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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 ...
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 ...
The Cardiovascular System
The Cardiovascular System

... http://www.youtube.com/watch?v=Lhl897Mz-h8&feature=related; http://www.interactivephysiology.com/demo/systems/buildframes.html?cardio/ ...
When To Refer Patients For heart Failure Therapy
When To Refer Patients For heart Failure Therapy

... classification from center to center, subjective interpretation, II, predominantly better than III ...
Ventricular Structure and Function
Ventricular Structure and Function

... Methods and Results—Patients with suspected HFPEF (n=100) were enrolled in this prospective, observational study. Confirmatory diagnostic tests, cardiac magnetic resonance imaging including T1 mapping, and invasive hemodynamic assessments were performed at baseline. Sixty-one patients with confirmed ...
A Potentially Useful Marker to Determine for Left Ventricular
A Potentially Useful Marker to Determine for Left Ventricular

... diameter of the end-diastolic and decreasing the ejection fraction (EF) [7]. Furthermore, LBBB has direct effects on electromechanical functions as well as it affects the global ventricular function by causing the changes in the coronary perfusion [8]. LBBB has effects on the myocardial structure, f ...
Evaluation of Syncope in Children
Evaluation of Syncope in Children

... Sudden Cardiac Death in the Young • National/international discussion regarding most effective screening for conditions related to SCDY – History and physical alone? – EKG? ...
Circulation support part 1 dr. Horáček
Circulation support part 1 dr. Horáček

... Blood flow into conduction system ...
chapter 20 the cardiovascular system: the heart
chapter 20 the cardiovascular system: the heart

... 10. The right atrium receives blood directly from 3 vessels. They are the a. superior vena cava, inferior vena cava, and left internal jugular vein b. superior vena cava, coronary sinus, and left internal jugular vein c. superior vena cava, inferior vena cava, and coronary sinus d. microglia 11. Th ...
File
File

... D.4 The Heart Understanding: - Structure of cardiac muscle cells allows propagation of stimuli through the heart wall - Signals from the sinoatrial node that cause contraction cannot pass directly from atria to ventricles - There is a delay between the arrival and passing on of a stimulus at the atr ...
ECG Lecture Chapter 3
ECG Lecture Chapter 3

... • Randon AV conduction so the QRS is normal. ...
667 - جامعة المنيا
667 - جامعة المنيا

... ratio in certain patients. ...
Mechanical Circulatory Support Device
Mechanical Circulatory Support Device

... Eventually, the heart fails completely and can no longer pump enough blood to sustain life. At this endstage, eligible patients can undergo heart transplant; however, only around 2,000 heart transplants are performed annually in the United States (HRSA, 2012). In addition, older patients are often ...
Congenital heart disease
Congenital heart disease

...  TnI is not found in detectable amounts in the serum of patients with multiple injuries or athletes after strenuous exercise, in patients with acute or chronic skeletal muscle disease, in patients with renal failure, or in patients with elevated CK-MB, unless myocardial injuries are also present.  ...
II. Method
II. Method

... The diagnostic test, which seems to be most useful in the evaluation of patients with HF is the comprehensive 2dimensional echocardiogram coupled with Doppler flow studies to determine whether abnormalities of myocardium, heart valves, or pericardium are present and which chambers are involved. The ...
Plasma Levels of B - Type Natriuretic Peptide (BNP
Plasma Levels of B - Type Natriuretic Peptide (BNP

... B-type natriuretic peptide (BNP) is a cardiac neurohormone secreted primarily from the left ventricle in response to volume expansion and pressure overload and is elevated in both systolic and diastolic dysfunction. While elevated BNP levels in dyspneic patients can help to diagnose congestive heart ...
THE COMORBIDITY OF BIPOLAR DISORDER AND
THE COMORBIDITY OF BIPOLAR DISORDER AND

... independent and graded risk factor for the development of CVD which is, at the same time, the primary clinical outcome of the metabolic syndrome (Ninomiya et al. 2004). Elevated levels of serum homocysteine is a risk factor for several diseases of central nervous system (Herrman et al. 2007). Hyper ...
H.5 - HL transport-system
H.5 - HL transport-system

... Myogenic Rhythm: The heart beat is initiated within the heart muscle itself. • Within the right atrium there are a specialise group of cells called the Sino Atrial Node.(SAN). • These cells can generate an electrochemical potential across the cell membrane and once threshold is reached this can be p ...
Congestive Heart Failure
Congestive Heart Failure

... The first heart sound - S1 - is in time with the pulse in your carotid artery in your neck. The sound of the tricuspid valve closing may be louder in patients with pulmonary hypertension due to increased pressure beyond the valve. Non-heart-related factors such as obesity, muscularity, emphysema, an ...
Afterload Reduction Therapy for Congestive Heart Failure
Afterload Reduction Therapy for Congestive Heart Failure

... fall of elevated pulmonary artery pressure, without substantial alterations in systemic arterial pressure and heart rate . The modern era of afterload reduction gained momentum following reports of simi lar hemodynamic benefits achieved by intravenous nitroprusside in acute myocardial infarction pat ...
Left-to-right interatrial shunt percutaneously
Left-to-right interatrial shunt percutaneously

... Published data and feasibility studies in an HF animal model demonstrate that shunting of 1000–1500 cc/ min for 6 mmHg pressure gradient (between LAP and right arterial presure [RAP]) and 1500–1900 cc/min for 10 mmHg pressure gradient is expected to result in a reduction in LAP of 20 and 30%, respec ...
SA node
SA node

... Heart rate (HR) can be called as; the rate at which action potentials are initiated in SA node ...
Location of the heart
Location of the heart

... •Send signal to each ventricle ...
A Controlled Pilot Study of Stress Management Training of Elderly
A Controlled Pilot Study of Stress Management Training of Elderly

... highlighted the need for concurrent psychosocial intervention. Interestingly, this study found exercise tolerance to be unrelated to patients’ ejection fractions but related to quality of life. To date, there are two studies that included a psychosocial intervention as an aspect of a clinical trial. ...
Cardiac Rehabilitation
Cardiac Rehabilitation

... optimization of functional status and mental health through regular patient evaluation, monitoring and support of compliance and adherence ...
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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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