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Journal review - cardiologycmc.in
Journal review - cardiologycmc.in

... of the BVP mode in patients with depressed LVEF (45%) and/or in NYHA functional class III ...
PACEMAKERS
PACEMAKERS

... The heart is an engine. A muscle pump. A double pump, serving the lungs and the body. Blue blood from the head and the feet enter the right side of the heart, and are directed (through valves) to the lung circuit. In the lungs, oxygen is added, and the bright red blood then travels through the left ...
Effects of selective heart rate reduction with ivabradine on left
Effects of selective heart rate reduction with ivabradine on left

... two recordings were to be made by the same technician using the same technique and the same equipment. Transthoracic echocardiography was performed with a phased-array imaging system equipped with a transducer with second harmonics capability. Images were obtained in the parasternal long- and short- ...
Journal review
Journal review

... of the BVP mode in patients with depressed LVEF (45%) and/or in NYHA functional class III ...
Chapter 19
Chapter 19

... Atrioventricular Blocks In atrioventricular blocks, the electrical conduction is interrupted to some degree between the atria and ventricles at the AV node.  The extent of interruption is classified as First degree, Second Degree or Third Degree AV Blocks. ...
determinants of cardiac output and principles of oxygen delivery
determinants of cardiac output and principles of oxygen delivery

... – A balloon catheter is advanced into PA – Balloon at the tip is inflated – Creates static column of blood between catheter tip and left atrium – Thus, pressure at tip = pressure in LA ...
Summer 2012  - Cardiovascular Division
Summer 2012 - Cardiovascular Division

... I have had the utmost pleasure in meeting many alumni as I travel to annual meetings and conferences and delve into the division’s files. It’s hard to believe that the Cardiovascular Division is turning a healthy 65 years old this year. Bob Paine, who was the Division’s second cardiology fellow (Alb ...
CONGESTIVE HEART FAILURE
CONGESTIVE HEART FAILURE

... – Refer to local support group ...
Anatomic description of the heart of an ostrich (Struthio camelus)
Anatomic description of the heart of an ostrich (Struthio camelus)

... The ostrich (Struthio camelus) is a bird with considerable commercial value involving the exploitation of its meat, leather, feathers and eggs, including the shells. Most of the meat is located on the thighs and back. The heart of birds is similar to that of mammals, except for some characteristics, ...
see the  file
see the file

... enlargement of the left atrium and left ventricle to compensate for the regurgitant volume. LV dilatation occurs as a result of remodeling of the extracellular matrix with rearrangement of myocardial fibers, in association with the addition of new sarcomeres in series and the development of eccentri ...
Abnormal Electrocardiogram Findings During an Occupational
Abnormal Electrocardiogram Findings During an Occupational

... infarction. The electrocardiogram typically shows localized ST segment elevations or depressions vs. the diffuse ST segment changes on this patient’s electrocardiogram. A prior echocardiogram is helpful for comparison. Patients with athletic heart typically have normal findings on an electrocardiogr ...
LUHS Handbook Approval
LUHS Handbook Approval

... taken (e.g., Hydralazine TID). When possible, look into switching to fixed dose combinations as there is some data to suggest that compliance improves with these formulations. Otherwise the non-compliance rate is generally ...
A common clinical problem
A common clinical problem

... relaxation (tissue Doppler), the tissue Doppler index (E/e’) ...
The Heart
The Heart

Asymptomatic Severe Aortic stenosis And Non Cardiac Surgery
Asymptomatic Severe Aortic stenosis And Non Cardiac Surgery

... Selection bias ...
Cardiac Conduction Practice Worksheet
Cardiac Conduction Practice Worksheet

... Name: ____________________________________ Honors Anatomy & Physiology ...
essential messages from the esc guidelines
essential messages from the esc guidelines

... size and resting LV function, If echocardiography is not feasible, MRI may be used as an alternative. • For patients with multivessel disease, or in whom revascularization of other vessels is considered, stress testing or imaging for ischaemia and viability is indicated. Long term therap ...
Ventricular Tachycardia – Life Threatening Cardiac Arrhythmia – A
Ventricular Tachycardia – Life Threatening Cardiac Arrhythmia – A

... in hospital and are thought to the major causes of death who die before reaching hospital and to take medical attention. Immediate defibrillation will usually restore sinus rhythm. Prompt pre-hospital resuscitation and defibrillation can save many more lives. Our patient, Mr. Abdul Malek, aged about ...
Nursing Diagnosis - Faculty Sites
Nursing Diagnosis - Faculty Sites

... – VS post-op then q 4 hours, IV, bed rest till am – Dressing dry and intact until AM then often may ...
Name - UW Canvas
Name - UW Canvas

... downregulation of beta receptors (remember the speakers example when she used her hands to explain downregulation). Also, beta blockers will decrease renin release which (if you look at the diagram) should decrease the vasoconstriction (resulting in vasodilation) which will help in HF. Interesting n ...
Changing Views: Safety and Efficacy of Implantable Cardioverter
Changing Views: Safety and Efficacy of Implantable Cardioverter

... cardiac patients. Conventional advice given to patients with ICD is to avoid physical activity more strenuous than playing golf or bowling. This recommendation is given due to a theoretical risk of arrhythmia precipitation, and thus increased risk of death due to failure to defibrillate, injury resu ...
Effects of selective heart rate reduction with ivabradine on left
Effects of selective heart rate reduction with ivabradine on left

... original place of publication with correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact [email protected] ...
Ectopic heartbeat
Ectopic heartbeat

... URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial ...
lecture 2-Cardiovascular Assessment
lecture 2-Cardiovascular Assessment

... Chest for visible cardiac motion  Estimate Jugular venous pressure  Patient supine and head elevated to 15-30 degrees.  JVP is the distance b/w highest point at which pulsation can be seen and the sternal angle ...
Comparative effects of nebivolol and carvedilol on left ventricular
Comparative effects of nebivolol and carvedilol on left ventricular

... patients over 70 years of age. The study population includes 62 older patients newly diagnosed with HF. Patients will be included in the study if they have a LVEF ≥40 %, New York Heart Association (NYHA) functional classes I, II or III status, and have been clinically stable without hospital admissi ...
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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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