hemodynamics - health120years.com
									
... Need to evaluate for fluid status/guideline for fluid resuscitation – Need to evaluate hemodynamic response to potent pharmacologic agents – MI • especially with an acute right or left ventricular failure • Refractory pain • Significant hypotension or hypertension ...
                        	... Need to evaluate for fluid status/guideline for fluid resuscitation – Need to evaluate hemodynamic response to potent pharmacologic agents – MI • especially with an acute right or left ventricular failure • Refractory pain • Significant hypotension or hypertension ...
									atrial fibrillation in primary care (afip)
									
... This simple, practical tool, ‘AFIP’, for use in primary care, is intended to complement existing European and North American guidelines, making them more accessible to physicians. It is not meant to be all-encompassing, but rather to provide an overview of the latest guidelines and to highlight the ...
                        	... This simple, practical tool, ‘AFIP’, for use in primary care, is intended to complement existing European and North American guidelines, making them more accessible to physicians. It is not meant to be all-encompassing, but rather to provide an overview of the latest guidelines and to highlight the ...
									Cardiovascular Anatomy and Physiology
									
... Right-side Heart Failure: ineffective right ventricular contraction ...
                        	... Right-side Heart Failure: ineffective right ventricular contraction ...
									Risk Stratification Post MI for Patients at Risk for Sudden Death
									
... therapy at 2 months. He is scheduled for an ICD placement as outpatient. He is now admitted with hypotension with reduction in GFR from >60 to 23 ml/min/m2 ( blamed on aggressive diuresis and ACEI regimen). Troponin is 0.6 ng/ml . He has multiple NSVT episodes. No chest pain. No new EKG changes. ...
                        	... therapy at 2 months. He is scheduled for an ICD placement as outpatient. He is now admitted with hypotension with reduction in GFR from >60 to 23 ml/min/m2 ( blamed on aggressive diuresis and ACEI regimen). Troponin is 0.6 ng/ml . He has multiple NSVT episodes. No chest pain. No new EKG changes. ...
									Full Text  - Archives of Cardiovascular Imaging
									
... in LV diastolic dysfunction before the appearance of clinical symptoms and morphological changes (1, 7-9). Hypoxic episodes during OSAHS can increase the O2 demand of the myocardium and this in turn results in ischemia and subclinical LV systolic dysfunction (1). Presence or lack of LV systolic dysf ...
                        	... in LV diastolic dysfunction before the appearance of clinical symptoms and morphological changes (1, 7-9). Hypoxic episodes during OSAHS can increase the O2 demand of the myocardium and this in turn results in ischemia and subclinical LV systolic dysfunction (1). Presence or lack of LV systolic dysf ...
									Cardiac Pacemaker System
									
... The programmer is a telemetry device used to provide two-way communication between the generator and the clinician. It can alter the therapy delivered by the pacemaker and retrieve diagnostic data that are essential for optimally titrating that therapy. ...
                        	... The programmer is a telemetry device used to provide two-way communication between the generator and the clinician. It can alter the therapy delivered by the pacemaker and retrieve diagnostic data that are essential for optimally titrating that therapy. ...
									Congestive Heart Failure
									
... • Left Sided: The left side of heart brings oxygen rich blood from lungs through left atrium to left ventricle, then out into body. When left side heart damaged or can’t pump as well, has to work harder. This causes fluid to build up, especially in lungs. That’s why SOB is one of most common symptom ...
                        	... • Left Sided: The left side of heart brings oxygen rich blood from lungs through left atrium to left ventricle, then out into body. When left side heart damaged or can’t pump as well, has to work harder. This causes fluid to build up, especially in lungs. That’s why SOB is one of most common symptom ...
									Ch_20_The_Heart
									
... • Includes moderator band: – ridge contains part of conducting system – coordinates contractions of cardiac muscle cells ...
                        	... • Includes moderator band: – ridge contains part of conducting system – coordinates contractions of cardiac muscle cells ...
									Implantable Defibrillators for the Prevention of Mortality in Patients
									
... enrolled in each trial are summarized in the Table. The most notable difference between the trials was the severity of illness of enrolled patients. AMIOVIRT, DEFINITE, and SCD-HeFT enrolled a comparable number of patients with heart failure of at least 3 years’ duration and New York Heart Associati ...
                        	... enrolled in each trial are summarized in the Table. The most notable difference between the trials was the severity of illness of enrolled patients. AMIOVIRT, DEFINITE, and SCD-HeFT enrolled a comparable number of patients with heart failure of at least 3 years’ duration and New York Heart Associati ...
									Atrial Fibrillation - Upstate Medical University
									
... •Who are not a good candidate for ablation •For whom ablation has not been successful • Who cannot tolerate or have been unsuccessful with medication therapy The goal of this option is to control the symptoms, it is not a cure for the atrial fibrillation itself. ...
                        	... •Who are not a good candidate for ablation •For whom ablation has not been successful • Who cannot tolerate or have been unsuccessful with medication therapy The goal of this option is to control the symptoms, it is not a cure for the atrial fibrillation itself. ...
									Adult-onset Heart Disease in Dogs
									
... Once the heart is very large the valves are often stretched and don’t meet properly. At this point a heart murmur may be detected. This normally signifies that significant heart enlargement is present. Signs of Heart Disease Often dogs will show decreased exercise tolerance and may cough on exertion ...
                        	... Once the heart is very large the valves are often stretched and don’t meet properly. At this point a heart murmur may be detected. This normally signifies that significant heart enlargement is present. Signs of Heart Disease Often dogs will show decreased exercise tolerance and may cough on exertion ...
									BSL PRO Frog Lessons
									
... pacemaker signal. Other compounds are calcium antagonists which have a major impact on myocyte contraction. These compounds may also influence the behavior of the pacemaker. Interestingly, there are “designer” calcium-blocking drugs selective for either contraction or pacemaker activity. You will ap ...
                        	... pacemaker signal. Other compounds are calcium antagonists which have a major impact on myocyte contraction. These compounds may also influence the behavior of the pacemaker. Interestingly, there are “designer” calcium-blocking drugs selective for either contraction or pacemaker activity. You will ap ...
									HeartWare® Ventricular Assist System
									
... System is revolutionizing treatment for advanced heart failure. A miniaturized, full output device designed to be implanted in the pericardial space. The system promotes rapid pump placement and procedural simplicity. A less invasive surgical procedure may lead to improved outcomes, while user-frie ...
                        	... System is revolutionizing treatment for advanced heart failure. A miniaturized, full output device designed to be implanted in the pericardial space. The system promotes rapid pump placement and procedural simplicity. A less invasive surgical procedure may lead to improved outcomes, while user-frie ...
									Right Atrial Lipoma
									
... hand, neoplasias, mainly mammary and pulmonary neoplasias (that send more metastases to the heart), followed by leukemias and lymphomas are 10 to 40 times more frequent than primary cardiac tumors. Cardiac metastases are found in the autopsies of 10% of the patients who die from pulmonary cancer and ...
                        	... hand, neoplasias, mainly mammary and pulmonary neoplasias (that send more metastases to the heart), followed by leukemias and lymphomas are 10 to 40 times more frequent than primary cardiac tumors. Cardiac metastases are found in the autopsies of 10% of the patients who die from pulmonary cancer and ...
									Exercise 7.7 Cardiovascular System and Physical Fitness
									
... The SA node fibers serves as the pacemaker of the heart because they open special ion channels and undergo spontaneous depolarization faster than any other fibers in the heart. Consequently, the SA node sets the pace, generating action potentials that are rapidly conducted to other myocardial cells ...
                        	... The SA node fibers serves as the pacemaker of the heart because they open special ion channels and undergo spontaneous depolarization faster than any other fibers in the heart. Consequently, the SA node sets the pace, generating action potentials that are rapidly conducted to other myocardial cells ...
									following acute myocardial infarction Prediction of sudden
									
... A significant number of patients who survive an acute myocardial infarction (AMI) continue to die suddenly after hospital discharge, despite appropriate coronary revascularisation and optimal medical therapy.1 Multiple clinical trials completed over the past decade have demonstrated the effectiveness ...
                        	... A significant number of patients who survive an acute myocardial infarction (AMI) continue to die suddenly after hospital discharge, despite appropriate coronary revascularisation and optimal medical therapy.1 Multiple clinical trials completed over the past decade have demonstrated the effectiveness ...
									MANAGEMENT OF HEART FAILURE
									
... HF varies between 3 – 20 per 1000 population, although in persons over the age of 65 years, it could be as high as 100 per 1000 population1. The prognosis for HF is poor, far worse than some of the common cancers2. The one year mortality rate varies between 5% to 52% depending on the severity and th ...
                        	... HF varies between 3 – 20 per 1000 population, although in persons over the age of 65 years, it could be as high as 100 per 1000 population1. The prognosis for HF is poor, far worse than some of the common cancers2. The one year mortality rate varies between 5% to 52% depending on the severity and th ...
									Evaluation of Cardiac Function
									
... parameters (ejection fraction, stroke volume, cardiac output, etc.), a number of variations on cine imaging have been developed and employed to facilitate quantitative evaluation of regional cardiac function. Myocardial tagging [8], HARP [9], DENSE [10], and phase contrast MRI are all used to quanti ...
                        	... parameters (ejection fraction, stroke volume, cardiac output, etc.), a number of variations on cine imaging have been developed and employed to facilitate quantitative evaluation of regional cardiac function. Myocardial tagging [8], HARP [9], DENSE [10], and phase contrast MRI are all used to quanti ...
									Comparison of Carbohydrate and Lipid Oxidation During
									
... Inclusion criteria were: age ≥ 18 years, left ventricular ejection fraction (LVEF) <40% (measured within 6 months of enrolment by echocardiography, radionuclide ventriculography or cardiac magnetic resonance), New York Heart Association (NYHA) functional class I to III, stable optimal medical therap ...
                        	... Inclusion criteria were: age ≥ 18 years, left ventricular ejection fraction (LVEF) <40% (measured within 6 months of enrolment by echocardiography, radionuclide ventriculography or cardiac magnetic resonance), New York Heart Association (NYHA) functional class I to III, stable optimal medical therap ...
									Lead wires and electrodes - O6U E
									
... • It will also be noted that leads that are used for bipolar pacing must have two insulated wires within its outer insulation: one wire for the negative pole (the tip), and one for the positive pole (the ring). ...
                        	... • It will also be noted that leads that are used for bipolar pacing must have two insulated wires within its outer insulation: one wire for the negative pole (the tip), and one for the positive pole (the ring). ...
									09 Antianginal-Drugs
									
... • Ivabradine blocks I(f) channel in the pacemaker cells of the sinoatrial (SA) node • This slows the heart rate without affecting myocardial contractile function or peripheral vascular resistance • Adverse effects include visual “flashing lights” known as phosphenes in up to 16% of patients, which a ...
                        	... • Ivabradine blocks I(f) channel in the pacemaker cells of the sinoatrial (SA) node • This slows the heart rate without affecting myocardial contractile function or peripheral vascular resistance • Adverse effects include visual “flashing lights” known as phosphenes in up to 16% of patients, which a ...
									Slide 1
									
... •force exerted on walls of an artery •pulsing blood under pressure from heart •blood flows throughout circulatory system due to pressure changes •from area of high pressure to area of low pressure Systolic pressure – the blood pressure measured during ventricular contraction (systole). The higher of ...
                        	... •force exerted on walls of an artery •pulsing blood under pressure from heart •blood flows throughout circulatory system due to pressure changes •from area of high pressure to area of low pressure Systolic pressure – the blood pressure measured during ventricular contraction (systole). The higher of ...
									Cardiac Surgery in Veterinary Medicine: Where are we
									
... procedures (less than 5 min) to be performed. Longer open cardiac procedures require establishing an extracorporeal circulation by cardiopulmonary bypass to maintain organ perfusion during surgery. Cardiac surgery is not fundamentally different from other types of general surgery and similar princip ...
                        	... procedures (less than 5 min) to be performed. Longer open cardiac procedures require establishing an extracorporeal circulation by cardiopulmonary bypass to maintain organ perfusion during surgery. Cardiac surgery is not fundamentally different from other types of general surgery and similar princip ...
									Cardiac cycle
									
... To know about different phases of cardiac cycle To understand the volume, pressure and electrical changes during the cardiac cycle To emphasize the inter-relationship between all these changes ...
                        	... To know about different phases of cardiac cycle To understand the volume, pressure and electrical changes during the cardiac cycle To emphasize the inter-relationship between all these changes ...
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.