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ACUTE DECOMPENSATED HEART FAILURE
ACUTE DECOMPENSATED HEART FAILURE

... PROFILE L: COLD AND DRY • EXTREMELY RARE PRESENTATION • REQUIRES PA CATHETER PLACEMENT TO EVALUATE FILLING PRESSURE – PCWP<12 AND RA<6: DC DIURETICS, PO FLUIDS – PCWP >16: PROFILE C – PCWP 12-16 + RA PRESSURE NORMAL: • VASODILATORS , IABP, AND INOTROPE ARE TEMPORARY FIX • NEEDS VAD/ TRANSPLANT EVAL ...
Autotransplantation: A New Way to Look at Surgery Various surgery
Autotransplantation: A New Way to Look at Surgery Various surgery

... ensured that the reoccurring of the tumor was unlikely. Compared to the other standard methods of removing tumors, this technique seems to be more efficient (Conklin & Reardon, 2002; Reardon, et al., 2006; Reardon, Walkes, DeFelice, & Wojciechowski, 2006; Troise, et al., 2004; Gammie, Abrishamchian¸ ...
acute decompensated heart failure
acute decompensated heart failure

... PROFILE L: COLD AND DRY • EXTREMELY RARE PRESENTATION • REQUIRES PA CATHETER PLACEMENT TO EVALUATE FILLING PRESSURE – PCWP<12 AND RA<6: DC DIURETICS, PO FLUIDS – PCWP >16: PROFILE C – PCWP 12-16 + RA PRESSURE NORMAL: • VASODILATORS , IABP, AND INOTROPE ARE TEMPORARY FIX • NEEDS VAD/ TRANSPLANT EVAL ...
Read PDF - Hippokratia
Read PDF - Hippokratia

... been an effective agent, 5-FU has also several undesired cardiac side effects, such as coronary vasospasm, coronary thrombosis, cardiomyopathy, and sudden cardiac death6. It has been shown that treatment with 5-FU chemotherapy causes cardiac adverse events with an incidence of 1.6 to 8.0%7 and this ...
Module 5 – Pediatric Cardiac Disorders
Module 5 – Pediatric Cardiac Disorders

... CBC Chest x-ray Pulse oximetry ECG Echocardiography Cardiac Cath MRI Angiography ...
Assessment of the Dynamic Response of Cardiac Depolarization
Assessment of the Dynamic Response of Cardiac Depolarization

... Normalization process: Before fitting the three sigmoidal models to the different time series, a normalization process was performed, in order to evaluate the fitting error (obtained as the root mean squared error, rmse) in a suitable way, thus compensating the differences existing among different l ...
Echocardiography - Society of Ultrasound in Medical Education
Echocardiography - Society of Ultrasound in Medical Education

... Cardiac Physical Diagnosis ...
Fusion beat in patients with heart failure treated with left ventricular
Fusion beat in patients with heart failure treated with left ventricular

... Aim: Use of QRS morphology to optimize device programming in patients with heart failure (HF), sinus rhythm (SR), left bundle branch block (LBBB), treated with single-site left ventricular pacing. Methods and Results: We defined the "fusion band" (FB) as the range of AV intervals within which surfac ...
Bradyarrhythmias - patient information
Bradyarrhythmias - patient information

... Bradycardia is a term that describes a number of different conditions in which the heart beats at an unusually slow rate. If impulses are sent from the sinoatrial node (SA node) at a slow rate, or if the impulses are delayed as they travel through the conduction system, the end result is a slower he ...
Hypoplastic Left Heart Syndrome
Hypoplastic Left Heart Syndrome

... most common form of functional single ventricle heart disease ...
Sinus Rhythms - Beaumont Emergency Medicine
Sinus Rhythms - Beaumont Emergency Medicine

...  Unstable – Cardiovert, synchronized if possible, with 50-100 J  May also cardiovert electively in symptomatic, stable patients  Pharmacologic cardioversion  Procainamide  Amiodarone  Ibutilide ...
the relationship between left bundle branch block and the
the relationship between left bundle branch block and the

... Fifty patients with electrocardiographic (ECG) evidence of left Bundle Branch Block (LBBB) and fifty control group with no significant electrocardiographic findings were studied over the period from October 2004 to July 2005 for evidence of Coronary Artery Disease (CAD) and Left Ventricular (LV) dys ...
Right-Sided Implantation of a Cardiac Resynchronization Therapy
Right-Sided Implantation of a Cardiac Resynchronization Therapy

... implantation. 1,2 Notably, the prevalence of PLSVC is particularly high in patients with congenital heart abnormalities (5-10%). This anomaly is usually found incidentally during the implantation of cardiac rhythm devices.1,2 The implantation of atrial and ventricular leads in the setting of PLSVC i ...
ch 11 day 2
ch 11 day 2

... The first heart sound (lub) is caused by the closing of the AV valves. The second heart sound (dup) occurs when the semilunar valves close at the end of systole. The first heart sound is longer and louder than the second heart sound, which tends to be short and sharp. Abnormal or unusual heart sound ...
5_ECG 1
5_ECG 1

... Al Maarefa College ...
Full Text  - European Respiratory Journal
Full Text - European Respiratory Journal

... consistently demonstrated that they increased mortality. Therefore, the conceptual view was adjusted again in the 1990s, and nowadays heart failure is also considered a neurohormonal disorder. This is the basis for the treatment with β-blockers and ACE inhibitors. We see a similar pattern emerging w ...
Bio 242 Unit 3 Lab 2
Bio 242 Unit 3 Lab 2

... this sac will be the Fibrous Pericardium and the inner layer will be the Parietal Pericardium. The space found between the Parietal Pericardium and the Epicardium on the surface of the heard in the Pericardial Cavity. As you examine the Pericardial sac you may find some parts of other organs still c ...
Rate and sound of heart
Rate and sound of heart

... The second heart sound caused by closure of aortic and pulmonary valves,high pitch 50 Hz ,shorter time 0.11 second.it occurs at beginning of diastolic.it is heard as dup. The third heard sound it is caused by rapid Ventricular filling and inrush of blood, soft heard by stethoscope . The fourth sound ...
PHARMACOLOGY – Simplify don`t Mystify
PHARMACOLOGY – Simplify don`t Mystify

... The “Statin Sisters”…what do they do? • Inhibit the enzyme HMG-CoA reductase in the liver • HMG-CoA reductase is responsible for the production of the bad guy—LDL-cholesterol; works primarily at night to produce LDL, so the “statins” work the best when taken before bedtime (exception to the rule--a ...
PATHOPHYSIOLOGY OF HEART FAILURE
PATHOPHYSIOLOGY OF HEART FAILURE

... a) oxygen deprivation (e.g. coronary heart disease) b) inflammation (e.g. increased metabolic demands) ...
PDF Article
PDF Article

... function in patients with relative decreases were 9 and 12%, respectively (probability ischemic heart disease both at rest and exercise during (35). [p] value not significant). Analysis of each of the three regions also showed slightly (but not significantly) higher In the present study , pati ents ...
Right Ventricular Functions in Patients with Type 2 Diabetes Below
Right Ventricular Functions in Patients with Type 2 Diabetes Below

... Reason for early impairment of right ventricular systolic functions inspite of normal left ventricular functions in diabetics is not clear. Pulmonary flow acceleration time were similar in the two groups indirectly suggesting that there was no significant difference in pulmonary vascular resistance ...
anaesthetic management of ihd patients for non cardiac surgery
anaesthetic management of ihd patients for non cardiac surgery

... communication between patient, primary care physician, anesthesiologist and surgeon. The term non cardiac surgery is exceedingly broad in its definition; it embarrasses aging patients with complex technical problems as well as younger patients scheduled for straight forward surgical procedures. In a ...
St. Anthony Hospitals Centura Health: Patient Education
St. Anthony Hospitals Centura Health: Patient Education

...  Smoking reduces the oxygen in your blood, and makes your heart beat too fast.  Ask your health care provider for information on quitting if you are a smoker. 5. Call your Provider (MD, NP, PA) for:  Weight gain as above, swelling, worsened breathing, inability to do your usual activities, dizzin ...
read more - Enterovirus Foundation
read more - Enterovirus Foundation

... Background—Viral infections are important causes of myocarditis and may induce cardiac dysfunction and finally lead to dilated cardiomyopathy. We investigated whether interferon (IFN)-␤ therapy is safe and may achieve virus clearance and prevent deterioration of left ventricular (LV) function in pat ...
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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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