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Cardiology Terminology Quiz by Laura King, MA, ELS
Cardiology Terminology Quiz by Laura King, MA, ELS

... and Molecular Cardiology, pp 562-563 in print). 11. Values for LVEF were categorized into 2 groups: normal to mild dysfunction (LVEF ≥0.40) and moderate to severe dysfunction (LVEF <0.40). ANSWER: Values for left ventricular ejection fraction (LVEF) were categorized into 2 groups: normal to mild dys ...
Antiarrythmic drugs
Antiarrythmic drugs

... can be given I.V. ( common route)  more effective in ventricular than in atrial arrhythmias  less depressant on cardiac contractility  Weak anticholinergic or α-blocking actions ...
Heart failure with preserved and reduced ejection fraction: different
Heart failure with preserved and reduced ejection fraction: different

... clearly behave differently and respond to treatments differently from patients with hypertrophic cardiomyopathy, constrictive pericarditis, or high output HF. However, despite this heterogeneity, these entities continue currently to be lumped together into the category of ‘HFpEF’. As we move forward ...
AV Block PDF
AV Block PDF

... Most cases of first-degree AV block are found incidentally and do not require treatment. Second-degree AV block occurs when some of the electrical impulses are blocked. There are two types of second-degree AV block: Mobitz Type I- occurs when the electrical impulses are progressively delayed more an ...
HEART FAILURE
HEART FAILURE

... NYHA Class II: Complaints under heavy physical load. NYHA Class III: Complaints under light physical load. NYHA Class IV : Complaints at rest. ...
EISNER Trial Results Published: Coronary Artery - Cedars
EISNER Trial Results Published: Coronary Artery - Cedars

... The EISNER trial, the largest randomized trial of CCS, had better long-term risk profiles than those who were studied 2,137 volunteers with coronary risk factors but not. All 2,137 study volunteers in the EISNER trial had no known heart disease, randomizing them to either an initial, private risk fa ...
NOTES: Normal Heart - Children`s Heart Clinic
NOTES: Normal Heart - Children`s Heart Clinic

Chapter 14
Chapter 14

... Fig. 1. As the cardiac catheter was being manipulated, it initiated several premature ventricular depolarizations, one of which (designated R') is shown in this figure. 4. Why did the premature ventricular depolarization (Fig. 1) not affect the aortic pressure tracing? 5. Why did the ventricular con ...
Atrial fibrillation
Atrial fibrillation

... His bundle and produces 30-40 narrow (<120 msec) QRS complexes per minute (junctional escape rhythm). Distal (infranodal): escape pacemaker located in the left or right bundle branch and produces 20-30 wide QRS complexes per minute (idioventricular escape rhythm). ...
Ettinger: Textbook of Veterinary Internal Medicine, 7th Edition
Ettinger: Textbook of Veterinary Internal Medicine, 7th Edition

... pressure and decrease the workload on the failing heart. They also limit the kidneys' ability to retain salt and water, and temper the effect of certain hormones on the failing heart. Since they also affect the kidneys, blood work is often monitored when pets are on these medications. Other drugs of ...
Ventricular Fibrillation (2)
Ventricular Fibrillation (2)

... 7. Administer antiarrhythmic medication in persistent or recurring ventricular fibrillation. Amiodarone If VF/VT persists after CPR, ventilation, shock, and one dose of epinephrine, rescuers are dealing with refractory or persistent VF. In addition, minutes have passed during which the patient has l ...
Insertion of a subcutaneous implantable cardioverter
Insertion of a subcutaneous implantable cardioverter

... anatomical landmarks without the use of fluoroscopy or other medical imaging. A subcutaneous pocket is created on the left side of the chest for the generator. The lead is tunnelled subcutaneously from the pocket to a small incision at the lower end of the sternum, and then to a second small incisio ...
Clinical Cardiology: New Frontiers
Clinical Cardiology: New Frontiers

... Treatment algorithm for patients with low-LVEF CHF. This treatment algorithm represents a summary of the main options available, and the reader is referred to more extensive guidelines published elsewhere.51–53 Most patients will benefit from structured multidisciplinary care. Lifestyle measures, su ...
Ventricular and Atrial Septal Defects
Ventricular and Atrial Septal Defects

... that improves heart contractions (pimobendan). Other drugs may be needed to control any arrhythmias that are present. Surgical repair of large ASDs or VSDs is usually done at specialized facilities that can perform open-heart procedures on dogs. Only a few such facilities exist in the United States. ...
Preliminary Discussion Questions
Preliminary Discussion Questions

... 7 Carefully put a rubber tube into part of the vena cave, close off any other holes in the vena cava and gently turn on the tap. From which blood vessel does water come out of the heart? This is the pulmonary artery Repeat the last step with the pulmonary vein. The water should flow out of the Aorta ...
Review of Congenital Heart Disease
Review of Congenital Heart Disease

... the right. With this defect, a louder murmur equates with a smaller defect and overall less serious condition. In most cases of VSD, there is either normal heart size or mild left heart enlargement. Patients with these echocardiographic findings typically have a normal life span with no cardiac clin ...
Use of defibrillators at workplaces
Use of defibrillators at workplaces

... what you would do if one of your employees or visitors suffered one. The chances of surviving a cardiac arrest are increased if emergency treatment is given as soon as possible. What is cardiac arrest? ...
the role of heart sounds recording
the role of heart sounds recording

... that patients with a detectable S3 have an increased risk of hospitalization and death compared to those patients without a detectable S3.11-13 (Table 1) Furthermore, in patients with decreased ventricular compliance (i.e. heart failure) a greater proportion of filling occurs in late diastole. As a ...
Six-Minute Walk Test: An Effective and Necessary Tool in Modern
Six-Minute Walk Test: An Effective and Necessary Tool in Modern

... For all of the above reasons, the 6MWT is widely used to assess functional capacity and prognosis.10,13,29 It can also be used with different objectives: to predict aerobic capacity, or as a performance test to measure the response to different CR interventions encountered in everyday life, before a ...
BiDil: Personalized Medicine or Market Exclusivity
BiDil: Personalized Medicine or Market Exclusivity

... for BiDil. This decision was due to the fact that Medco’s statistics were in “too much of a muddle” to meet the FDA’s standard for new drug approval (Pamela and Kahn, 2005). Although BiDil was considered to be efficacious by several committee members, the V-HeFT trials did not “produce the type of s ...
L. Környei
L. Környei

... letes with long QT syndrome (LQTS) is guided by the and 49 of 130 (38%) 36th Bethesda Conference, which recommends that There were 32 athlet patients with either (1) symptoms, (2) a corrected QT and 8 (6%) competin interval (QTc) greater than 470 milliseconds (males) or fessional level. 480 millisec ...
Does Ivabradine Improve Quality of Life in Cardiovascular Disease
Does Ivabradine Improve Quality of Life in Cardiovascular Disease

... Heart failure (HF) is the end result from many etiological factors that should be considered a clinical syndrome and should not be considered a single entity.1 One of the most common causes of HF is coronary artery disease (CAD).1 Other risks and causes of HF are dyslipidemia, obesity, type 1 and 2 ...
Project Presentation
Project Presentation

... Heat beats too fast irregular beating (at fast rates)  treat with a Implantable Cardiac Defibrillator (ICD) ...
The Heart I. Heart anatomy. A. Size and location.
The Heart I. Heart anatomy. A. Size and location.

... potassium gates open and there is an outflux of potassium, repolarization occurs; Ca++ ions are pumped back into the SR and extracellular space. D. Excitation contraction coupling. - depolarization --> wave --> opening calcium channels --> calcium influx --> calcium released from the SR, sliding fil ...
fibrillation atriale : strategie antiarythmique, cardioversion
fibrillation atriale : strategie antiarythmique, cardioversion

... at 14 26women), age 55.7 ! 9.6 years, referred to our center for a first AF ablation A total(5) of 100 patients (86 men, studies have concluded that net benefit of catheter paroxysmal; 3.5 ! 1.4 prior ineffective antiarrhythmic agents) were followed for 5 the years. Complete sucmonths (6) and an 8.7 ...
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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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