Chapter 18 - The Heart I. General Anatomy of the Heart A. Location
... 10. inferior border - right ventricle and part of left 11. sternocostal surface - ventricles and right atrium 12. diaphragmatic surface - mostly left ventricle ...
... 10. inferior border - right ventricle and part of left 11. sternocostal surface - ventricles and right atrium 12. diaphragmatic surface - mostly left ventricle ...
Reduced Ejection Fraction After Myocardial Infarction
... artery disease and its management have more impact on mortality than EF. Namely, for a given EF, the subsequent risk of an arrhythmic event will differ greatly between patients whether acute reperfusion has been performed or not, in the presence of a prior MI, and, probably to a lesser extent, if co ...
... artery disease and its management have more impact on mortality than EF. Namely, for a given EF, the subsequent risk of an arrhythmic event will differ greatly between patients whether acute reperfusion has been performed or not, in the presence of a prior MI, and, probably to a lesser extent, if co ...
Clinical benefits of trimetazidine in diabetic patients with coronary
... artery disease include pharmacological treatments such as b-blockers, calcium channel blockers, and nitrates, and revascularization therapy such as percutaneous coronary interventions and coronary artery bypass graft surgery. The metabolic approach is an innovative therapeutic strategy for these pat ...
... artery disease include pharmacological treatments such as b-blockers, calcium channel blockers, and nitrates, and revascularization therapy such as percutaneous coronary interventions and coronary artery bypass graft surgery. The metabolic approach is an innovative therapeutic strategy for these pat ...
cardiovascular mcq
... In patients with a right-sided infarct in whom there is early revascularisation of the infarct-related artery, inhospital mortality is considerably less than in patients who are not adequately reperfused. In right ventricular infarction there is a marked improvement in haemodynamic arid mechanical p ...
... In patients with a right-sided infarct in whom there is early revascularisation of the infarct-related artery, inhospital mortality is considerably less than in patients who are not adequately reperfused. In right ventricular infarction there is a marked improvement in haemodynamic arid mechanical p ...
Cardiac Magnetic Resonance Imaging in a Patient
... artifact is 2–3 mm, and does not substantially distort the image. We believe that patients with certain ICD devices could be eligible for MR scans under appropriate medically necessary circumstances.3 This may have major clinical implications on imaging practice as performed today. ...
... artifact is 2–3 mm, and does not substantially distort the image. We believe that patients with certain ICD devices could be eligible for MR scans under appropriate medically necessary circumstances.3 This may have major clinical implications on imaging practice as performed today. ...
CHD GPMP paper version 2013
... 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 ...
... 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 ...
Double right ventricle outflow tract repair icd 10
... technique of palliative surgical therapy used by congenital heart surgeons as a staged approach for operative. Left ventricular outflow tract obstructions (LVOTOs) encompass a series of stenotic lesions starting in the anatomic left ventricular outflow tract (LVOT) and. Free ebook: Machiavelli's Lab ...
... technique of palliative surgical therapy used by congenital heart surgeons as a staged approach for operative. Left ventricular outflow tract obstructions (LVOTOs) encompass a series of stenotic lesions starting in the anatomic left ventricular outflow tract (LVOT) and. Free ebook: Machiavelli's Lab ...
Catheter Ablation of Atrial Fibrillation in the Elderly
... Meta-analysis of 1100 patients after AV junctional ablation and pacemaker placement for medically refractory atrial fibrillation, atrial flutter or atrial tachycardia: left ventricular function, healthcare use, and New York Heart Association (NYHA) functional classification ...
... Meta-analysis of 1100 patients after AV junctional ablation and pacemaker placement for medically refractory atrial fibrillation, atrial flutter or atrial tachycardia: left ventricular function, healthcare use, and New York Heart Association (NYHA) functional classification ...
Too fast, too slow, too ugly: Dysrhythmias that every
... peripheral vasodilation, so it can worsen the hypotension that may be associated with AF. Monitor the patient’s BP closely and intervene as indicated. If the patient is hemodynamically unstable with serious signs and symptoms related to the rapid ventricular rate (greater than 150 beats/minute), he’ ...
... peripheral vasodilation, so it can worsen the hypotension that may be associated with AF. Monitor the patient’s BP closely and intervene as indicated. If the patient is hemodynamically unstable with serious signs and symptoms related to the rapid ventricular rate (greater than 150 beats/minute), he’ ...
The Cardiovascular System
... Phases of blood flow through the heart. • Systole- mitral and tricuspid valves close and ventricles pumps blood out pulmonic valve and aortic valves. • Diastole- Ventricles refill with blood with tricuspid and mitral valves open and pulmonic and aortic valves closed. ...
... Phases of blood flow through the heart. • Systole- mitral and tricuspid valves close and ventricles pumps blood out pulmonic valve and aortic valves. • Diastole- Ventricles refill with blood with tricuspid and mitral valves open and pulmonic and aortic valves closed. ...
Hemodynamic instability - Clinical View
... aortic flow, pulse contour analysis and thermodilution using femoral arterial temperature sensing and lithium dilution (27-29). While these new technologies have not yet been extensively validated, early studies indicate that each may provide accurate estimations of cardiac output, although there ar ...
... aortic flow, pulse contour analysis and thermodilution using femoral arterial temperature sensing and lithium dilution (27-29). While these new technologies have not yet been extensively validated, early studies indicate that each may provide accurate estimations of cardiac output, although there ar ...
cardiogenic shock - Developing Anaesthesia
... Inotropic Drug Support Options for inotropic drug support include the following: ...
... Inotropic Drug Support Options for inotropic drug support include the following: ...
The Cardiovascular System
... Phases of blood flow through the heart. • Systole- mitral and tricuspid valves close and ventricles pumps blood out pulmonic valve and aortic valves. • Diastole- Ventricles refill with blood with tricuspid and mitral valves open and pulmonic and aortic valves closed. ...
... Phases of blood flow through the heart. • Systole- mitral and tricuspid valves close and ventricles pumps blood out pulmonic valve and aortic valves. • Diastole- Ventricles refill with blood with tricuspid and mitral valves open and pulmonic and aortic valves closed. ...
Subclavian Artery- Internal Jugular Vein Fistula and Heart Failure
... applied and patient was sent home. A double-lumen 11.5 Fr Quinton intrajugular catheter was inserted next day successfully by the same technique without any problem. At the end of the process vitals were stable and chest x-ray confirmed the position of the catheter tip at the junction of superior ve ...
... applied and patient was sent home. A double-lumen 11.5 Fr Quinton intrajugular catheter was inserted next day successfully by the same technique without any problem. At the end of the process vitals were stable and chest x-ray confirmed the position of the catheter tip at the junction of superior ve ...
Indications for Pulmonary Valve Replacement in Repaired Tetralogy
... excluded. Therefore, the burden of residual disease and excess mortality reported in their article depicts a best-case scenario, with higher rates of morbidity and mortality expected when high-risk groups are included. Furthermore, among the small random sample of “ideal” TOF patients who were invit ...
... excluded. Therefore, the burden of residual disease and excess mortality reported in their article depicts a best-case scenario, with higher rates of morbidity and mortality expected when high-risk groups are included. Furthermore, among the small random sample of “ideal” TOF patients who were invit ...
CARDAIC OUTPUT AND ITS REGULATION
... By the end of this lecture, the students should be able to understand: • The terminology of cardiac function: Cardiac output, venous return, stroke volume and ejection fraction • The factors regulating cardiac output • Effect of preload, contractility, and afterload on stroke volume and cardiac outp ...
... By the end of this lecture, the students should be able to understand: • The terminology of cardiac function: Cardiac output, venous return, stroke volume and ejection fraction • The factors regulating cardiac output • Effect of preload, contractility, and afterload on stroke volume and cardiac outp ...
Slide 1
... H/P = sudden tachycardia; possible chest pain, shortness of breath, palpitations, syncope ECG = P waves hidden in T waves; 150–250 bpm HR; normal QRS Treatment = carotid massage or Valsalva maneuver may halt an acute arrhythmia, but cardioversion or calcium channel blocker is required in cases of h ...
... H/P = sudden tachycardia; possible chest pain, shortness of breath, palpitations, syncope ECG = P waves hidden in T waves; 150–250 bpm HR; normal QRS Treatment = carotid massage or Valsalva maneuver may halt an acute arrhythmia, but cardioversion or calcium channel blocker is required in cases of h ...
AVID - Relative Effectiveness of the ICD and AADs
... In the AVID trial, treatment with an ICD was found to result in improved survival as compared with treatment with an AAD. The present study suggests that the difference may be modulated by the degree of left ventricular dysfunction. Patients with moderate to severe left ventricular dysfunction (grou ...
... In the AVID trial, treatment with an ICD was found to result in improved survival as compared with treatment with an AAD. The present study suggests that the difference may be modulated by the degree of left ventricular dysfunction. Patients with moderate to severe left ventricular dysfunction (grou ...
No Slide Title
... 15:2 ratio provides more compressions per minute and higher coronary artery perfusion pressure — appropriate for primary cardiac arrest Once the airway is secured, ventilations and ...
... 15:2 ratio provides more compressions per minute and higher coronary artery perfusion pressure — appropriate for primary cardiac arrest Once the airway is secured, ventilations and ...
Irregular Heartbeat
... constant or it may be intermittent or paroxysmal (comes and goes). If it is constant, it can be seen in the electrocardiogram (ECG). However, a 24-hour Holter monitor may be necessary for further evaluation. Some of the common types of irregular heart beats are discussed below. Sinus arrhythmia is t ...
... constant or it may be intermittent or paroxysmal (comes and goes). If it is constant, it can be seen in the electrocardiogram (ECG). However, a 24-hour Holter monitor may be necessary for further evaluation. Some of the common types of irregular heart beats are discussed below. Sinus arrhythmia is t ...
CHF 2013
... while, fluid redistributes itself in the body, resulting in pulmonary edema. The lungs become heavier (i.e., congestion, edema) their weight presses on the pulmonary veins which in turn makes them more congested. Patients may throw the windows open at night, or learn to sleep on various numbers of p ...
... while, fluid redistributes itself in the body, resulting in pulmonary edema. The lungs become heavier (i.e., congestion, edema) their weight presses on the pulmonary veins which in turn makes them more congested. Patients may throw the windows open at night, or learn to sleep on various numbers of p ...
Measurement of quality of life in pulmonary hypertension and its significance
... heart failure patients [12]. The MLHF is a disease-specific, 21-item, self-administered tool measuring HRQOL in patients with heart failure. Patients rate their perceptions of how much their disease impacts the physical, socio-economic, and psychological aspects of daily life from 0 (not at all) to ...
... heart failure patients [12]. The MLHF is a disease-specific, 21-item, self-administered tool measuring HRQOL in patients with heart failure. Patients rate their perceptions of how much their disease impacts the physical, socio-economic, and psychological aspects of daily life from 0 (not at all) to ...
Understanding Basic EKG - Understanding EKG Basics
... There are instances, such as 2nd and 3rd degree AV block, in which the atrial rate and ventricular rates are different. This is why it is important to know how to determine both atrial and ventricular rates. ...
... There are instances, such as 2nd and 3rd degree AV block, in which the atrial rate and ventricular rates are different. This is why it is important to know how to determine both atrial and ventricular rates. ...
Session 10: The Stethoscope and Beyond: Cardiac Diagnoses Not
... In this patient, what is a likely provisional diagnosis? ...
... In this patient, what is a likely provisional diagnosis? ...
Air Travel Considerations for the Patients With Heart Failure
... hypoxic-challenge testing as the gold standard for suspicious travelers. These guidelines recommend using oxygen during flight for stable HF travelers with a sea-level PaO2 of 70 mmHg or lower, or with an expected PaO2 of 55 mmHg or lower during flight (17). Cabin pressure also could be affected gas ...
... hypoxic-challenge testing as the gold standard for suspicious travelers. These guidelines recommend using oxygen during flight for stable HF travelers with a sea-level PaO2 of 70 mmHg or lower, or with an expected PaO2 of 55 mmHg or lower during flight (17). Cabin pressure also could be affected gas ...
Cardiac contractility modulation
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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.