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Acute Myocardial Infarction. The understanding of acute myocardial
Acute Myocardial Infarction. The understanding of acute myocardial

... precipitating factors such as stress or exertion. The patient could exhibit nausea and vomiting during an AMI. Feelings of fear and anxiety will likely be present due to the patients awareness of what could be happening. Shortness of breath and dyspnea are common respiratory associated symptoms due ...
Week 6 File - ACI Moodle
Week 6 File - ACI Moodle

...  Others – H1 antagonists / cocaine Treatment To date, no pharmacological agents have improved survival, however implantable cardiac defibrillators reduce 10-year mortality to ~ 0% (1) Symptomatic patients displaying the Type 1 ST-segment elevation or Brugada ECG (either spontaneously or after sodiu ...
Dyssynchrony and the Risk of Ventricular Arrhythmias
Dyssynchrony and the Risk of Ventricular Arrhythmias

... Defibrillator Implantation Trial–Cardiac Resynchronization Therapy) study has recently demonstrated that CRT combined with an implantable cardioverter-defibrillator (CRT-D) reduces heart failure or death in mildly symptomatic or asymptomatic heart failure patients with severe left ventricular dysfun ...
NOTES
NOTES

... A. Pathophysiology: type of mitral insufficiency occurring when one or both mitral valve cusps “billow” into atrium during ventricular systole; most common in women aged 14 – 30; cause unclear; ?result from rheumatic heart disease, ischemic heart disease, inherited connective tissue disorders such a ...
Nurses Guide to Commonly asked Questions about Heart Failure
Nurses Guide to Commonly asked Questions about Heart Failure

... What is Heart Failure (HF)? In medical terms, HF is a complex clinical syndrome in which the abnormality of the cardiac function is responsible for an inability of the heart to pump blood throughout the circulatory system, therefore failing to meet the peripheral demands of the metabolizing tissues. ...
Percutaneous implantation of the left ventricular
Percutaneous implantation of the left ventricular

... were prepared as for a left heart catheterization procedure according to the hospital’s standard procedures. Left ventriculography was performed in two projections (left/right anterior oblique) to confirm LV sizes measured by baseline echocardiogram. Ventricular partitioning device implant landing z ...
Open Brochure Here - American Board of Cardiovascular Medicine
Open Brochure Here - American Board of Cardiovascular Medicine

... Junctional rhythms Ventricular rhythms AV block patterns Myocardial ischemia Myocardial injury Bundle branch blocks Electrolyte disturbances ...
Engineered heart tissue for regeneration of diseased hearts
Engineered heart tissue for regeneration of diseased hearts

... cardiac tissue engineering attempts utilize heart cells from embryonic chicken and neonatal rats and scaffold materials. Over the past years our group has developed a novel technique to engineer collagen/matrigel-based cardiac muscle constructs, which we termed engineered heart tissue (EHT). EHT dis ...
Application of the Transtheoretical Model to Exercise Behavior and
Application of the Transtheoretical Model to Exercise Behavior and

... patients were classified as level III or IV in New York Heart Association classification system, most patients advanced to a more active stage at the 3- and 6-month follow-up. This result not only indicated good patient compliance but also represented good in-hospital health promotion. However, 23% ...
Positive Therapeutic Effects of Intercessory Prayer in a Coronary
Positive Therapeutic Effects of Intercessory Prayer in a Coronary

... that prayer for sovereigns in England did not make them live longer than other prominent people of the time.2 Though perhaps a unique approach for his time, the study suffered greatly in design, as retrospective studies are prone to do. Galton also believed that prayer seemed to be a perfectly reaso ...
case report - Heart
case report - Heart

... anterior cusp was supplied by chordv from the main anterior papillary muscle, and the chordae tendinexe from the posterior papillary muscle were attached to the posterior cusp. Three friable vegetations were present on the rudimentary valve: one immediately lateral to the hole, one on the fibrous br ...
Ventricular Assist Device (VAD) Trends
Ventricular Assist Device (VAD) Trends

... For individuals with a weakened heart or heart failure, cardiologists often recommend a ventricular assist device while awaiting a heart transplant or as a long-term treatment. These devices are showing trends of increasing utilization, expanding the previously limited scope of treatment options for ...
left heart
left heart

... a fight for his life.” Nurse Nan knew that maintaining cardiac output was necessary for adequate blood flow through the body. As Dr. Collins walked away, Nurse Nan composed herself to tell Mrs. Helms the bad news and returned to the patient’s room. Nurse Nan explained to Mrs. Helms that her husband ...
ventricular_tachycardia - Milliken Animal Clinic
ventricular_tachycardia - Milliken Animal Clinic

... • “Ventricular” refers to the ventricles of the heart; “tachycardia” is the medical term for rapid heart rate • The heart of the dog or cat is composed of four chambers; the top two chambers are the right and left atria and the bottom two chambers are the right and left ventricles; heart valves are ...
R-wave peak time at DII: A new criterion for
R-wave peak time at DII: A new criterion for

... of paramount importance in this aim. Although ECG deductive analysis has been the cornerstone for differential diagnosis of wide QRS complex tachycardias, few criteria (morphologic, clinical, logical, duration) have been introduced and validated. At this time, few studies use QRS complex duration cr ...
Lab/ECG/Xray Rounds - Calgary Emergency Medicine
Lab/ECG/Xray Rounds - Calgary Emergency Medicine

... obstructive cardiomyopathy ...
ventricular_tachycardia
ventricular_tachycardia

... • “Ventricular” refers to the ventricles of the heart; “tachycardia” is the medical term for rapid heart rate • The heart of the dog or cat is composed of four chambers; the top two chambers are the right and left atria and the bottom two chambers are the right and left ventricles; heart valves are ...
Cardiac Devices and Peri-Operative Cardiac Surgery Appearances
Cardiac Devices and Peri-Operative Cardiac Surgery Appearances

... I have no financial relationship or advisory role with pharmaceutical or device-making companies, or CME provider. I will not discuss or describe in my presentation at the meeting the investigational or unlabeled ("off-label") use of a medical device, product, or pharmaceutical that is classified by ...
Cardiovascular Disorders
Cardiovascular Disorders

... end-diastolic volume (EDV) and a decrease in endsystolic volume (ESV). This leads to an increase in total stroke volume (TSV) to supernormal levels. However, forward stroke volume (FSV) is diminished because much of the TSV regurgitates as the regurgitate stroke volume (RSV). This, in turn, results ...
PDF file - Via Medica Journals
PDF file - Via Medica Journals

... that atrial fibrillation was found in 8% of patients, much lower percentage than in the PRIME II study, however, the MADIT II had two-thirds of patients in NYHA class I and II. There is more consistency in findings from various prior studies regarding the association of atrial fibrillation with risk ...
prepare to provide your answer!
prepare to provide your answer!

... then 5-20 mg/h) can be a useful strategy when other options are not available. • Add another type of diuretic with different site of action (thiazides, spironolactone). Thiazide diuretics (eg oral metolazone 2.5-5 mg OB/BID or hydrochlorothiazide 25-50 mg) are often given at least 30 minutes before ...
Assessment of Cardiovascular2014
Assessment of Cardiovascular2014

... •  SA to AV = P wave, (atrial stimulation) •  Stimulus spreads through bundle of His = QRS complex •  Repolarization of ventricles =T wave on ...
congenital heart disease - Easymed.club
congenital heart disease - Easymed.club

... decreased lung compliance which leads to frequent respiratory tract infections Precordial bulge Excessive sweating - Tendency for CCF ...
Gastrointestinal Symptoms from Left
Gastrointestinal Symptoms from Left

... commonly reported adverse events include gastrointestinal (GI) bleeding (GIB), device malfunction, and infections. GIB can result in significant morbidity, and its incidence has been estimated to range between 18–40%.4,5 While GIB remains the most recognized adverse GI event, other complications from ...
Six Heart Healthy Actions
Six Heart Healthy Actions

... Even people who look healthy and free of heart disease can have arrhythmias (abnormal heart rhythms) and be at risk of sudden cardiac arrest (SCA). But those with heart disease are at the highest risk. Reducing heart disease is important to help lower the risk of arrhythmias, stroke and SCA. This Fe ...
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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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