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Profile Documents Logout
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R o u n d s
R o u n d s

... The possibility that endothelial dysfunction can cause disease should really come as no surprise, given the many important functions of the endothelium. Endothelial cells are both sensory and effector cells that interface with the bloodstream and can sense and respond to changes in flow, pressure, a ...
University Hospital Zurich`s cardiovascular team carries out a new
University Hospital Zurich`s cardiovascular team carries out a new

... carries out a new type of procedure on a heart valve A team led by Francesco Maisano, co-director of the University Heart Center at the University Hospital Zurich (UHZ) and professor for Heart Surgery at the University of Zurich, made up of heart surgeons and cardiologists used new catheter technolo ...
palpitations
palpitations

... recovery ( Due to decrease cerebral blood flow) Do not confuse with a seizure disorder Common 6% hospital admissions and 1-2% emergency admissions Can occur at any age - Elderly ...
Pacemaker-Mediated Tachycardia (PMT) and
Pacemaker-Mediated Tachycardia (PMT) and

... (Rev. P) NOTE: Most Current Revision Found @ http://www.bostonscientific.com/cardiac-rhythm-resources/summaries/CRT-D-systems.html ...
AF ABLATION CLINIC Guidelines
AF ABLATION CLINIC Guidelines

... NURSE PRACTITIONER GUIDELINES 1. BACKGROUND AF Ablation clinic has guidelines in place to assist Nurse Practitioners to make appropriate decisions regarding the specific clinical needs of patients. This document will reflect current best practice guidelines as well as legislation that affects nurse ...
End Stage Heart Failure - Home Care Information Network
End Stage Heart Failure - Home Care Information Network

... Note: These guidelines are to be used in conjunction with the “Non-disease specific baseline guidelines” described in Part II of the LCD Both A & B must be met: A. Impaired functional status- KPS <70 or PPS <70 B. Dependence on assistance for 2 or > ADLs C. Presence of co-morbidities that contribute ...
Measuring left ventricular volume and ejection fraction - Heart
Measuring left ventricular volume and ejection fraction - Heart

... (20%) of 107 patients with AMI. If dobutamine echocardiography revealed myocardial viability in > 2 segments, the prediction of an increase in LVEF had a sensitivity of 81% and a specificity of 65%. Other predictors for such an improvement were non-Q wave infarction and anterior infarction, but myoc ...
Table 3. Classification of Ventricular Arrhythmias - Af
Table 3. Classification of Ventricular Arrhythmias - Af

... VT is a cardiac arrhythmia of 3 or more consecutive complexes in duration emanating from the ventricles at a rate of greater than 100 bpm (cycle length less than 600 ms). ...
Electrophysiology Part 2 Worksheet Answers
Electrophysiology Part 2 Worksheet Answers

... 12. Low voltage is a QRS amplitude in the limb leads of <5 mm or in the precordial leads of <10 mm. It might occur when there is a lot of space (like fat or air) between the heart and the electrodes (look out of pericardial or pleural effusion, pneumothorax, or emphysema!), after a big MI, or with p ...
PDF - Circulation
PDF - Circulation

... The heart appeared to be prancing in the thoracic cavity because it was no longer fixed in place as a result of the pericardial injury. Of note, the heart was swinging horizontally toward the thoracic wall. Therefore, it was difficult to detect the prancing heart on anteroposterior chest x-rays. In ...
AHA News Release Masthead
AHA News Release Masthead

... Sudden cardiac arrest is most often caused by an irregular heart rhythm called ventricular fibrillation. This irregular rhythm causes the heart’s electrical impulses to become chaotic, causing the victim to collapse and stop breathing normally. Unless a normal heart rhythm is restored, death will fo ...
heart disease
heart disease

... in the future. Like the medical profession, they’ll consider all the risk factors mentioned on the previous page. One risk factor on its own isn’t normally a concern, but two or three together increase the risk and can result in increased policy payments. For example, a healthy individual who has ra ...
chifs-card-arrhythmia - Children`s Health Queensland
chifs-card-arrhythmia - Children`s Health Queensland

... The pumping action of the heart is powered by an electrical pathway that runs through the nerves in the walls of the heart. With each heartbeat, an electrical signal is generated and travels from the top of the heart to the bottom. The signal begins in a group of cells in the right atrium (the upper ...
Effect of Perindopril on the Onset and Progression of Left Ventricular
Effect of Perindopril on the Onset and Progression of Left Ventricular

... generally supportive and includes ACEI (5). In this study, however, we documented a prophylactic effect of perindopril. This may have important clinical implications, because LV systolic function, unlike ventricular arrhythmias or the standard or signal-averaged electrocardiogram, is a confirmed, po ...
Liver Enzymes and Uric acid in Acute Heart Failure
Liver Enzymes and Uric acid in Acute Heart Failure

... been investigated in chronic heart failure, as the association between hyperuricemia and increases in wedge pressure and cardiac index decline were documented (7). Also, an inverse relationship was found between serum bilirubin level and cardiac output, in which total bilirubin was the strongest pre ...
Indications for Cardiac Resynchronization Therapy: 2011
Indications for Cardiac Resynchronization Therapy: 2011

... Cardiac resynchronization therapy (CRT) improves survival, symptoms, quality of life, exercise capacity, and cardiac structure and function in patients with New York Heart Association (NYHA) functional class II or ambulatory class IV heart failure (HF) with wide QRS complex. The totality of evidence ...
ТАШКЕНТСКАЯ МЕДИЦИНСКАЯ АКАДЕМИЯ
ТАШКЕНТСКАЯ МЕДИЦИНСКАЯ АКАДЕМИЯ

... and 200 ventricular extrasystoles per day. Beats can be single or in pairs. Three or more beats in a row is called a tachycardia ("jogging" tachycardia "short episodes of unstable tachycardia"). Unstable tachycardia called tachycardia episodes lasting less than 30 seconds. Sometimes to refer to 5.3 ...
Electrocardiogram
Electrocardiogram

... If the first deflection from the isoelectric line is negative it is a Q wave (not always present) The first positive deflection from the isoelectric line is an R wave The negative deflection following an R wave is an S wave Normal QRS interval range is from 0.04 sec - 0.12 sec Measured from the firs ...
3 stages
3 stages

... Treatment is directed at the underlying disease. RHYTHM CONNECTIONS atrioventricular (nodal rhythm) occurs during the suppression of the sinoatrial node automaticity and retrograde propagation of the pulse of the atrioventricular connection. As a result of the ECG, there is recorded negative prong R ...
3 stages
3 stages

... Treatment is directed at the underlying disease. RHYTHM CONNECTIONS atrioventricular (nodal rhythm) occurs during the suppression of the sinoatrial node automaticity and retrograde propagation of the pulse of the atrioventricular connection. As a result of the ECG, there is recorded negative prong R ...
CCN Cardiac and Vascular Terminology Reference Guide
CCN Cardiac and Vascular Terminology Reference Guide

... disturbance. Several catheters are inserted through a vein (sometimes also include the artery) and advanced into the heart. The catheters have electrodes that detect the heart’s electrical system and are recorded. Emergency Medical Services (EMS) – a community-based emergency personnel who respond t ...
The heart - Heart Rhythm Alliance
The heart - Heart Rhythm Alliance

... walls of the atria and causes it to contract – forcing the blood out of the atria and into the ventricles (bottom chambers of the heart). Whilst the ventricles are filling with blood, the impulse sent from the SA node is recognised by a second region of the heart known as the atrioventricular node ( ...
- International Journal of Obstetric Anesthesia
- International Journal of Obstetric Anesthesia

... postpartum complications in a patient with severe peripartum cardiomyopathy is reported. A 31-year-old nulliparous woman at 35 weeks of gestation presented with a three-week history of worsening dyspnea and progressive functional deterioration. A transthoracic echocardiogram showed severe left ventr ...
second degree heart block with mitral insufficiency in a dog
second degree heart block with mitral insufficiency in a dog

... turbulence and mosaic pattern(Fig.3). The values of right atrium (2D), left atrium (2D), left ventricular internal diastolic dimension (Mmode), left ventricular internal systolic dimension (M-mode), inter ventricular septum thickness in diastole (M-mode) and inter ventricular septum thickness in sys ...
PDF version - Heart, Lung and Vessels
PDF version - Heart, Lung and Vessels

... should be started 1 h before the off-pump trials (6). Additionally, completely stopped pulsatile devices should be allowed to pump at least once a minute, or 3 bursts of pneumatic hand-pumping should be intercalated every 15 to 60 seconds to prevent blood stagnation (2, 4, 5, 7, 8). In patients with ...
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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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