Heart Failure By Kimberly Napper
... work by slowing the heart rate, which allows the left ventricle to fill more completely. may slow the progression of systolic heart failure. may also help open or widen blood vessels in the body. (↓ B/P) may be used together with other medicines that are usually used to treat heart failure, such as ...
... work by slowing the heart rate, which allows the left ventricle to fill more completely. may slow the progression of systolic heart failure. may also help open or widen blood vessels in the body. (↓ B/P) may be used together with other medicines that are usually used to treat heart failure, such as ...
Adult Rheumatic Focus on Cardiac & Other Social Issues
... 1. Transthoracic echocardiography is indicated for baseline evaluation of LV size and function, RV and left atrial size, pulmonary artery pressure, and severity of MR in any patient suspected of having MR. (LOE: C) 2. Transthoracic echocardiography is indicated for delineation of the mechanism of MR ...
... 1. Transthoracic echocardiography is indicated for baseline evaluation of LV size and function, RV and left atrial size, pulmonary artery pressure, and severity of MR in any patient suspected of having MR. (LOE: C) 2. Transthoracic echocardiography is indicated for delineation of the mechanism of MR ...
Cardiopulmonary System
... measures electrical activity, heart function, and takes ECG, usually for 24 hours. Can be blood pressure, and other done at home. readings while heart is stressed. • Percutaneous transluminal • Thrombolytic Therapy: Clotcoronary angioplasty: A busting drugs are given to break balloon is inserted (on ...
... measures electrical activity, heart function, and takes ECG, usually for 24 hours. Can be blood pressure, and other done at home. readings while heart is stressed. • Percutaneous transluminal • Thrombolytic Therapy: Clotcoronary angioplasty: A busting drugs are given to break balloon is inserted (on ...
Stuck in the Middle: Afib Patients on Rate Control
... and emotions rather than with tangible symptoms. Dr. Dorian also observed that studies suggest that when beta-blocker therapy is used for strict rate control, the potential benefits may be offset by adverse effects, such as fatigue, especially when higher or more frequent doses are needed to sustain ...
... and emotions rather than with tangible symptoms. Dr. Dorian also observed that studies suggest that when beta-blocker therapy is used for strict rate control, the potential benefits may be offset by adverse effects, such as fatigue, especially when higher or more frequent doses are needed to sustain ...
Cardiopulmonary System
... measures electrical activity, heart function, and takes ECG, usually for 24 hours. Can be blood pressure, and other done at home. readings while heart is stressed. • Percutaneous transluminal • Thrombolytic Therapy: Clotcoronary angioplasty: A busting drugs are given to break balloon is inserted (on ...
... measures electrical activity, heart function, and takes ECG, usually for 24 hours. Can be blood pressure, and other done at home. readings while heart is stressed. • Percutaneous transluminal • Thrombolytic Therapy: Clotcoronary angioplasty: A busting drugs are given to break balloon is inserted (on ...
Chapter on Heart Disease
... Systemic blood flow and oxygen delivery to peripheral tissues and organs is under strict neuroendocrine control. Compensatory mechanisms act rapidly to correct any decreases in blood flow or pressure. These mechanisms provide short-term benefit to metabolically active cells but longterm injury to th ...
... Systemic blood flow and oxygen delivery to peripheral tissues and organs is under strict neuroendocrine control. Compensatory mechanisms act rapidly to correct any decreases in blood flow or pressure. These mechanisms provide short-term benefit to metabolically active cells but longterm injury to th ...
Background: Multiple-gated acquisition scanning (MUGA) has
... function in patients with cancer undergoing chemotherapy with potentially cardiotoxic therapy. In recent years, cardiac magnetic resonance imaging (CMR) has emerged as the preferred modality for the noninvasive assessment of left ventricular mass, volumes and systolic function, and is currently cons ...
... function in patients with cancer undergoing chemotherapy with potentially cardiotoxic therapy. In recent years, cardiac magnetic resonance imaging (CMR) has emerged as the preferred modality for the noninvasive assessment of left ventricular mass, volumes and systolic function, and is currently cons ...
lead I
... graphic recording of electric potentials generated by the heart. The signals are detected by means of metal electrodes attached to the extremities and chest wall and are then amplified and recorded by the electrocardiograph. • ECG leads actually display the instantaneous differences in potential bet ...
... graphic recording of electric potentials generated by the heart. The signals are detected by means of metal electrodes attached to the extremities and chest wall and are then amplified and recorded by the electrocardiograph. • ECG leads actually display the instantaneous differences in potential bet ...
PAUL M. ZOLL, M.D. Invasive Temporary Pacing
... .Effective stimulation signifies only the excitation. of a cardiac depolarization. Whether a cardIaccontractionfollows dependson the state o~ electro~echanical coupling in the myocardIum. StImulation with the NTP is usually effective and usually comfortable or tolerable for' most conscious subjects ...
... .Effective stimulation signifies only the excitation. of a cardiac depolarization. Whether a cardIaccontractionfollows dependson the state o~ electro~echanical coupling in the myocardIum. StImulation with the NTP is usually effective and usually comfortable or tolerable for' most conscious subjects ...
3SuddEn CARdiAC ARREST All StAFF AwAREnESS
... staff or visitors to your school. • During sudden cardiac arrest (SCA) the heart goes into ventricular fibrillation or “ineffective quivering” and no longer pumps blood to the brain and other vital organs. Most victims have no history of heart disease. • Early CPR and early defibrillation with an ...
... staff or visitors to your school. • During sudden cardiac arrest (SCA) the heart goes into ventricular fibrillation or “ineffective quivering” and no longer pumps blood to the brain and other vital organs. Most victims have no history of heart disease. • Early CPR and early defibrillation with an ...
chapter 5
... o MCL-1 is excellent for distinguishing ectopy versus aberrance and to identify bundle branch blocks • Does not interfere with auscultation or defibrillation • Produces variable P wave polarity and a negative QRS complex • 5-lead monitoring system allows rapid ECG monitoring in multiple leads includ ...
... o MCL-1 is excellent for distinguishing ectopy versus aberrance and to identify bundle branch blocks • Does not interfere with auscultation or defibrillation • Produces variable P wave polarity and a negative QRS complex • 5-lead monitoring system allows rapid ECG monitoring in multiple leads includ ...
Pulmonary artery ruPture in a Patient receiving artificial heart exPlant
... complications2,3. PA rupture is probably the most disastrous complication associated with the use of PAC. The incidence of PA rupture is 0.01-0.47%, but the mortality rate is 50-75%4. The initial presentation may be massive pulmonary hemorrhage, subtle cough with minimal hemoptysis, or may even be t ...
... complications2,3. PA rupture is probably the most disastrous complication associated with the use of PAC. The incidence of PA rupture is 0.01-0.47%, but the mortality rate is 50-75%4. The initial presentation may be massive pulmonary hemorrhage, subtle cough with minimal hemoptysis, or may even be t ...
File - Wk 1-2
... - not a single wire connected to the body but a combination of two wires and their electrodes on either side of the heart to make a complete circuit with the ECG machine ...
... - not a single wire connected to the body but a combination of two wires and their electrodes on either side of the heart to make a complete circuit with the ECG machine ...
CVS Pathology Lecture Notes (L2)
... 5. gross examination (18-24 hours) Mortality from MI Usually within 1 hour of onset Adverse prognostic factors – Advanced age Female gender Diabetes melltus Previous history of myocardial infarction Complications of Myocardia infarction 1. contractile dysfunction – LV failure, cardiogenic shock - pa ...
... 5. gross examination (18-24 hours) Mortality from MI Usually within 1 hour of onset Adverse prognostic factors – Advanced age Female gender Diabetes melltus Previous history of myocardial infarction Complications of Myocardia infarction 1. contractile dysfunction – LV failure, cardiogenic shock - pa ...
Cardiac failure
... Pathophysiologic: Condition in which the heart is not able to pump blood adaquately to the metabolic needs of the body under normal filling pressures Clinical: Syndroma in which a ventricular dysfunction is connected with lowered capacity to cope with physical loading, encompassing dyspnea, venostat ...
... Pathophysiologic: Condition in which the heart is not able to pump blood adaquately to the metabolic needs of the body under normal filling pressures Clinical: Syndroma in which a ventricular dysfunction is connected with lowered capacity to cope with physical loading, encompassing dyspnea, venostat ...
PDF
... Dobutamine echocardiography can be used to evaluate myocardial reserve. The aim of this study was to estimate the functional status of chronic HF in patients with dilated cardiomyopathy, by investigating the changes in echo-variables, as assessed by echo-dobutamine, in relation with VO 2 max. Method ...
... Dobutamine echocardiography can be used to evaluate myocardial reserve. The aim of this study was to estimate the functional status of chronic HF in patients with dilated cardiomyopathy, by investigating the changes in echo-variables, as assessed by echo-dobutamine, in relation with VO 2 max. Method ...
2011 crit care us- heart
... Pericardial effusions must be differentiated from pericardial fat pads (effusion is usually darker and present in more than one view, often all around the heart) and pleural effusions (look at the lung base!). The diagnosis of cardiac tamponade requires not just an effusion but also: • A shocked pat ...
... Pericardial effusions must be differentiated from pericardial fat pads (effusion is usually darker and present in more than one view, often all around the heart) and pleural effusions (look at the lung base!). The diagnosis of cardiac tamponade requires not just an effusion but also: • A shocked pat ...
EKG Recognition for EMT’s
... • Separates left and right sides of atria and ventricles • Cardiac Skeleton • Separates the atria from the ventricles • Impermeable to electricity • Electrical conduction system • Pathways through the heart for electricity ...
... • Separates left and right sides of atria and ventricles • Cardiac Skeleton • Separates the atria from the ventricles • Impermeable to electricity • Electrical conduction system • Pathways through the heart for electricity ...
Abstract 14479: Association Between Chest Compressions and
... Methods: The Progetto Vita database, prospectively collecting data on all resuscitation efforts in the Piacenza province (Italy), was used for the present analysis. All data concerning the resuscitation were prospectively collected according to the Utstein recommendations. From the 461 OOHCA found i ...
... Methods: The Progetto Vita database, prospectively collecting data on all resuscitation efforts in the Piacenza province (Italy), was used for the present analysis. All data concerning the resuscitation were prospectively collected according to the Utstein recommendations. From the 461 OOHCA found i ...
Interventional Cardiology
... producing LV dysfunction is essential to provide proper treatment that can improve LV ejection fraction (LVEF). VPDs can be due to abnormal impulse formation, triggered activity or reentry [5,6] . However, much of the natural history and pathophysiology of VPD-related ventricular dysfunction remains ...
... producing LV dysfunction is essential to provide proper treatment that can improve LV ejection fraction (LVEF). VPDs can be due to abnormal impulse formation, triggered activity or reentry [5,6] . However, much of the natural history and pathophysiology of VPD-related ventricular dysfunction remains ...
Transitional Care Interventions to Prevent Readmissions for Patients
... A meta-analysis of seven RCTs of multidisciplinary heart failure clinics showed a 30% reduction in all-cause readmission (two trials, n = 336; NNT = 8) and a 44% reduction in mortality (three trials, n = 536; NNT = 18). The heart failure clinics included scheduled regular visits with multiple clinic ...
... A meta-analysis of seven RCTs of multidisciplinary heart failure clinics showed a 30% reduction in all-cause readmission (two trials, n = 336; NNT = 8) and a 44% reduction in mortality (three trials, n = 536; NNT = 18). The heart failure clinics included scheduled regular visits with multiple clinic ...
8 Conclusions & future directions
... In our recently published study on RV diastolic function in PAH and in the present thesis we demonstrate the clinical relevance of RV diastolic stiffness in PAH.6 Targeting RV diastolic stiffness may therefore be beneficial and may improve survival. In animal models of PAH, it has been shown that a ...
... In our recently published study on RV diastolic function in PAH and in the present thesis we demonstrate the clinical relevance of RV diastolic stiffness in PAH.6 Targeting RV diastolic stiffness may therefore be beneficial and may improve survival. In animal models of PAH, it has been shown that a ...
supplement
... it in between the three objective lenses. We used the rotational axis to find both i) the optimal angle at which stimulation on one side of the SAR but not the other blocked heartbeats and ii) the angle at which stimulation on either side had the same effect (orthogonal to the optimal angle). With t ...
... it in between the three objective lenses. We used the rotational axis to find both i) the optimal angle at which stimulation on one side of the SAR but not the other blocked heartbeats and ii) the angle at which stimulation on either side had the same effect (orthogonal to the optimal angle). With t ...
Utilization of Fosphenytoin for Digoxin-Induced
... This case was a 78-year-old male with digoxin toxicity who developed ventricular arrhythmias. The presence of the elevation of free digoxin with the risk of further dysrhythmia precludes the use of many traditional antiarrhythmics. This patient’s deteriorating renal function cautioned use of lidocai ...
... This case was a 78-year-old male with digoxin toxicity who developed ventricular arrhythmias. The presence of the elevation of free digoxin with the risk of further dysrhythmia precludes the use of many traditional antiarrhythmics. This patient’s deteriorating renal function cautioned use of lidocai ...
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.