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Profile Documents Logout
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instructions pdf
instructions pdf

... to -90 mV (picture 7). Its value is given mainly by not even distribution of K+ ions outside and inside of the cell. Action potential starts the course of systola. The depolarisation phase isd quite fast, repolarisation very slow (plateau phase). The full course of action potential and refractory ph ...
Unreliability of M-Mode Left Ventricular Dimensions for Calculating
Unreliability of M-Mode Left Ventricular Dimensions for Calculating

... ml (mean, 82 ml, median 79 ml) and cardiac output ranged from 3.9 to 10.4 L/min (mean, 5.92; median 5.74 ). Corrected for BSA, cardiac indices ranged from 2.5 to 4.64 L/min/m2. Comparing the LVID cubed method with Fick, the correlation coefficient ( r ) for stroke volume was r = .47 (Fig 4) with an ...
Process Owner: PO Both
Process Owner: PO Both

... A. Cardiologists with Board Certification in Cardiology, currently in good standing with SJRMC Medical Staff shall fulfill the requirements in Table 1, adapted from the ACCF/AHA Clinical Competence Statement on Cardiac CT and MR..2 Table 1. Requirements for Level 2 and Level 3 Clinical Competence in ...
File
File

... hospitalizations, number of comorbidities, number of medications taken, and depression score” (p. 1734). This means that those patients who had more hospitalizations, worse HF functional class, a greater number of comorbidities, used more medications, and have depression suffer from poorer sleep qua ...
Clinical and Genetic Heterogeneity of Right Bundle Branch Block
Clinical and Genetic Heterogeneity of Right Bundle Branch Block

... Methods and Results—Sixty patients (45 males aged 40⫾15 years) with the typical ECG pattern were clinically evaluated. Events at follow-up were analyzed for patients with at least one episode of aborted sudden death or syncope of unknown origin before recognition of the syndrome (30 symptomatic pati ...
Unreliability of M-Mode Left Ventricular Dimensions for Calculating
Unreliability of M-Mode Left Ventricular Dimensions for Calculating

... ml (mean, 82 ml, median 79 ml) and cardiac output ranged from 3.9 to 10.4 L/min (mean, 5.92; median 5.74 ). Corrected for BSA, cardiac indices ranged from 2.5 to 4.64 L/min/m2. Comparing the LVID cubed method with Fick, the correlation coefficient ( r ) for stroke volume was r = .47 (Fig 4) with an ...
aVR ST-segment elevation during narrow QRS complex tachycardia
aVR ST-segment elevation during narrow QRS complex tachycardia

... The fQRS is an independent predictor of cardiac events in patients with CAD. It is associated with significantly lower event-free survival for a cardiac event on long-term follow-up(3). However, fQRS is not specific for CAD and is also encountered in other myocardial diseases such as cardiomyopathy ...
Neonatal and Pediatric Guidelines for Arrhythmia
Neonatal and Pediatric Guidelines for Arrhythmia

... arrhythmias, junctional ectopic tachycardia (JET) was seen in 9% of neonates and 5% of older children. Ventricular tachycardia was found in 3% of neonates and 15% of older children (Gross-Wortmann, 2010). In terms of specific arrhythmias, sinus tachycardia is the most frequently seen arrhythmia, wit ...
Segmental Approach to CHD and Evaluation of Intracardiac
Segmental Approach to CHD and Evaluation of Intracardiac

... • Common pulmonary vein is usually largely incorporated into the left atrium and forms the part of the left atrial posterior wall • Membrane develops between the common pulmonary vein and the left atrium resulting in stenosis • Membrane lies between the entrance of the pulmonary veins posteriorly an ...
full brochure .
full brochure .

... • Identifies QTc effects that are antiarrhythmic. • Identifies mechanisms related to changes in cardiac stress and arrhythmia liability. • Allows for easy decision making related to safety of drugs that alter QTc and heart rate, blood pressure or contractility (provided the latter two are measure ...
Arrhythmia Management - SPCN – The Society of Pediatric
Arrhythmia Management - SPCN – The Society of Pediatric

... arrhythmias, junctional ectopic tachycardia (JET) was seen in 9% of neonates and 5% of older children. Ventricular tachycardia was found in 3% of neonates and 15% of older children (Gross-Wortmann, 2010). In terms of specific arrhythmias, sinus tachycardia is the most frequently seen arrhythmia, wit ...
Caring for the Heart Failure Patient: Contemporary Nursing
Caring for the Heart Failure Patient: Contemporary Nursing

... Do you have difficulty remembering information or do you have feelings of confusion? Have you had other health problems that may make your heart failure worse? ...
here - Atrial Fibrillation Clinic
here - Atrial Fibrillation Clinic

... Choose foods that are low in fat. The daily amount of fat in what you eat should be no more than 65 grams for women and 90 grams for men. A low fat diet helps lower blood cholesterol levels. Your doctor may also ask you to take drugs that lower cholesterol. Use Canada’s Food guide to Healthy Eati ...
Giant Cell Myocarditis Depicted by Cardiac Magnetic Resonance
Giant Cell Myocarditis Depicted by Cardiac Magnetic Resonance

... Another diagnostic consideration was arrhythmogenic right ventricular dysplasia attributable to ventricular arrhythmia and symptoms of right ventricular failure. Arrhythmogenic right ventricular dysplasia presents primarily with right-sided enhancement, however.1 Viral myocarditis or infiltrative di ...
ventricular tachycardia
ventricular tachycardia

... beats [known as “arrhythmias”]) or may be a consequence of abnormalities of heart muscle associated with cardiomyopathy (disease of the heart muscle), significant heart-valve disease or inflammation of the heart muscle (known as “myocarditis”)  Ventricular tachycardia is a common cause of irregular ...
Cardiologia
Cardiologia

... Objective: We aimed in this study to assess the role of longitudinal left ventricular (LV) systolic function in heart failure with preserved ejection fraction (HFpEF) in delayed intra- and interatrial conduction time. Methods: In 85 consecutive patients with HFpEF (age 60±11 years, ejection fraction ...
Complete Heart Block Complicating Cardiac catheterization* L I L2
Complete Heart Block Complicating Cardiac catheterization* L I L2

... transient block in conduction may b e due to an inappropriate vasovagal type response. Alternatively, passage of the catheter through the aorta in this patient may have been coincidental. Clinically, patients with right bundle branch block and left axis deviation frequently go on to develop transien ...
Is Receptor Cross-Regulation in Human Heart
Is Receptor Cross-Regulation in Human Heart

... were analysed (16 B,-AR-blocked and 10 non-B-ARblocked). Thus, for each anti-G-protein antiserum, two immunoblots (13 patients each) were obtained and analysed. Typical immunoblots for G,a, Gial + 2 and G , are shown in Figs. 1-3. For all samples, antiserum CS-1 stained two bands which ran at 52 kDa ...
Complete Heart Block Complicating Cardiac
Complete Heart Block Complicating Cardiac

... transient block in conduction may b e due to an inappropriate vasovagal type response. Alternatively, passage of the catheter through the aorta in this patient may have been coincidental. Clinically, patients with right bundle branch block and left axis deviation frequently go on to develop transien ...
Heart valve surgery in II4 patients
Heart valve surgery in II4 patients

... Heart valve surgery was performed in II4 patients over the age of 6o at the National Heart Hospital between November I964 and November 1970. This included 73 aortic, 22 mitral, and I0 multiple valve replacements, 2 mitral valve repairs, and 7 closed mitral valvotomies. There were 2I (i8%) hospital d ...
Summary Introduction
Summary Introduction

... that for the same blood-pressure control, valsartan would reduce cardiac morbidity and mortality more than amlodipine in hypertensive patients at high cardiovascular risk. Methods 15 245 patients, aged 50 years or older with treated or untreated hypertension and high risk of cardiac events participa ...
Rapiscan, INN-regadenoson - EMA
Rapiscan, INN-regadenoson - EMA

... and SA/AV node block leading to first, second or third degree AV block, or sinus bradycardia requiring intervention (see section 4.4). Signs of hypersensitivity (rash, urticaria, angioedema, anaphylaxis and/or throat tightness) may be immediate or delayed onset. Aminophylline may be used to attenuat ...
of heart failure - Academy of Medicine of Malaysia
of heart failure - Academy of Medicine of Malaysia

... Over the last few years, there have been tremendous developments in cardiology particularly in the field of cardiac failure. As such, the Ministry of Health together with the Academy of Medicine and the National Heart Association of Malaysia decided to form a committee to draw up Clinical Practice G ...
Eplerenone in Patients with Systolic Heart Failure and Mild Symptoms
Eplerenone in Patients with Systolic Heart Failure and Mild Symptoms

... statistical analysis plan are available at NEJM.org. The trial was approved by each center’s ethics committee. All patients provided written informed consent. Eligibility criteria were as follows: an age of at least 55 years, NYHA functional class II symptoms, an ejection fraction of no more than 30 ...
Chronic Care Programme
Chronic Care Programme

... leads to congestion of the lung veins and symptoms that reflect this, as well as reduced supply of blood to the tissues. The predominant respiratory symptom is shortness of breath on exertion (dyspnea, dyspnée d'effort) - or in severe cases at rest - and easy fatigueability. Orthopnea is increasing ...
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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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