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Cardiac Monitoring Skills
Cardiac Monitoring Skills

... • Contractility is a measure of the cell’s ability to contract upon electrical stimulus. • These processes are influenced by the autonomic nervous systems & medications. ...
Suppl. Material
Suppl. Material

... The study design is shown in Figure E1. The subjects were recruited from February 2010 to March 2013 at the Respiratory Care Clinic, which is a secondary referral facility affiliated with the Nippon Medical School in Tokyo, Japan. The clinic specialises on the treatment of chronic obstructive pulmon ...
Congestive Heart Failure in cats and dogs
Congestive Heart Failure in cats and dogs

... disease, being a symptom of the commoner heart diseases such as Hypertrophic Cardiomyopathy in cats and Dilated Cardiomyopathy in dogs as well as heart valve disease in dogs. When the left side fails, blood tends to pool in the lungs causing lung congestion which results in faster breathing, coughin ...
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 ...
Prognostic Assessment of Elderly Patients with Symptoms of Heart
Prognostic Assessment of Elderly Patients with Symptoms of Heart

... present ischemic heart disease, diabetes, NYHA functional class III, male sex, age 70 –75 or ⬎75 years; signs: ...
Cardiac glycosides. Modern cardiotonic drugs and other agents
Cardiac glycosides. Modern cardiotonic drugs and other agents

... HG of medium action duration (digpoxin, celanid) ...
Causes of Cardiac Arrhythmias
Causes of Cardiac Arrhythmias

... then itself. Many part contracts at the same time while other parts relax (Circus movement) ...
Cardiovascular System Powerpoint
Cardiovascular System Powerpoint

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5- Normal electrocardiogram
5- Normal electrocardiogram

... bipolar limb leads (L 1, L 2, L 3 ) and unipolar chest leads(C 1, …….C 6). 3-State the direction of cardiac vector. 4- Normal cardiac vector. 5- How draw cardiac vector from bipolar limb leads. 6-How find HR from regular ECG and irregular ECG. The electrocardiogram: Because the body fluid is good co ...
Journal of Cardiovascular Magnetic Resonance
Journal of Cardiovascular Magnetic Resonance

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Myocarditis and cardiopathy

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Heart Failure with Preserved Ejection Fraction and Systolic
Heart Failure with Preserved Ejection Fraction and Systolic

... according to the criteria used to measure ventricular function (Table 3). The type of measurement used for ventricular function − the modified biplanar Simpson method or shortening fraction − and the cutoff level in these methods differ among the studies, determining a variance in the results of pre ...
Relationship between color M-mode echocardiography flow
Relationship between color M-mode echocardiography flow

HERAT PHYSIOLOGY & CONDUTION SYSTEM
HERAT PHYSIOLOGY & CONDUTION SYSTEM

... each heartbeat - upper area of the right atrium 2. Atrioventricular node (AV node) sends an impulse through the nerve network to the ventricles 3. Common AV bundle 4. Right & left bundle branches nerve fibers that send impulses that cause the cardiac muscle tissue to contract ...
SUDDEN LOSS OF CONSCIOUSNESS (SYNCOPE)
SUDDEN LOSS OF CONSCIOUSNESS (SYNCOPE)

... abnormalities. Please note however that 10-40% of long QT syndrome patients have a normal QT interval on initial evaluation, so a normal QT interval does not exclude the condition. Diagnosis can be further clarified by an exercise EKG (stress test) and often by examining electrocardiograms on parent ...
Chronic heart failure in the elderly: a current medical problem
Chronic heart failure in the elderly: a current medical problem

... discharged from hospital with newly diagnosed heart failure are over 65 years of age, whereas 50% are over 75. The average 5­‑year mortality rate is about 50% in subjects with systolic dysfunction and similar in those with preserved left ventricular systolic function. Disorders of the cardiovascular ...
PERIOPERATIVE MANAGEMENT OF A PATIENT WITH DILATED
PERIOPERATIVE MANAGEMENT OF A PATIENT WITH DILATED

... Clinical picture of dilated cardiomyopathy may vary from only cardiomegaly to severe CHF[3].Apart from CHF,dysarrythmias and embolism (systemic and pulmonary) are also common[4]. Prognosis of DCM patient is poor with only 25% to 40% of patients surviving 5 years after the definitive diagnosis. Early ...
Clinical Update on Congenital Heart Defects
Clinical Update on Congenital Heart Defects

... Use appropriate sized cuff for accuracy  Norms dependent on weight, age  Decreases 3-4 hours postnatally, increases to plateau at 4-6 days of age  Follow blood pressures for trending ...
Detection of Recurrent Atrial Fibrillation Utilizing Novel
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... (Figures 3 and 4). She called the patient to collect further information on symptoms and based on his responses, requested that he go to the closest ER. The patient informed the ER staff of his symptoms (intense palpitations and diaphoresis), and that his AliveCor™ device had possibly detected recur ...
Anatomy Review: The Heart
Anatomy Review: The Heart

... 6. Explain the difference between the electrical and mechanical events which occur within the heart, and explain the cell types that carry out each. Which occurs first, the electrical or mechanical events? Electrical events occur first in specialized myocardial cells of the cardiac conduction system ...
Arrhythmia
Arrhythmia

... oriented, and has mild shortness of breath. On physical exam, he has a regular tachycardia at 180, and monitor shows a regular, narrow-complex tachycardia. He denies chest pain. Midway through transport, he becomes less responsive, and his blood pressure drops as he starts sweating profusely. ...
Research Protocol - Congenital Heart Surgeons` Society Data Center
Research Protocol - Congenital Heart Surgeons` Society Data Center

... from the medical record. Management decisions will be made by the treating physician and will not be influenced, altered, or directed in any way by the patients’ participation in this study. Based on preliminary data from the CHSS1,2, the 1 year survival following traditional Norwood operation was 6 ...
The Cardiovascular System: The Heart
The Cardiovascular System: The Heart

... Frank-Starling Law of the Heart Preload, or degree of stretch, of cardiac muscle cells before they contract is the critical factor controlling stroke volume Slow heartbeat and exercise increase venous return to the heart, increasing SV Blood loss and extremely rapid heartbeat decrease SV Preload and ...
Paroxysmal supraventricular tachycardia of unusual etiology
Paroxysmal supraventricular tachycardia of unusual etiology

... Some authors, such as Stoelting, recommended verapamil as the drug of choice for treating PSVT. 9 However, verapamil should not be used to treat PSVT in WPW syndrome associated with atrial flutter or fibrillation, because the drug may induce excessive ventricular response rates that lead to pronounc ...
Cardiac SMO’s Will/Grundy EMS Continuing Education
Cardiac SMO’s Will/Grundy EMS Continuing Education

... outcomes for cardiac patients. •While aspirin can provide a small amount of pain relief, nitroglycerin and morphine are the true pain-fighters during a heart attack. ...
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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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