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7 CRRT_ It`s Not Just For Renal Failure Anymore Sue Fallone
7 CRRT_ It`s Not Just For Renal Failure Anymore Sue Fallone

... diastolic failure is a syndrome consisting of symptoms and signs of heart failure with preserved left ventricular ejection fraction above 45–50% and abnormal left ventricular relaxation assessed by echocardiography systolic failure is when the left ventricle loses it’s ability to contract normally, ...
as a PDF
as a PDF

... annexin A5 uptake in the left ventricular myocardium; no uptake was observed in the right ventricle. The uptake was focal in 1 patient (patient 6), multifocal in 2 patients (patients 3 and 7) (Fig. 1A), and diffuse in 1 patient (patient 9) (Fig. 1B). Myocardial perfusion was essentially normal in th ...
Circulatory System ppt Notes
Circulatory System ppt Notes

... “EKG” (or ECG, electrocardiogram)  Electrical depolarization is recorded on the body surface by up to 12 leads  Pattern analyzed in each lead P wave=atrial depolarization QRS=ventricular depolarization T wave=ventricular repolarization ...
Elevated Pressure (HBOT/SCUBA) and Implanted
Elevated Pressure (HBOT/SCUBA) and Implanted

... These Boston Scientific pacemakers are contraindicated in patients who have a separate implanted cardioverter defibrillator (ICD) with transvenous leads. Use of certain pacing modes and/or features available in these Boston Scientific pacemakers is contraindicated for the following patients under th ...
Congenital Heart Disease in the Adult
Congenital Heart Disease in the Adult

... Reversal of the shunt to right to left Same sequelae as unrepaired TOF End stage irreversible pulmonary disease Qp/Qs < 0.7 Poor prognosis (transplantation may be an option) ...
ECG How to’s - CecchiniCuore
ECG How to’s - CecchiniCuore

... this is going to be a weird and bizarre explanation.)  This is because the origin of depolarization is a cell-to-cell depolarization and repolarization from the ventricular myocardium, not the SA node.  In addition, if the impulse originated in the left ventricle, the wave of depolarization will b ...
Europe and Emerging Markets
Europe and Emerging Markets

... patient. It is estimated that well over 20 million people worldwide are affected by heart failure, with numbers rising rapidly year on year as the population ages. In Western Europe alone, there are already over five million heart failure patients, a number expected to rise to 10 million by 2030. He ...
An Introduction to Cardiovascular Physiology - e-safe
An Introduction to Cardiovascular Physiology - e-safe

... The cardiovascular system consists of the heart and two vascular systems, the systemic and pulmonary circulations. The heart pumps blood through these two vascular systems - the low pressure pulmonary circulation in which gas exchange occurs, and then the high pressure systemic circulation, which de ...
Basic Dysrhythmia Study Guide
Basic Dysrhythmia Study Guide

... If the 6th QRS does not look familiar, you are right. There are times when the patient has something we call a Bundle Branch Block. The impulse travels down the conduction system and encounters a blockage in either the right or left bundle. The impulse has to “get around” the blockage, and so it tr ...
Pharmacological management of Ischaemic heart disease stroke
Pharmacological management of Ischaemic heart disease stroke

... - flushing, headache, ankle oedema Cardiac effects - AV block, heart failure Constipation Short-acting dihydropyridines a/w  mortality and MI ...
Therapeutic Angiogenesis for Ischemic Heart Disease
Therapeutic Angiogenesis for Ischemic Heart Disease

... associated with angiogenic growth factors include plaque angiogenesis, proliferative retinopathy and occult malignancies.12) Since potent angiogenic growth factors may have grave side effects, a high drug target level and low systemic exposure should be the ultimate goal. It is suggested that intram ...
Monomorphic Ventricular Tachycardia Originating From Right
Monomorphic Ventricular Tachycardia Originating From Right

... rhythm showed right bundle branch block morphology, ST segment elevation with saddle back configuration in lead V2, and normal QTc interval. After admission, episodes of sustained atrial flutter were detected. During electrophysiology study, a sustained typical atrial flutter was induced. The study ...
Decreased cardiac output due to the heart pump failing
Decreased cardiac output due to the heart pump failing

...  Normal: smooth with 2+ strength  Auscultate Carotid Artery  Listen for presence of bruit (blowing or swishing sound)  Apply bell of the stethoscope at angle of jaw, midcervical area, and base of the neck  Person can take breath, exhale, and hold while you listen so no sound is masked ...
Pseudo-Infarction Pattern Secondary to Lung Cancer
Pseudo-Infarction Pattern Secondary to Lung Cancer

... the left sixth rib and invading the myocardium. The heart was deviated into the left pleural cavity occupying the empty space vacated by the removal of the left lung (post-pneumonectomy). After being placed on an appropriate pain medication regimen, the patient was discharged chest-pain free with on ...
Current thinking on sudden cardiac death
Current thinking on sudden cardiac death

... to enhance this education by providing CPR training.When asked about their interest in learning CPR, 46%23 and 58%24 of previously untrained patients in coronary care units said they would participate in CPR training. The fact that cardiac patients are at high risk of cardiac arrest should not precl ...
No evidence for systolic or diastolic left ventricular dysfunction at rest
No evidence for systolic or diastolic left ventricular dysfunction at rest

... with minimal background retinopathy were also included in the study population. ...
File - Sasha Yunick`s E
File - Sasha Yunick`s E

Ventricular arrhythmias - An
Ventricular arrhythmias - An

... sinus node impulse is completely interrupted in the A-V node or beyond, and the ventricles must generate their own impulse to contract. Depending on its cause, third-degree block may be transient (temporary) or permanent. When no impulses from the atria excite the ventricle, a situation of complete ...
Heart Wall
Heart Wall

... Stroke volume: amount ejected, about 70 ml SV/EDV= ejection fraction, at rest ~ 54%, during vigorous exercise as high as 90%, diseased heart < ...
Tooth Extraction Prior to Cardiac Surgery May Increase Risk of
Tooth Extraction Prior to Cardiac Surgery May Increase Risk of

... Dental extraction of abscessed or infected teeth is often performed to decrease the risk of infection during surgery and endocarditis (an inflammation of the inner layer of the heart) following surgery. Cardiac surgeon Joseph A. Dearani, MD, along with anesthesiologists Mark M. Smith, MD and Kendra ...
Social Media Plan OVERVIEW This is a social media guide for the
Social Media Plan OVERVIEW This is a social media guide for the

... media messages specifically highlight the Heart Failure Policy Toolkit and call to action, using the World Heart Day discussions as a hook to reach out to a wider stakeholder group. Members can make use of these prepared messages on their Twitter and Facebook accounts or within relevant LinkedIn gro ...
Cardiovascular Pharmacology
Cardiovascular Pharmacology

... • major metabolite is 3-Omethyldobutamine, a potent inhibitor of alpha-adrenoceptors; vasodilation possible secondary to this metabolite • starting infusion rate 5 mcg/kg/minute; titrate to effect (20 ...
Making A Heart Behave
Making A Heart Behave

... Hermundslie, had organized a small company, Medtronics [sic], Inc., to handle electrocardiographs and other electronic equipment used in medicine. They were also beginning to manufacture specialized apparatus, having survived a period, as Baaken put it, “when we had to service TV sets to keep eating ...
File
File

... needed to push blood to lungs • Left ventricle  large force needed to push blood all over body • VERY MUSCULAR • Greater pressure developed in left ventricle than left atria ...
Document
Document

... Atrial Fibrillation in ECG Signals Definition of AF in ECG signals Surface ECG shows irregular RR intervals Surface ECG shows no distinct P waves The interval between two atrial activations is usually variable and <200ms ...
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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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