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1_case report1
1_case report1

... in people who are participating in regular training. These ECG changes depend on the types of sport and the intensity of training. There are usually no symptoms and any symptoms that do occur are reversible when the training is stopped. With prolonged training several structural changes in the athle ...
Pressure Changes in the Heart: Question Sheet
Pressure Changes in the Heart: Question Sheet

Congestive Heart Failure and Cardiomyopathy
Congestive Heart Failure and Cardiomyopathy

... follow therapy for patients. Studies have shown that better optimization of ACE therapy can be instituted. • It may reduce the need for repeat ECHO’s • Levels rise acutely and decline with effective treatment within hours – the ½ life is 22 minutes in patients without renal disease ...
Congenital Heart Disease
Congenital Heart Disease

... defect to manage. Patients with this single-ventricle condition can often be treated with the Norwood procedure, which is the most complex and highestrisk procedure in the staged reconstruction treatment of patients with HLHS. However, the expertise of Cleveland Clinic's pediatric cardiac surgeons r ...
name of organisation
name of organisation

... experience. The duties will involve the care of patients within the Transplant & Mechanical Circulatory Support (MCS) program within the service of the Scottish Advanced Heart Failure Service (SAHfS). The appointee will share responsibility with other members of an established multidisciplinary team ...
OXFORD
OXFORD

... I must emphasise once again that notes such as these are very much my personal interpretation and I apologise but take no responsibility for any inaccuracy. If you are worried in any way concerning your own position, please consult your own doctor or consultant. What is heart failure ? The heart is ...
Heart Failure - Adults
Heart Failure - Adults

... device approaches, patient education, and care or disease management strategies, in addition to traditional diuretic, digoxin and vasodilator therapy. Inpatient treatment has improved in many respects due to the aforementioned medications, improved imaging and physiologic monitoring, and early inter ...
Lazarus A. Remote, wireless, ambulatory monitoring of implantable
Lazarus A. Remote, wireless, ambulatory monitoring of implantable

... respectively, among the several types and generations of implanted devices. No attempt, however, was made to analyze the data according to particular devices. In addition, since the data storage does not include demographic or clinical information, this report does not correlate HM reporting and occ ...
SIGNAL AVERAGED ECG
SIGNAL AVERAGED ECG

Long-Term Survival with Cardiac Resynchronization Therapy in Mild
Long-Term Survival with Cardiac Resynchronization Therapy in Mild

... present with slow VT. Do not kink, twist or braid the lead with other leads. Do not use defibrillation patch leads with the CRT-D system. Do not use this pulse generator with another pulse generator. For DF4-LLHH or DF4-LLHO leads, use caution handling the lead terminal when the Connector Tool is no ...
File
File

... Largely determined by Preload  The degree to which the ventricular walls are stretched at the end of diastole  Determined by venous return (amount of blood returning to the heart) ...
Standard of Care for Heart Failure Management
Standard of Care for Heart Failure Management

... therapy. Placement of an ICD in any patient with EF between 30% and 35% is reasonable who are class II or III and on maximal medical therapy. Hydralazine/nitrate combination may be considered in patients who can not be given ACEI or ARBS. The addition of an ARB may be considered in persistently symp ...
682 Imaging in renal failure
682 Imaging in renal failure

... Introduction: Cardiovascular disease is the major cause of morbidity and mortality in patients with advanced chronic kidney disease (CKD). In the last decade a growing number of cardiac biomarkers have been identified as risk factors linked to adverse cardiovascular outcomes in patients with renal f ...
AV node block
AV node block

... • Limb leads are I, II, III. So called because at one time subjects had to literally place arms and legs in buckets of salt water. • Each of the leads are bipolar; i.e., it requires two sensors on the skin to make a lead. • If one connects a line between two sensors, one has a vector. • There will b ...
summary of product characteristics
summary of product characteristics

... ventricular tachycardia was seen in 1.9% of the treated patients. The polymorphic ventricular tachycardia may degenerate into vetricular fibrillation. Patients with a history of congestive heart failure (CHF) or low left ventricular ejection fraction have a higher risk of developing serious proarrh ...
Atlas™ II VR
Atlas™ II VR

... The Atlas II and Atlas II+ systems are intended to provide ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular arrhythmias. The Atlas II HF and Atlas II+ HF CRT-Ds are also intended to resynchronize the right and left ventricles i ...
botanicals and arrhythmias - American Herbalists Guild
botanicals and arrhythmias - American Herbalists Guild

... Cardiac uses: - calming effect on the heart -good for the irregular, irregular rhythms as atrial fibrillation - can lower blood pressure In Chinese medicine, motherwort was used to promote longevity and strengthen the heart ...
ASDs in Cats - Veterinary Specialty Services
ASDs in Cats - Veterinary Specialty Services

... less likely. Long-term prognosis is excellent in this case, and although periodic re-evaluation is still warranted, lifespan may be unaffected. Cats with large ASDs have a more guarded prognosis, particularly once heart failure develops. In such cases, medical therapy is used in order to minimize sy ...
Original Article
Original Article

... and a wide QRS complex.1–3 It improves not only the symptoms of HF but also has the potential to reverse LV remodeling and decrease cardiac morbidity and mortality.4,5 Unfortunately, ≈30% of patients fail to respond clinically to CRT.6 Electric LV lead position, assessed by the electric delay from t ...
Chapter 1 A Perspective on Human Genetics
Chapter 1 A Perspective on Human Genetics

... (only point of electrical contact between chambers) • Action potential briefly delayed at AV node (ensures atrial contraction precedes ventricular contraction to allow complete ventricular filling) • Impulse travels rapidly down interventricular septum by means of bundle of His • Impulse rapidly dis ...
Sudden Cardiac Death Prevention: Clinical Trials
Sudden Cardiac Death Prevention: Clinical Trials

... To show potential survival benefit of a prophylactically implanted ICD (in the absence of EPS) in patients with prior MI and LVEFof 0.30 or less ...
Heart Blocks - Karina Vercic
Heart Blocks - Karina Vercic

... • A constant PR interval that is usually of normal duration with random dropped beats • In the case of type 2 block, atrial contractions are not regularly followed by ventricular contraction • 2 or more dropped QRS in a row ...
AOA Cardiology Review
AOA Cardiology Review

... exchanger (not shown) ...
Atherosclerosis
Atherosclerosis

... * in about 65% of patients with atherosclerosis, the first symptom in cardiovascular and heart attack. ...
ST Elevation Myocardial Infarction
ST Elevation Myocardial Infarction

... Primary refers to the use of angioplasty rather than fibrinolytic therapy Stents may be placed Goal: primary PCI within 90 minutes of patient contact Success rate with PCI somewhat higher than with thrombolytics ...
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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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