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Management of Arrythmias in Intensive Care Unit - e
Management of Arrythmias in Intensive Care Unit - e

... the development of AF include structural heart disease (70% in Framingham study over 22 year follow up),5 hypertension (50%),5 valvular heart disease (34%)6 and left ventricular hypertrophy. 2 Post-operative AF is common, particularly after cardiac surgery when the incidence is 25-40% with a peak on ...
AP Biology CardioVascular System Study Guide
AP Biology CardioVascular System Study Guide

... 28. Trace the path of the blood from the time it enters the heart, to the lungs, out of the heart and back again. http://www.phschool.com/science/biology_place/biocoach/cardio1/intro.html ...
Electrocardiography ECG A pen recorded paper trace
Electrocardiography ECG A pen recorded paper trace

... Electrocardiography ECG ...
Acute Coronary Syndrome
Acute Coronary Syndrome

... Shortcomings of the CURE Trial ...
Clinical implications of Doppler echocardiography, color
Clinical implications of Doppler echocardiography, color

... the greatest diagnostic performance in predicting DCI (AUC=0.9) and positive predictive value of 100% in predicting death or severe dependency. Cardiovascular alterations and acute brain injury early in ASAH There is increasing evidence that acute brain injury following aneurysm rupture may signific ...
Patient with CHD for Non-cardiac Surgery Page 1 Steve Stayer, M.D.
Patient with CHD for Non-cardiac Surgery Page 1 Steve Stayer, M.D.

... previous surgical and catheterization procedures is essential. Any and all cardiac imaging studies should be reviewed during the preoperative assessment. Echocardiography is noninvasive and the mainstay of diagnostic testing, and for many patients, it is the only cardiac imaging study performed. Tod ...
ALH 3205 Professor Cohen 9/02/2009 Cardiac Physiology Anatomy
ALH 3205 Professor Cohen 9/02/2009 Cardiac Physiology Anatomy

... contraction  EDV (end diastolic volume):  If increased volume in ventricle (before it contracts) it stretches out the walls a little  have a greater distance to contract = greater force of contraction  All areas of heart are auto-rhythmic –  SA Node is spontaneously active  Pacemaker Potential ...
predictive factors of 30
predictive factors of 30

... From: Extracorporeal membrane oxygenation to support adult patients with cardiac failure: predictive factors of 30-day mortality Interact CardioVasc Thorac Surg. 2010;10(5):721-726. doi:10.1510/icvts.2009.220335 Interact CardioVasc Thorac Surg | Published by European Association for Cardio-Thoracic ...
Rate Control in Atrial Fibrillation
Rate Control in Atrial Fibrillation

... that rapid ventricular rates may take many years to result in cardiac deterioration and illness or death, and thus there may be a benefit of more “strict” ventricular rate control over a period of decades or more. Patients with atrial fibrillation who also have very rapid ventricular responses, pres ...
Acute Inferior Myocardial Infarction
Acute Inferior Myocardial Infarction

... Nitroglycerin increases myocardial oxygen supply, especially when collaterals are present, or if spasm is a component of coronary occlusion. Efforts should also be made to decrease myocardial oxygen demand by use of a beta-blocker. ...
Essential - NHS Scotland Recruitment
Essential - NHS Scotland Recruitment

... Our consultant led cardiothoracic retrieval service (heart and lungs) is integral to the transplant service. We are participating in a UK wide SCOUT programme designed to optimise donor organs, this is delivered by our team of Transplant Fellows supported by the on call transplant/retrieval consulta ...
Journal Review-CRT
Journal Review-CRT

... A retrospective study of 86 patients with QRS ≥120 ms and NYHA class III or IV HF found that the three-dimensional separation between the left ventricular and right ventricular lead tips was associated with reduction in NYHA class by one or more . A response rate of 88 percent was achieved in patien ...
File
File

... conduction no QRS  P-P intervals shorten until pause occurs  Next P wave occurs & the cycle begins again ...
An 86-yr-old female with lymphangioleiomyomatosis CORRESPONDENCE
An 86-yr-old female with lymphangioleiomyomatosis CORRESPONDENCE

... To the Editors: We very much appreciate the contribution by ZIELINSKI et al. [1] on the topic of early detection of chronic obstructive pulmonary disease (COPD) by high-risk population screening in the April issue of the European Respiratory Journal. The authors mention that ‘‘insufficient quality o ...
Selecting Patients with Tetralogy of Fallot for
Selecting Patients with Tetralogy of Fallot for

... past tended to cause greater scar formation and a more pulmonary incompetence (PI) compared those which are performed today (9, 13). Over time, PI can lead to excessive volume loading of the RV which may cause adverse remodelling, RV dysfunction and ultimately RV failure. RV dilation is associated w ...
Is Your Community Aware of SCA?
Is Your Community Aware of SCA?

... the user to press a button to deliver an appropriate shock to restore the normal operation of the heart. These devices are failsafe and will not cause injury to the user, nor will they deliver a shock if none is needed. For patients in “VF”, studies show that if early defibrillation is provided with ...
Catecholaminergic Polymorphic Ventricular Tachycardia
Catecholaminergic Polymorphic Ventricular Tachycardia

... structural cardiac disease, even when the event is not exercise related. Clinical diagnosis is made based on family history, exercise or emotional stress-induced symptoms and most importantly exercise stress testing [5] or catecholamine infusion. In children, who are not able to perform exercise tes ...
PDF - Circulation: Arrhythmia and Electrophysiology
PDF - Circulation: Arrhythmia and Electrophysiology

Canine Chronic Mitral Valvular Disease Nick Schroeder DVM
Canine Chronic Mitral Valvular Disease Nick Schroeder DVM

... veterinarian may elect to try some medication at that point. Generally, medication for blood pressure control is considered. Owners of such dogs should be vigilant in monitoring for any coughing, difficult or labored breathing or exercise intolerance, as these signs may be associated with heart fail ...
Aortic Stenosis
Aortic Stenosis

... o Indication of LV failure! o Forward: Failure of LVH to ...
restrictive cardiomyopathy in cats
restrictive cardiomyopathy in cats

...  Bluish discoloration of the skin and moist tissues (known as “mucous membranes”) of the body caused by inadequate oxygen levels in the red-blood cells (known as “cyanosis”)  Abdominal swelling or distention  Enlarged liver (known as “hepatomegaly”) or fluid build-up in the abdomen (known as “asc ...
Hypertrophic Cardiomyopathy - Carolinas HealthCare System
Hypertrophic Cardiomyopathy - Carolinas HealthCare System

... both treatments are equally efficient in eliminating greater saphenous reflux, alleviating symptoms and signs of saphenous varicosities and improving quality of life. Other studies suggest that ablation results in an earlier return to normal activity. ...
apnea-induced hypoxia and heart failure
apnea-induced hypoxia and heart failure

... levels on night two and night three in this group. This indicated that the number of apnea episodes did not stress the heart. Then they analyzed the collective BNP level results of the no/ mild OSA group and severe OSA group to compare the impact of apnea vs. hypoxia on BNP levels. In doing this, th ...
Locally Agreed Guidelines May Reduce Inappropriate Preoperative
Locally Agreed Guidelines May Reduce Inappropriate Preoperative

... – Maximising the benefit from pre-operative cardiac evaluation – The uninvestigated murmur • NCEPOD guidelines extremely cautious • Implementation would increase demand greatly on echo services • Local guidelines should be jointly developed ...
procedural report sample
procedural report sample

... pectoralis fascial layer. Bleeding was controlled with electrocautery and with 2-0 Silk ties as needed. A left upper extremity venogram was performed using 20-cc of contrast agent. The left axillary and subclavian veins were widely patent. Using the modified Seldinger approach with micropuncture te ...
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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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