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Surgery Cardiac_compressed
Surgery Cardiac_compressed

... admits to some dyspnea as well and she has been awakened from sleep with dyspnea several times recently. Her only past medical history is a hysterectomy. On physical examination, the BP is 100/80 and the pulse is 80 and regular but slow and delayed in quality. By auscultation, there is a 3/6 crescen ...
- Wiley Online Library
- Wiley Online Library

... cytokines including interferon-γ and tumour necrosis factor-α (TNF-α) were found to be the most frequent inducers of neopterin synthesis.10 In the present study, we first demonstrated that plasma neopterin, but not high-sensitivity CRP, among inflammatory markers, was significantly increased by the pre ...
3 PAPERs, 1 DIsEAsE ALso Inflammatory Bowel Disease
3 PAPERs, 1 DIsEAsE ALso Inflammatory Bowel Disease

... primary goal to improve patient’s cardiac perfusion. “Results from Phase I were promising,” says U-M interventional cardiologist and principal investigator Hitinder Gurm, M.D. “Patients receiving 10 million and 15 million cells showed significant improvement in resting perfusion rates at six months. ...
Heart Quiz Revamp
Heart Quiz Revamp

... a. right atrium, tricuspid valve, right ventricle, pulmonary semilunar valve b. pulmonary semilunar valve, right atrium, tricuspid valve, right ventricle c. right atrium, bicuspid valve, right ventricle, pulmonary semilunar valve d. right atrium, pulmonary semilunar valve, right ventricle, tricuspid ...
Questions for Electrocardiography article
Questions for Electrocardiography article

... 8. Physiologically, which of the following best describes cardiac nerve and myocardial cells? A. heart muscle B. bundles or sheets of microscopic fibers C. highly specialized conducting system of the heart D. all of these E. none of these 9. Which of the following best defines polarization? A. The i ...
The Evolution of Nuclear Cardiac Imaging - Cedars
The Evolution of Nuclear Cardiac Imaging - Cedars

... example, with a nuclear scan in a person who has chest pain or with a CT coronary angiogram in an evaluation as to whether or not this patient actually has disease and how that disease should be treated? These are questions that will be worked out over time as we begin to study outcomes more extensi ...
NEED FOR THE STUDY Hypertension is the most important health
NEED FOR THE STUDY Hypertension is the most important health

... hypertension and presence of increased left ventricular mass is associated with increased incidence of MI,CHF,STROKE other target organ damage.Hence LVH no longer considered as an adaptive mechanism that compensates the pressure imposed on the heart and has been identified as an independent and sign ...
Cardiac Risk In ESRD Patient - Saudi Society of Nephrology
Cardiac Risk In ESRD Patient - Saudi Society of Nephrology

... - CAD evaluation should also include exercise or pharmacological stress echocardiographic or nuclear imaging tests. -“Automatic” CAD evaluation with stress imaging is currently not recommended for all dialysis patients . - Stress imaging is appropriate (at the discretion of the patient’s physician) ...
The Heart
The Heart

... • Bradycardia: Heart rate less than 60 bpm • Sinus arrhythmia: Heart rate varies 5% during respiratory cycle and up to 30% during deep respiration • Premature atrial contractions: Occasional shortened intervals between one contraction and succeeding, frequently occurs in healthy people ...
B2B - Cardiac Surgery Dr. Khanh Lam
B2B - Cardiac Surgery Dr. Khanh Lam

... admits to some dyspnea as well and she has been awakened from sleep with dyspnea several times recently. Her only past medical history is a hysterectomy. On physical examination, the BP is 100/80 and the pulse is 80 and regular but slow and delayed in quality. By auscultation, there is a 3/6 crescen ...
A-1 EKG Summary - macomb
A-1 EKG Summary - macomb

... Ends where last wave of complex transitions into ST segment (J point) Upright in Lead I, II & III, AVL, AVF, V4 & V6 Usually inverted AVR and V1 to V3 May be biphasic in Leads III, V2 to V4 Shortens as heart rate increases With normal rate of 60 – 100 it should be ½ the distance between two R waves ...
- Cardiovascular Diagnosis and Therapy
- Cardiovascular Diagnosis and Therapy

... dyspnoea, nocturnal cough, hepatomegaly, pleural effusion, diuretic use. Heart failure was diagnosed if the patient had two major and one minor or one major and two minor criteria. Severity of heart failure on admission was assessed using the New York Heart association (NYHA) functional classificati ...
Mitral valve regurgitation is a powerful factor of left ventricular
Mitral valve regurgitation is a powerful factor of left ventricular

... mitral valve regurgitation (MR).4 According to the Euro Heart Survey on Valvu‑ lar Diseases the prevalence of MR is the second most frequent pathology found during echocar‑ diographic examination, diagnosed in about 25% of the study group. The most common valvular pathology is aortic stenosis presen ...
Cardiovascular disorders in dental practice
Cardiovascular disorders in dental practice

... emergency medical services and cardiopulmonary resuscitation skills, should be made and regularly re-evaluated in all dental settings treating such patients. A dentist should be aware of his skills and resources to treat such emergencies and consider referring highrisk patients to adequate treatment ...
drugs of metabolic action
drugs of metabolic action

... HG of medium action duration (digpoxin, celanid) ...
CORONARY ANGIO CARDIAC CATH & Ablation Procedures
CORONARY ANGIO CARDIAC CATH & Ablation Procedures

... another part of the body is used to bypass a blockage in one or more of the coronary arteries. • The type of graft used, • a vein* from the leg, • or an artery from the chest, • depends on the number • and location of the blockage. ...
Cardiac Defibrillators, External
Cardiac Defibrillators, External

... Lifecor Wearable Cardioverter Defibrillator 2000 System received FDA approval on December 18, 2001. The trade name of the WCD 2000 was changed to LifeVest in 2002, and the LIFECOR business was acquired by Zoll Medical Corporation (Philadelphia, PA) in 2006. This system is intended for adult patients ...
58. Regulation of Cardiac Output
58. Regulation of Cardiac Output

... ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ___________________________ ...
Surgical Therapy for Heart Failure
Surgical Therapy for Heart Failure

... occurred in 80 to 85 percent of hospital survivors However, long-term outcome data with cardiomyoplasty are limited. ...
BASIC CONCEPT OF ECG
BASIC CONCEPT OF ECG

... 2. Do the P waves have a normal shape? (small and rounded) 3. Are all the P waves similar in size and shape? 4. Do you see a one-to-one relationship between the P waves and the QRS complexes? STEP 4: Calculate the duration of the PR interval 1. Does the duration of PR interval fall within normal lim ...
Added Spectral Features in ECGs From Patients With Ventricular
Added Spectral Features in ECGs From Patients With Ventricular

... the 7-66 Hz band were on average 23 msec and 28 msec longer than those of the non-VTs and normals, respectively. Thus phase spectra of SAECGs contain previously undetected features that together with magnitude are essential in improving methods for stratifying risk of VT. ...
The adult with congenital heart disease
The adult with congenital heart disease

... treated in a congenital heart clinic. Material and methods: In a retrospective, observational and longitudinal study, data from patients with congenital heart disease, older than 18 years, seen between May 2010 and May 2013, were analyzed. Results: The cohort comprised 409 patients, 280 of them fema ...
Management in Acute Heart Failure
Management in Acute Heart Failure

... EF ≤40% to reduce the risk of HF hospitalization and the risk of premature death (Class I, Level A) • Administration of loop diuretics to HF pts has been shown to activate the RAA system and the sympathetic nervous system that leads to heart failure progression  the best time to give ACE inhibitor ...
Body Surface and Intracardiac Mapping of SAI QRST Integral
Body Surface and Intracardiac Mapping of SAI QRST Integral

... þ  Criteria: graphical confirmation that our method finds the correct fiducial point þ  Averaging the sum absolute and native integrals for each lead þ  No longer necessary as we already have averaged data þ  Calculating sum absolute and native integrals of QRST interval þ  Criteria: graphical ...
Chapter 18 The Cardiovascular System - The Heart
Chapter 18 The Cardiovascular System - The Heart

... QRS complex T wave ...
< 1 ... 531 532 533 534 535 536 537 538 539 ... 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.
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