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Emergency Cardiac Ultrasound: “Questions”
Emergency Cardiac Ultrasound: “Questions”

... Focused questions: heart, pericardium Potentially life-threatening conditions Yes-No questions ...
5D MRI - Cardiac and respiratory time-resolved volume imaging
5D MRI - Cardiac and respiratory time-resolved volume imaging

... The pulse sequence was modified to utilize a view-order-selection scheme extending the TRIADS[2] approach. Realtime histogram equalization was used to estimate the respiratory time-frame to be acquired (8 time-frames were resolved) and the average of the last 3 RR-intervals was used to determine cur ...
Congenital Diseases
Congenital Diseases

... from the aorta to the pulmonary artery pulmonary artery pressure may be elevated to systemic levels during both systole and diastole risk for the development of pulmonary vascular disease if left unoperated ...
QT INTERVAL AND DRUG-INDUCED CHANGES 1Souza, A. C.M.
QT INTERVAL AND DRUG-INDUCED CHANGES 1Souza, A. C.M.

... The QT interval prolongation can be induced by use of cardiotoxic drugs. Objectives: Describe the QT interval and its prolongation induced by drugs. Methods and Results: Literature research on Medline database using the keywords “QT interval prolongation” and “cardiotoxic drugs”. Theoretical literat ...
ATTR-ACT
ATTR-ACT

... in up to 400 patients with TTR-CM, which is the first phase 3 clinical study initiated in TTR-CM. 3 The study includes two active doses of tafamidis (20mg and 80 mg) versus placebo over 30 months. ...
Heart failure – an overview
Heart failure – an overview

... no symptoms or signs of heart failure but they have risk factors that put them at risk to develop heart failure. These risk factors are: hypertension, atherosclerotic heart disease, diabetes, obesity, the metabolic syndrome, using cardiotoxins (alcohol, chemotherapy drugs, etc.), and having a family ...
Chapter 18 - The Cardiovascular System: The Heart
Chapter 18 - The Cardiovascular System: The Heart

... Chordae
tendineae
anchor
AV
valves
to
papillary
muscles
 Aortic
semilunar
valve
lies
between
the
left
ventricle
and
the
aorta
 Pulmonary
semilunar
valve
lies
between
the
right
ventricle
and
pulmonary
trunk
 Semilunar
valves
prevent
backflow
of
blood
into
the
ventricles
 ...
Pharmacological Cardioversion of Atrial Fibrillation: Which Drugs
Pharmacological Cardioversion of Atrial Fibrillation: Which Drugs

... propafenone and flecainide, administered intravenously, have a priority indication. In patients treated in this manner, the percentage of success is between 85% and 93% for flecainide [2–4] and between 57% and 87% for propafenone [4–6]. The use of these drugs depends not only on their effectiveness, ...
Under-utilization of evidence-based drug treatment in patients with
Under-utilization of evidence-based drug treatment in patients with

... b-blockers, and aldosterone antagonists, which demonstrated the effectiveness and safety of these agents. We then analysed what proportion of patients met or did not meet these criteria, and whether they were treated according to the guidelines. ...
ECG Layout_May_1 - Continuing Medical Education
ECG Layout_May_1 - Continuing Medical Education

... and axis. The PR interval lengthens progressively until a QRS complex is dropped. Mobitz type I block usually occurs at the level of the AV node. The causes are the same as for first-degree AV block. ...
Heart Failure with Preserved Ejection Fraction
Heart Failure with Preserved Ejection Fraction

... difference in cardiovascular death during the median follow-up of 36.6 months. However, fewer patients in the candesartan group compared to placebo were admitted to hospital for an episode of AHF (230 vs. 279, p=0.017). The results of the above mentioned trials with ACE-inhibitors and ARBs seem co ...
When to Start Treatment in the Asymptomatic Patient with LQT? Is
When to Start Treatment in the Asymptomatic Patient with LQT? Is

Nursing care of acute and chronic heart failure
Nursing care of acute and chronic heart failure

... nursing care specific to this form of oxygenation is carried out according to local guidelines. Other nursing implications may involve putting the patient on a fluid restriction with diligent monitoring of input and output. The patient may have a urinary catheter placed so that urinary output may be ...
Congenital Heart Disease in a Tetra-X Woman
Congenital Heart Disease in a Tetra-X Woman

... inert muscle. Since the cardiac silhouette had returned to near normal postoperatively, the axis shift was not due to unusual position of the heart. We have shown that regurgitation into a false aneurysm must be included in the H e r e n t i a l diagnosis of apical systolic murmur in a patient with ...
TISSUE PLASMINOGEN ACTIVATOR IN CARDIAC ARREST WITH
TISSUE PLASMINOGEN ACTIVATOR IN CARDIAC ARREST WITH

... the study was conducted according to a policy of implied (presumed) consent. The operative assumption was that during a lifethreatening event, a reasonable person would consent to potentially lifesaving experimental intervention if it were possible to do so.35 Before the study began, a press release ...
Hemodynamics
Hemodynamics

... the myocardium in systole Starling’s Law states that the greater the stretch, the more forceful the contraction ...
Contrasting Haemodynamic Effects
Contrasting Haemodynamic Effects

... patterns were associated with the rise in pulmonary arterial pressure and neither suggested a paradoxical vasoconstrictor effect of minoxidil on the pulmonary circulation. The first, termed 'congestive pulmonary hypertension', seemed to reflect diminished cardiac efficiency, probably because of mark ...
cardiac corner: name that arrhythmia
cardiac corner: name that arrhythmia

... lead combination that shows the best P wave, will be helpful for Pwave identification and P-R interval assessment. Also note in Figure 3 that the “PulseR” channel derived from the pulse oximeter is inaccurate, but the “RR” channel measuring the distance between R waves with a cardiotachometer is acc ...
Transthoracic tissue Doppler study of right ventricular - Heart
Transthoracic tissue Doppler study of right ventricular - Heart

... echocardiography was performed. Left ventricular global function was normal, but hypokinesia of the basal segment of the lateral wall was observed. The right ventricle was enlarged and appeared hypokinetic, especially at the apex in apical long axis view. The pulmonary infundibulum was enlarged (upp ...
living with your heart failure device(crt)
living with your heart failure device(crt)

Equine Cardiovascular Disease
Equine Cardiovascular Disease

...  Condition requires area of atrial tissue large enough that chances of circus movements of wavefronts developing cause the activation pathways in increase in length  >15 hands have large enough atria that AF can persist ...
Artificial Hearts
Artificial Hearts

... In October 2004, the FDA announced approval of the SynCardia temporary-Total Artificial Heart (CardioWest Total Artificial Heart) (Syncardia) as a “bridge to transplant” for people waiting for a heart transplant who do not respond to other treatments and are at risk of imminent death from non-revers ...
2015 08 26 CUPID 2 manuscript CLEAN FINAL
2015 08 26 CUPID 2 manuscript CLEAN FINAL

... York Heart Association (NYHA) class II-IV chronic HF due to ischemic or non-ischemic ...
File - Dr. Jerry Cronin
File - Dr. Jerry Cronin

... – Cardiac reflexes • Cardiac centers monitor: – blood pressure (baroreceptors) – arterial oxygen and carbon dioxide levels (chemoreceptors) ...
drivers
drivers

... Heart failure mortality and prognosis • 5-year age-adjusted mortality rates after onset of HF ...
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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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