• Study Resource
  • Explore
    • Arts & Humanities
    • Business
    • Engineering & Technology
    • Foreign Language
    • History
    • Math
    • Science
    • Social Science

    Top subcategories

    • Advanced Math
    • Algebra
    • Basic Math
    • Calculus
    • Geometry
    • Linear Algebra
    • Pre-Algebra
    • Pre-Calculus
    • Statistics And Probability
    • Trigonometry
    • other →

    Top subcategories

    • Astronomy
    • Astrophysics
    • Biology
    • Chemistry
    • Earth Science
    • Environmental Science
    • Health Science
    • Physics
    • other →

    Top subcategories

    • Anthropology
    • Law
    • Political Science
    • Psychology
    • Sociology
    • other →

    Top subcategories

    • Accounting
    • Economics
    • Finance
    • Management
    • other →

    Top subcategories

    • Aerospace Engineering
    • Bioengineering
    • Chemical Engineering
    • Civil Engineering
    • Computer Science
    • Electrical Engineering
    • Industrial Engineering
    • Mechanical Engineering
    • Web Design
    • other →

    Top subcategories

    • Architecture
    • Communications
    • English
    • Gender Studies
    • Music
    • Performing Arts
    • Philosophy
    • Religious Studies
    • Writing
    • other →

    Top subcategories

    • Ancient History
    • European History
    • US History
    • World History
    • other →

    Top subcategories

    • Croatian
    • Czech
    • Finnish
    • Greek
    • Hindi
    • Japanese
    • Korean
    • Persian
    • Swedish
    • Turkish
    • other →
 
Profile Documents Logout
Upload
EKG Review Game - WL Clarke Consulting
EKG Review Game - WL Clarke Consulting

... pictures of the heart than regular ultrasounds. This test may be done if a regular echocardiogram is unclear. • A. transesophageal • B. transthoracic • C. stress • D. pharmacologic stress ...
Chapter 13 The Heart and Heart Disease
Chapter 13 The Heart and Heart Disease

... • Heart valves and valve disorders – Valves keep blood flowing through the heart; prevent backflow – Atrioventricular (AV) valves • Tricuspid: at the opening of the right atrium into the ventricle • Bicuspid (mitral): at the opening of the left atrium into the ventricle ...
Echocardiographic Assessment of Cardiac Dysfunction in Patients of
Echocardiographic Assessment of Cardiac Dysfunction in Patients of

... Chronic kidney disease (CKD) is not uncommon but fortunately treatable and it is recognised worldwide as a public health problem. Patients with CKD are at significantly increased risk for both morbidity and mortality from cardiovascular disease (CVD). Patients on dialysis have a 10- to 30-fold incre ...
Development of a Training System for Cardiac Muscle Palpation
Development of a Training System for Cardiac Muscle Palpation

... instruments provide neither mechanical information nor satisfactorily wall thickness information of the diseased ventricle. Namely, the opportunity to inspect the beating heart based on feels is limited to the scene of the operating room. Therefore training systems for cardiac muscle palpation are d ...
CONGESTIVE HEART FAILURE AND PUBLIC HEALTH
CONGESTIVE HEART FAILURE AND PUBLIC HEALTH

... test to evaluate ventricular and valvular functions. It provides semiquantitative assessment of ventricular size, thickness, and contractility. The pulsed Doppler is also an invaluable technique to study the valvular apparatus functions and blood flow across the valves. A relatively new biomarker ca ...
Regulation of Cardiac Output Through Stroke Volume
Regulation of Cardiac Output Through Stroke Volume

... oximeter for continuous measurement of dye concentration. Beat-by-beat changes in cardiac output were measured by the pulse contour method.4 Figure 1 shows a comparison of values for stroke volume, calculated by the pulse contour method and by the dye method in a resting dog at heart rates from 70 t ...
intrinsic rv study - Boston Scientific
intrinsic rv study - Boston Scientific

... refer to the Physician’s Desk Reference. Tricuspid valvular disease may be exacerbated by the presence of a lead. Use medical judgment when deciding to place a lead in a patient with triscuspid valvular disease. The lead and its accessories are intended only for one-time use. Do not reuse. Potential ...
Heart Failure workshop
Heart Failure workshop

... Dealing with fluid retention is an important part of managing heart failure patients in order to minimize breathlessness due to congestion. Loop diuretics such as furosemide or bumetanide are the main agents used. Thiazide diuretics are not used as often in chronic heart failure as they tend to be l ...
Emergency Open Cardiac Massage via Subxyphoid Approach in
Emergency Open Cardiac Massage via Subxyphoid Approach in

... 8. Kern KB, Sanders AB, Badylak SF, Janas W, Carter AB, Tacker WA, et al. Long-term survival with open-chest cardiac massage after ineffective closed-chest compression in a canine preparation. Circulation 1987;75(2):498-503. 9. Kern KB, Sanders AB, Janas W, Nelson JR, Badylak SF, Babbs CF, et al. Li ...
Letters - Cardiovascular Health Improvement Programs
Letters - Cardiovascular Health Improvement Programs

... percutaneous coronary intervention, coronary artery bypass graft surgery, heart failure, valve surgery) as a performance measure. Low referral rates compare unfavorably with hospital performance on other quality measures, such as aspirin and β-blocker use after myocardial infarction. System-based me ...
Prevention and Management of Chronic Heart Failure in Patients at
Prevention and Management of Chronic Heart Failure in Patients at

... an earlier stage of the disease, when they are primaryprevention procedures that may halt the development of HF and its excessive morbidity and mortality. The treatments used to reduce the incidence of HF exacerbations and the consequent hospitalizations when the symptoms have already developed may ...
How To Differentiate Right Ventricular Outflow Tract Tachycardia
How To Differentiate Right Ventricular Outflow Tract Tachycardia

... the electrogram between normal probands, patients with RVOT-VT, and patients with an ARVC, and could demonstrate that while there was no difference between normal probands and patients with an idiopathic RVOT-VT, there was a very large difference compared to ARVC patients [11]. Areas with a strong d ...
Circulation: Heart Failure Topic Review
Circulation: Heart Failure Topic Review

... Integrated Backscatter Imaging Summary: According to current guidelines, candidates for cardiac resynchronization therapy (CRT) are patients in New York Heart Association functional class III-IV heart failure with left ventricular (LV) ejection fraction ⱕ35% and QRS duration ⱖ120 ms. However, by app ...
CHFModuleFY2012Q1 10/05/11 of 3
CHFModuleFY2012Q1 10/05/11 of 3

... (NYHA Class I) 2. Slight limitation of physical activity (NYHA Class II) 3. Marked limitation of physical activity (NYHA Class III) 4. Unable to carry out any physical activity without discomfort or cardiac symptoms at rest (NYHA Class IV) 99. No documentation of functional status ...
Transcatheter Closure of the Left atrial appendage
Transcatheter Closure of the Left atrial appendage

... to sit up and walk around. Before leaving the hospital, tests such as an echocardiogram (ultrasound scan of the heart) may be performed to make sure the device is still positioned correctly. ...
Grade 5: Lesson PLan 1 - Texas Heart Institute
Grade 5: Lesson PLan 1 - Texas Heart Institute

... The walls of the heart are a special kind of thick muscle known as cardiac muscle. The conduction system of the heart causes cardiac muscle to beat (contract and relax). Each heartbeat is a 2-step process that begins in a small group of neural cells located in the upper right atrium. This group of c ...
CHFModuleFY2011Q3 3/03/11 of 3
CHFModuleFY2011Q3 3/03/11 of 3

... (NYHA Class I) 2. Slight limitation of physical activity (NYHA Class II) 3. Marked limitation of physical activity (NYHA Class III) 4. Unable to carry out any physical activity without discomfort or cardiac symptoms at rest (NYHA Class IV) 99. No documentation of functional status ...
Chapter 20
Chapter 20

... **normal memvement from right to left at about 60 degrees --Einthoven’s Law *lead I + lead II = lead III *used to measure electrical axis of the heart  provides info on heart position, hypertrophy of ventricles (related to hypertension, systemic or pulmonary), bundle branch block (axis deviation t ...
ACLS Helpful Hints 201 2015 Guidelines – Revised November
ACLS Helpful Hints 201 2015 Guidelines – Revised November

... Thrombosis – coronary (AMI) – pulmonary (PE) Return of Spontaneous Circulation (ROSC) Post Resuscitation Care  12 Lead  *Coronary reperfusion-capable capable center is the most appropriate EMS destination.  *Hypothermia Hypothermia if DOES NOT follow verbal commands (target target temperature, at ...
5250-6-enlargement
5250-6-enlargement

... increase size of heart muscle fibers aortic stenosis ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... originating from the heart are benign. Rhabdomyomas are the most common pediatric cardiac tumours and are associated with tuberous sclerosis in 70-95% of cases. Rhabdomyomas may occur at any age, from foetal life through late adolescence. They are often multiple, can occur in any cardiac chamber, an ...
Electrocardiogram
Electrocardiogram

... • Can be trigeminy (every third is a PVC), quadrigeminy • Can be multifocal - increased irritability of the ventricle could lead to more severe dysrhythmia ...
Valvular Heart Disease
Valvular Heart Disease

... leaflets, flow into tortuous non compliant vessels or a combination of these. It is important that these murmurs are distinguished from the murmur caused by aortic stenosis which is prevalent in this age group. Take a full history and look at the ECG and CXR. The patient with a murmur who has a reas ...
acta cardiol 2009 64
acta cardiol 2009 64

... The treatment algorithms of these guidelines advocate reperfusion therapy for all patients with STEMI within 12∞∞hours after the onset of symptoms. Fibrinolysis has been the standard treatment for more than 20∞∞years, preserving left ventricular function and resulting in improved survival. Mechanica ...
presentation source
presentation source

... The P Waves Appear & Are Not Connected To Any QRS Complex The QRS Are Abherrantly Wide Ultimate Ventricular Rate Is Often Very Bradycardic ...
< 1 ... 430 431 432 433 434 435 436 437 438 ... 680 >

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.
  • studyres.com © 2025
  • DMCA
  • Privacy
  • Terms
  • Report