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Folic Acid Deficiency in Congestive Heart Failure - Heart
Folic Acid Deficiency in Congestive Heart Failure - Heart

... The presence of erythroid hyperplasia and bonemarrow megaloblastosis in the congestive heart failure patients studied, and decreased red cell survival in certain instances (4 of 8 patients), is evidence that folic acid requirements in these patients are raised and are not being satisfied (Chanarin, ...
Hospital Life Support and Automated External Defibrillation
Hospital Life Support and Automated External Defibrillation

... Most people who suffer cardiorespiratory arrest die If patients can be identified before arrest, lives will be saved In approximately 80% of cases there is deterioration in clinical signs before cardiac arrest ...
Outline 4
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... a. Empty into Right Atrium Directly 5. Anastomoses a. Arterial Anastomosis 6. Clinical Application: Myocardial Infarction (MI) ...
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Cardiac Catheterization throUgh the Internal Jugular Vein in
Cardiac Catheterization throUgh the Internal Jugular Vein in

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management of patients with acute myocardial infarction
management of patients with acute myocardial infarction

... In our study population, four patients died. In one patient another defect appeared a few days after the first procedure adjoining the previous one which was attempted with second procedure as his coronary lesion had already been dealt with during the initial procedure but the defect didn’t hold the ...
Editorials Original Articles
Editorials Original Articles

... CIRCULATION: ARRHYTHMIA AND ELECTROPHYSIOLOGY (ISSN 1941-3084) is published monthly online-only by Wolters Kluwer Health, Inc. at 14700 Citicorp Drive, Bldg 3, Hagerstown, MD 21742. Business offices are located at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103. Production offices ar ...
Surface ECG Markers may Predict Impending Atrial Fibrillation after
Surface ECG Markers may Predict Impending Atrial Fibrillation after

... yet, a reliable predictor of AF has not been identified. Our study identified a shortening of postoperative ARI’s (surrogate marker for increased sympathetic tone to the heart) in patients who developed POAF on POD1. Additionally, there was a decrease in both short-term HRV and the short to long-ter ...
Chapter 32: Nursing Assessment: Cardiovascular
Chapter 32: Nursing Assessment: Cardiovascular

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Arnold M. Katz and Michael R. Zile 2006;113:1922-1925 doi: 10.1161/CIRCULATIONAHA.106.620765

... patterns of cellular deformation induce various architectural forms of hypertrophy. Signals mediated by different patterns of titin deformation could, for example, allow pressure overload to cause concentric hypertrophy (as occurs in aortic stenosis, which increases systolic stress) and volume overl ...
Original Research - Saint Francis Hospital and Medical Center
Original Research - Saint Francis Hospital and Medical Center

... strong correlation in the data analyzed, but this may be related to the small sample size. There was, however, a remarkable difference in the data derived from LV inflow tract Doppler, with consistently higher (in some case markedly so) values for stroke volume when plotted against the two-dimensio ...
How to Keep Your Surgeon Out of Trouble
How to Keep Your Surgeon Out of Trouble

... Recommendations for Noninvasive Stress Testing Before Noncardiac Surgery Class IIb 1. may be considered for patients with at lease 1 to 2 clinical risk factors and poor functional capacity (less than 4 METs) who require intermediate risk or vascular surgery if it will change management. Class III 1 ...
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LAB 2 Heart Anatomy and ECG

... Knowing all the parts of an ECG tracing and physiologically what they represent. ...
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Arrhythmias: Hyperfunction

... Arrows indicate the approximate time and direction of movement of each ion influencing membrane potential. Ca++ movement out of the cell is not well defined but is thought to occur during phase ...
Heart
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... The heart is a hollow, four-chambered muscular organ that is specialized for pumping blood through the vessels of the body. It circulates blood to the lungs for gas exchange and throughout the body for metabolic exchange HEART HISTOLOGY 1. Identify the major histological features (listed below) of h ...
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Severe Right Ventricular Outflow Tract Obstruction

... and fibers. ...
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Contents Heartbeat Editorials Review Congenital heart disease

... advertising does not imply endorsement. To the fullest extent permitted by law, the BMJ Publishing Group shall not be liable for any loss, injury or damage resulting from the use of Heart or any information in it whether based on contract, tort, or otherwise. Readers are advised to verify any inform ...
CARDIAC PACEMAKERS
CARDIAC PACEMAKERS

... to prevent risk of arrhythmias induced by PACs from ectopic or retrograde conduction AV interval is usually 150-250 milliseconds ...
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Tolerability of Conversion from Carvedilol to Metoprolol

life with an implantable defibrillator
life with an implantable defibrillator

... you will have limitations with magnetic and electromagnetic radiation, electric or gas-powered appliances, and tools with which you are allowed to be in contact. Treatment with an ICD system is prescribed by your physician. This treatment is not for everyone. Please talk to your doctor to see if it ...
pdf Living with an ICD
pdf Living with an ICD

... you will have limitations with magnetic and electromagnetic radiation, electric or gas-powered appliances, and tools with which you are allowed to be in contact. Treatment with an ICD system is prescribed by your physician. This treatment is not for everyone. Please talk to your doctor to see if it ...
Cardiovascular Practice Quiz
Cardiovascular Practice Quiz

... d. The presence of intermittent accelerated idioventricular dysrhythmias R: Decreasing level of consciousness may reflect hypoxemia resulting from internal bleeding, always a risk with fibrinolytic therapy. Oozing of blood is expected, as are reperfusion dysrhythmias. BP is low but not considered ab ...
Heart failure highlights in 20122013
Heart failure highlights in 20122013

... received less evidence-based therapies and had increased mortality and rehospitalization compared with patients in sinus rhythm.48 Thus, left ventricular ejection fraction (LVEF) does not appear to improve risk prediction for adverse prognosis in this patient population. Although interesting and nov ...
bol-grudi
bol-grudi

... indicative of an acute myocardial infarction (MI); this is termed a STEM (ST-elevation MI), and is treated as an emergency with either urgent coronary angiography and percutaneous coronary intervention (angioplasty with or without stent insertion) or with thrombolysis ("clot buster" medication), whi ...
Low cardiac output predicts development of hepatorenal
Low cardiac output predicts development of hepatorenal

... within 3 months was higher in the group with low CI than in the high CI group (43% vs 5%, p = 0.04). Patients with the lowest CI (N = 8) had significantly poorer survival at 3, 9, and 12 months compared to those with a higher CI (N = 16), p,0.05. In contrast, the Model for End-stage Liver Disease (M ...
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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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