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ECG in Kwale
ECG in Kwale

... V1 is often ignored but if changes occur in V1 and V2 only, these leads are referred to as Septal leads. V5 and V6 look at the left side of the heart and are the lateral leads. ...
Download Issue PDF
Download Issue PDF

... the cornerstones of treating classic heart failure, but “Our program goals are ambitious, but how could HFpEF may require modifications that address its they not be?” says Stuart Russell, co-director of the idiosyncrasies. HFpEF program and director of heart failure and For example, a recent study l ...
Chapter Objectives - Website of Neelay Gandhi
Chapter Objectives - Website of Neelay Gandhi

... Cardiac performance deals with preload. Changing the preload will cause an increased work. Cardiac contractility deals with a shift in the cardiac output curve. This means that there will be increased work at the same preload. See pg. 45 for graph. Afterload: See question 6 9. Explain how changes in ...
Perioperative Medical Evaluation for Gynecological
Perioperative Medical Evaluation for Gynecological

... – Abnormal ECG (left ventricular hypertrophy, left bundle-branch block, ST-T abnormalities) – Rhythm other than sinus (e.g., atrial fibrillation) ...
Primary Cardiac Neoplasms
Primary Cardiac Neoplasms

... • The order of frequency of involvement is pericardium, epicardium, myocardium, and endocardium . ...
Welcome to Vibrationdata  Ni hao
Welcome to Vibrationdata Ni hao

... Mesa Arizona is on the edge of the “Shadow zone” for the Taiwan earthquake. The shadow zone is the area of the earth from angular distances of 103 to 140 degrees that, for a given earthquake, does not receive any direct P waves. The shadow zone results from the P-waves being bent or diffracted by th ...
2- Heart rate, heart sound and murmurs
2- Heart rate, heart sound and murmurs

... 2. Explain the mechanism of the heart sounds. 3. Explain the mechanism of the murmurs. Heart rate: It is number of heart beat. The contraction of atria (atrial systole) is followed by contraction of the ventricle (ventricular systole). SA node able to generate action potential with rate of 60 –90 be ...
Heart Sounds Worksheet
Heart Sounds Worksheet

... The stress occurs during what part of the cardiac cycle? systole or diastole ...
Biochemical Studies of Energy Production in the Failing
Biochemical Studies of Energy Production in the Failing

... cell function is basically a process by which chemical energy is transformed into the mechanical work of myofibrillar shortening and force development. The presence of a biochemical abnormality in the failing cardiac muscle must therefore be sought either in the mechanism of energy production or in ...
sick sinus syndrome
sick sinus syndrome

...  The heart of the dog or cat is composed of four chambers; the top two chambers are the right and left atria and the bottom two chambers are the right and left ventricles; heart valves are located between the right atrium and the right ventricle (tricuspid valve); between the left atrium and the le ...
Introduction
Introduction

... Atrial flutter is usually associated with mitral valve disease, pulmonary embolism, thoracic surgery, hypoxia, electrolyte disturbances and hypercalcemia. Atrial flutter results in poor atrial pumping since some parts of the atria are relaxing while other parts are contracting. Cardiac output decrea ...
WHAT IS ATRIAL FIBRILLATION?
WHAT IS ATRIAL FIBRILLATION?

... help. They monitor the heart rate and send stimulating electrical impulses to the heart if the rate slows too much. Patients with paroxysmal atrial fibrillation (where the arrhythmia comes and goes without treatment) often see a reduction in atrial fibrillation after a pacemaker is implanted if thei ...
MODERN ULTRASOUND TECHNIQUES FOR CARDIOVASCULAR
MODERN ULTRASOUND TECHNIQUES FOR CARDIOVASCULAR

... device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen on a video screen. Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any s ...
electro myogram
electro myogram

... - The relationship between the pumping action of the heart and the electrical potentials on the skin . This relation comes from fig (1) and :- The potential distribution for the entire heart when the ventricles are one half depolarized is shown by the equipotential lines in fig (2) . - The potential ...
Cardiac Resynchronization Therapy for Patients With Left
Cardiac Resynchronization Therapy for Patients With Left

... in clinical settings), safety (in both randomized trial participants and in clinical settings), and cost-effectiveness of CRT with or without an ICD in patients with LV systolic dysfunction. EVIDENCE ACQUISITION Search Strategy ...
February 2015
February 2015

... including diastolic dysfunctions, valvular heart disease and physiological deconditioning. • Heart failure characterized by exertional dyspnea (with or without chest discomfort) that may be progressive despite preHCMA defines hypertrophic cardiomyopathy as “a primary served systolic function and si ...
The Cardiac Cycle
The Cardiac Cycle

... • This question asks you to trace the blood through the right side of the heart. Quiz Question #2: Valves • This question asks you to predict when the valves are open or closed during the various stages of the cardiac cycle. Quiz Questions #3a, 4a, 5a, 6a: Cardiac Cycle Phase • These question asks y ...
A picture of health—myocardial infarction patients` drawings of their
A picture of health—myocardial infarction patients` drawings of their

... Patients were divided into those who had drawn damage on their heart (n = 27) and those who had drawn no damage (n = 32). There was a significantly higher level of peak troponin-T between patients who drew damage and those who drew no damage [median = 2.8 (95% CI 1.4 to 4.4) vs. 0.6 (0.2 to 1.7), P ...
Examination of the Heart3
Examination of the Heart3

... emphysema(肺气肿). The absolute cardiac dullness is usually decreased in such cases, since the lung is increased in size and covers a greater area of the heart than normal. ...
Cardiac Pacemakers - Medical Clinics 100
Cardiac Pacemakers - Medical Clinics 100

... can increase chronically to two to three times normal, cardiac output will be inadequate in these individuals, particularly during activity, and congestive heart failure may occur. Studies of cardiac output at different ventricular rates in individuals with complete A-V block have been carried out i ...
Heart failure. Myocardial Infarction Ph.D., MD, Assistant Professor
Heart failure. Myocardial Infarction Ph.D., MD, Assistant Professor

... resulting in 500,000 deaths. In short, we do not have an adequate therapeutic solution to the problem of myocardial infarction (heart attack). ...
National Waiting Times Centre NHS Board
National Waiting Times Centre NHS Board

... close links with the radiology service allow clarification of non-cardiac diagnoses. Physiological and pharmacological stress MRI is available and interaction with cardiologists providing other aspects of cardiac MRI imaging allows for collaborative working. A GE Optima 1.5Tesla MRI scanner will be ...
Chapter 19: Blood Vessels
Chapter 19: Blood Vessels

... atria and ventricles and semi-lunar valves between ventricles and main arteries • Valves also close the entry points to the atria ...
MI-2013
MI-2013

Best Practice - The Heart Foundation
Best Practice - The Heart Foundation

... Recommended for all patients post MI, unless contraindicated, and continued indefinitely, especially in high-risk patients. (High-risk patients are defined as those with either significant myocardial necrosis, left ventricular systolic dysfunction, persistent evidence of ischaemia or ventricular arr ...
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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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