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55 8_Antidepressant of choice in coronary heart disease FINAL
55 8_Antidepressant of choice in coronary heart disease FINAL

... treating depression could improve cardiac prognosis in patients following myocardial infarction (2;6). A total of 2,481 patients with depression, low perceived social support or both were assigned to cognitive behavioural therapy or usual care. In addition, SSRI therapy (mainly sertraline 50mg daily ...
presentation source
presentation source

... tissue functions as the heart’s normal pacemaker. 5. relate the time involved in the production of an action potential to the time involved in the contraction of myocardial cells and explain the significance of this relationship. 6. describe the pressure changes that occur in the vetricles during th ...
rajiv gandhi university of health sciences, karnataka
rajiv gandhi university of health sciences, karnataka

... 2. Decomposed bodies. 3. Extensively mutilated bodies. 4. Cases in which there is mechanical injury to the heart. 5. Unknown bodies. 7.6 Study period: November 2013 to May 2015. 7.7 Study sample size: ...
The Heart Worksheet - Fullfrontalanatomy.com
The Heart Worksheet - Fullfrontalanatomy.com

... The Heart Worksheet By learning and understanding all of the items on this outline (after you fill it in), you will be prepared to answer test questions on this chapter. Consider this your Study Guide to the Heart. Place your hand over your heart. As you feel the beat of this muscular organ, think a ...
Coronary artery bypass grafting surgery.
Coronary artery bypass grafting surgery.

... – Give as a 30-mg intravenous bolus and 1 mg/kg every 12 hours for patients aged < 75 years – Give with no bolus and 0.75 mg/kg intravenously every 12 hours for patients aged ≥ 75 years • Fondaparinux reduced death and reinfarction (compared with unfractionated heparin when indicated, otherwise plac ...
Outcome of penetrating cardiac injuries in our center Mohamed
Outcome of penetrating cardiac injuries in our center Mohamed

Outcome of penetrating cardiac injuries in our center Abstract
Outcome of penetrating cardiac injuries in our center Abstract

... a knife. Only patients discharged from the hospital considered survivors. All patients with a suspected cardiac
injury admitted to the emergency room (ER) at
once and started Standard resuscitation protocols including intravenous fluid and blood transfusion. We attempt to restrict the volume of flui ...
Slide 1
Slide 1

... • Drinking too much caffeine in coffee, tea, or soft drinks • Emotional stress • Structural abnormalities, such as Wolff Parkinson White syndrome, in which extra electrical tissue sets up abnormal electrical circuits • Supraventricular tachycardia may also be a side effect of medications such as dig ...
Heart Physiology Notes
Heart Physiology Notes

... Heart Rate • Palpated at one of several arterial locations close to surface • Same spots used to stop hemorrhage, called pressure points • Radial • Carotid • Brachial • Popliteal • Posterior tibial • Dorsalis pedis • Facial • Temporal • Use two fingers to palpate – not thumb • Coordinated by electr ...
New-onset dyspnoea in the young adult: consider the serious causes
New-onset dyspnoea in the young adult: consider the serious causes

... aldosterone antagonist or angiotensin receptor antagonist ...
Thinking Outside the “Box”— The Ultrasound Contrast
Thinking Outside the “Box”— The Ultrasound Contrast

... (0.01%), have been reported in a large series of patients (29). Additionally, the risk of esophageal perforation is 0.02% with flexible upper endoscopy (30). The risk of perforation with transesophageal echocardiography is likely significantly greater given the lack of direct visualization during in ...
Leucorrhoea and its management with Lukol
Leucorrhoea and its management with Lukol

... therapy in doses of 2 t.d.s. daily rendered excellent results in 71% cases while 16% cases showed poor response, 13% cases showed moderate improvement. In the cases where the response was classified as excellent there were no recurrences during the 6 months that the cases were followedup. The genera ...
Arrhythmia 315
Arrhythmia 315

... myocardial infarct or in case of digitalis toxicity), this prevents conduction of the signal to other parts of the heart· The areas of the heart which normally rely on normal SA node signal start to beat independently, under the action of their own pacemakers. ...
Slide 1 - AccessCardiology
Slide 1 - AccessCardiology

... artery. Activation isochrones are drawn at 20-ms intervals. The reentrant circuit has a characteristic figure-of-eight activation pattern. Two circulating wavefronts advance in clockwise and counterclockwise directions, respectively, around two zones (arcs) of conduction block (heavy solid lines). T ...
Society of Nuclear Medicine Procedure Guideline for Gated
Society of Nuclear Medicine Procedure Guideline for Gated

... A minimum of 16 frames per R-R interval are required for an accurate assessment of ventricular wall motion and assessment of ejection fraction. A higher framing rate (32–64 frames per R-R) is preferred for detailed measurement of diastolic filling parameters and is required for absolute volume measu ...
Clinical case
Clinical case

... Primary malignant tumors of the heart are rare and can arise in any area of the heart. The most commonly reported histologic types are angiosarcomas, usually located in the right atrium or the right ventricle [1]. In contrast, all of the distinctly rare primary cardiac sarcomas with osteosarcomatous ...
Results of the PROSPECT Trial - Belgian Working Group Heart
Results of the PROSPECT Trial - Belgian Working Group Heart

... Chung ES, Leon AR, Tavazzi L, Sun J-P, Nihoyannopoulos P, Merlino J, Abraham WT, Ghio S, Leclercq C, Bax JJ, Yu C-M, Gorcsan J 3rd, St John Sutton M, De Sutter J, Murillo J, Circulation. 2008;117:2608-2616. ...
Document
Document

... cardiac impulse entry into ventriculi.  Delays the impuls transmission – slow conduction.  transmission in only one direction. ...
1. Which of the following statin target doses is - Power
1. Which of the following statin target doses is - Power

... used in migraine prophylaxis and to reduce tremors. The other choices are all false – beta-blockers should be started within the first 24 hours in hemodynamically stable patients experiencing STEMI without contraindication; beta-blockers may or may not be beneficial for patients who have undergone P ...
FORM 335 - Harrisburg Area Community College
FORM 335 - Harrisburg Area Community College

... Materials (code each item based on instructional use) [§335.2]: CLecture/Laboratory, A-Lecture, B-Laboratory, LC-Lecture/Clinical, CLNClinical, I-Online, BL-Blended, D-Independent Study, P-Private Lessons, EInternship, F-Cooperative Work-Study, FE-Field Experience. [These resources must be easily ac ...
Preload
Preload

... Factors determining the preload (LVEDP) 1) Period of the ventricle diastole (filling) – heart rate 2) Speed of the venous return (difference between the venous pressure and atrial pressure) Importance of the heterometeric regulation • In general, heterometric regulation plays only a short-time role ...
APHRS News No. 18 - Asia Pacific Heart Rhythm Society
APHRS News No. 18 - Asia Pacific Heart Rhythm Society

... asymptomatic, detection of AF has important clinical implications in prevention and therapy of AF related complications such as stroke and heart failure. Short term external recordings of AF are limited by sensitivity and specificity. Prolonged rhythm recordings can be achieved with insertable cardi ...
DR Sarcoid 30.4.15
DR Sarcoid 30.4.15

... of 31.9 for primary outcome ...
Is prevention of sudden cardiac death feasible?
Is prevention of sudden cardiac death feasible?

... sudden death has long been an aspiration in HCM. Early experiences with pharmacologic strategies demonstrated that drugs (e.g., amiodarone) are not absolutely protective against sudden death. Based on recent substantial experience, the ICD has now proved to be a safe and the only effective therapeut ...
ePapyrus PDF Document
ePapyrus PDF Document

... Department of Pediatrics, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea ...
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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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