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Scholars Journal of Medical Case Reports Acute Dilated
Scholars Journal of Medical Case Reports Acute Dilated

... Systemic thrombo-embolic events have been widely reported, however, pulmonary embolus (PE) formation occurring as a complication of severe right heart failure is rare in the context of an acute dilated cardiomyopathy (DCM). We report two cases of an acute non-ischaemic DCM with each patient developi ...
Ablation of ventricular tachycardia in patients with severe left
Ablation of ventricular tachycardia in patients with severe left

... •  VT  was  induced  in  all  P  (1-­‐7  morphologies;  cycle  300-­‐600  ms)  and  interrupted  with  bursts  or  external  DC  shocks.     •  LV  access  via  transeptal  catheterization  (3P)    or  aortic  retrograde  approach  (14P).     •  Pace-­‐mapping  match  with  the  induced  VT  ≥11  ou ...
HeartMate 3 Fully Magnetically Levitated LVAD for the Treatment of
HeartMate 3 Fully Magnetically Levitated LVAD for the Treatment of

... Comparison of 6-month survival to Seattle Heart Failure Model (SHFM) predicted survival Adverse event rates Functional status (NYHA Class Improvement and 6MWT test) Quality of life (EQ-5D-5L) ...
altitude - Boston Scientific
altitude - Boston Scientific

... Read the product labeling thoroughly before implanting the pulse generator to avoid damage to the system. Such damage can result in patient injury or death. Program the pulse generator Tachy Mode to Off during implant, explant or postmortem procedures to avoid inadvertent high voltage shocks. Always ...
Cardiac Sarcoidosis
Cardiac Sarcoidosis

... Treatment and Prognosis  Threshold ...
secondary prevention
secondary prevention

... of participant studied, including: those without diagnosed coronary disease who had cerebrovascular disease, or had peripheral artery disease, or had diabetes; men and, separately, women; those aged either under or over 70 years at entry; and--most notably-even those who presented with LDL cholester ...
ZiffraChoosingwiselyinCardiology
ZiffraChoosingwiselyinCardiology

... • Standard exercise ECG testing performed at 1year or longer intervals might be considered in high risk patients who can walk and have interpretable ECG. (Iib, C) • In patients who have no new symptoms, the usefulness of annual surveillance exercise ECG testing is not well established. (Iib, C) ...
Diseases of the Conduction System
Diseases of the Conduction System

... and varied. The authors have selected a few representative entities for this section: complete heart block as a consequence of primary tumor of the atrioventricular node [47], complete heart block associated with aortic stenosis and surgical replacement of the aortic valve [48], and congenital compl ...
heart anatomy & arrhythmias
heart anatomy & arrhythmias

... pure muscle and it gets damaged during a heart attack. It is responsible for contraction and relaxation of the atria and ventricles. Epicardium – covers the outside of the myocardium. It is a thin layer made of connective tissue and fat. ...
to Check Out Our - Choctaw
to Check Out Our - Choctaw

... of sudden cardiac arrest, including if you are a shift worker, work around high voltage electricity, or have a high-stress job. About half of all people who suffer sudden cardiac arrest experience an abnormal heart rhythm called ventricular fibrillation. This causes chaotic electrical impulses in th ...
Second (Mobitz Type II) and Third Degree Heart Block
Second (Mobitz Type II) and Third Degree Heart Block

... infants and children may not have any symptoms. In complete heart block, your child may have bradycardia which means the heart rate is slower than normal. If your child has these symptoms call your cardiology provider. If your child faints, call 911. What Causes Heart Block?  Mother of the child ha ...
Cardiac Output and Venous Return
Cardiac Output and Venous Return

... Define the factors that affect cardiac output. Explain how alteration in (preload,contractility,afterload) change the cardiac output. Describe the effects of changing total peripheral resistance on cardiac output. Understand the principles underlying cardiac output measurements using the Fick princi ...
Avrio Medical Inc. - School of Engineering Science
Avrio Medical Inc. - School of Engineering Science

Pharmacological treatment of left ventricular remodeling: recent trial
Pharmacological treatment of left ventricular remodeling: recent trial

... rats were administered water. Hemodynamic measurements demonstrated that radiofrequency LV-ablated rats treated with sitagliptin exhibited a significant attenuation of heart failure (HF)-related cardiac dysfunction, including LV end-diastolic pressure, systolic performance and chamber stiffness. Sit ...
4- Cardiac output, exercise and cardiac hypertrophy
4- Cardiac output, exercise and cardiac hypertrophy

... Cardiac output (COP) is affected by body metabolism, exercise, age and size of the body. In young, healthy men, resting COP average about 5.6 L/minute. For women, this value is 10-20% less Stroke volume: It is the volume of blood ejected from the ventricle on each beat, is expressed by the following ...
BLS : CPR by
BLS : CPR by

... Step 3: Use of a Defibrillator: • Always read the machine's instructions first • Turn the machine ON • Place the age appropriate pads on the chest and the back of the victim • The machine will detect the need for the shock • If shock is advised, clear the victim • Apply the shock, and turn the mash ...
Data Sheet
Data Sheet

... The Simdax group had a slightly higher, although not statistically significant, death rate compared with the control group at 90 days (15% vs. 12%). Post hoc analyses identified systolic blood pressure < 100 mmHg or diastolic blood pressure < 60 mmHg at baseline as factors increasing the mortality r ...
EKG
EKG

... On EKG you will see impulses initiated but no conduction to the ventricles so you have some P waves without QRS following them There are 2 types: ...
Heart failure in the patients with chronic kidney disease
Heart failure in the patients with chronic kidney disease

... dysfunction can lead to clinically evident congestive heart failure. Hypertension and coronary heart disease are important causes of myocardial dysfunction in end-stage renal disease. Individuals with chronic kidney disease are at a very high risk for the development and progression of cardiovascula ...
Inflow Valve Regurgitation During Left Ventricular Assist Device
Inflow Valve Regurgitation During Left Ventricular Assist Device

... the findings reported in this study suggest that the heart exhibits structural plasticity. With LVAD support, the myocyte and nonmyocyte components of the heart undergo changes that lead to restoration of normal LV geometry. This process is attenuated by volume and pressure loading. Whether normaliz ...
Documentation and Coding for Cardiac Conditions
Documentation and Coding for Cardiac Conditions

... Heart failure is a condition in which the heart is not able to pump enough oxygen-rich blood to meet the body’s needs. It typically develops after other conditions have weakened or damaged the heart. Heart Failure is considered a chronic condition and tends to develop slowly over time. However, pati ...
Basic cardiology intro
Basic cardiology intro

... • Automaticity – ability to generate own impulse and maintain rhythmic activity • Excitability – ability of all heart cells to respond to impulse • Conductivity – cardiac cell able to relay impulse to neighboring cells and create wave of excitation • Contractility – ability to respond to electrical ...
Instruction: Answer the following questions briefly.
Instruction: Answer the following questions briefly.

... -Assess manually peripheral pulses (with weak rate, rhythm indicated low cardiac output). - Explain diet restrictions (fluid, sodium). - Routinely Assess skin color and temperature (Cold, clammy skin is secondary to compensatory increase in sympathetic nervous system stimulation and low cardiac outp ...
Physiology Board
Physiology Board

... When extracellular fluid levels of potassium are high, (eg. 7.5 m Eq/liter) several things occur to return the level to “normal”; these include: I. Activation of the Na-K ATP pump II. K+ diffuses from the tubular lumen III. Na+ levels must be very low to allow the K+ to be “pumped” A. B. C. D. ...
What Are Arrhythmias?
What Are Arrhythmias?

... maintain or restore normal heart rhythm and are given through an IV by a physician or nurse. As with any medication, there are benefits and risks associated with use. Please discuss this with your doctor so the complete prescribing information can be provided. Long-term treatment options for ventric ...
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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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