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Clinical Assessment in Acute Heart Failure
Clinical Assessment in Acute Heart Failure

... months) differ in that fatigue, anorexia, abdominal distension and peripheral edema may be more pro­ nounced than dyspnea. Over time, pulmonary venous capacitance accommodates to the chronic state of volume overload, leading to less or no fluid accumu­ lation in the alveoli, despite the increase in ...
Congenital Heart Disease in the Adult
Congenital Heart Disease in the Adult

... and RV dysfunction, • (3) paroxysmal atrial tachyarrhythmias with or without atrioventricular bypass tracts ("WPW" syndrome). ...
Ethical challenges with the left ventricular assist device as a
Ethical challenges with the left ventricular assist device as a

... The post-REMATCH study used a case-series design; therefore, it did not validate the survival advantage attributed to LVAD in the subgroup analysis because it did not compare 1-year survival with comparable low-risk or mediumrisk groups on OMM. Nonetheless, the excellent survival rate attributed to ...
cardiovascular_fitness_teaching_outline_8
cardiovascular_fitness_teaching_outline_8

...  During the EKG, electrical signals from their heart are sent from the electrodes to the EKG machine.  The EKG machine records a reading of the heart rate and electrical activity on paper. This will only take about 2-3 minutes. ...
Conductive System Of Heart
Conductive System Of Heart

... Purkinje fibers is believed to be caused by a very high level of permeability of gap junctions at the intercalated discs between the successive cells of Purkinje fibers. • The rapid conduction through the purkinje fibers ensures that different parts of ventricles are excited almost simultaneously; t ...
Fetal Heart Assessment Brochure Landscape
Fetal Heart Assessment Brochure Landscape

... Sometimes ideal views of the anatomy cannot be obtained due to adverse fetal lie or unfavorable maternal acoustic characteristics. In most of these cases, it is still possible to carry out a thorough investigation of all components of the heart as described in this document. It is important to keep ...
Document
Document

... The Human Heart Beat The heart is a hollow, cone shaped muscular organ •Approximately the size of your clenched fist •Beats approximately 40 million times per year (60-100 times per minute) •Works as a pump that pushes blood around your body ...
heart disease in dogs and cats
heart disease in dogs and cats

... a balloon valvuloplasty. Other conditions such as heart rhythm abnormalities can be controlled with a pacemaker. This is an electrical device which is placed surgically under the skin and linked by cables to the heart. It has its effect by controlling and coordinating the contractions of the heart a ...
- Canadian Journal of Cardiology
- Canadian Journal of Cardiology

... patient’s functional capacity should be assessed. Although measures of functional status other than the NYHA system have been proposed, the landmark trials solely used this as an inclusion criterion.7 Thus, at a minimum, assessment of functional class should include the patient’s NYHA class. Six-min ...
Shock Efficacy of Subcutaneous Implantable Cardioverter
Shock Efficacy of Subcutaneous Implantable Cardioverter

The Heart
The Heart

... • Atrial fibrillation – when abnormal impulses from the atria bombard the AV node. • PVCs – originate in the ventricles & cause contractions ahead of the anticipated beat. • Ventricular fibrillation – rhythm breaks down & muscle fibers contract at random, without ...
02 Cardiac Anatomy
02 Cardiac Anatomy

... §  The activity of the conduction system results in the contraction (systole) & relaxation (diastole) of the heart chambers §  atria will contract as ventricles remain relaxed (atrial systole/ventricular diastole). Blood moves from atria to ventricles §  as atria relax, ventricles begin to contra ...
File
File

... day or two post PCI but then start to exercise. The aim is be exercising for 30-40minutes on most days at light to moderate intensity by 4 weeks. This should then be encouraged to decrease future cardiovascular risk. There is increasing data that the greatest Cardiovascular benefit and risk reductio ...
Right Heart Dysfunction After Left Ventricular Assist Device
Right Heart Dysfunction After Left Ventricular Assist Device

... Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) trial showed that LVADs may improve survival and quality of life for those with severe end-stage CHF who are not candidates for cardiac transplantation [13, 14]. The REMATCH trial demonstrated a 48% reduction in the risk o ...
Untitled
Untitled

... become a gold standard for clinical practice. The thermodilution method applies the indicator dilution principles, using temperature change as the indicator. A known amount of solution with a known temperature is injected rapidly into the proximal injectate lumen of the catheter. This cooler than bl ...
Post stent care
Post stent care

... day or two post PCI but then start to exercise. The aim is be exercising for 30-40minutes on most days at light to moderate intensity by 4 weeks. This should then be encouraged to decrease future cardiovascular risk. There is increasing data that the greatest Cardiovascular benefit and risk reductio ...
Control for state when applying HRV methods!
Control for state when applying HRV methods!

... Patients with ischemic VT and LV dysfunction exhibited significantly lower QT TO values than those with nonischemic VT and normal LV function. Savelieva,I., Wichterle,D., and Camm, J.A., QT-Interval Turbulence Induced by Atrial and ...
Factors Influencing the Rate of Flow Through Continuous
Factors Influencing the Rate of Flow Through Continuous

... resting conditions had no significant impact on LVAD ...
Rheumatic heart disease
Rheumatic heart disease

... A 65-year-old man with a medical history of rheumatic fever in childhood reported thoracic pain while at work and collapsed. He died in the ambulance on the way to hospital due to ventricular fibrillation. After the few episodes of rheumatic fever with subsequent pancarditis in childhood, the patient ...
Knowledge expectations, self-care, and health complaints of heart failure patients scheduled
Knowledge expectations, self-care, and health complaints of heart failure patients scheduled

... complex, disease-specific self-care,9 consisting of maintenance, monitoring, and management.10,11 Even with optimal self-care, patients with heart failure are known to suffer from several health complaints they may have as a consequence of their disease, treatment, or other comorbidities. Heart fail ...
Glycogen storage disease as a unifying mechanism of disease in
Glycogen storage disease as a unifying mechanism of disease in

... and ventricular myocardium [17]. Atrio-ventricular septation occurs between 7 and 12 weeks of fetal life, with myocardial continuity between atrial and ventricular myocardium now occurring primarily via the developed normal conduction axis [17]. However, it has been well established by histology stu ...
Apixaban versus Warfarin in Patients with Atrial Fibrillation
Apixaban versus Warfarin in Patients with Atrial Fibrillation

... Freedom from any atrial fibrillation Freedom from symptomatic atrial fibrillation at 24 months of follow-up Cumulative and per-visit burden of symptomatic atrial fibrillation Time to first recurrence of atrial fibrillation after the blanking period Atrial flutter longer than 1 minute Quality of life ...
Heart and Neck Vessels
Heart and Neck Vessels

... • Diastole = the heart’s filling phase; AV valves open, ventricles fill with bld. • Systole = pumping phase, AV valves close to prevent backup ...
MINISTRY OF HEALTH OF UZBEKISTAN
MINISTRY OF HEALTH OF UZBEKISTAN

... 1) symptom relief, preservation of the viability of possible large area of myocardium; 2) prevention and treatment of complications. The fight against pain Symptomatic therapy aimed at combating pain, it is important not only to improve the subjective condition of the patient, but also as a means to ...
Right ventricular dysfunction in chronic heart failure patients
Right ventricular dysfunction in chronic heart failure patients

... increased cardiothoracic ratio [4]. Neurohumoral markers: high level of norepinephrine, atrial natriuretic peptide or its precursor N terminal fragment proANP, big endothelin and tumor necrosis factor alpha also have a high negative predictive value [5,6]. Di Salvo et al. [7] recently demonstrated t ...
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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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