 
									
								
									CardioRenal Interrelationship
									
... Sudden Cardiac Death in Dialysis Patients - Estimated rate of sudden cardiac death in dialysis patients is approximately 7% per year (27% of all deaths). ...
                        	... Sudden Cardiac Death in Dialysis Patients - Estimated rate of sudden cardiac death in dialysis patients is approximately 7% per year (27% of all deaths). ...
									Warfarin (Coumadin®, Jantoven®) Considerations for Use*
									
... Previously stabilized warfarin patients often have elevated INRs when admitted with decompensated heart failure. This often requires holding or reducing warfarin dose by ~50% for 1-2 days after admission, but as they diurese and improve, they often require their previous warfarin does. May take 3 to ...
                        	... Previously stabilized warfarin patients often have elevated INRs when admitted with decompensated heart failure. This often requires holding or reducing warfarin dose by ~50% for 1-2 days after admission, but as they diurese and improve, they often require their previous warfarin does. May take 3 to ...
									Reducing risk in heart disease
									
... ‘expert opinion’, based on independent review of the available evidence. Interpretation of this document by those without appropriate medical and/or clinical training is not recommended, other than at the request of, or in consultation with, a relevant health professional. While care has been taken ...
                        	... ‘expert opinion’, based on independent review of the available evidence. Interpretation of this document by those without appropriate medical and/or clinical training is not recommended, other than at the request of, or in consultation with, a relevant health professional. While care has been taken ...
									Open Access
									
... parallel with P-wave abnormalities, progressive heart failure developed and he was admitted twice during this follow-up period. Echo-Doppler study during the convalescent phase demonstrated asymmetric septal hypertrophy (16 mm) with a slightly dilated (end-diastolic volume of 118 cc) and moderately ...
                        	... parallel with P-wave abnormalities, progressive heart failure developed and he was admitted twice during this follow-up period. Echo-Doppler study during the convalescent phase demonstrated asymmetric septal hypertrophy (16 mm) with a slightly dilated (end-diastolic volume of 118 cc) and moderately ...
									Circulation: Heart Failure Topic Review
									
... those with reduced EF (REF) are limited. Using the Get With The Guidelines database, the present study aimed to compare clinical characteristics, quality of care, and outcomes between Hispanic and non-Hispanic whites hospitalized for HF stratified by EF. The authors also evaluated temporal trends in ...
                        	... those with reduced EF (REF) are limited. Using the Get With The Guidelines database, the present study aimed to compare clinical characteristics, quality of care, and outcomes between Hispanic and non-Hispanic whites hospitalized for HF stratified by EF. The authors also evaluated temporal trends in ...
									Quantification of left ventricular function and mass in heart transplant
									
... In all patients cardiac DSCT and MRI exams were successfully performed without complications. All studies were of adequate quality for function and mass assessment allowing optimal manual segmentation of the left ventricle. The mean left ventricular ejection fraction, left ventricular volumes and le ...
                        	... In all patients cardiac DSCT and MRI exams were successfully performed without complications. All studies were of adequate quality for function and mass assessment allowing optimal manual segmentation of the left ventricle. The mean left ventricular ejection fraction, left ventricular volumes and le ...
									Heart Failure in Dogs - Today`s Veterinary Practice
									
... and pulmonary edema. Radiographs can also indicate bronchial compression due to an enlarged left atrium and rule out alternate diagnoses, such as pneumonia or pulmonary neoplasia. When CHF is suspected, diuretic therapy can be initiated before thoracic radiography if the patient is dyspneic. Periodi ...
                        	... and pulmonary edema. Radiographs can also indicate bronchial compression due to an enlarged left atrium and rule out alternate diagnoses, such as pneumonia or pulmonary neoplasia. When CHF is suspected, diuretic therapy can be initiated before thoracic radiography if the patient is dyspneic. Periodi ...
									CT Coronary Angiography (CCTA) CPT Codes: 75574 Current
									
... interpretation, or discordant results with previous clinical data Evaluation of myocardial viability prior to Previous SPECT test for viability is inadequate; AND Previous SPECT/MPI imaging for viability is possible percutaneous or surgical inadequate; AND revascularization if: Patient has severe le ...
                        	... interpretation, or discordant results with previous clinical data Evaluation of myocardial viability prior to Previous SPECT test for viability is inadequate; AND Previous SPECT/MPI imaging for viability is possible percutaneous or surgical inadequate; AND revascularization if: Patient has severe le ...
									Contractile Proteins of Heart Muscle in Man
									
... This report deals with the contractile proteins of human muscle in congestive failure, and with the role played by the contractile proteins and by biochemical processes in the regulation of the mechanical function of the heart. The contractility of actomyosin bands prepared from heart muscle of pati ...
                        	... This report deals with the contractile proteins of human muscle in congestive failure, and with the role played by the contractile proteins and by biochemical processes in the regulation of the mechanical function of the heart. The contractility of actomyosin bands prepared from heart muscle of pati ...
									Is central nervous system processing altered in patients with heart
									
... of oxygen at the tissue level. In cardiac or pulmonary disease, when cardiac output or oxygenation is abnormal, overall cardiopulmonary efficiency declines and the work of breathing is increased for the required oxygen delivery required. Both diseases are associated with breathlessness and fatigue, ...
                        	... of oxygen at the tissue level. In cardiac or pulmonary disease, when cardiac output or oxygenation is abnormal, overall cardiopulmonary efficiency declines and the work of breathing is increased for the required oxygen delivery required. Both diseases are associated with breathlessness and fatigue, ...
									Waldenström macroglobulinemia and amyloid cardiomyopathy—an
									
... primary light chain (AL) amyloidosis. Cardiac amyloidosis is characterized by progressive diastolic and systolic dysfunction and arrhythmia. Cardiac amyloidosis symptom is similar to restrictive cardiomyopathy. The symptom is not apparent at the early stage, when cardiac complication becomes clinica ...
                        	... primary light chain (AL) amyloidosis. Cardiac amyloidosis is characterized by progressive diastolic and systolic dysfunction and arrhythmia. Cardiac amyloidosis symptom is similar to restrictive cardiomyopathy. The symptom is not apparent at the early stage, when cardiac complication becomes clinica ...
									Pathology of Cardiovascular System
									
... • Here the situation is one of a compromised cardiac pump which has been “compensated” by an increase in right atrial pressure ( increased blood volume caused by retention of fluid ). Thus cardiac output is maintained. • It may not be noticed as it would have developed gradually over time. However a ...
                        	... • Here the situation is one of a compromised cardiac pump which has been “compensated” by an increase in right atrial pressure ( increased blood volume caused by retention of fluid ). Thus cardiac output is maintained. • It may not be noticed as it would have developed gradually over time. However a ...
									Cardiac Contractility
									
... • Acute: Hyperkalemia is a marker for severe poisoning  Due to blockade of Na+/K+ ATPase  Increases AV blockade and worsens bradydysrhythmias • Chronic: Hypokalemia predisposes the patient to dysrhythmias at lower digoxin levels  Higher resting potential increases automaticity ...
                        	... • Acute: Hyperkalemia is a marker for severe poisoning  Due to blockade of Na+/K+ ATPase  Increases AV blockade and worsens bradydysrhythmias • Chronic: Hypokalemia predisposes the patient to dysrhythmias at lower digoxin levels  Higher resting potential increases automaticity ...
									11.4: Hemodynamic Assessment - American College of Cardiology
									
... 1. Cite the findings from history and physical examination that are associated with congestion and a low output state in patients with heart failure, to improve skill in hemodynamic assessment. 2. Discuss the strengths and limitations of the jugular venous pressure (JVP) in estimating the pulmonar ...
                        	... 1. Cite the findings from history and physical examination that are associated with congestion and a low output state in patients with heart failure, to improve skill in hemodynamic assessment. 2. Discuss the strengths and limitations of the jugular venous pressure (JVP) in estimating the pulmonar ...
									Top Ten Things to Know  - Professional Heart Daily
									
... C1]), mitral valve surgery is reasonable in the setting of serial imaging studies that reveal a progressive increase in LV size or decrease in LVEF. 5. Secondary MR – • The definition of severe secondary MR is now the same as for severe primary MR (effective regurgitant orifice area ≥0.4 cm2, regurg ...
                        	... C1]), mitral valve surgery is reasonable in the setting of serial imaging studies that reveal a progressive increase in LV size or decrease in LVEF. 5. Secondary MR – • The definition of severe secondary MR is now the same as for severe primary MR (effective regurgitant orifice area ≥0.4 cm2, regurg ...
									streptokinase therapy in patients presenting between 6
									
... Streptokinase (STK) is the first thrombolytic agent to be used in acute myocardial infarction (AMI). It is currently being administered to many thousands of patients with same condition. The greatest benefits occur when STK is given early, after the onset of symptoms although late benefits have been ...
                        	... Streptokinase (STK) is the first thrombolytic agent to be used in acute myocardial infarction (AMI). It is currently being administered to many thousands of patients with same condition. The greatest benefits occur when STK is given early, after the onset of symptoms although late benefits have been ...
									The Heart - life.illinois.edu
									
... to keep artery open vasodilators (e.g., nitroglycerin) • Coronary bypass surgery - use healthy and calcium channel blockers veins (from legs) to create anatomoses around blockages; most people have 4 major coronary arteries, hence “quadruple bypass surgery” © 2012 Pearson Education, Inc. ...
                        	... to keep artery open vasodilators (e.g., nitroglycerin) • Coronary bypass surgery - use healthy and calcium channel blockers veins (from legs) to create anatomoses around blockages; most people have 4 major coronary arteries, hence “quadruple bypass surgery” © 2012 Pearson Education, Inc. ...
									congenital_heart_dz_revised_1_carter
									
... newborn with normal exam, now is noted to have a heart murmur. PMI LSB, not hyperdynamic pulses equal all extremities No HSM ...
                        	... newborn with normal exam, now is noted to have a heart murmur. PMI LSB, not hyperdynamic pulses equal all extremities No HSM ...
									STATE HEART - Evangelical Community Hospital
									
... treatment. The Vein Center’s program treats more vein-related conditions than any other facility in the region, which gives Evangelical’s specialists a wealth of experience. The Vein Center’s experienced staff is prepared to treat most common vein-related disorders, including: Varicose veins — Cause ...
                        	... treatment. The Vein Center’s program treats more vein-related conditions than any other facility in the region, which gives Evangelical’s specialists a wealth of experience. The Vein Center’s experienced staff is prepared to treat most common vein-related disorders, including: Varicose veins — Cause ...
									High concentrations of B−type natriuretic peptide and left ventricular
									
... After 1 year follow-up, 15 (9.6%) patients, in whom persistent AF was previously diagnosed (100%), developed permanent AF (permanent AF group). Arrhythmia was well tolerated and pharmacological or electrical cardioversion was unsuccessful. Demographic and echocardiographic characteristics of the stu ...
                        	... After 1 year follow-up, 15 (9.6%) patients, in whom persistent AF was previously diagnosed (100%), developed permanent AF (permanent AF group). Arrhythmia was well tolerated and pharmacological or electrical cardioversion was unsuccessful. Demographic and echocardiographic characteristics of the stu ...
									Short QT syndrome
									
... individuals with short QT syndrome due to their effects on prolonging the action potential and by their action on the IK channels1. The ability of quinidine to prolong the QT interval has the potential to be an effective therapy for short QT patients because effectively suppressed gain-of-function i ...
                        	... individuals with short QT syndrome due to their effects on prolonging the action potential and by their action on the IK channels1. The ability of quinidine to prolong the QT interval has the potential to be an effective therapy for short QT patients because effectively suppressed gain-of-function i ...
									Slide 1
									
... Yohannes AM, Doherty P, Bundy C,Yalfani A. The long-term benefits of cardiac rehabilitation on depression, anxiety, physical activity and quality of life. Journal of Clinical Nursing 2010; 19(19-20):2806-2813. ...
                        	... Yohannes AM, Doherty P, Bundy C,Yalfani A. The long-term benefits of cardiac rehabilitation on depression, anxiety, physical activity and quality of life. Journal of Clinical Nursing 2010; 19(19-20):2806-2813. ...
									Case Study Oklahoma Heart Hospital: Clinician Leaders Establish Culture of Quality
									
... OK Heart has excelled in creating quality outcomes and generating patient satisfaction since it opened in 2002. High scores have been connected to positive financial performance: the hospital received the maximum payment from CMS for performance in evidencebased core measures and was recently select ...
                        	... OK Heart has excelled in creating quality outcomes and generating patient satisfaction since it opened in 2002. High scores have been connected to positive financial performance: the hospital received the maximum payment from CMS for performance in evidencebased core measures and was recently select ...
									Document
									
... therapeutic agent. Alone, it is effective at rate control as a first-line agent in only 58% of patients, which is comparable to calcium channel blockers but worse than beta blockers alone[8]. In combination, it can help reduce the dose of calcium channel blocker or beta blocker required to achieve ...
                        	... therapeutic agent. Alone, it is effective at rate control as a first-line agent in only 58% of patients, which is comparable to calcium channel blockers but worse than beta blockers alone[8]. In combination, it can help reduce the dose of calcium channel blocker or beta blocker required to achieve ...
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.
 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									