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congestive heart failure
congestive heart failure

... U.S. > 2.5 million cases  500,000 new cases per year  50 % 5-yr. survival  30-50% of deaths from CHF = sudden cardiac death  severe- 50 % have serious ventricular arrhythmias ...
heart failure - Investor Relations Solutions
heart failure - Investor Relations Solutions

... Initially, the heart compensates by: • Enlarging. When the heart enlarges, it can contract less vigorously and still pump the same amount of blood. • Developing more muscle mass. The increase in muscle mass occurs because the contracting cells of the heart get bigger to allow the heart chamber to en ...
Heart failure in patients with preserved and - Heart
Heart failure in patients with preserved and - Heart

... Objectives: To determine clinical and prognostic differences between preserved and deteriorated systolic function (defined as left ventricular (LV) ejection fractions > 50% and , 50%, respectively) in patients with heart failure satisfying modified Framingham criteria. Patients and methods: Records ...
Lab 8 - Creighton Biology
Lab 8 - Creighton Biology

... and ventricular contraction, and it is usually possible to perceive the blood moving through the chambers and blood vessels. You should also be able to observe the expansion of the major arteries during systole.With careful adjustment, both atrial and ventricular contractions may register on the for ...
The Correlation between Left and Right Ventricular Ejection
The Correlation between Left and Right Ventricular Ejection

... ischemic heart disease. RVEF and LVEF were measured by Cardiovascular Magnetic Resonance (CMR) imaging. Materials and Methods: This observational study was done in Ghaem general hospital in 2014. LVEF and RVEF were measured in a series of 33 patients with ischemic heart disease, undergoing CMR for t ...
Heart Muscle Differentiation
Heart Muscle Differentiation

... • in most cases surgery can rectify this problem ...
Intractable Ventricular Tachycardia Associated With Stress
Intractable Ventricular Tachycardia Associated With Stress

... during drug infusion. With supportive treatment, ...
King Saud University College of Pharmacy Pharmacology
King Saud University College of Pharmacy Pharmacology

... The electrical signals described above are measured by the electrocardiogram or ECG where each heart beat is displayed as a series of electrical waves characterized by peaks and valleys. An ECG gives two major kinds of information. First, by measuring time intervals on the ECG the duration of the el ...
Athletes Heart - Issue Insurance
Athletes Heart - Issue Insurance

... is involved in is also important. For example, competitive rowers have increased heart muscle mass but those who do track or weight lifting do not. Normally, the athlete is asymptomatic with no chest discomfort, fainting spells, shortness of breath, or irregular heart beats. Any of these symptoms, i ...
EKGs - KentuckyOne Health
EKGs - KentuckyOne Health

... • Normal rhythm, but… * No Pulse* Gabriel is blowing ...
Cardiac MR Imaging in Mice
Cardiac MR Imaging in Mice

... fields such as 9.4 T. Hence, self gating techniques, such as IntraGate, are a very helpful alternative for robust cardiac imaging in mice and have been shown not to compromise the accuracy of the derived myocardial function parameters[3-4]. ...
this section does not print
this section does not print

... worse after amiodarone was discontinued. Her VT was always preceded by a pause or bradycardia, suggesting early after repolarization as a true VT mechanism. In this case, our attempt to control AF rate was eventually triggering polymorphic VT. If her heart rate was not fast enough without the presen ...
Nuclear cardiology in the clinical setting
Nuclear cardiology in the clinical setting

... revascularisation therapy in patients with significant hibernating or stunned myocardial tissue. In addition, patients with viable myocardium are at greater risk of hard events than those without viability when treated medically and not referred for revascularisation. MPI SPECT with thallium-201, Tc ...
The prospective effect of lipoprotein (a) on new
The prospective effect of lipoprotein (a) on new

... of 2,953 patients (3.6%) without a history of AF developed new onset AF during the median 3.2years follow-up [26]. Overall, the proportion of new-onset AF patients is high in pre-existing heart failure patients. Franjo Naji’s previous study discovered no association between Lp(a) levels and AF recur ...
Left Ventricular Assist Devices Ramp Studies
Left Ventricular Assist Devices Ramp Studies

... 3. Kirklin JK, Naftel DC, Kormos RL, et al. Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) analysis of pump thrombosis in the HeartMate II left ventricular ...
Cardiac Review - Morris Hospital EMS
Cardiac Review - Morris Hospital EMS

... has passed. This time, you let Anthony know that you will be administering the medication and give it followed by a 10-mL flush. The monitor showed a 3-second period of asystole followed by a gradual increase in the HR to approximately 210 beats/min. After waiting 2 minutes, you administer another 1 ...
The heart is complicated, hard-working organ (Heart Attack, 2003
The heart is complicated, hard-working organ (Heart Attack, 2003

... cardiac arrest. Cardiopulmonary resuscitation works by restarting circulation of blood and air (Heart Attack, 2003). The sternum is compressed intermittently about 60 times a minute while the lungs are expanded with oxygen (Cardiovascular disease, 2007). CPR was invented by an Austrian physician of ...
The prevalence and long-term outcomes of extreme right ventricular
The prevalence and long-term outcomes of extreme right ventricular

... 6.7% in Chinese HCM patients . Patients with extreme RVH tended to be younger(p=0.02)and more women involved(p=0.01). The 10 years probability of cardiovascular mortality was significantly greater in extreme RVH group(log-rank, P= 0.017) Nevertheless cardiovascular morbidity were similar(p=0.07),amo ...
Application and Dysrhythmia Interpretation
Application and Dysrhythmia Interpretation

... down the different levels of functioning. At first they could still function but not as well as they could with full power. The further down the power source went, they were not as efficient or as effective as the previous level. Each area can pace, but not as well as the area above it! ...
SAED Recert - Hamilton Health Sciences
SAED Recert - Hamilton Health Sciences

... DO NOT assume that since there is a rhythm on the screen that the patient has a pulse!! ...
Protocol
Protocol

... comparisons based on quantitative methods will be explored. The validity of the assumptions required to make such comparisons will depend on the degree of exchangeability of evidence which can be assumed across the existing trial populations and subgroups. One approach will be to consider the post-M ...
EKGs - KentuckyOne Health
EKGs - KentuckyOne Health

... down the different levels of functioning. At first they could still function but not as well as they could with full power. The further down the power source went, they were not as efficient or as effective as the previous level. Each area can pace, but not as well as the area above it! ...
ventricles.
ventricles.

...  The anterior interventricular sulcus and posterior interventricular sulcus are grooves between the ventricles and run from the coronary sulcus toward the heart’s apex. Internally, the interventricular septum follows this line. ...
Cardiovascular System: The Heart
Cardiovascular System: The Heart

...  Reperfusion damages the tissue further due to the formation of oxygen free radicals from the reintroduced oxygen. ...
Cardiovascular System: The Heart
Cardiovascular System: The Heart

...  Left ventricle – receives blood from left atrium.  Trabeculae carneae – bundles of cardiac muscle tissue.  Chordae tendineae – connects to the cusps of the bicuspid valve which are connected to papillary muscles.  Aortic valve into the ascending aorta (largest artery). ...
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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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