal CoQ10 blood levels which may be 2 to 4 times higher. High blood levels may be required to attai ...
Wolff–Parkinson–White syndrome presenting as atrial fibrillation in a
... be used in stable symptomatic patients to block the AVN conduction. But, the mainstay of the treatment of AVRTs consists of interrupting the re-entrant circuit. Calcium channel blockers, beta-blockers and digitalis do not act on the bypass tract, and the transmission through the accessory pathway wo ...
... be used in stable symptomatic patients to block the AVN conduction. But, the mainstay of the treatment of AVRTs consists of interrupting the re-entrant circuit. Calcium channel blockers, beta-blockers and digitalis do not act on the bypass tract, and the transmission through the accessory pathway wo ...
Coronary Artery Bypass Grafting in Patients with Advanced Left
... of sudden cardiac deaths caused by arrhythmias8-10 in comparison with medical therapies. It has also been revealed that medical therapies may lead to a poor outcome.11 Nonetheless, surgical coronary revascularization in severe LVD could result in high postoperative mortality due to perioperative low ...
... of sudden cardiac deaths caused by arrhythmias8-10 in comparison with medical therapies. It has also been revealed that medical therapies may lead to a poor outcome.11 Nonetheless, surgical coronary revascularization in severe LVD could result in high postoperative mortality due to perioperative low ...
Macroscopic Structure and Physiology of the Normal and Diseased
... with rodlike bundle of myofibrils, which are the contractile elements. The sacrolemma extends to form an extensive network, the extensions are known as Ttubules. The cell also contains mitochondria which are interspersed between the myofibrils and usually located immediately beneath the sacrolemma. ...
... with rodlike bundle of myofibrils, which are the contractile elements. The sacrolemma extends to form an extensive network, the extensions are known as Ttubules. The cell also contains mitochondria which are interspersed between the myofibrils and usually located immediately beneath the sacrolemma. ...
Role of Bilateral Sympathectomy in the
... and after sympathectomy. Continuous noninvasive blood pressure (A), heart rate (B), finger pulse volume (C), and skin conductance (D) were recorded at baseline, and during 2 sympathetic stressors (handgrip exercise and mental stress induced by a Trier test) before (solid line) and after (dashed line ...
... and after sympathectomy. Continuous noninvasive blood pressure (A), heart rate (B), finger pulse volume (C), and skin conductance (D) were recorded at baseline, and during 2 sympathetic stressors (handgrip exercise and mental stress induced by a Trier test) before (solid line) and after (dashed line ...
ACHA Q and A: Congenitally Corrected Transposition of the Great
... levels in your body. If you have CCTGA, it is very important that you consult with a specialized ACHD clinic before you get pregnant. If you become pregnant, your ACHD cardiologist and your obstetrician will take special steps to protect your heart during your pregnancy and delivery. What kind of ca ...
... levels in your body. If you have CCTGA, it is very important that you consult with a specialized ACHD clinic before you get pregnant. If you become pregnant, your ACHD cardiologist and your obstetrician will take special steps to protect your heart during your pregnancy and delivery. What kind of ca ...
Left Ventricular Systolic Dysfunction in Patients
... oxyhemoglobin desaturation did not significantly differ between patients with LV systolic dysfunction and those with normal LV function. Age, sex ratio, body weight, BMI, and the percentages of patients with obesity, hypertension, diabetes mellitus, or history of smoking did not significantly differ ...
... oxyhemoglobin desaturation did not significantly differ between patients with LV systolic dysfunction and those with normal LV function. Age, sex ratio, body weight, BMI, and the percentages of patients with obesity, hypertension, diabetes mellitus, or history of smoking did not significantly differ ...
Corrected Transposition of the Great Arteries
... heart disease: exertional chest pain suggestive of angina pectoris; QS pattern in the right precordial leads of the ECG compatible with an old anteroseptal myocardial infarction; abnormal cardiac silhouette on the chest x-ray film compatible with a left ventricular aneurysm; and an apical systolic m ...
... heart disease: exertional chest pain suggestive of angina pectoris; QS pattern in the right precordial leads of the ECG compatible with an old anteroseptal myocardial infarction; abnormal cardiac silhouette on the chest x-ray film compatible with a left ventricular aneurysm; and an apical systolic m ...
Value of Monitoring a Second Precordial Lead for
... Dr. Barbara Drew is a Professor at the University of California, San Francisco, where she teaches cardiovascular and critical care nursing in the Master of Science and Doctoral programs and conducts research related to cardiac electrocardiology and cardiac monitoring. The primary goal of Dr. Drew’s ...
... Dr. Barbara Drew is a Professor at the University of California, San Francisco, where she teaches cardiovascular and critical care nursing in the Master of Science and Doctoral programs and conducts research related to cardiac electrocardiology and cardiac monitoring. The primary goal of Dr. Drew’s ...
Consider Medtronic`s Intuitive Heart Valve Solutions
... Indications: The 3f® Aortic Bioprosthesis, Model 1000 is indicated for the replacement of diseased, damaged, or malfunctioning native or prosthetic aortic valves. Contraindications: The 3f® Aortic Bioprosthesis, Model 1000 should not be used in those patients who present with congenital bicuspid ana ...
... Indications: The 3f® Aortic Bioprosthesis, Model 1000 is indicated for the replacement of diseased, damaged, or malfunctioning native or prosthetic aortic valves. Contraindications: The 3f® Aortic Bioprosthesis, Model 1000 should not be used in those patients who present with congenital bicuspid ana ...
Cardiac contractility modulation
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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.