• Study Resource
  • Explore
    • Arts & Humanities
    • Business
    • Engineering & Technology
    • Foreign Language
    • History
    • Math
    • Science
    • Social Science

    Top subcategories

    • Advanced Math
    • Algebra
    • Basic Math
    • Calculus
    • Geometry
    • Linear Algebra
    • Pre-Algebra
    • Pre-Calculus
    • Statistics And Probability
    • Trigonometry
    • other →

    Top subcategories

    • Astronomy
    • Astrophysics
    • Biology
    • Chemistry
    • Earth Science
    • Environmental Science
    • Health Science
    • Physics
    • other →

    Top subcategories

    • Anthropology
    • Law
    • Political Science
    • Psychology
    • Sociology
    • other →

    Top subcategories

    • Accounting
    • Economics
    • Finance
    • Management
    • other →

    Top subcategories

    • Aerospace Engineering
    • Bioengineering
    • Chemical Engineering
    • Civil Engineering
    • Computer Science
    • Electrical Engineering
    • Industrial Engineering
    • Mechanical Engineering
    • Web Design
    • other →

    Top subcategories

    • Architecture
    • Communications
    • English
    • Gender Studies
    • Music
    • Performing Arts
    • Philosophy
    • Religious Studies
    • Writing
    • other →

    Top subcategories

    • Ancient History
    • European History
    • US History
    • World History
    • other →

    Top subcategories

    • Croatian
    • Czech
    • Finnish
    • Greek
    • Hindi
    • Japanese
    • Korean
    • Persian
    • Swedish
    • Turkish
    • other →
 
Profile Documents Logout
Upload
Abnormal Left Ventricular Relaxation in Hypertensive Patients
Abnormal Left Ventricular Relaxation in Hypertensive Patients

... function. More precise estimates of left ventricular wall thickness by echocardiography are needed to correlate left ventricular wall thickness with changes in ejection and filling velocity since the echocardiogram is more sensitive than electrocardiographic studies in determining the structural con ...
Copeptin in patients with heart failure and preserved ejection
Copeptin in patients with heart failure and preserved ejection

... and thus contribute to the development of new treatment strategies in HFPEF, where guideline indicated interventions are lacking.13 The present study aimed to test the hypothesis that copeptin in HFPEF is (1) elevated, (2) associated with diastolic dysfunction and N-terminal pro-brain natriuretic pe ...
Lecture Outline ()
Lecture Outline ()

... Rapid ejection of blood Reduced ejection of blood (less pressure) Stroke volume: amount ejected, 70 ml at rest SV/EDV= ejection fraction, at rest ~ 54%, during vigorous exercise as high as 90%, diseased heart < ...
cardiovascular changes during pregnancy
cardiovascular changes during pregnancy

... a significant increase in blood flow to the kidneys, uterus, and skin. Drop in systemic vascular resistance The initial change during pregnancy is a fall in systemic and pulmonary vascular resistance to about 70% of pre-pregnancy levels by 8 weeks of gestation (1). This fall is felt to be related to ...
Slide 1
Slide 1

... electrode tip is in contact with the abnormal tissue Location of the ablation target is determined by a process called “electrical mapping,” in which the catheter is moved from spot to spot to find the appropriate area Energy known as Radiofrequency (RF) energy is turned on This energy “disconnects” ...
Weaning from CPB mgmc - Anesthesia Slides, Presentations and
Weaning from CPB mgmc - Anesthesia Slides, Presentations and

... hypnotic (propofol infusion) should be given during the rewarming period or if tachycardia is present. • (5) Anemia • (6) ST and T-wave changes indicative of ischemia ...
MY EXPERIENCE IN THE ANAESTHETIC MANAGEMENT OF
MY EXPERIENCE IN THE ANAESTHETIC MANAGEMENT OF

... Orthotopic Cardiac transplantation was successfully done on a twenty years old female patient from Chennai, who has been diagnosed with Dilated Cardiomyopathy with end stage cardiac failure manifestations, following the initial diagnosis of Hypertrophic Obstructive Cardiomyopathy, five years before ...
Heart Failure A New Look at an Old Problem Handout
Heart Failure A New Look at an Old Problem Handout

...  Both assays have very high negative predictive values and are excellent for ruling out heart failure in patients with shortness of breath  Generated by myocytes in response myocardial stretch ...
Beta- Blocker Therapy in Heart Failure in the Elderly
Beta- Blocker Therapy in Heart Failure in the Elderly

... HEART FAILURE Heart failure (HF) is defined as a complex clinical syndrome caused by structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood Figure 1. ...
measurement of cardiac output in ventricular rupture following acute
measurement of cardiac output in ventricular rupture following acute

... causes of a left-to-right-shunt. Breukers et al. measured cardiac output with PAC and TTM in a patient with a partial anomalous pulmonary vein, revealing clinically significant difference in the cardiac output values5. Monitoring of cardiac output in patients with a ventricular septal rupture is imp ...
I. Inotropic Drugs.
I. Inotropic Drugs.

... •It increases cardiac index, left ventricular ejection fraction and decreases peripheral vascular resistance, •CVP, left ventricular end diastolic volume and pressure accompanied by mild tachycardia and slight fall in BP. •The vasodilator action may be playing an important role in the beneficial hae ...
Venoarterial Extracorporeal Membrane Oxygenation Support as a
Venoarterial Extracorporeal Membrane Oxygenation Support as a

... Pediatric patients awaiting transplant frequently require bridge to heart transplant with mechanical circulatory support. In a recent large analysis of 2777 pediatric heart transplant patients, 617 (22%) had mechanical circulatory support, with 189 (30%) receiving VA-ECMO support.2 Similar to this r ...
Wolff-Parkinson-White Syndrome
Wolff-Parkinson-White Syndrome

... AV node and activate the ventricles prematurely. Consequently, an initial slur to the QRS complex, known as a delta wave may be observed. The QRS complexes are wide, more than 0.11 sec, indicating that the impulse did not travel through the normal conducting system. The PR is shortened, to less than ...
Heart failure cohort in Singapore with defined
Heart failure cohort in Singapore with defined

... signs and symptoms of HF were as noted by the patient’s attending medical team and recorded in the clinical records. There were no further clinical evaluations of the patient by the study review team. The study review team used the New York Heart Association grading of dyspnoea, and the Killip and K ...
MODERN CARDIAC DIAGNOSTIC TESTS Ahmad Taha, Kochubiei
MODERN CARDIAC DIAGNOSTIC TESTS Ahmad Taha, Kochubiei

... angiogram), Magnetic resonance imaging (MRI) of the heart, Magnetic resonance angiography (MRA) of the heart, Cardiac CT scan. Electrocardiogram (ECG). A test that records the electrical activity of the heart, shows abnormal rhythms (arrhythmias), and can sometimes detect heart muscle damage. Stress ...
Physical therapy evaluation for cardiovascular disorders
Physical therapy evaluation for cardiovascular disorders

... What do we care about chest X-ray: Lubes of the lung Any presence of pleural effusion Any hypertrophy or change in size of heart ...
ESRD: State of the Art Conference Optimal CV
ESRD: State of the Art Conference Optimal CV

... • Having calcifications worse prognosis than not having calcifications • Vessel calcification in ESRD is located in intima and medial areas of vessel – unknown correlation with intimal narrowing • Badly need studies which: – Correlate calcification to outcomes/events prospectively ...
Pacemaker
Pacemaker

... Identify the components of pacing systems and their respective functions Define basic electrical terminology ...
On the Underutilization of Cardiac Resynchronization Therapy
On the Underutilization of Cardiac Resynchronization Therapy

... 700 Journal of Cardiac Failure Vol. 20 No. 9 September 2014 Physicians may become more experienced with selecting patients for drug therapy and dosing drugs, yet drug therapy usually does not change much over time. With CRT, the therapy has continuously evolved, including better selection of patien ...
Heart Failure with Mid-Range Ejection Fraction – a New Category of
Heart Failure with Mid-Range Ejection Fraction – a New Category of

... HFpEF, respectively, and 25 deaths per 1000 person-years in controls without HF) (15). Among patients with HFmrEF, recovered systolic function (HF that was previously HFrEF but was partially recovered and reclassified as HFmrEF) was a marker of a more favorable prognosis despite similar clinical cha ...
Concealed post-infarction left ventricular rupture
Concealed post-infarction left ventricular rupture

... fatal outcome and represents an increasingly important mechanism of infarct-related death. Successful salvage with surgical therapy has occasionally been reported, but survival after associated cardiac arrest is indeed very rare in acute rupture.3 However, it appears that subacute forms of this cond ...
Sinus_Bradycardia
Sinus_Bradycardia

... Sick sinus syndrome or sinoatrial (SA) node disease. These are rhythm disorders that occur if the SA node loses its ability to initiate or increase the heart rate. If the SA node is unable to properly function due to sick sinus syndrome, the AV node (or ventricular tissue if the AV node is also not ...
Cardiac Muscle 2
Cardiac Muscle 2

... 1- Sino-atrial node(SA) in the Rt.atrium,its pacemaker of the heart . 2- Atrio-ventricular(AV) node present in septal wall of Rt. atrium. 3- Atrio-ventricular bundles of His: branches into Rt. &Lt. bundles. 4- Rt&Lt. Bundles branches: the Rt. Branch is called moderator Band. ...
The Italian subcutaneous implantable
The Italian subcutaneous implantable

... ICD (S-ICD) has recently been developed in which the electrode system is placed entirely subcutaneously, outside the chest. The available data suggest that S-ICDs are effective in terminating life-threatening ventricular arrhythmias (VAs).4–6 Consequently, a Class IIa recommendation for S-ICD has be ...
УДК
УДК

... recognized marker of fibrosis, and pro-inflammatory cytokine interleukin-15 (IL-15) has not been studied in the formation of heart failure. Osteopontin is a secretory sialoproteid belonging to the class of matrix protein cells [4]. Proved his involvement in the inflammatory processes with increasing ...
< 1 ... 486 487 488 489 490 491 492 493 494 ... 680 >

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.
  • studyres.com © 2025
  • DMCA
  • Privacy
  • Terms
  • Report