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ANESTHESIA FOR CESAREAN SECTION IN A PATIENT WITH A
ANESTHESIA FOR CESAREAN SECTION IN A PATIENT WITH A

... the last few years have had positive impact on survival of patient with congenital heart diseases (CHD). Children with CHD now reach adult life (16 years and over) and the reproductive age. However, they carry higher morbidity particularly during surgical and obstetrical interventions. At adulthood, ...
Heart Failure - North Alabama Animal Hospital
Heart Failure - North Alabama Animal Hospital

... milder case of heart failure can be treated as outpatients (home with medications, without hospitalization). This illustrates, once again, that the term “heart failure” sounds profoundly discouraging, whereas what it represents is a setback, rather than automatically the end stage, of a heart proble ...
The haplotype of the growth-differentiation factor 15 gene is
The haplotype of the growth-differentiation factor 15 gene is

... GDF15 (growth-differentiation factor 15) is a novel antihypertrophic factor which is induced in the heart in response to pressure overload and plays an important regulatory role in the process of hypertrophy. In the present study, we have investigated the relationship between GDF15 gene variants and ...
12 Lead-ACS - Fleming College
12 Lead-ACS - Fleming College

... Leave V1 in place - this becomes V2R Leave V2 in place - this becomes V1R Move V4 to the 5th ICS on the right midclavicular line = V4R Move V3 halfway between V2R and V4R = V3R Move V5 to the right anterior axillary line in the 5th ICS = V5R Move V6 to the right midaxillary line = V6R ...
Analysis of normal electrocardiograms of Jamunapari goats
Analysis of normal electrocardiograms of Jamunapari goats

... QRS deflections might be due to high degree of synchronized ventricular depolarization, which results in canceling of various wave of depolarization passing in any given direction. The T voltage values were lower than those documented for both horses and dogs [2]. In the present study significant va ...
Investigating Heart Rate
Investigating Heart Rate

... most important include age, gender, heart disease, stress, thyroid problems, anemia, stimulants, depressants, and other medications. The maximum rate that a heart can beat is generally the same for people within the same age group. The maximum cardiac rate for an individual is calculated by subtract ...
a - rguhs
a - rguhs

... Methods of collection of data : The study is carried out on all patients attending with systemic hypertension, diagnosed by JNC VII criteria and managed at BLDEA’s Medical College and Hospital. Detailed history is taken, thorough GPE will be done through cardiovalcular examination will be carried ou ...
Cardiac Dysrhythmia following Pneumonectomy
Cardiac Dysrhythmia following Pneumonectomy

... expired volume in one second (FEV1).’ Cardiac dysrhythmias are well-documented complications follow- ...
abnormal peripheral muscle oxygenation during submaximal
abnormal peripheral muscle oxygenation during submaximal

... INTRODUCTION Pulmonary arterial hypertension (PAH) is a vascular remodeling disease characterized by a progressive increase in pulmonary vascular resistance leading to right ventricular failure. Despite therapies, most patients display persistent and significant exercise intolerance. Many observatio ...
EKG Extravaganza!
EKG Extravaganza!

...  Right Bundle Branch Block (RBBB)  Associated with structural heart disease, increased ...
Left Ventricular Systolic Dysfunction in Patients with
Left Ventricular Systolic Dysfunction in Patients with

... knowledge, this is likely the first study in Pakistan which has reported the frequency of left ventricular systolic dysfunction in patients with CKD not yet on hemodialysis. Our study results are consistent with other regional studies. A study by Avijit el al. found that left ventricular systolic dy ...
Improvement of Cardiac Function During Enzyme
Improvement of Cardiac Function During Enzyme

... Background—Enzyme replacement therapy (ERT) has been shown to enhance microvascular endothelial globotriaosylceramide clearance in the hearts of patients with Fabry disease. Whether these results can be translated into an improvement of myocardial function has yet to be demonstrated. Methods and Res ...
Association between Body Mass Index and Mitral Valve Prolapse
Association between Body Mass Index and Mitral Valve Prolapse

... Introduction: Body mass index (BMI) can affect cardiac morphology; however, the relationship between BMI and valvular heart diseases has not been thoroughly evaluated. This study aimed to determine the relationship between BMI and mitral valve prolapse (MVP) as one of the most common valve diseases ...
Novel Interventional Therapies to Modulate the Autonomic Tone in
Novel Interventional Therapies to Modulate the Autonomic Tone in

... Heart failure (HF) represents a significant and expanding public health burden associated with increasing prevalence and exponential growth in related health care costs. Contemporary advances in both pharmacological and nonpharmacological therapies have often been restricted in application and benefit ...
Clinical correlation between the 6-min walk test
Clinical correlation between the 6-min walk test

... all the systems involved during exercise (16–18). It has been shown that the 6MWT test has prognostic value in disease severity and mortality by revealing decreased distance in patients with heart failure (19). Additionally, it was previously shown by Miyamoto et al. that a 6MWT distance below 332 m ...
IOSR Journal of Dental and Medical Sciences (JDMS)
IOSR Journal of Dental and Medical Sciences (JDMS)

... hypertension, Bacterial, Viral Hormonal and anatomical. In the recent years, scientists are looking closely at the Neuroinvasive viruses and their role in the cardiovascular disease. Most scientists agree to a common instigator of the cardiac pathology that anatomically leads to hypertension. The pa ...
The Responses of Cardiac Sympathetic Nerve Activity to Changes in
The Responses of Cardiac Sympathetic Nerve Activity to Changes in

... atrial A-type receptors by volume expansion increases efferent sympathetic nerve activity in the cat (15). Furthermore, in anesthetized dogs, activation of left atrial receptors by balloon distension increased CSNA, decreased renal SNA and had no effect on splenic or lumbar SNA (19), although in ano ...
AED Information for Staff
AED Information for Staff

... There are many causes – congenital defects, illness, heart attack, environmental conditions, or physical contact with electricity. A hard blow to the chest can knock a healthy youngster or a well-conditioned athlete into cardiac arrest. Dehydration or heat exertion can do the same. Did you know that ...
A Study of Left ventricular hypertrophy in hypertension
A Study of Left ventricular hypertrophy in hypertension

... ambulatory BP monitoring and determination of LV mass index was done. LV mass index did not correlate well with the office systolic or diastolic blood pressure,but there was a statistically significant correlation between 24 hour systolic blood pressure and LV mass . In a similar study, Devereux B.R ...
B-type natriuretic peptide in the management of heart failure
B-type natriuretic peptide in the management of heart failure

... as much as in heart failure.6 In patients with chronic tool obstructive pulmonary disease or asthma, a level of A number of factors have been associated with lower than 100 pg/mL has a negative predictive value increased mortality in patients with heart failure, of 97.7%, which makes BNP useful to e ...
SUNY ESF CPR/AED Program
SUNY ESF CPR/AED Program

... The AED is an electronic device that delivers a shock to restore the rhythm of a fibrillating heart. An AED contains a microprocessor that analyzes and detects a fibrillating heart rhythm through adhesive pads on a victim's chest, judges whether defibrillation is needed, and then delivers a measured ...
hcp.gsk.co.uk
hcp.gsk.co.uk

... leukoencephalopathy syndrome (RPLS) has been reported in association with pazopanib. PRES/RPLS can present with headache, hypertension, seizure, lethargy, confusion, blindness and other visual and neurological disturbances, and can be fatal Patients developing PRES/RPLS should permanently discontinu ...
(AF) patient information - Atrial Fibrillation Association
(AF) patient information - Atrial Fibrillation Association

... In some individuals the episodes of atrial fibrillation are both severe and frequent, affecting their quality of life. If drug treatments do not work or cause unpleasant side effects, it may be necessary to offer a different solution. For patients with persistent AF physicians may elect to perform a card ...
D2B STEMI Alert Checklist - American College of Cardiology
D2B STEMI Alert Checklist - American College of Cardiology

... ED and Cardiac Cath Lab Team shared responsibility – staff communicate among the team with the first available staff transporting the patient when the cath lab is “ready” ED nurse and cath nurse completed nursing hand-off Patient family sent to waiting area and pastoral care notified by ED nurse Pat ...
Brief Report Midaxillary lateral thoracotomy for closure of atrial
Brief Report Midaxillary lateral thoracotomy for closure of atrial

... aorta, and atrial septal defect in the oval fossa. These approaches are considered minimally invasive, since they avoid median sternotomy, and help to improve the cosmetic result. The division or incision of the latissimus dorsi, serratus anterior, or pectoralis muscles, nonetheless, produces signif ...
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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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