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Acute coronary syndromes - pharmacological treatment
Acute coronary syndromes - pharmacological treatment

... view to PCI. Intermediate and low risk patients should be considered for urgent angiogram (as an inpatient). Patients presenting with NSTEMI/unstable angina have broadly similar treatments to STEMI, apart from the fact that thrombolysis is not indicated. Unfractionated heparin or low molecular weigh ...
American Heart Association, Arizona Cardinals Preparatory
American Heart Association, Arizona Cardinals Preparatory

... survival fall 7 percent to 10 percent for every minute of delay until defibrillation. Few attempts at resuscitation are successful if CPR and defibrillation are not provided within minutes of collapse. Coronary heart disease accounts for about 446,000 of the over 864,000 adults who die each year as ...
Heart Failure Nursing Service and Rehabilitation.
Heart Failure Nursing Service and Rehabilitation.

... 2) Patients will be offered up to a maximum of 16 exercise sessions depending on patients symptom control and wellness. The exercise programme will be individually tailored to the patient and prescribed on a session by session basis depending on progression. N.B patients may be unable complete the f ...
Cardiac Arrhythmias and Conduction Abnormalities
Cardiac Arrhythmias and Conduction Abnormalities

... • Left Anterior Hemiblock/Fascicular Block (fairly common) – LAD with axis at –30 to –90 degrees – qR complex or an R wave in lead 1, AvL – An rS complex in lead III and usually in II and aVF – Easy shortcut: LAD?yes, then check lead II – if net vector is negative LAHB ...
What Is an Automated External Defibrillator?
What Is an Automated External Defibrillator?

... Why are AEDs important? AEDs make it possible for more people to respond to a medical emergency where defibrillation is required. Because AEDs are portable, they can be used by nonmedical people. They can be made part of emergency response programs that also include rapid use of 9-1-1 and prompt del ...
Implantable Cardiac Hemodynamic Monitoring for Heart
Implantable Cardiac Hemodynamic Monitoring for Heart

... The CHAMPION (Cardiomems Heart Sensor Allows Monitoring of Pressure to Improve Outcomes in NYHA Class III Patients) Trial Study was a prospective, single-blind, randomized controlled trial (RCT) conducted at 64 centers in the United States. This trial was designed to evaluate the safety and efficacy ...
H 5 - The transport system - IBDPBiology-Dnl
H 5 - The transport system - IBDPBiology-Dnl

... artery, coronary thrombosis, flow of blood to part of heart muscle is reduced or stopped leading to lack of glucose & oxygen myocardial infarction, heart attack, cardiac arrest, heart failure may ...
280208.ppt
280208.ppt

... – May need temporary pacemaker ...
heart valves
heart valves

...  ATRIA CONTRACT ~SIMULTANEOUSLY  SIGNAL REACHES AV NODE (50MSEC)  DELAYED AT AV NODE (100 MSEC)  VENTRICLES FILL DURING DELAY ...
Astellas and Theravance Receive Positive Opinion from CHMP for
Astellas and Theravance Receive Positive Opinion from CHMP for

... QTc Prolongation Caution is warranted when prescribing VIBATIV to patients taking drugs known to prolong the QT interval. In a study involving healthy volunteers, VIBATIV prolonged the QTc interval. Use of VIBATIV should be avoided in patients with congenital long QT syndrome, known prolongation of ...
Vorlage Web-Dokus
Vorlage Web-Dokus

... left half pumps blood through the body, where it provides organs and cells with oxygen and nutrients before flowing back into the right half. 7. When does the heart of a human being begin to beat for the first time? It already begins to beat in the fifth week of pregnancy. 8. What are the difference ...
Chapter 17
Chapter 17

... normal electrocardiogram (ECG) to the physiological events they represent (slide 29). Discuss the relationship between hypoxia, damage to the cardiac conduction system, premature ventricular contractions, ventricular tachycardia, and ventricular fibrillation (slide 30). Describe the roles of the hea ...
Physiologic signals - O6U E
Physiologic signals - O6U E

... is 0.04HZ to 150 Hz, and so the low pass filter is designed with the cut off frequency of 150HZ. ...
Chapter 17
Chapter 17

... normal electrocardiogram (ECG) to the physiological events they represent (slide 29). Discuss the relationship between hypoxia, damage to the cardiac conduction system, premature ventricular contractions, ventricular tachycardia, and ventricular fibrillation (slide 30). Describe the roles of the hea ...
S0735109715007615_mmc1
S0735109715007615_mmc1

... of ≤25kg/m2. Low intensity exercise was prescribed initially for 20-minutes thriceweekly increasing to at least 200-minutes of moderate-intensity activity/week. The patients are advised to maintain a lifestyle journal in which patients log the daily food intake, weight, blood pressure and exercise d ...
Cardiac Pacemakers and Resynchronization Step by Step. An Illustrated Brochure
Cardiac Pacemakers and Resynchronization Step by Step. An Illustrated Brochure

... Factors influencing pacemaker longevity. Pacemaker follow–up. The pacemaker as an implantable Holter system. Special functions of pacemakers. Cardiac resynchronization (CRT). CRT hemodynamics. CRT with only left ventricular pacing. New York Heart Association class I and II patients with left bundle ...
Cardiovascular Emergencies
Cardiovascular Emergencies

... normal electrocardiogram (ECG) to the physiological events they represent (slide 29). Discuss the relationship between hypoxia, damage to the cardiac conduction system, premature ventricular contractions, ventricular tachycardia, and ventricular fibrillation (slide 30). Describe the roles of the hea ...
madit ii - Boston Scientific
madit ii - Boston Scientific

... refer to the Physician’s Desk Reference. Tricuspid valvular disease may be exacerbated by the presence of a lead. Use medical judgment when deciding to place a lead in a patient with triscuspid valvular disease. The lead and its accessories are intended only for one-time use. Do not reuse. Potential ...
91410 - Priority Health
91410 - Priority Health

... Multiple clinical trials of ICDs have been performed in recent years to assess which patients would benefit from ICD therapy. The clinical trials have generally been of two types: secondary prevention (involving patients resuscitated after cardiac arrest or unstable ventricular tachycardia) and prim ...
RT 30 Final Exam Review - Respiratory Therapy Files
RT 30 Final Exam Review - Respiratory Therapy Files

... ◦ Ability to respond to electrical, chemical, or mechanical stimulation ...
Left Ventricular Assist Device as a Bridge to Recovery
Left Ventricular Assist Device as a Bridge to Recovery

... that 19% had a return of an absolute LVEF to greater than 40%. Improvement beyond 6 months was significantly less, but this study effectively documented reverse remodeling in some patients with LVAD support. Interestingly, the patients were divided into four groups based on amount of systolic functi ...
Left heart failure
Left heart failure

... a.) Acutely • resulting from acute myocardial infarction • secondary to an infectious or infiltrating process virus, bacterial, protozoal) b.) Chronically (over months or years) as the end-stage of different heart diseases. This low output failure can result from: a.) decrease in myocardial contract ...
Electrocardiography abd Pulmonary Function Testing
Electrocardiography abd Pulmonary Function Testing

... Interpreting the ECG You will not be responsible for interpreting an ECG Sometimes knowing how they are interpreted will allow you to recognize a problem that requires immediate attention. ...
ISCHAEMIC HEART DISEASE – SURGICAL TREATMENT AND
ISCHAEMIC HEART DISEASE – SURGICAL TREATMENT AND

... Methods and patients This retrospective study included 40 patients with ischemic heart disease, who were surgically treated with aorto-coronary bypass grafting in the period 2010–2013. Preoperative preparation of all patients consisted of anamnesis, clinical examination, invasive and non-invasive di ...
Fall 2011 - Steven M. Gootter Foundation
Fall 2011 - Steven M. Gootter Foundation

... to the Southern Arizona Community In an unparalleled move to prevent avoidable deaths from sudden cardiac arrest, the Steven M. Gootter Foundation has provided automated external defibrillators (AEDs) to more than 40 local schools, places of worship, and recreational centers. Organizations the Found ...
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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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