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Introduction: Basic Anatomy of the Heart
Introduction: Basic Anatomy of the Heart

... After passing through capillary beds of the myocardium, the blood flows into the coronary sinus (which empties blood into right atrium). Has 3 tributaries: ______ cardiac vein ______ cardiac vein _______ cardiac vein Also, several anterior cardiac veins. ...
Dr - Cases Journal
Dr - Cases Journal

... apical ballooning; the firth (non apical ballooning syndrome) have cardiogenic shock or pulmonary edema on admission less frequently than the typical apical syndrome; furthermore they suggested that wall motion abnormalities in patients with non apical ballooning resolve more rapidly than in those w ...
Review guide for test 2 – Chapters 21, 22 and 23
Review guide for test 2 – Chapters 21, 22 and 23

... Review guide for test 2 – Chapters 18, 19 and 20 Chapter 18 – The Heart ...
Coverage Guidelines: Subcutaneous Implantable
Coverage Guidelines: Subcutaneous Implantable

... The majority of SCDs are believed to be caused by ventricular fibrillation or ventricular tachycardia, which are irregular heart rhythms brought about when the electrical system to the heart malfunctions. Implantable cardioverter-defibrillators (ICDs) can reduce the risk of sudden cardiac arrest and ...
Should Moderate or Greater Mitral Regurgitation Be Repaired in All
Should Moderate or Greater Mitral Regurgitation Be Repaired in All

is your heart in good shape
is your heart in good shape

... blood vessels to the heart.) This limits the blood supply. Smoking, high cholesterol levels, obesity or diabetes can lead to coronary heart disease.  A heart attack can damage the muscles leading to heart failure.  High blood pressure-If the pressure created by the blood flow increases, the heart ...
Focus on Vastarel MR - Heart and Metabolism
Focus on Vastarel MR - Heart and Metabolism

... during treatment with TMZ. Apart from the studies in ischemic heart failure, the effects of TMZ on cardiac performance and left ventricular function have been estimated in patients suffering from non ischemic dilated cardiomyopathy [14,24]. Fragasso et al [14] conducted a prospective, open-label, pa ...
Pressors
Pressors

... associated with a shorter duration of pressor dependence, as well as an improvement in 28-day mortality.  Therapy was not associated with an increased incidence of adverse events.  Monitor for hyperglycemia in this setting. ...
Overview: Any irregular heart beat is called an arrhythmia. Some
Overview: Any irregular heart beat is called an arrhythmia. Some

... 1% of EKGs in the general population. Temporary arrhythmias can be caused by emotional stress, exercise, surgical pr ocedures, some medications, and significant alcohol consumption. Many of these forms of arrhythmia are of no long term significance. Other forms of arrhythmia, those that are persiste ...
Contraindications for exercise therapy
Contraindications for exercise therapy

... • Training is held at the possibility of inhalation and exhalation with special spirometers by conventional methods It is proved that after 3-4 weeks of regular exercise in the form of breathing exercises with difficulty exhaling lead to a systemic effect on the body: ...
Aalborg Universitet
Aalborg Universitet

... patients. Atrial fibrillation (AF) is the most common arrhythmia and often asymptomatic asymptomatic, but can be symptomatic y pt ti especially p i lly d during i g th the di dialysis ly i ttreatment. t t Furthermore , the risk of stroke increases dramatically and the mortality doubles ...
Etiology and Left Ventricular Functions in Left Bundle Branch Block
Etiology and Left Ventricular Functions in Left Bundle Branch Block

... movement of the QRS frontal plane vector from a normal axis to left axis deviation which mainly occurred during the first 2 years after clinical manifestation of cardiomyopathy. From the prognostic point of view, increased QRS duration in patients with heart failure has been shown by several studies ...
The impact of pregnancy on heart diseases. Recommendations for
The impact of pregnancy on heart diseases. Recommendations for

... - poor fetal outcomes (loss rate ~30%) - maternal mortality risk 4 – 15% ...
ICU management: special cases of cardiogenic shock.
ICU management: special cases of cardiogenic shock.

... Patients with IWMI with ST elevation and hemodynamic compromise should be screened for RV MI by right precordial V4R lead to detect ST elevation and by echocardiography Among patients with ST elevation MI and RV MI ...
Indications for Hemodynamic Monitoring
Indications for Hemodynamic Monitoring

... Hemodynamic terms  Afterload ...
Chapter 19 - McGraw Hill Higher Education
Chapter 19 - McGraw Hill Higher Education

... Extrasystole : note inverted QRS complex, misshapen QRS and T and absence of a P wave preceding this contraction. ...
Battery Status Information for Boston Scientific Pacemakers and
Battery Status Information for Boston Scientific Pacemakers and

... NOTE: If current device function (monitoring and therapy) and programmed parameter settings require more energy consumption than the typical model, it is possible that the gauge may appear less than “full” shortly after implantation. With consistent power consumption, the needle will decrement stead ...
Effects of Continuous Flow Left Ventricular Assist Device Support on
Effects of Continuous Flow Left Ventricular Assist Device Support on

... introduced as a bridge to heart transplantation, providing improved survival time [9] and functional independence [10] for those awaiting transplantation. Although the firstgeneration pulsatile flow LVADs (PF-LVAD) have been shown to improve arterial function [11, 12], the secondgeneration continuou ...
Slide 1
Slide 1

... Hemodynamic terms  Afterload ...
Chapter 19
Chapter 19

... Extrasystole : note inverted QRS complex, misshapen QRS and T and absence of a P wave preceding this contraction. ...
cardiology services and directory of consultant cardiologists
cardiology services and directory of consultant cardiologists

... injection. It also includes a calcium score scan. A cardiac CT scan for coronary calcium is a noninvasive way of obtaining information about the presence, location and extent of plaque in the coronary arteries—the vessels that supply oxygen-containing blood to the heart plaque results when there is ...
The Heart Beat The heart beat is caused by impulses arising from
The Heart Beat The heart beat is caused by impulses arising from

CV III Cardiac cycle
CV III Cardiac cycle

... Cardiac cycle CV III Today – cardiovascular continued Friday – 11am-noon CV IV – noon -1pm Tutorial on membrane potentials ...
Pacemakers and Implanted Defibrillators
Pacemakers and Implanted Defibrillators

... An electrode is placed next to the heart wall, and small electrical charges travel through the wire to the heart (usually the right side), causing it to contract. Most modern pacemakers have a sensing device that turns the pacemaker off when the natural heartbeat is above a certain level ...
Care of Patient With Dysrhythmias
Care of Patient With Dysrhythmias

... – Obtain health history to identify any previous occurrences of decreased cardiac output, including syncope (fainting), fatigue, lightheadedness, dizziness, chest discomfort, and palpitations. – Identify coexisting conditions that may be the cause of the dysrhythmia (eg, heart disease, chronic obstr ...
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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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