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心脏体格检查 - 上海交通大学医学院精品课程
心脏体格检查 - 上海交通大学医学院精品课程

cardiomyopathies
cardiomyopathies

... ECG: sinus tachycardia with NSST-T changes. Other findings: ST elevation consistent with pericarditis may occur. CXR: heart size normal or enlarged; pulmonary congestion may be present. Echo-doppler: some degree of LV dysfunction (regional or global); LV size normal or increased, wall thickness usua ...
Interferences to Oxygen: congenital anomalies and cardiovascular
Interferences to Oxygen: congenital anomalies and cardiovascular

... Microbial infection involving endocardium Found in Iv drug abusers, patients having had valve replacements, bacteremia, structural cardiac defects Mortality high – early detection key > 90% develop murmurs Heart failure most common complication See chart 38-10 Key features of infective endocarditis ...
ECG Lecture Chapter 12 for 4/18 or 4/20 lecture
ECG Lecture Chapter 12 for 4/18 or 4/20 lecture

... palpitations, fainting or, rarely, cardiac arrest. Other people with WPW never have tachycardia or other symptoms. About 80 percent of people with symptoms first have them between the ages of 11 ...
Longevity Proof Infographic
Longevity Proof Infographic

... POTENTIAL ADVERSE EVENTS Potential adverse events include, but are not limited to, the following: allergic/physical/physiologic reaction, death, erosion/migration, fibrillation or other arrhythmias, lead or accessory breakage(fracture/insulation/lead tip), hematoma/seroma, inappropriate or inability ...
Fish oil supplementation and the risk of ventricular tachycardia and
Fish oil supplementation and the risk of ventricular tachycardia and

... heart disease. Increased attention has been given to the reduced incidence of SCD among people taking omega-3 polyunsaturated fatty acids (omega-3 PUFAs). The protective effect of seems to be due to an anti-arrhythmic effect. Methods and Results --- This meta-analysis reviewed three journals on the ...
PDF - Circulation: Heart Failure
PDF - Circulation: Heart Failure

... diagnosed. A worsening of the biventricular heart failure over the last 2 years led to his admission at our clinic in 2008, with dyspnea at rest and bilateral pleural effusions. At admission, the patient appeared to be well, with a blood pressure of 142/76 mm Hg and a pulse of 97 bpm. Jugular venous ...
Spring 2016: Multimodal Management of Atrial Fibrillation
Spring 2016: Multimodal Management of Atrial Fibrillation

... implantable cardioverter-defibrillator (ICD). Leadless pacemakers are single chamber pacemakers that don’t contain wire leads as used in conventional pacemakers, which are prone to breakdown and more difficult to extract than the pacing device itself.8 These devices are indicated for patients with l ...
PACEMAKER SOUND BY DR RAKESH JAIN
PACEMAKER SOUND BY DR RAKESH JAIN

... endocardial electrode tip to the anterior chest wall. ...
Ruling out cardiac failure: Cost-benefit analysis before echocardiography
Ruling out cardiac failure: Cost-benefit analysis before echocardiography

... HF (http://www.socialstyrelsen.se/Lists/Artikelkatalog/ Attachments/8592/2008-102-7_20081028.pdf). If the patient has increased levels of NT-proBNP it is recommended that echocardiography is performed, which is considered necessary to establish the diagnosis in HF. We have compared the cost for usin ...
Systems Physiology Quiz F2004
Systems Physiology Quiz F2004

... d. decrease in heart rate b. no change in arterial resistance e. increase in heart rate c. increase in arterial resistance 11) Parasympathetic stimulation can directly antagonize which of the following sympathetic effects? (Choose all that apply.) a. arterial vasoconstriction c. increased cardiac co ...
Biochemical Markers in Patients Undergoing Cardiac Surgery
Biochemical Markers in Patients Undergoing Cardiac Surgery

... occurring in 1–5% of CABG patients and resulting in increased morbidity, mortality and length of hospital stay. Recent studies have shown that preoperative mild renal dysfunction is an important independent predictor of outcome in terms of inhospital mortality, morbidity and mid-term survival in CAB ...
Using a heart simulator for optimal therapy
Using a heart simulator for optimal therapy

... noise is created. If everything goes to plan, abnormal conduction pathways are interrupted and normal heart rhythm is restored. "Abnormal heart rhythm reoccurs in 4 out of 10 patients within a few weeks after treatment," says Dössel who would like to be able to use his model to determine prior to op ...
Fill-in and matching questions for chapter 12 of Understanding
Fill-in and matching questions for chapter 12 of Understanding

... A recording of the electrical activity that accompanies a cardiac cycle is called a(n) ________. ...
35%
35%

... M Gold et Al 2012 SubmittedNon-LBBB to publication ...
Heart Defects
Heart Defects

... the walls of the heart, the valves of the heart and the arteries and veins near the heart. Congenital heart defects can disrupt the normal flow of blood through the heart. The blood flow can ...
quick lesson
quick lesson

... › Afterload is the resistance (e.g., vasoconstriction) the heart must overcome to eject blood. Over time, increased afterload leads to hypertrophy that is associated with decreased contractility. The most common condition causing increased afterload is hypertension › Contractility is the ability of ...
Dia 1 - EPCCS
Dia 1 - EPCCS

... Diagnosing heart failure is not easy! ...
Spies: Back in Circulation
Spies: Back in Circulation

... BACK IN CIRCULATION PAGES 126-129 1. Explain why the circulatory system is called a closed system. ...
abstract - international journal of advances in pharmaceutical research
abstract - international journal of advances in pharmaceutical research

... mortality (Satoskar R S, 2005). Chronic heart disease ultimately leads to heart failure (HF), and the incidence of HF increases with age (Rosamond, 2007). Inotropic therapy to enhance car-diac contractile function for HF is still a significant component of the management of HF over decades (Katz et ...
Biomarkers in cardiac diseases
Biomarkers in cardiac diseases

... Myocardial infarction (MI)  Acute myocardial ischemia leading to myocardial necrosis  Diagnosis  Cardiac biomarker levels And at least of this items :  Clinical symptoms of ischemia  Modification of ST-segment  Pathological Q waves  Demonstration of loss cardiac muscle or function  Thrombus ...
The Role of Echocardiography
The Role of Echocardiography

... and categorizing it into opening every beat, opening intermittently, or closed throughout the cardiac cycle. In a fast M-Mode sweep, the duration of AV-opening should be documented. An increase in duration may indicate increased intrinsic LV function, LV overload, or device malfunction5. Newly onset ...
tutorial 1
tutorial 1

... 243. A patient undergoes cardiac transplantation for severe idiopathic cardiomyopathy. Upon release from the hospital, the patient is referred to a cardiac rehabilitation program. The exercise technologist starts the patient on a walking regimen. In transplant patients, stroke volume may increase d ...
Growth differentiation factor-15 predicts mortality and
Growth differentiation factor-15 predicts mortality and

... According to Harrell et al.’s20,21 recommendations on multivariate prognostic modelling, no more than m/10 parameters were considered, where m is the number of uncensored events, in this case cardiovascular deaths (n ¼ 40). In accordance with Harrell et al.’s20,21 recommendations on multivariable pr ...
Heart rate variation analysis may not effectively detect
Heart rate variation analysis may not effectively detect

... results in SDB judged by pulse oximetry should be analysed with HRV. In two previous studies [9, 10], sleep apnoea patients had markedly decreased heart rate variability and increased blood pressure variability. These variability abnormalities are characteristic of patients with hypertension. The ab ...
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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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