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85 Study of Left Ventricular Diastolic Function in
85 Study of Left Ventricular Diastolic Function in

... the disease while severity has a tendency towards these two variables but demonstrated no significant statistical value. Early detection of LVDD may have important diagnostic, prognostic and therapeutic implications Limitations of the study Beside DM, there are several other factors which can affect ...
The Heart
The Heart

... The cardiac events that occur from the beginning of one heartbeat to the beginning of the next are called the cardiac cycle. Each cycle is initiated by spontaneous generation of an action potential in the S-A node. It involves repeated contraction and relaxation of heart muscle – contraction is term ...
Left ventricular assist devices in the treatment of end
Left ventricular assist devices in the treatment of end

... the two types of heart assist devices with each other. In this way an indirect comparison could be made, associated with extra uncertainty, between the more recent LVADs and the best possible medical treatment. Greatly improved survival We were able to deduce that the most recent type of heart assis ...
VeriCor, left ventricular end diastolic pressure
VeriCor, left ventricular end diastolic pressure

... algorithm for the prediction of acute heart failure decompensation using a clinical prototype of the MUSE system. This system included intrathoracic impedance measurements, along with electrocardiographic and accelerometry data.[9,10] The study enrolled 543 patients with heart failure with ejection ...
- White Rose Research Online
- White Rose Research Online

... Multivariable analysis revealed %RVP, (but not complete heart block at baseline), serum creatinine and previous myocardial infarction to be independently related to the presence of LVSD. A model combining %RVP and previous myocardial infarction has a c-statistic of 0.74 for predicting LVSD. After a ...
The HEART - Cumberland Gap Health Science
The HEART - Cumberland Gap Health Science

9/16/2014 ©2010, American Heart Association
9/16/2014 ©2010, American Heart Association

... tachycardia is strongly dependent on minimizing time to defibrillation. They found that delays in the time to defibrillation are common in hospitalized patients with cardiac arrest due to a ventricular arrhythmia, and identified several patient- and hospital-related factors associated with delayed t ...
rapid_heart_rate
rapid_heart_rate

... • Pets with sustained, rapid heart rates (supraventricular tachycardia) or signs of congestive heart failure should be hospitalized until stable; CHF signs include cough; difficulty breathing (dyspnea); bluish discoloration of the skin and moist tissues (mucous membranes) of the body caused by inade ...
LBBB: The ECG Patterns and Cardiac Function in Patients
LBBB: The ECG Patterns and Cardiac Function in Patients

Rapid Heart Rate - Milliken Animal Clinic
Rapid Heart Rate - Milliken Animal Clinic

... • Pets with sustained, rapid heart rates (supraventricular tachycardia) or signs of congestive heart failure should be hospitalized until stable; CHF signs include cough; difficulty breathing (dyspnea); bluish discoloration of the skin and moist tissues (mucous membranes) of the body caused by inade ...
Arguments to Apply Epinephrine for Pocket Hematoma
Arguments to Apply Epinephrine for Pocket Hematoma

... was recommended to refer to ultrasound investigation in a disputable case.16 The primary point of BRUISE CONTROL (the Bridge or Continue Coumadin for Device Surgery Randomized Controlled Trial, 2013) was “clinically significant” PH which the researchers defined as PH demanding surgical reoperation w ...
AAST Organ Injury Scale Cardiac
AAST Organ Injury Scale Cardiac

... Mattox et al described the 30 year experience at Ben Taub hospital in Houston with 539 cardiac injuries ( 18 / year) Asensio et al: two series with a total of 165 cardiac injuries in 3 years at LAC ...
Metabolic signals of arrhythmia
Metabolic signals of arrhythmia

... effectively ceases and ATP is produced primarily from glucose via anaerobic glycolysis. Although the benefit of a continued supply of ATP via glycolysis is essential to myocardial cell function and survival, the hydrolysis of glycolytically derived ATP in the absence of glucose oxidation results in ...
Cardiac output and Venous Return
Cardiac output and Venous Return

... electrical potential generated can be represented by a vector, with the arrowhead pointing in the positive ...
diagnosis of a congenitally corrected transposition of the great
diagnosis of a congenitally corrected transposition of the great

... artery disease. She was married and had had five children without any major problems during her pregnancies. The patient was in NYHA class I to II and had not been on any medical treatment for her new symptoms. On physical examination, systolic murmurs (grade II/VI) were heard. Electrocardiography ( ...
CME: Total Anomalous pulmonary venous Drainage(TAPVD)
CME: Total Anomalous pulmonary venous Drainage(TAPVD)

... infants, children, and even adolescents is followed a normal life similar to that after the closure of a nonrestrictive ostium secundum atrial septal defect and a long-term survival is expected in most patients. Michielon G, reported a postsurgical survival rate of 87.3% for patients at 18 years of ...
Use of the mitraclip device in practice
Use of the mitraclip device in practice

the johns hopkins heart and vascular institute (hvi)
the johns hopkins heart and vascular institute (hvi)

... existing space, recruiting and retaining ...
ANTIBIOTIC FOR INFECTIVE ENDOCARDITIS ANTIBIOTIC PROPHYLAXIS
ANTIBIOTIC FOR INFECTIVE ENDOCARDITIS ANTIBIOTIC PROPHYLAXIS

... In April of 2007, the American Heart Association (AHA) published updated guidelines for infective endocarditis prophylaxis. The AHA guidelines were significantly different from the previous versions, prophylaxis being now recommended for a much lower number of patients. More recently, the European S ...
Information for the Traveling Pacemaker or
Information for the Traveling Pacemaker or

... CRT-P Systems from Boston Scientific - INVIVE Indications The INVIVE cardiac resynchronization therapy pacemaker (CRT-Ps) is indicated for patients who have moderate to severe heart failure (NYHA Class III/IV) including left ventricular dysfunction (EF ≤ 35%) and QRS duration ≥ 120 ms and remain sym ...
Diagnosing pulmonary hypertension: is there a revival of the electrocardiogram? EDITORIAL R. Speich
Diagnosing pulmonary hypertension: is there a revival of the electrocardiogram? EDITORIAL R. Speich

... PAH (IPAH) patients, FUSTER et al. [12] already observed ECG abnormalities, including RVH, right axis deviation or P-pulmonale, in 95% of their patients. In the NIH cohort, the ECG signs of RVH were present in 87% of patients [2]. Admittedly, if compared to the more recent series, these two studies ...
Relationship between endocardial activation sequences defined by
Relationship between endocardial activation sequences defined by

... in the chamber. The end of LV activation was defined as the time of the latest peak negative 8 Hz unipolar electrogram on the virtual endocardial surface.23 Lines of block were interpreted from patterns of activation observed in isopotential maps and the associated morphological features of electrog ...
Cardiac CT and MRI CMR CPT Codes
Cardiac CT and MRI CMR CPT Codes

... 220.2(D), local Medicare contractors will have discretion to cover (or not cover) this use. Proposed Decision Memo for Magnetic Resonance Imaging (MRI) (CAG-00399R), CMS.gov, 6/30/2009 ...
Introduction to Echocardiography
Introduction to Echocardiography

... Assess all cardiac valves Assess hemodynamics Congenital heart diseases Some extracardiac shunts ...
Chronic Heart Failure Vol 18 No 3 2012 (PDF
Chronic Heart Failure Vol 18 No 3 2012 (PDF

... increase with duration of treatment and are independent of age, sex and baseline use of diuretics, aspirin and β-blockers.24 They are reported to have a modest effect on LV remodelling. Therapy should be initiated at a low dose and slowly titrated upwards to optimal response. Anticipated side effec ...
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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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