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Basic Hemodynamics for the Cath Lab and ICU
Basic Hemodynamics for the Cath Lab and ICU

... 5. Carefully time pressure events with the ECG 6. Review the tracings for common artifacts ...
PDF Article
PDF Article

... at the University of North Carolina, Chapel Hill, where they were stored with demographic and clinical information that included age, gender, New York Heart Association (NYHA) classification, heart rate and systemic blood pressure. Follow-up data included all-cause mortality, deaths from CV causes a ...
Michael P. Mallin and Christine Butts
Michael P. Mallin and Christine Butts

... Emergency physicians have been shown to be accurate in estimating left ventricular ejection fraction (LVEF).3 LVEF is most easily separated into three categories: reduced, normal, and hyperdynamic. Although echocardiographers often report actual percentages, we can think of normal LVEF as 55% to 75% ...
Tilburg University Inadequate Response to Treatment in Coronary
Tilburg University Inadequate Response to Treatment in Coronary

... an increase in the number of patients at risk for subsequent cardiac events and impaired quality of life (QOL). We hypothesized that chronic emotional distress confers an increased risk of poor outcome despite appropriate treatment. Methods and Results—This prospective study examined the 5-year prog ...
Comparison of Calcium Channel Blockers After
Comparison of Calcium Channel Blockers After

... channel blockers (CCBs); dihydropyridines (nifedipine, nicardipine) and nondihydropyridines (diltiazem, verapamil) were compared separately. Design. Retrospective cohort study using linked Medicare and drug claims data. Setting and participants. New Jersey residents aged 65 years and older who (1) h ...
CPD Tri broch 5p4c Arrhythmia and the Heart
CPD Tri broch 5p4c Arrhythmia and the Heart

... night and additional standard fees apply: state and local taxes. All other gratuities are at the discretion of the guest. The room rate is in effect three days pre and post program. The hotel room block is scheduled to be held until December 30, 2015, but may be sold out before this date. Therefore, ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... Introduction: A pacemaker is a small device which is placed in the chest or abdomen to help control abnormal heart rhythm. Its uses are in patients of sinus node dysfunction ,AV node dysfunction atrial fibrillation, syncope –severe and frequent, AV block post MI, some CHF patients. Objective: To eva ...
ELECTROCARDIOGRAM
ELECTROCARDIOGRAM

...  ground to either wrist *Do not place the electrodes over the major muscles of the upper arm, because muscle activity interferes with the signal recorded from the heart. ...
Managing Atrial Fibrillation - American College of Chest Physicians
Managing Atrial Fibrillation - American College of Chest Physicians

... Despite the seemingly intuitive concept that rhythm restoration should be superior to rate control, medical trials have not supported one strategy over the other. For outcome measures of mortality and quality of life, several trials have demonstrated no inferiority of rate control compared to rhythm ...
Syncope - Review of the Literature October 2011 Syncope Clinical
Syncope - Review of the Literature October 2011 Syncope Clinical

... -Prospective study, looked at outcomes at 10 days and 1 year. Attempted to analyze predictors, and determine whether hospital admission affected prognosis. -Serious outcomes were death, need for a major therapeutic procedure, and early readmission within 10 days to hospital. -Specific defined abnorm ...
Adult Heart Murmurs - American Academy of Family Physicians
Adult Heart Murmurs - American Academy of Family Physicians

... The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. This material is not intended to represent the only, nor necessarily best, methods or procedures appropriate for the medical situations discussed. Rather, it is intended to ...
Coronary Sinus Dissection during Left Ventricular Pacing Electrode
Coronary Sinus Dissection during Left Ventricular Pacing Electrode

... classification, improving exercise tolerance and the left ventricular EF and increasing the average VO2 peak. The complications of left ventricular pacing electrode implantation include CS dissection, diaphragmatic pacing, and lead dislodgment, increasing the stimulation threshold and infection,3) b ...
Echo-Doppler–derived indexes of ventricular stiffness and ventriculo
Echo-Doppler–derived indexes of ventricular stiffness and ventriculo

Cardiac
Cardiac

... Medium to moderate holes will cause problems when the pressure in the right side of the heart decreases and blood will start to flow to the path of least resistance (from the left ventricle through the VSD to the right ventricle and into the lungs) This will generally lead to CHF ...
1st_tutorial_-_hypertension
1st_tutorial_-_hypertension

... mortality and morbidity to CVS and renal diseases.  Primary goal is reduction of systolic BP. We wamt to reach BP less than 140/90 mm Hg (Torr), or less than 130/80 mm Hg among diabetic patients and patients with kidney diseases  Needed is also increased detection! ...
1. What is Heart Failure? The term "heart failure" makes it sound like
1. What is Heart Failure? The term "heart failure" makes it sound like

...  Heart defects present at birth (congenital heart disease) Other conditions including severe anemia, hyperthyroidsim, abnormal heart rhythm, and treatments for cancer. Obesity or lack of exercise may also contribute to congestive heart failure either directly or indirectly through accompanying high ...


... mainly affecting obese subjects. It is characterized by recurring upper airway collapse with ongoing respiratory effort during sleep, causing apnoea, negative intrathoracic pressure, and a fall in arterial oxygen saturation. Cardiac arrhythmias and conduction disturbances are common in OSA patients ...
Heart sounds
Heart sounds

... in the heart. Normally blood flow is laminar and non-turbulent so it is silent. Murmurs are caused either by abnormal heart valve function or arise from increased volume, or velocity of blood flowing through normal valve. Murmurs may occur in healthy heart when stroke volume is increased like e.g. d ...
Cardiology - on healthcare in europe
Cardiology - on healthcare in europe

... ‘The quadripolar Sentus lead eases the implantation process by giving physicians access to challenging vessels. With CE approval in early July, Biotronik’s new implantable defibrillator series includes the industry’s first quadripolar left-ventricular leads to be approved for MRI use.’ In addition t ...
Prevention and Management of Arrhythmias in Acute Myocardial
Prevention and Management of Arrhythmias in Acute Myocardial

... size of infarction and to increased use of beta-blocker, the incidence of sustained VT/VF has declined. Still it remains a major cause of mortality in ACS patients. Direct current CV/ defibrillation is the treatment of choice in VT/VF. If ischemia is suspected to be responsible for arrhythmia, immed ...
Young Scientist Program  Anatomy Teaching Team 
Young Scientist Program  Anatomy Teaching Team 

... Just  like  any  other  tissue  in  the  human  body  the  heart  needs  both  nutrients  and  oxygen  in  order  to  keep  its  cells  alive  and  well.    Being  that  the  heart  is  mainly  a  big  tough  muscle,  it  needs  a  lot  of  nutrients and oxygen in order to continue to work all day a ...
Cardiac muscle contraction
Cardiac muscle contraction

... Cardiac muscle contraction - Contractile Cells • In cardiac muscle, slow calcium channels remain open longer (after sodium channels close), prolonging the depolarization of the cell. • As long as the action potential is in its plateau and calcium is entering the myocytes, the myocytes contract. • T ...
my feature on minimally invasive heart surgery
my feature on minimally invasive heart surgery

... The MIDCAB “keyhole” surgery has been performed on more than two dozen patients, including Tantulo, by surgeons on the School of Medicine faculty. Working with miniaturized instruments through an incision only three to four inches wide, the surgeon moves the left internal mammary artery—one of sever ...
Patients with worsening chronic heart failure who present
Patients with worsening chronic heart failure who present

... [21]. As many as 32 symptoms have been described, including dyspnoea, fatigue, pain, anxiety and loss of appetite, depression and sleeping disorders [22]. We have previously shown that dyspnoea is the most frequent symptom in patients with deteriorating CHF that seek emergency care [22]. There is no ...
Heart Disease and Stroke
Heart Disease and Stroke

... The CDC reported in 2007 that U.S. adults reached an average cholesterol level in the ideal range (below 200) for the first time in 50 years. Authors of the report attribute the drop to the increased use of cholesterol-lowering medicines in the over-60 population. Also, research has shown that stati ...
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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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