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Clinical Advances in Heart Failure and Arrhythmias
Clinical Advances in Heart Failure and Arrhythmias

... In accordance with the ACCME Standards for Commercial Support, course directors, planning committees, faculty and all others in control of the educational content of the CME activity must disclose all relevant financial relationships with any commercial interest that they or their spouse/partner may ...
Congenital Heart Disease - Singapore General Hospital
Congenital Heart Disease - Singapore General Hospital

... A small and uncomplicated patent ductus arteriosus (PDA) shunts blood from the aorta to the pulmonary artery but is unlikely to cause significant complications during pregnancy. The risk of complications during pregnancy becomes higher if a large PDA has resulted in left ventricular dilatation or pu ...
Stress Induced Cardiomyopathy
Stress Induced Cardiomyopathy

... The exact pathophysiology of stress induced cardiomyopathy is uncertain, however, the evidence currently available suggests a catecholamine-mediated mechanism via cardiac sympathetic nerves. ...
Chapter 5 Clinical Assessment Of cardiovascular Structure
Chapter 5 Clinical Assessment Of cardiovascular Structure

... nervous system events (tumor, trauma) prolonged QT syndrome (familial), ...
Minimally Invasive Cardiac Surgery
Minimally Invasive Cardiac Surgery

... AVR may be considered for adults with severe asymptomatic AS if there is a high likelihood of rapid progression (age, calcification, and CAD) or if surgery might be delayed at the time of symptom onset AVR may be considered in patients undergoing CABG who have mild AS when there is evidence, such as ...
A Novel Technique for Analysis of Heart Sound Signal
A Novel Technique for Analysis of Heart Sound Signal

... sounds[4,7]. Iwata et al (1980) developed a detection algorithm to detect the first (S1, caused by the closure of the mitral and the tricuspid valves) and the second (S2, caused by the closure of the aortic and the pulmonary valves) heart sounds based on frequency domain characteristics of the PCG e ...
OAC Panel Recommendation Slide Deck
OAC Panel Recommendation Slide Deck

... Perioperative Management for Planned Procedures Management (DOAC) Bridging therapy may not be necessary for non-valvular AF patients who are prescribed DOAC therapy due to the speed of offset & onset. Short-term cessation and reinitiating therapy must be synchronized with the procedure. Renal funct ...
XStrain™ 4D
XStrain™ 4D

... Diastolic and Systolic data sets including Volumes, EF, CO, DSI (Diastolic Sphericity Index), SSI (Systolic Sphericity Index) and regional contractility data is provided. This data is provided only after, spatial alignment of the 3 standard views in 3D space with adaption of a dynamic LV surface mod ...
Risk Stratification for Sudden Cardiac Death after Acute Myocardial
Risk Stratification for Sudden Cardiac Death after Acute Myocardial

... documented in 25% to 50% of patients soon after an AMI.23 A number of studies conducted in the pre-thrombolysis and thrombolysis eras demonstrated that the SAECG can be predictive of arrhythmic events and sudden cardiac death in patients following AMI.23-26 Kuchar et al25 prospectively assessed 165 ...
Dronedarone for the treatment of atrial fibrillation and atrial flutter
Dronedarone for the treatment of atrial fibrillation and atrial flutter

... summary of product characteristics [SPC] does not recommend dronedarone for people with left ventricular ejection fraction less than 35% because of limited experience of using it in this group) or age 70 years or older, and who do not have unstable New York Heart Association (NYHA) class III or IV h ...
Author Contributions - HAL
Author Contributions - HAL

... (especially in the first 90 days). The incidence of bleedings ranges from 1.9 to 13.1/100 person-years, but this estimate is subject to selection and methodological biases7,8. These cohorts included outpatients or mixed populations, the VKA (warfarin) was managed by anticoagulation clinics and the r ...
ECG, EKG - Long Island Cardiology Associates
ECG, EKG - Long Island Cardiology Associates

... An electrocardiogram (EKG) is a test that detects and records the electrical activity of the heart. EKGs are used to evaluate signs and symptoms that could indicate heart problems. Many heart problems change the electrical “signature” of the heart in distinct ways. EKG recordings of this electrical ...
Copeptin for risk stratification in acute illness
Copeptin for risk stratification in acute illness

... ER (one patient) or were admitted to the clinical wards and conventionally treated. Median hospital stay was 3 days (IQR 0-8.2). During the hospital stay, 6 other patients died, so that the overall number of in-hospital death was 7 (i.e. 8%). Patients who died had a mean copeptin level of 58.3 pmol/ ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... Hypoplastic left heart syndrome with an intact atrial septum is a rare finding, reported in only 1% of pathologic specimens with hypoplasia of the aortic tract complex 4.With prenatal restriction, or complete premature closure of the foramen ovale (i.e., intact atrial septum), flow is diverted away ...
Rehabilitation: Cardiac Rehabilitation Services (Outpatient)
Rehabilitation: Cardiac Rehabilitation Services (Outpatient)

... symptoms despite being on optimal heart failure therapy for at least 6 weeks. Stable patients are defined as patients who have not had recent (≤6 weeks) or planned (≤6 months) major cardiovascular hospitalizations or procedures. For additional information, see the NCD for Cardiac Rehabilitation Prog ...
Biventricular ICD implant using endocardial LV lead
Biventricular ICD implant using endocardial LV lead

... no revascularization was considered necessary. A more recent echocardiogram demonstrated evidence of severe LV dysfunction with an ejection fraction below 30% with anterior wall akinesia and a 24-h ECG revealed a brief episode of nonsustained monomorphic ventricular tachycardia. The 12 lead ECG demo ...
Swans and Pressors
Swans and Pressors

... >10%: Cardiovascular: Ventricular arrhythmia (ectopy 9%, NSVT 3%, sustained ventricular tachycardia 1%, ventricular fibrillation <1%) Hypotension ...
Lab
Lab

... o Left and right ventricle o Inferior and superior vena cava  BEFORE cutting into this heart, label the exterior heart (#1 analysis).  Beginning at the pulmonary artery, cut through the right ventricle.  Identify the following components of the heart: o Pulmonary Semilunar Valve (valve at the exi ...
Improved Diastolic Function Is Associated With Higher Cardiac
Improved Diastolic Function Is Associated With Higher Cardiac

... Methods and Results-—We retrospectively analyzed 1840 consecutive patients who underwent heart catheterization. We divided patients into 8 groups according to ejection fraction (EF) (35–45%, 46–55%, 56–65%, and 66–75%) and EDP (>16 or ≤16 mm Hg). We estimated EDPVR from single measurements in the ca ...
efectele recuperǎrii cardiovasculare asupra pacienţilor internaţi în
efectele recuperǎrii cardiovasculare asupra pacienţilor internaţi în

... same time, 85.87% of the patients benefited from carbon dioxide baths. Their therapeutic effects are due to the action of CO2. CO2 induces cutaneous arterial vasodilatation, decreasing blood pressure values. It also causes an increase of cardiac output, while decreasing blood pressure and heart rate ...
Fibrosis in dilated cardiomyopathy, part II
Fibrosis in dilated cardiomyopathy, part II

... Conclusion The molecular mechanisms by which TN-C exert theses effects on heart repair are not clear. There are only few experimental studies suggesting a close relationship between TN-C and MMP. Moreover, in a single study in humans, serum TN-C and MMP-9 levels were both elevated in patients with ...
Case 7 - Tripod.com
Case 7 - Tripod.com

... Oxygen–IV access–monitor–fluids Vital signs, pulse oximeter, monitor BP Obtain and review 12-lead ECG Obtain and review portable chest x-ray Problem-focused history Problem-focused physical examination Consider causes (differential diagnoses) ...
Document
Document

... suggested that a liquid decomposition product of PVP was the actual electrolyte [61] but it is now thought that the original LiI concept is correct as the resistance increases with usage because of the growth in the electrolyte layer thickness [4]. Pacemakers with telemetry features require higher ...
Chpt_20_MCB_246_SU12
Chpt_20_MCB_246_SU12

... aortic sinuses and then branch out • Cardiac veins return deoxygenated coronary blood into right atrium • High blood pressure & elastic rebound forces blood through coronary arteries between ventricular contractions ...
The Heart - life.illinois.edu
The Heart - life.illinois.edu

... aortic sinuses and then branch out •  Cardiac veins return deoxygenated coronary blood into right atrium •  High blood pressure & elastic rebound forces blood through coronary arteries between ventricular contractions ...
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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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