• Study Resource
  • Explore
    • Arts & Humanities
    • Business
    • Engineering & Technology
    • Foreign Language
    • History
    • Math
    • Science
    • Social Science

    Top subcategories

    • Advanced Math
    • Algebra
    • Basic Math
    • Calculus
    • Geometry
    • Linear Algebra
    • Pre-Algebra
    • Pre-Calculus
    • Statistics And Probability
    • Trigonometry
    • other →

    Top subcategories

    • Astronomy
    • Astrophysics
    • Biology
    • Chemistry
    • Earth Science
    • Environmental Science
    • Health Science
    • Physics
    • other →

    Top subcategories

    • Anthropology
    • Law
    • Political Science
    • Psychology
    • Sociology
    • other →

    Top subcategories

    • Accounting
    • Economics
    • Finance
    • Management
    • other →

    Top subcategories

    • Aerospace Engineering
    • Bioengineering
    • Chemical Engineering
    • Civil Engineering
    • Computer Science
    • Electrical Engineering
    • Industrial Engineering
    • Mechanical Engineering
    • Web Design
    • other →

    Top subcategories

    • Architecture
    • Communications
    • English
    • Gender Studies
    • Music
    • Performing Arts
    • Philosophy
    • Religious Studies
    • Writing
    • other →

    Top subcategories

    • Ancient History
    • European History
    • US History
    • World History
    • other →

    Top subcategories

    • Croatian
    • Czech
    • Finnish
    • Greek
    • Hindi
    • Japanese
    • Korean
    • Persian
    • Swedish
    • Turkish
    • other →
 
Profile Documents Logout
Upload
Electrocardiography: Atrial Fibrillation - e
Electrocardiography: Atrial Fibrillation - e

... blitz of atrial impulses, the AV node allows only occasional impulses to pass through at variable intervals, generating an irregularly irregular ventricular rate, usually between 75 and 180 beats per minute. However, slower and faster rates are often seen. The QRS complex is usually narrow, unless t ...
MATERIALS AND METHODS
MATERIALS AND METHODS

Understanding Heart Failure
Understanding Heart Failure

... diet may also be recommended along with restricted exercise. Please keep in mind that heart failure therapy is dynamic and will require regular checkups with your veterinarian to ensure your pet’s needs are being met. Please see your discharge instructions for information specific to your pet. ...
Document
Document

... 40. Which of the following condition causes a decrease in the pumping efficiency of the heart? A. sequential contraction of atria and ventricles B. slow conduction of electric impulses in the ventricles C. slow conduction of electric impulses in AV node D. simultaneous contraction of ventricular mus ...
Contemporary Management of Sudden Cardiac Death
Contemporary Management of Sudden Cardiac Death

... interfere with success of therapy. It is not uncommon to witness patients having ICD to develop states of anxiety and depression. Cost may be prohibitive apart from the longevity of the device. Immediate Risk-Stratification Improves Survival (IRIS) Trial had shown the benefit of the ICD in reducin ...
A preliminary presentation of a mobile co-operative
A preliminary presentation of a mobile co-operative

... of guidelines and health-based knowledge; however, the integration of this knowledge in their life becomes difficult. HF patients are among the most medication non adherent patients when compared to the patients with other chronic diseases [4]. Medication non adherence is a major concern and frequen ...
Levosimendan pre-treatment improves outcomes in - Area
Levosimendan pre-treatment improves outcomes in - Area

... and in one of the two multi-centre studies of patients with acute decompensation of chronic heart failure.25 26 To our knowledge, this study is the first to confirm improved cardiac function (haemodynamics, and inotropic requirements), reduced myocardial damage ( postoperative cTnI concentrations) a ...
Sinus Rhythms
Sinus Rhythms

... the junction fires regularly ahead of the SA node, a junctional rhythm (shown below) can occur. • Atria stimulated in reverse direction – inverted P wave. • Normal QRS (ventricles stimulated via normal pathway). • P wave may be simultaneous with QRS or may even follow. ...
PATHOPHYSIOLOGY OF HEART FAILURE
PATHOPHYSIOLOGY OF HEART FAILURE

... a) oxygen deprivation (e.g. coronary heart disease) b) inflammation (e.g. due to increased metabolic demands) ...
Regulation of stroke volume
Regulation of stroke volume

... the left ventricle ejects a larger volume of blood with each systole than the right ventricle. the intrinsic rate of the heart's pacemaker is 100 beats/min. cardiac output increases with increased heart rate. stroke volume increases with increased venous return. ...
Arrhythmias - Llusurgery .org
Arrhythmias - Llusurgery .org

... For patients with a high risk or personal history of ventricular fibrillation ...
Basic Hemodynamics for the Cath Lab and ICU
Basic Hemodynamics for the Cath Lab and ICU

... flexible goose trachea to a long glass column of fluid. The pressure in the white mare’s beating heart raised a column of fluid in the glass tube over 9 feet high.” Reported in the book Haemastaticks in 1733 ...
Single Ventricle/Hypoplastic Left Heart Syndrome and Its Variants
Single Ventricle/Hypoplastic Left Heart Syndrome and Its Variants

... Ventricular Assist Device for Single V • Single ventricle support • Right heart support is technically difficult • Currently as Bridge to Transplantation • Successful in anecdotal cases ...
Effect of B-type natriuretic peptide-guided treatment of chronic heart
Effect of B-type natriuretic peptide-guided treatment of chronic heart

... outside the clinical trial setting, even in eligible patients.2 Despite lack of trial evidence for longevity benefit, loop and/or thiazide-like diuretics are seen as central to the treatment of almost all patients with chronic heart failure. Here again, optimal or target doses are dictated largely b ...
Concept paper on the need for a paediatric addendum to the
Concept paper on the need for a paediatric addendum to the

... While definitive treatment of AHF in children often involves corrective surgery for congenital lesions or heart transplantation for cardiomyopathy, stabilisation with aggressive medical therapy for AHF before surgical treatment is of utmost importance, often in the intensive care setting. The treatm ...
Dilated Cardiomyopathy:A Literature Review
Dilated Cardiomyopathy:A Literature Review

... circulation is inadequate to meet tissue needs, the heart is said to be in congestive heart failure (CHF). This progressively worsening condition reflects weakening of the myocardium by various conditions which damage it in different ways” ...
Conducting Pathways of the Human Heart
Conducting Pathways of the Human Heart

... had long since been abandoned. In particular, the discovery of both cardiac nerves and the ganglionic masses of Remak (23), Bidder (2), and Ludwig (21) introduced the possibility of a much more plausible neurological explanation for the transmission of cardiac impulses. It was inferred that cardiac ...
Tex Heart Inst J 2006
Tex Heart Inst J 2006

... obstruction to blood flow, which results in severe congestive heart failure. Surgery has been used for relief of the symptoms of obstruction, and for attempted complete surgical resection.8 Anatomic constraints due to inadequate visualization, along with incomplete resection of left atrial sarcomas, ...
Slajd 1 - Zakład Farmakologii Klinicznej w Poznaniu
Slajd 1 - Zakład Farmakologii Klinicznej w Poznaniu

... Beta-blockers should be considered for the treatment of all patients (NYHA II-IV) with stable, mild, moderate, and severe heart failure from ischaemic or nonischaemic cardiomyopathies and reduced LVEF on standard treatment, including diuretics, and ACE-I, unless there is a contraindication (Class I, ...
The molecular architecture of the heart`s conduction system in health
The molecular architecture of the heart`s conduction system in health

... channel, Cx40. The heart rate of the mouse is about 100× faster than that of the human and this can be explained by differences in ion channel expression: analysis suggests that channels carrying outward current are generally more highly expressed in the mouse sinoatrial node and this is expected to ...
Pediatric Interventional Catheterization Fact Sheet
Pediatric Interventional Catheterization Fact Sheet

... As in any procedure, there are always some risks, such as infection. The interventional cardiologist will discuss the risks with patients and parents prior to the procedure. ...
A1993MB49000001
A1993MB49000001

... but rather consistent evidence for a profound subsensitivity that appeared to be explained by down-regulation of I) adrenergic receptors. Using the receptor pathway as an index of adrenergic activity, the interpretation was that despite depletion of neuronal stores of NE the failing human heart expe ...
Implantable cardioverter defibrillators in patients who are reaching
Implantable cardioverter defibrillators in patients who are reaching

... • anti-tachycardia pacing to terminate slower rate VT, and • cardioversion of VT. Patients subjected to a defibrillation shock from their ICD tend to describe the experience as a startling, jolt-like discomfort that has been rated 6 on a 0-10 pain scale.The shock may follow a period of lightheadedne ...
Arrhythmias and conduction disturbances in EDITORIAL Fre
Arrhythmias and conduction disturbances in EDITORIAL Fre

... previously understood. Indeed, a recent study showed that an improvement of cardiac function early after myocardial infarction is associated with an alleviation of sleep apnoea [15]. From my point of view, more attention must be paid to atrial rhythm disorders (isolated atrial ectopic beats or parox ...
Cardiology
Cardiology

... had several episodes of witnessed syncope in the past 2 days. The patient is very stoic and unable to provide any history. The H&P on the chart states that 2 first degree relatives have died at early ages in their sleep, thought to be due to “heart attacks.” Complete blood count and chemistries are ...
< 1 ... 529 530 531 532 533 534 535 536 537 ... 680 >

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.
  • studyres.com © 2025
  • DMCA
  • Privacy
  • Terms
  • Report