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Quick Reference Guide: Atrial Fibrillation
Quick Reference Guide: Atrial Fibrillation

... What to do if the patient with AF is on antiplatelet therapy? It is not uncommon for a patient with atrial fibrillation to also need antiplatelet treatment for coronary heart disease; unfortunately there is a lack of sufficient evidence to provide clear management pathways for such patients. The com ...
Intrinsic Conduction System
Intrinsic Conduction System

HEART FACTS and TRIVIA
HEART FACTS and TRIVIA

... head to the toes! Consequently it must develop more pressure each beat (about 120mmHg at rest). The left heart muscle is thicker as a result, just as your bicep would become thicker if you had to lift heavy weights with it all day. ...
Intrinsic Conduction System
Intrinsic Conduction System

... d. Links the SA node to the AV node, distributing the action potential to the contractile cells of the atria. e. Electrically connects the atria and the ventricles, connecting the AV node to the Bundle Branches. f. Conveys the action potential down the interventricular septum. 6. (Page 4.) Explain t ...
Intrinsic Conduction System
Intrinsic Conduction System

... d. Links the SA node to the AV node, distributing the action potential to the contractile cells of the atria. e. Electrically connects the atria and the ventricles, connecting the AV node to the Bundle Branches. f. Conveys the action potential down the interventricular septum. 6. (Page 4.) Explain t ...
Intrinsic_Conduction_Sys
Intrinsic_Conduction_Sys

... d. Links the SA node to the AV node, distributing the action potential to the contractile cells of the atria. e. Electrically connects the atria and the ventricles, connecting the AV node to the Bundle Branches. f. Conveys the action potential down the interventricular septum. 6. (Page 4.) Explain t ...
heart pp - WTPS.org
heart pp - WTPS.org

... • Endocarditis occurs when germs enter your bloodstream, travel to your heart and lodge on abnormal heart valves or damaged heart tissue. Bacteria are the cause of most cases, but fungi, viruses or other microorganisms also may be responsible. • Sometimes the culprit is one of many common bacteria t ...
Pulmonary Hypertension in Scleroderma
Pulmonary Hypertension in Scleroderma

... is high, the right side of the heart has to pump harder to move blood into the lungs to pick up oxygen. This can lead to failure of the right side of the heart. Patients with scleroderma are at increased risk for developing PH from several mechanisms. Frequently patients with scleroderma have multip ...
Primary Care Follow Up Post Mitral Valve Surgery at Ambulatory Clinic
Primary Care Follow Up Post Mitral Valve Surgery at Ambulatory Clinic

... admitted directly to hospital for further evaluation of his new symptoms of congestive heart failure. His admission labs were unremarkable with the exception of B-type natriuretic peptide of 1463 pg/mL. His admission chest x-ray was suggestive of a left pleural effusion, cardiomegaly and pulmonary e ...
Prominent crista terminalis mimicking a right atrial mixoma: cardiac
Prominent crista terminalis mimicking a right atrial mixoma: cardiac

... Abstract. – A 68-year-old woman came to our observation with a clinical history of isolated systolic hypertension poorly controlled by the combination of ramipril 5 mg and hydrochlorothiazide 12.5 mg o.d. The ECG showed sinus rhythm with heart rate of 68 beats per minute and signs of left ventricula ...
Preventing Sudden Cardiac Death in HCM
Preventing Sudden Cardiac Death in HCM

... and physicians with an individualized absolute risk prediction for SCD should be developed” ...
Pericardial disease
Pericardial disease

... • Fluid smear for TB often negative • Pericardial biopsy more definitive: granulomas in pericardial wall • Heal by fibrosis & calcification ...
(B-type Natriuretic Peptide (BNP Testing)
(B-type Natriuretic Peptide (BNP Testing)

... treatment can be initiated. This test is also used to predict the long-term risk of cardiac events or death across the spectrum of acute coronary syndromes when measured in the first few days after an acute coronary event. For the purposes of this policy, either total or N-terminal assays are accept ...
1.5. Electrocardiogr..
1.5. Electrocardiogr..

... The six limb leads can be represented schematically in terms of a triangle, called Einthoven’s Triangle. • Three bipolar leads, designated as leads I, II, and III, form the sides of the triangle, while the three unipolar leads, designated as leads aVR, aVL, and aVF, form the apexes of the triangle. ...
Article type: Case Report Title: Improved physical performance and
Article type: Case Report Title: Improved physical performance and

... unsupervised exercise therapy to up to 30 min. As a result, the average activity level for the patient after 6 months was 7,546 steps/day, 96 min/day, and 27.6 metabolic equivalents・h/week. For comparison, the National Health and Nutrition Survey (8) conducted in Japan in 2012 reported the average n ...
PDF
PDF

... heart failure and found that there was no correlation between 6MWT distance walked and LVEF . Several studies have established a good correlation between the 6MWD and the New York Heart Association (NYHA) functional class, LVEF and health-related quality of life score measured by the Minnesota Livin ...
Physical therapy after surgery for coronary heart disease
Physical therapy after surgery for coronary heart disease

... exchange, and impairment of mucocilliary clearance mechanisms (Rudra & Das, 2006). The duration of anesthesia also influences the outcome post-surgery. Evidence suggest that longer surgeries lasting more than 3-4 hours are associated with a higher risk of pulmonary complications (Celli, Rodrigue & S ...
The HEART
The HEART

... • Lungs to exchange gases • Pulmonary veins • Left atrium • Bicuspid / Mitral valve • Left ventricle • Aortic semilunar valve • Aorta all parts of the body • Arteries • Arterioles • Capillaries • Venules ...
Ejection fraction rate for hypertensive patients using echocardiography
Ejection fraction rate for hypertensive patients using echocardiography

... right ventricles that is pumped out with each heartbeat or cardiac cycle ( 2) .In order to the left ventricle is the heart's main pumping chamber, so ejection fraction is usually measured only in the left ventricle (LV) (3) . (LV) function can evaluating with echocardiography by the left ventricular ...
What is Atrial Fibrillation?
What is Atrial Fibrillation?

... ventricles, may try to keep up with the atrium and beat at a faster rate than normal. If the heart continues to race for a long period of time the heart muscle becomes worn out and may begin to fail. How common is Atrial Fibrillation? Atrial Fibrillation occurs in over 2 million Americans. It is est ...
Anti-toll like receptor 4 (TLR4) therapy diminishes cardiac
Anti-toll like receptor 4 (TLR4) therapy diminishes cardiac

... Accordingly, our next step aimed to determine whether the antiTLR4 therapy could counteract the hypertension associated cardiac remodeling. We found that anti-TLR4 therapy markedly reverses cardiomyocyte hypertrophy as well as decreases collagen deposition in left ventricles of 21-week-old SHR to le ...
Noncompaction of the left ventricle in a patient with dextroversion
Noncompaction of the left ventricle in a patient with dextroversion

... A 46 year-old man with a history of dextrocardia, end-stage renal disease, hypertension and several prior cerebrovascular accidents was referred for evaluation. He reported having a left nephrectomy and splenectomy following a gunshot wound 15 years earlier. He denied having a history of chest pain, ...
- American Heart Journal
- American Heart Journal

... A 13-year-old white girl was accidentally shot with a “pump” mechanismair rifle, the pellet passingthrough the left lateral chest into the heart. She remained hemodynamically stable. The entry wound was in the third intercostal space in the parasternal region. Chest x-ray examination localized the p ...
Deakin Research Online - DRO
Deakin Research Online - DRO

... Contractility refers to the effectiveness of the heart’s pumping action. In critical care areas, cardiac output can be measured and quantified via a pulmonary artery catheter using the thermodilution method. The cardiac index can then be calculated from the cardiac output and body surface area, and ...
2nd Announcement - Istituto di Medicina e Scienza dello Sport
2nd Announcement - Istituto di Medicina e Scienza dello Sport

... recognize the «Cardiostim style» by the principles that made it a success: a strong presence outside the EU, especially North Americans, a large emphasis placed on innovation and education, a forum for industry. You will find just as much of the scientific and academic EHRA hand, and all activities ...
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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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