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Right ventricular systolic dysfunction and remodelling in Nigerians
Right ventricular systolic dysfunction and remodelling in Nigerians

... recovery in a group of PPCM patients from Kano, Nigeria. The prevalence of RVSD, in the form of reduced TAPSE and RV free wall S’ velocity was evident in 71.1 % of the patients at baseline, and fell to 36.4 % at 6 months and to 18.8 % at 12 months follow-up. Likewise, PHT was found in 66.7 % of pati ...
Pediatric and Congenital Heart Surgery Outcomes
Pediatric and Congenital Heart Surgery Outcomes

... Penn State Hershey Children’s Hospital is a valued resource throughout the Commonwealth of Pennsylvania, and looks forward to the opportunity to work with you to provide the most thorough assessment, diagnosis, and collaborative care for your patients. Thank you for your continued trust and support. ...
Cardiac Resynchronization Therapy in Non
Cardiac Resynchronization Therapy in Non

Membranous Ventricular Septal Aneurysm
Membranous Ventricular Septal Aneurysm

... magnetic resonance imaging. However, reports of the discovery of this defect on CCT are uncommon. Although most cases do not manifest themselves symptomatically, AMS can be associated with systemic emboli, endocarditis, cardiac arrhythmias, left or right ventricular outflow tract obstruction, and ri ...
How to reduce dose in Cardio CT SOMATOM Definition Flash syngo
How to reduce dose in Cardio CT SOMATOM Definition Flash syngo

... window can be extended to the systolic part of the cardiac cycle enabling scans for patients with an heart rate up to 90 bpm. The variability should not exceed 5 bpm. ECG pulsing is also possible, allowing a functional evaluation based on sequence data. The stack overlap is fixed to 10% in a 3D Sequ ...
Cardiovascular System Chapter 36 “White” Cardiovascular system
Cardiovascular System Chapter 36 “White” Cardiovascular system

... 4.) Cardioversion/ defibrillation -Cardioversion- delivery of a synchronized electrical shock to change a dysrhythmia to NSR (Normal Sinus Rhythm) or a rhythm that will improve oxygenation of tissue. (may be elective or emergency) prep is in Book ...
Dobutamine stress echocardiography related sustained ventricular
Dobutamine stress echocardiography related sustained ventricular

... prognostic significance with a negative DSE study over the longer-term. On EPS, VT only occurred in two patients both of whom were known to have ischaemic heart disease with reduced left ventricular function and pre-existing ICD devices. However, other investigators have not identified left ventricu ...
Innocent Heart Murmurs
Innocent Heart Murmurs

... Your heart makes sounds (“lub-dub” when the heart valves close. Normally, it is silent between beats. An innocent murmur is a sound between beats that does not indicate something is wrong with the structure of the heart. It is just a sound made because of the way the blood flows through the heart. T ...
Sudden Cardiac Arrest - Colorado Rural Electric Association
Sudden Cardiac Arrest - Colorado Rural Electric Association

... involved with an AED program To date, there have been no cases reported where someone was held liable for using an AED ...
diastolic dysfunction in normotensive type2 dm
diastolic dysfunction in normotensive type2 dm

... I understand medical information produced by this study will become part of my hospital record and will be subject to the confidentiality and privacy regulations of the hospital. If the data are used for publication in the medical literature for teaching purposes, no names will be used, and other id ...
The Disconnect Between the Guidelines, the Appropriate Use
The Disconnect Between the Guidelines, the Appropriate Use

... individual patients, payers have the responsibility to assure viability of the entire payment/reimbursement system. Toward this end, Medicare has developed a series of National Coverage Determinations (NCDs) to adjudicate what medical therapies are appropriate for reimbursement. The guiding principl ...
Self-Evaluation Process 2009 Update in Hospital
Self-Evaluation Process 2009 Update in Hospital

...  Systemic embolism, major bleeding, arrhythmic events, sustained VT, arrest, life threatening adverse events, placement of PM or AICD ...
Arrhythmia induced cardiomyopathy secondary to atrial fibrillation
Arrhythmia induced cardiomyopathy secondary to atrial fibrillation

... significant improvement in LVEF in patients who undergo catheter ablation of AF who have symptomatic heart failure and a reduced LVEF at baseline. An important observation from the larger of the two meta-analyses22 is that the time to ablation from first episode of AF and diagnosis of heart failure ...
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Coronary Artery Disease

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... European Resuscitation Council ...
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... The force against which the ventricular muscle fibers must shorten. In normal circumstances, after load can be equated to the aortic pressure during systole. If the arterial pressure is suddenly increased ...
Sudden Cardiac Death - Essential Facts and the Guidelines
Sudden Cardiac Death - Essential Facts and the Guidelines

... Pump Failure ...
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GOOD AFTERNOON

... and mortality – 2. Increased risk of premature delivery – 3. Lower APGAR scores and low birth weight – 4. Higher incidence of interventional and assisted ...
Chapter 7 Body Systems - Silver Cross Emergency Medical Services
Chapter 7 Body Systems - Silver Cross Emergency Medical Services

... No organized depolarization of the ventricles Ventricular myocardium quivers No effective myocardial contraction and no pulse Resulting rhythm is irregularly irregular with chaotic deflections that vary in shape and amplitude No normal-looking waveforms are visible ...
Cardiovascular - updated - student hand
Cardiovascular - updated - student hand

... D/T infection – most caused by streptococcus Sx occur 7-14 days after bacteria introduced to blood stream ...
Heart Failure - Welcome to St. Joseph's
Heart Failure - Welcome to St. Joseph's

... • Heart Failure (HF) does not mean that the heart has stopped or is about to stop. • Heart Failure is a condition in which the heart does not pump blood through the body as well as it should. • This causes a person to feel tired & weak due to less nutrient & oxygen rich blood reaching the body’s cel ...
Cardiohepatic Syndrome: Liver Injury in Decompensated Heart Failure
Cardiohepatic Syndrome: Liver Injury in Decompensated Heart Failure

... Heart failure (HF) is a major healthcare concern [1, 2]. Indeed, 2 % of the population in Western countries are affected by HF, and this prevalence increases from 1 % at 40 years of age to 10 % among the population over 70 years [3]. The burden of prevalent HF will increase due to an aging society, ...
pulmonary artery pressure (PAP)
pulmonary artery pressure (PAP)

... treatments for PAH and are often effective in patients who have failed all other treatments. The optimal doses of these drugs have not been determined, but the typical doses of epoprostenol range from 25 to 40 ng/kg per min. • The major problem with intravenous therapy is infection related to the in ...
How Much Can Someone With Pulmonary
How Much Can Someone With Pulmonary

... exercise and psychological well-being. Patients that do not exercise at all at this stage have presented anxiety disorders and depression, as well as rapid progression of their illness, when compared to those who have engaged in regular exercise programs. Exercises for this class should include shor ...
Summer 2011 ARVD/C Newsletter
Summer 2011 ARVD/C Newsletter

... ? ? ? Questions from the Seminar ? ? ? Q: Once you are diagnosed with ARVD, what kind of follow up treatment should you expect from your doctors? Should you have an electrophysiologist follow you? A: In general, a patient diagnosed with ARVD should be evaluated with ECG, Holter monitoring, and Echo ...
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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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