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...  Cardiac output as the product of heart rate and stroke volume.  Pressure and volume changes and associated valve movements during the cardiac cycle. Candidates should be able to analyse and interpret data relating to pressure and volume changes during the cardiac cycle. ...
Emergency Medical Training Services
Emergency Medical Training Services

... Review the general physical anatomy of the heart and circulation of blood through the heart. ...
Cardiac Out Put - FROM 1:45-3
Cardiac Out Put - FROM 1:45-3

...  There may be left ventricular failure or right ventricular failure or bi – ventricular failure.  Most common cause heart failure is 1. Heart Attack or Myocardial Infarction ...
template - Developing Anaesthesia
template - Developing Anaesthesia

... It may be a normal finding in some people such as athletes, however it may also indicate an underlying cardiac abnormality that may or may not require attention. The clinical setting is therefore important when determining whether any particular treatment, monitoring or further investigation will be ...
“CARDIAC FAILURE” “LEARNING OBJECTIVE” At the end of lecture
“CARDIAC FAILURE” “LEARNING OBJECTIVE” At the end of lecture

... in heart failure the predominant problem is an inadequate cardiac output(forward failure) Whilst other patients may have a normal or near normal cardiac output with marked salt and water retension causing pulmonary and systemic venous congestion(backward failure) ...
Supraventricular tachycardia in a neonate with respiratory syncytial
Supraventricular tachycardia in a neonate with respiratory syncytial

... patient's face very briefly but no effect was observed. However after the administration of i.v. digitalis (15 µg/kg) the cardiac rhythm had reverted to normal within two hours and SVT did not recur. Oral digoxin was given for 3 months. The patient who is now 2 years old has been followed up during ...
psychological aspects of cardiovascular diseases
psychological aspects of cardiovascular diseases

... may contribute to the cause of heart disease is not a new one. For centuries, there has been popular, if not scientific, association between the heart and emotions. Of all the parts of the body, the heart holds a place of special distinction in common thinking as the seat of emotion, effort and even ...
PDF
PDF

... Parade, Glasgow G31 2ER, Scotland Current methods of preoperative cardiac risk assessment are inadequate; radionuclide scanning remains the gold standard. The aim of this study was to determine the value of clinical risk factors, levels of haemostatic markers, heart rate variability and thallium sca ...
Arrhythmia Center brochure
Arrhythmia Center brochure

... for AVNRT, Wolf Parkinson White Syndrome, typical counterclockwise atrial flutter and atrial tachycardia ...
Summer 2011  - Cardiovascular Division
Summer 2011 - Cardiovascular Division

... from overuse. Future testing will increase understanding of the natural variations in populations’ response to commonly followed low-carbohydrate diets, as well as why some Type I diabetics suffer worse cardiac disease than others. ...
Becky - the Helderberg Cardiac Support Group
Becky - the Helderberg Cardiac Support Group

... of all ages who have Heart conditions and high risk factors  Did you know if you already some form of heart or blood vessel disease or diabetes, you have a > 20% chance of having a heart attack or dying from heart disease within the next 10 years. ...
Hypertrophic Cardiomyopathy
Hypertrophic Cardiomyopathy

... the myocardium is stiff, non-compliant the left ventricular diastolic pressure is elevated the filling of the ventricle in diastole is impaired the early diastolic filling phase (when most of the filling occurs under normal conditions) is prolonged and diminished and most of the filling occurs late ...
Cardiac
Cardiac

... Since the cardiac reserve is the difference between the resting and maximal COs, then the cardiac reserve for this individual is 15,000-20,000 mL/min (15-20 L/min) This means that this individual’s heart can pump 15-20 L/min more than that required under the normal circumstances of daily life If exp ...
Unit 4 Antidysrhythmic and Antihypertensive Agents
Unit 4 Antidysrhythmic and Antihypertensive Agents

... Classed according to action ◦ Class I: myocardial depressents-inhibit sodium ion movement preventing depolorization  Ia: prolongs electrical stimulation (in cell) prolongs refractory time between impulses –delays repolarization ...
Sounds of Healing - Click here for Home Page
Sounds of Healing - Click here for Home Page

... application of music to aid in the achievement of specific therapeutic goals and to attain and maintain health and well being. Music therapy is an established allied health service similar to occupational therapy and physical therapy. As a holistic treatment approach, music therapy focuses on the we ...
PV Why Study Cardiovascular Pressure
PV Why Study Cardiovascular Pressure

... “Physiologists, and in particular physician physiologists, have often fallen into the trap of measuring certain cardiovascular parameters to explain cardiac performance because they could be measured, rather than because they should be measured.” William J. Mazzei, M.D 1998 Scientists have historica ...
Asymptomatic patients with Severe Aortic Stenosis
Asymptomatic patients with Severe Aortic Stenosis

... Patients should be fit for surgery ...
Heart Transplantation
Heart Transplantation

... Most patients require a transplant because their hearts can no longer pump well enough to supply blood with oxygen and nutrients to the organs of the body. A smaller number of patients have a good pump, but a bad "electrical conduction system" of the heart. This electrical system determines the rat ...
GAC Module 7.pptx
GAC Module 7.pptx

... registered nurses. Nursing autonomy of practice and nursing career development places a priority on a lifelong commitment to the principles of education and professional development. The knowledge base of nursing theory and practice is expanding and while care has been taken to ensure the accuracy a ...
Mechanical Complications of Acute Myocardial Infarction: Review
Mechanical Complications of Acute Myocardial Infarction: Review

... critical initial step to stabilize this patient for percutaneous coronary intervention. Patients who undergo immediate reperfusion of RV branches have decreased 30-day mortality and improved RV function.2 Right heart catheterization may also be important to prevent volume overload. In general, a cen ...
ECG Changes and Voltage Attenuation in Congestive Heart Failure
ECG Changes and Voltage Attenuation in Congestive Heart Failure

... P-waves [7], shortening of the QRS duration [8], and QTc intervals [9], with peripheral edema (PEED), due to a variety of clinical conditions. Such ECG changes in the presence of PEED may “camouflage” the diagnostic evidence of ECG LVH/dilatation [10], and of left and right atrial abnormalities [11] ...
Coding Focus Vol 4, Issue 3: Congestive Heart Failure
Coding Focus Vol 4, Issue 3: Congestive Heart Failure

... pressure can also increase the risk. Certain behaviors may also be contributing factors, such as smoking tobacco, eating a diet high in cholesterol, fat and sodium, not getting enough exercise and being obese. While heart failure is considered to be a long-term (chronic) condition, there are a varie ...
www.philheart.org
www.philheart.org

... depression of greater than 0.2 mV on an ECG, multiple perfusion defects on exercise nuclear stress testing, or multiple dyskinetic LV segments ...
The Resynchronization Therapy in Normal QRS (RethinQ) Study
The Resynchronization Therapy in Normal QRS (RethinQ) Study

... • CRT did not improve Peak VO2 during exercise in patients with NYHA Class III heart failure, QRS duration <130ms, EF ≤ 35% and mechanical dyssynchrony as specified in this trial. • While there was a statistically significant improvement of NYHA class, a secondary endpoint, there was no improvement ...
Phys chapter 11
Phys chapter 11

... o 1.0-1.5 mV if electrodes are placed on separate arms or an arm and a leg Time between beginning of P wave and beginning of QRS complex is the P-Q interval – interval between beginning of electrical excitation of atria and beginning of excitation of ventricles – normally about 0.16 sec – can also b ...
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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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