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Don`t fail to account for changes to CHF
Don`t fail to account for changes to CHF

... Acute diastolic dysfunction: This condition can occur with a basically normal heart or with a heart that has chronic systolic or diastolic problems. This is represented by the patient who comes in with acute shortness of breath and often with x-ray findings of pulmonary edema. Acute diastolic dysfun ...
Sudden death of a premature new-born with hypoplastic left heart
Sudden death of a premature new-born with hypoplastic left heart

... entity, a part of the cardiac congenital maladies, with a birth frequency of 1/15000. It is a severe disease with a huge mortality index after-birth. The lack of development of the left ventricle and the atresia with mitral or aortic stenosis mainly characterizes the syndrome. ...
Risk Factors for Mortality in Patients With Cardiac Device
Risk Factors for Mortality in Patients With Cardiac Device

... Background—Because of the increased use of pacemakers and implantable cardioverter defibrillators, infection has become a complication with significant morbidity and mortality. Data on risk factors for mortality in patients with cardiac-device related infection are limited. We evaluated the prognost ...
Cardiac Markers
Cardiac Markers

... the following are considered indicative of myocardial necrosis consistent with MI (Level of Evidence: C): • Maximal concentration of cardiac troponin exceeding the 99th percentile of values (with optimal precision defined by total CV <10%) for a reference control group on at least 1 occasion during ...
Risk Factors for Mortality in Patients With Cardiac Device
Risk Factors for Mortality in Patients With Cardiac Device

... Background—Because of the increased use of pacemakers and implantable cardioverter defibrillators, infection has become a complication with significant morbidity and mortality. Data on risk factors for mortality in patients with cardiac-device related infection are limited. We evaluated the prognost ...
Physio Lecture 16 Analyzing EKG vectors and MEA
Physio Lecture 16 Analyzing EKG vectors and MEA

... EKG records these events: 5 cardiac vectors 1. Atrial depolarization: Down ant to left 2. Right side of IV septum, up and to the right 3. Big vector for IV septum 4. Left ventricular wall, goes lateral 5. Ventricular Repolarization: IV septum is last to repolarize ...
2016 hands-only cpr fact sheet
2016 hands-only cpr fact sheet

... 2016 HANDS-ONLY CPR FACT SHEET WHY LEARN HANDS-ONLY CPR? Cardiac arrest – an electrical malfunction in the heart that causes an irregular heartbeat (arrhythmia) and disrupts the flow of blood to the brain, lungs and other organs - is a leading cause of death. Each year, over 350,000 out-of-hospital ...
Documentation and Coding for Cardiac Conditions
Documentation and Coding for Cardiac Conditions

... Cardiac dysrhythmia (also known as arrhythmia or irregular heartbeat) is any of a group of conditions in which the electrical activity of the heart is irregular or is faster or slower than normal. The following are some common types of arrhythmia. Tachycardia is an abnormally fast resting heart rate ...
case report - journal of evolution of medical and dental sciences
case report - journal of evolution of medical and dental sciences

... 7th day. Repeat echocardiography showed improving left ventricular function and ejection fraction. She was discharged on request on10th day with the advice for regular follow up. DISCUSSION: PPCM represents less than 1% of all cardiovascular diseases that occurs during pregnancy. Clinicians should c ...
abnormalities of p wave
abnormalities of p wave

... *v3-v4 : record changes from the intervent. Septum. *v5-v6 -I-AVL: record changes from LV ...
PDF - Journal of the American Heart Association
PDF - Journal of the American Heart Association

... association of cardiac function parameters with brain volume and function in an elderly population from the AGESReykjavik Study.1 The authors found that left-ventricular stroke volume and cardiac output were related to brain volume and cognitive function. There are a number of limitations to this st ...
Housewide Telemetry Monitoring Test
Housewide Telemetry Monitoring Test

... ___Below the heart in the left abdominal region. ___Right shoulder, close to the junction of the right arm and torso. ___Below the heart in the right abdominal region. ___4th intercostal space just right of the sternum. ___Left shoulder, close to the junction of the left arm and torso. ...
Cardiac: Routine Post-Operative Care
Cardiac: Routine Post-Operative Care

... 4% Human Albumin Solution is used as an alternative volume expander. Platelets. Dose is 10 mL/kg over 30-60 mins, then re-check the platelet count. Fresh Frozen Plasma (FFP) contains almost normal levels of stable clotting factors, albumin and immunoglobulin. Used to treat active bleeding, massive t ...
Percutaneous Left-Ventricular Support With the Impella
Percutaneous Left-Ventricular Support With the Impella

... required to maintain blood pressure >90 mm Hg, (3) evidence of endorgan hypoperfusion (eg, urine output <30 mL or cold, diaphoretic extremities, or altered mental status), and (4) evidence of elevated filling pressures (eg, pulmonary congestion on examination or chest radiograph).19 In each patient, ...
Treatment of Pulmonary Hypertension
Treatment of Pulmonary Hypertension

...  Endothelins (ET) are a family of isopeptides consisting of ET-1, ET-2, ET-3  ET-1 – a potent vasoactive peptide produced primarily in vascular endothelial cell  Also maybe produced in smooth muscle cells ...
Reduction of left ventricular ejection fraction after a 12
Reduction of left ventricular ejection fraction after a 12

... systolic dysfunction may occur and ejection fraction eventually decreases (14). There are a few studies about the echocardiographic changes over time. For example, Duran et al in 22 newly diagnosed cases of ESRD showed that LV systolic functions, LV diameters, LV mass index, left atrium size, and RV ...
Evaluation of Cardiac Masses
Evaluation of Cardiac Masses

... Often aggressive B-cell lymphomas associated with EBV Typically present with right sided heart failure, fever, arrhythmias, tamponade Most commonly arises from Right atrium and half have pericardial effusions (often large) TTE only moderate sensitivity, MRI has best sensitivity; biopsy is diagnostic ...
isovolumetric ventricular contraction
isovolumetric ventricular contraction

... a recording of a single Ap in a single cell at a single point in time ...
cardiac toxicology - The University of North Carolina at Chapel Hill
cardiac toxicology - The University of North Carolina at Chapel Hill

... • The mechanism of cardiomyopathy from AZT is not completely understood, but suggested to be related to depletion mtDNA replication, resulting in impaired synthesis of mitochondrial enzymes that generate ATP - The enzyme responsible for mtDNA replication is DNA polymerase gamma, and it was found to ...
Ventricular hypertrophy icd 10
Ventricular hypertrophy icd 10

... influenzae, as cause of disease classified elsewhere Haff disease. Abstract and Introduction Abstract. Half of patients with heart failure (HF) have a preserved left ventricular ejection fraction (HFpEF). Ventricular premature complexes (VPCs) are ectopic impulses originating from an area distal to ...
ACC/AHA/ESC 2006 Guidelines for Management of
ACC/AHA/ESC 2006 Guidelines for Management of

... Ventricular Arrhythmias & SCD - ICD Indications: Heart Failure – CRT recommendations ...
restrictive_cardiomyopathy_in_cats
restrictive_cardiomyopathy_in_cats

...  Frequent serial physical examinations (minimal stress to the pet) to assess response to treatment and resolution of fluid buildup in the lungs (pulmonary edema) and fluid buildup in body cavities (known as “effusions”)  Monitor breathing rate to assess response to removing fluid from the space be ...
Heart Examination
Heart Examination

... to find the margin between the lung and liver 5)Two finger above the lung and liver’s margin, do a percussion medially to find the right margin of the heart ...
Full version (PDF file)
Full version (PDF file)

... cardiac resynchronization therapy; ICD: implantable cardioverter defibrillator; OHTX: orthotopic heart transplantation; VAD: ventricular assist device ...
Coronary Artery Bypass Graft with Minimal Extracorporeal
Coronary Artery Bypass Graft with Minimal Extracorporeal

... rate of intraoperative transfusion. Platelet count was higher in ...
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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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