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Neonatal management of trisomy 18: Clinical details of 24 patients
Neonatal management of trisomy 18: Clinical details of 24 patients

... defects were classified into two groups according to the hemodynamic state: those that reduced pulmonary blood flow in Patients 3 and 24 with pulmonary atresia, and Patients 12 and 18 with tetralogy of Fallot; and those that increased pulmonary blood flow in the others. Twenty-three patients had hea ...
Atrioventricular Reciprocating Tachycardia Mediated by Twin
Atrioventricular Reciprocating Tachycardia Mediated by Twin

... From the Hôpital Cardiologique Haut Lèvéque, CHU Bordeaux, Bordeaux, France. Dr. Frontera received a grant from the European Heart Rhythm Association outside this work. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose. ...
Cardiovascular System Block (CVS 311)
Cardiovascular System Block (CVS 311)

... Q-T INTERVAL  The Q-T interval represents the time for both ventricular depolarization and repolarization to occur, and therefore roughly estimates the duration of an average ventricular action potential.  This interval can range from 0.2 to 0.4 seconds depending upon heart rate.  At high heart ...
Cardiac Rhythm Disturbances in the Obstructive
Cardiac Rhythm Disturbances in the Obstructive

... rhythm disturbances; and group 1, those with other rhythm disturbances based on the criteria given above. Of the 45 patients who underwent ambulatory ECG monitoring prior to commencement of nCPAP therapy, 35 patients (78%) were noted to have some nocturnal rhythm disturbance. However, of these, only ...
Pericarditis
Pericarditis

... - Pulse normal. - Only heart sound become distant. - Invisible cardiac pulse. - Pericardial rub might disappear or it may remain and this indication to previous pericarditis so no pain and no rub. ...
Heart failure and neuroendocrine activation: diagnostic
Heart failure and neuroendocrine activation: diagnostic

... compared with the ACE-inhibitor group. Based on these results the ELITE-II study was then launched in order to investigate differences in mortality and morbidity. The study, which has recently been published, found no difference between the two treatments (Pitt et al., 2000). During long-term ACE-in ...
Antiarrythmic drugs
Antiarrythmic drugs

... under normal conditions, eg, some Purkinje fibers) are particularly prone to acceleration by the above mechanisms. However, all cardiac cells, including normally quiescent atrial and ventricular cells, may show repetitive pacemaker activity when depolarized under appropriate conditions, especially i ...
Fontan conversion to total cavopulmonary connection - Heart
Fontan conversion to total cavopulmonary connection - Heart

... have grave consequences; thus, arrhythmias can lead to myocardial failure and development of atrial thrombi, pulmonary vein compression can cause low cardiac output and pulmonary hypertension, and coronary sinus hypertension can induce myocardial impairment. All these possible events make the late F ...
Lecture 8 - Harper College
Lecture 8 - Harper College

... - peripheral & lung tissues become congested = CHF Cardiac Disorders Cardiac Glycosides • CHF can be left sided or right sided • Cardiac glycosides = digitalis glycosides - inhibits the Na - K pump inc. intracellular Ca cardiac muscle fibers contract more efficiently - Digitalis = 3 effects on the h ...
.I Summary and Future Perspectives Willem G.van Dockum ____________________________
.I Summary and Future Perspectives Willem G.van Dockum ____________________________

... In our study group, approximately 10% of the treated patients necessitated pacemaker implantation due to procedure-related complete atrioventricular block. Bolus injection of alcohol, injection in more than one septal artery, and probably infarct location, are independent predictors of complete hear ...
Coming Out of the Water
Coming Out of the Water

... aEnalapril 5 mg BID for 1–2 weeks followed by enalapril 10 mg BID was an optional starting run-in dose for patients treated with ARBs or with a low dose of ACEI. bDosing in clinical trials was based on the total amount of both components of sac/val; 24/26 mg, 49/51 mg, and 97/103 mg were referred to ...
12 Analyzing Heart EKG KJ
12 Analyzing Heart EKG KJ

... An electrocardiogram (ECG or EKG) is a graphical recording of the electrical events occurring within the heart. In a healthy heart there is a natural pacemaker in the right atrium (the sinoatrial node) which initiates an electrical sequence. This impulse then passes down natural conduction pathways ...
Radiofrequency Catheter Ablation of Premature Ventricular
Radiofrequency Catheter Ablation of Premature Ventricular

... and right ventricle (RV), and degree of mitral regurgitation at parasternal long-axis or apical four-chamber view, respectively. Left ventricular ejection fraction (LVEF) was calculated by the Teichholz method. All values of echocardiogram were recorded during sinus rhythm, but not at the PVC beat, ...
MiniLab Analyzing EKGs
MiniLab Analyzing EKGs

... An electrocardiogram (ECG or EKG) is a graphical recording of the electrical events occurring within the heart. In a healthy heart there is a natural pacemaker in the right atrium (the sinoatrial node) which initiates an electrical sequence. This impulse then passes down natural conduction pathways ...
12 Analyzing Heart EKG
12 Analyzing Heart EKG

... An electrocardiogram (ECG or EKG) is a graphical recording of the electrical events occurring within the heart. In a healthy heart there is a natural pacemaker in the right atrium (the sinoatrial node) which initiates an electrical sequence. This impulse then passes down natural conduction pathways ...
8031 Cardiac Arrest - Sacramento County DHHS
8031 Cardiac Arrest - Sacramento County DHHS

... of all cardiac arrest rhythms. Periodic pauses in CPR should be as brief as possible and only as necessary to assess rhythm, shock VF/VT, perform a pulse check when an organized rhythm is detected. B. CPR must be performed with a “Chest Compressions, Airway, Breathing” sequence (C-A-B) to emphasize ...
Downloaded - AJP
Downloaded - AJP

... the recovery of the total heart volume by the pulmonary vein D wave (3, 26, 32). The mitral valve then opens because of the pressure decrease in the ventricle, not because of inertial effects of the inflowing blood, as evidenced by the chamber expanding faster than it can fill (dP/dV ⬍ 0) at mitral ...
Hyperkalemia-induced complete heart block
Hyperkalemia-induced complete heart block

... be congenital or acquired. In general, congenital thirddegree AV block is associated with a narrow complex escape rhythm and fewer symptoms. Ischemic heart disease, drugs, and Hyperkalemia are some common causes of acquired CHB. On the other hand, cardiomyopathies, myocarditis, structural heart dise ...
NURS1004 Week 10 Lecture the Heart Part II Prepared by Didy
NURS1004 Week 10 Lecture the Heart Part II Prepared by Didy

... Controls and coordinates heartbeat ...
Inotropes in cardiothoracic surgery
Inotropes in cardiothoracic surgery

... An inotrope is an agent, which increases or decreases the force or energy of muscular contractions . Positive inotropic agent enhances myocardial contractility so; cardiac output, the amount of blood ejected by the heart with each beat, will also increase. ...
Cardiac assessment cardiac Procedures
Cardiac assessment cardiac Procedures

... (Cardioversion) – The use of electrical shock to restore the heart’s normal rhythm if it stops or if fibrillation occurs ...
PowerPoint Presentation - Lecture 8
PowerPoint Presentation - Lecture 8

... - peripheral & lung tissues become congested = CHF ...
Management of Common Arrhythmias: Part II. Ventricular
Management of Common Arrhythmias: Part II. Ventricular

... arrhythmias, such as ventricular fibrillation, occur early in the acute phase of myocardial infarction, with the risk declining rapidly after 24 hours. The most common arrhythmias are sinus tachycardia and premature ventricular complexes. Sinus bradycardia often develops in patients with acute infer ...
`Oh no it`s Physio!` - Cardiovascular System Notes
`Oh no it`s Physio!` - Cardiovascular System Notes

...  Therefore no correlation between P and QRS waves (complete dissociation)  Ventricles beat its own intrinsic beat of 40/min Premature contractions: may originate in any region of the conductive pathway of the heart including the atria, AV node, AV bundle or ventricles. Types: 1. Premature atrial c ...
Technical Note Cardiac Electrophysiology (EP) Research
Technical Note Cardiac Electrophysiology (EP) Research

... node also known as pacemaker rate can be tested and recorded using pacing catheters. Its rate can be overridden by firing at a rate that is different (often faster) than the SA intrinsic rate. Electric impulse coming from pacing catheter before the SA node peacemaking potential threshold is reached ...
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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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