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GOALS: HYPERTENSION Rx
GOALS: HYPERTENSION Rx

... • Not a monotherapy trial (74% needed more than 1 medication) therefore cannot recommend first line therapy. • ACE-I and ARB offer cardioprotection and nephroprotection whereas thiazides can increase Angiotensin II. *Standidge JB. Current Atheroscler Reports. 2005;7:132-139. ...
Supraventricular Tachycardia (SVT)
Supraventricular Tachycardia (SVT)

... Some children with SVT will say that their heart feels like it is racing. They may feel sweaty, short of breath, or dizzy. Infants may have trouble feeding or become lethargic or ...
Remote ischemic conditioning in ST-elevation myocardial infarction
Remote ischemic conditioning in ST-elevation myocardial infarction

... angioplasty― (RIC-STEMI) is an ongoing prospective, single-center, open-label, randomized controlled trial to assess whether RIC as an adjunctive therapy during primary PCI in patients presenting with STEMI can improve clinical outcomes. After enrollment, participants are randomized according to a ...
Cardiac Problems in Children
Cardiac Problems in Children

... general paediatrician will see? ...
Pediatrics Congenital Heart Disease
Pediatrics Congenital Heart Disease

... 3. Because of this, flap valve of Foramen Ovale is held open leading to flow of blood across the atrium septum from right atrium to left atrium, then into left ventricle and being pumped to the rest of fetal body 4. With first breath; a. Pulmonary vascular resistance falls b. Volume of blood flowing ...
Differentiating Paroxysmal From Persistent Atrial Fibrillation
Differentiating Paroxysmal From Persistent Atrial Fibrillation

... with >23 h of AF), persistent AF (at least 7 consecutive days with >23 h of AF), and permanent AF (all days with >23 h of AF). In addition, the authors determined: 1) the burden of AF, defined as the proportion of the monitored time a patient was in AF; and 2) the density of AF, defined as the tempora ...
English - WellCare
English - WellCare

... Cardiac rehabilitation (CR) programs have been introduced as a way to enhance recovery from MI or coronary angioplasty (coronary artery bypass grafting or percutaneous transluminal coronary angioplasty), to minimize the disability associated with CAD, and to reduce the risk of subsequent cardiac eve ...
IOSR Journal of Electronicsl and Communication Engineering (IOSR-JECE)
IOSR Journal of Electronicsl and Communication Engineering (IOSR-JECE)

... The post-operative patients can develop complications once they are discharged from the hospital. In some patients the cardiac problems may re-occur when they start doing their routine work. Hence the ECG of such patients needs to be monitored for some time after their treatment. This helps in diagn ...
Jeffrey Wang, MD, RVT
Jeffrey Wang, MD, RVT

... treatment of massive and submassive pulmonary embolus • Left untreated the prognosis for both of these classes of pulmonary embolism is quite poor. • Massive pulmonary embolism carries a mortality of up to 60%, two thirds of which will occur in the first hour of the event. • Submassive pulmonary emb ...
Broken heart syndrome can occur when any severe physical or
Broken heart syndrome can occur when any severe physical or

... syndrome—a condition that may account for at least six percent of what are initially diagnosed as heart attacks in women. Broken heart syndrome can occur when any severe physical or emotional stress— not just the loss of a loved one—overwhelms the heart's pumping ability with a flood of adrenaline. ...
role of angiotensin converting enzyme (ace
role of angiotensin converting enzyme (ace

... HYCAR and DIAB-HYCAR studies test the hypothesis whether ACE inhibition with daily small dose of ramipril, which has no significant effect on BP (blood pressure), can reduce cardiovascular morbidity and/or mortality in non-insulin diabetic normotensive or hypertensive patients with persistent albumi ...
Sinus Rhythms Normal (Regular) Sinus Rhythm Characteristics
Sinus Rhythms Normal (Regular) Sinus Rhythm Characteristics

... pathway of conduction. • Rhythm, P waves, QRS, PR interval all normal. • Normal in children 10 years of age and younger. • Occurs as normal response to body’s demand for increased O2 due to: • fever, pain, anxiety, hypoxia, CHF, MI, infection • shock, hypovolemia, dehydration, exercise, fright. • Se ...
ALTERATIONS OF CARDIAC FUNCTION
ALTERATIONS OF CARDIAC FUNCTION

...  Why is the child at greater risk of CHF?  Why does the child’s heart beat faster?  What are the Hct, Hgb and pulse ox concentrations appropriate for age needed for adequate oxygen transport  What does cyanosis indicate? hypoxemia What is polycythemia?  What labs indicate Polycythemia:  What i ...
ppt
ppt

... electrode, is connected through equal electrical resistances to the right arm, left arm, and left leg all at the same time, as also shown in the figure. Usually six standard chest leads are recorded, one at a time, from the anterior chest wall, the chest electrode being placed sequentially at the si ...
Part 2 - BHS Education Resource
Part 2 - BHS Education Resource

... Third degree block, Complete Heart Block, AV dissociation PR and QRS are dissociated, or electrically independent ...
Orthotopic Heart Transplantation - Sociedad Argentina de Cardiología
Orthotopic Heart Transplantation - Sociedad Argentina de Cardiología

... surgical technique used was the atrio-atrial anastomosis, described by Lower and Shamway; over the past years, the bicaval anastomosis technique was introduced. (2) Immunosuppressive induction therapy with monoclonal or polyclonal antibodies was only used in a selected subgroup of high-risk patients ...
File - WKC Anatomy and Physiology
File - WKC Anatomy and Physiology

... force of contraction Increased filling during diastole  increased force of contraction during systole Determined by: Duration of ventricular diastole Venous return ...
ATRIAL FIBRILLATION DOUBLED IN
ATRIAL FIBRILLATION DOUBLED IN

... ventricular (LV) insufficiency. PubMed search revealed not a single paper with the objective to evaluate atrial fibrillation (AF) prevalence and prognostic significance in ACPE patients. Given the lack of information on the clinically very relevant topic, the aim of the study was to analyze prevalen ...
makassed islamic charitable hospital
makassed islamic charitable hospital

... a. In chronic severe valvular AR, the normal left ventricular pressure volume curve is shifted downward and to the right such that a large LVEDV may be accommodated at near normal LVEDPs. b. Patients with severe chronic AR will always have an abnormal exercise capacity with exercise treadmill testin ...
Premature Ventricular Contraction-Induced Systolic Heart Failure: A
Premature Ventricular Contraction-Induced Systolic Heart Failure: A

... been firmly established in a recent paper that showed more than 90% of patients achieving long-term VPD control after the ablation [23]. It should be noted that a reduction in VPD burden by 80% has comparable improvement in LV function to complete VPD elimination. The objective is a threshold reduct ...
In summary, the results suggest that environmental tempera- 3
In summary, the results suggest that environmental tempera- 3

... We read with great interest the article of HUEZ et al. [1]. Their results, which were mostly noninvasive, suggest that isolated longitudinal diastolic dysfunction of the right ventricle may be a sign of stress-induced (or latent) pulmonary hypertension. The aim of our letter is to confirm this obser ...
Aquatic therapies in patients with compromised left ventricular
Aquatic therapies in patients with compromised left ventricular

... the body surface. With swimming, the pressure is assumed to be 40 to 60 mm mercury depending on body position. This pressure compresses the superficial veins, of the lower extremities and abdomen, resulting in a shift of blood volume to the thorax and heart. On immersion up to the iliac crest the bl ...
The Alberta Heart Failure Etiology and Analysis Research Team
The Alberta Heart Failure Etiology and Analysis Research Team

... expected to double in the next 1–2 decades [2,3]. In addition, the current one-year mortality rate after diagnosis of HF remains disturbingly high at >25% [4,5], and the condition has the worst effect on quality of life of any chronic medical condition [6]. Consequently, new therapeutic strategies n ...
Exercise Training and the Ischemic Patient
Exercise Training and the Ischemic Patient

... segmental change on the ECG (lead CM5), 63% of VO2 peak, and the level of exertion at which the patient first began to experience his symptoms. When the patient was walking at the prescribed pace, his heart rate was found to be approximately 90 bpm–1 and he experienced chest tightness on a regular b ...
Incidence, risk factors and m profile of Surgical Site Infecti surgery
Incidence, risk factors and m profile of Surgical Site Infecti surgery

... our study also, coagulase negative staphylococcus is the prevalent microorganism, which was corroborated by other studies.11,12 In contrast to a study from Brazil, where out of the 36 patients with SSI, 14 (38.9%) patients had died, no mortality has occurred in our patients out of the infection.13 T ...
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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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