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White Paper - AllMed Healthcare Management
White Paper - AllMed Healthcare Management

... Recent data suggest that about 20% of patients in the United States who receive an ICD do not meet current guidelines for patient selection. Unnecessary implantation increases risk of mortality and serious complications. The LifeVest is a wearable cardioverter defibrillator (WCD) designed to perform ...
8533010_defibrillators
8533010_defibrillators

... decreases the energy level necessary for successful defibrillation. This, in turn, decreases risk of burns and myocardial damage Ventricular fibrillation (VF) could be returned to  normal sinus rhythm in 60% of cardiac arrest patients treated with a single shock from a monophasic defibrillator. Mos ...
Prior Authorization Guideline
Prior Authorization Guideline

... Angioedema has occurred in patients treated with ACE inhibitors. It may occur at any time during treatment. Angioedema associated with laryngeal edema may be fatal. Patients with history of angioedema unrelated to ACE inhibitor therapy may be at increased risk. Black patients receiving ACE inhibitor ...
Fall - Texas Heart Institute
Fall - Texas Heart Institute

... “In fact, CRP and LDL cholesterol tests have a complementary function,” says Dr. Willerson. “Together, the 2 tests can be expected to benefit millions of apparently healthy persons with otherwise undetected atherosclerosis. To minimize the influence of normal variations in any one patient, the physi ...
This information is intended for UK medical media only Novartis
This information is intended for UK medical media only Novartis

... (RAAS). This appears to slow progression of the disease, meaning fewer deaths and hospitalisations and also a better quality of life for patients” says Professor Iain Squire, lead UK trialist for the PARADIGM-HF study. Analysis of cardiac biomarkers (NTpro-BNP and troponin), substances that indicate ...
An Overview of Current Cardiac Resynchronization Therapy
An Overview of Current Cardiac Resynchronization Therapy

... in clinical trials of resynchronization therapy.13 Although there were some patients with more severe acute decompensation benefits from resynchronization therapy in the case report, CRT is not used as a “rescue therapy” for such patients. However, patients with ambulatory NYHA Fc IV symptoms who de ...
Congestive Heart Failure
Congestive Heart Failure

... Class IV - Patients with cardiac disease resulting in an inability to carry on any physical activity without discomfort. Symptoms of heart failure or chest pain may be present even at rest. If any physical activity is undertaken, discomfort increases. ...
Cardiovascular System
Cardiovascular System

... › Hardening of the arteries that provide vital ...
Sudden cardiac death with “normal” heart: molecular autopsy
Sudden cardiac death with “normal” heart: molecular autopsy

... including coronary artery, either acquired or congenital, myocardial, valve, conduction system and congenital heart diseases. However, in up to 20% of cases, the heart is grossly and histologically normal (unexplained SD or “mors sine materia”) and inherited ion channel diseases have been implicated ...
PDF Article - JACC: Cardiovascular Imaging
PDF Article - JACC: Cardiovascular Imaging

... which is probably the real A-wave. (B) Transmitral profile of the patient in Figure 4 in our paper (1), obtained 48 h earlier at a slightly lower heart rate (92 beats/min). A clear A-wave is visible in beats 2 and 5. The E-wave deceleration time is 95 ms, similar to the deceleration time in Figure 4 ...
Palliative Arterial Switch Operation: A Review Of Fifteen Cases
Palliative Arterial Switch Operation: A Review Of Fifteen Cases

... Katewa, Ashish; Sharma, Rajesh Fortis-Escorts Heart Institute, Pediatric Cardiac Surgery, New Delhi, India ...
Follow this link for more information.
Follow this link for more information.

... to offer the groundbreaking new LARIAT procedure to reduce stroke risk in patients with atrial fibrillation (”a fib” or “AF”) who are unable to take blood thinning medications. Since stroke is the third largest cause of death in atrial fibrillation pa tie nts, the new therapy is a potential life sav ...
S0735109714002927_mmc1
S0735109714002927_mmc1

... residual shunt more than 2 ml, and new-onset valvular regurgitation requiring surgical repair. Minor adverse events included vascular complications at the puncture site, new or increased valvular regurgitation less than two grades, blood loss requiring transfusion, and first- or second-degree heart ...
Chapter 14: Cardiovascular Emergencies - EMT Zone
Chapter 14: Cardiovascular Emergencies - EMT Zone

... nausea, and sweating; sudden arrhythmia; pulmonary edema; and even sudden death. Heart attacks can have three serious consequences. One is sudden death, usually the result of cardiac arrest caused by abnormal heart rhythms called arrhythmias. These include tachycardia, bradycardia, ventricular tachy ...
The Cardiac cycle
The Cardiac cycle

... reflects changes in right atrial pressure (the central venous pressure). • the person has to be supine with his back at an angle of 45 degree. • the a and v waves can be seen in the jugular veins. • When the venous pressure is raised as in heart failure disease, the jugular veins become more promine ...
Heart, liver, spleen – vocab
Heart, liver, spleen – vocab

... Vocabulary – Heart, Liver, & Spleen aorta – the largest artery in the body atrium – one of two upper chambers in the heart heart – the organ which pumps blood around the body heart attack – A heart problem that occurs when the supply of blood to a part of the heart is cut off liver- A large, wedge-s ...
Exercise Intolerance in Heart Failure With Preserved
Exercise Intolerance in Heart Failure With Preserved

... unclear. Previous data have demonstrated that subclinical electromyographic alterations indicative of myogenic myopathy as well as histologic alterations characterized by type 1 atrophy were common in patients with both dilated and hypertrophic cardiomyopathy and were unrelated to the degree of impa ...
Task №1
Task №1

... The patient Z., 18 years old, suffering from tuberculosis, complained of shortness of breath; pain in the right upper quadrant, low-grade fever. These complaints have emerged, and gradually began to grow about 4 weeks ago. On examination: face pale and puffy, orthopnea (patient sits leaning forward) ...
Catheter Ablation for Atrial Fibrillation - New York
Catheter Ablation for Atrial Fibrillation - New York

... the experience for your patients. Today, non-surgical approaches such as ablation are safer and more effective than ever before. Catheter ablation for atrial fibrillation is one of many minimally invasive treatments that NewYork-Presbyterian/Weill Cornell cardiologists provide for cardiovascular dis ...
Ventricular Arrhythmias
Ventricular Arrhythmias

...  Many ectopic foci firing at the same time  There is no regular pattern as in Vtach  No effective cardiac output!  Requires CPR and DC shock, ie, Defibrillation ...
Echocardiographic changes after cardiac resynchronisation therapy
Echocardiographic changes after cardiac resynchronisation therapy

... of longitudinal systolic dysfunction of the RV (in the nonresponders, the dysfunction was more significant), in the degree of interventricular dyssynchrony (in the responders, there were more significant signs of interventricular dyssynchrony) and in the degree of intraventricular dyssynchrony (Tabl ...
Current Status of the Treatment of Complete Heart Block
Current Status of the Treatment of Complete Heart Block

... pacing.. The cause of death was not determined. The fifth died of pneumonia after two months following a four week period of apparent recovery. The cause of death in each of these patients cannot be said to be due to their complete heart block nor directly to the temporary pacing, but rather to the ...
Should all patients receive dual chamber pacing ICDs? The
Should all patients receive dual chamber pacing ICDs? The

... What is the incremental benefit of DDDR/ICDs over single chamber devices? There are three significant endpoints that should be considered. Do these devices improve prognosis, improve quality of life, or reduce the cost of treating these patients? Prognosis could be improved by reducing arrhythmic mo ...
Management of Patients Post MI - STA HealthCare Communications
Management of Patients Post MI - STA HealthCare Communications

... conservative management of patients with aborted or relatively small ST-AMI following reperfusion therapy, is ongoing. Until this concept is appropriately tested, surveillance for clinical indications for cardiac catheterization should continue to guide invasive investigation. ...
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

... In patients presenting with acute chest pain, early and correct diagnosis of acute myocardial infarction (AMI) enables interventions to reduce the mortality rate which is of paramount importance. It is also important to identify patients who are not suffering from AMI, who can be sent home safely wh ...
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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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