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Lecture 2
Lecture 2

... Q = first negative deflection R = first positive deflection S = any negative deflection after an R wave ...
Sherwood 9
Sherwood 9

... • Muscle is supplied with oxygen and nutrients by blood delivered to it by coronary circulation, not from blood within heart chambers • Heart receives most of its own blood supply that occurs during diastole – During systole, coronary vessels are compressed by contracting heart muscle • Coronary blo ...
Heart Failure Validation Guidelines 11132013
Heart Failure Validation Guidelines 11132013

... Pleural effusion ...
Biol V40 Rubric SLOs
Biol V40 Rubric SLOs

... Students cannot effectively describe the events that result in the depolarization of pacemaker cells as well as myocardial cells in the heart and the subsequent cardiac events that result from ...
The region`s only dedicated heart failure program.
The region`s only dedicated heart failure program.

Cardiac Resynchronization: The Flow of Activation Sequence
Cardiac Resynchronization: The Flow of Activation Sequence

... up to 10%) of the late depolarized myofibers (which also accounts for transient clockwise rotation of the apex during isovolumic contraction) is helpful in generating more shortening during ejection (with subsequent counterclockwise rotation of the apex during ejection). The pre-ejection stretch incr ...
Chapter 12
Chapter 12

... • From the AV node the stimulus travels to the AV bundle, which divides into bundle branches. • From there Purkinje fibers convey the impulses to the ventricular myocardium ...
Early detection of left ventricular dysfunction in patients - Heart
Early detection of left ventricular dysfunction in patients - Heart

... LVPWS/LVESD]. The peak systolic pressure was used to estimate LV end systolic pressure (LVESP) as this avoided the need for carotid tracing which is technically demanding in children. Average values of indices obtained from three consecutive cardiac cycles were used for analysis. The reference LV my ...
Investigations of Coronary Artery Disease Electrocardiogram
Investigations of Coronary Artery Disease Electrocardiogram

... There are 3 main coronary arteries supplying the heart muscle. The left coronary artery and the right coronary artery arise from the left and right side of the aorta respectively. The left main artery is short and divides into the left anterior descending and left circumflex arteries. During the exa ...
Glossary - Maggi Grace
Glossary - Maggi Grace

... close look at your heart's valves and chambers without interference from the ribs or lungs. TEE is often combined with Doppler ultrasound and color Doppler to evaluate blood flow across the heart’s valves. TEE is often used when the results from standard echo studies were not sufficient or when your ...
lymphoma presenting as atrial flutter and total heart block
lymphoma presenting as atrial flutter and total heart block

... Atrial flutter and complete heart block are uncommon presentations of PCL. The rarity and heterogeneous clinical presentation of PCL make the diagnosis difficult so that it is frequently not made during lifetime of the patient. In our case the diagnosis was established and treatment started within t ...
SUDDEN CARDIAC DEATH AND CONGENITAL HEART DISEASE
SUDDEN CARDIAC DEATH AND CONGENITAL HEART DISEASE

... majority of patients. Heart block occurs with increasing age. Atrial arrhythmias occur frequently. Progressive tricuspid regurgitation occurs with age and is associated with deterioration of RV function and sudden death [4]. Tetralogy of Fallot is the most common cyanotic heart disease. Its operativ ...
Clinical Pathway for the Assessment of Breathlessness (Shortness
Clinical Pathway for the Assessment of Breathlessness (Shortness

... In the UK nearly 900,000 people have heart failure and almost as many have damaged hearts but are yet to present with symptoms or signs of heart failure. Both the incidence and prevalence of heart failure increases with advancing age and it is expected that the prevalence of heart failure will incre ...
Cardiac Physiology
Cardiac Physiology

... • Blood moves through circulatory system from areas of higher to lower pressure. – Contraction of heart produces the pressure ...
Adjunctive treatment with eplerenone reduced
Adjunctive treatment with eplerenone reduced

... levels were checked before initiation of therapy (patients with potassium > 5.0 mg/dL were excluded) and at 1 day, 1 week, and 1 month after initiation of therapy and per physician preference thereafter. Given the large clinical benefit derived within even 30 days, the question arises whether eplere ...
Cardiovascular System Part 2
Cardiovascular System Part 2

... • Part  3:  The  Vasculature  and  Its  Control ...
Icd 10 code systolic ejection fraction failure
Icd 10 code systolic ejection fraction failure

quick lesson
quick lesson

... › Promote Optimum Cardiac Status and Reduce Risk of AMI Complications • Assess patient status and assist with emergency resuscitation efforts, as appropriate • Provide supplemental O2 via nasal cannula at moderate flow rates, as ordered. Place the patient on telemetry and obtain serial EKGs to monit ...
Automated quantitative assessment of left ventricular mass
Automated quantitative assessment of left ventricular mass

... according to the results of cluster segmentation and compared to the results obtained from slices reoriented along the long axis of the LV. Results: the LVM showed the expected variations among different pathological heart conditions and the normal subjects. It can be computed to reliably characteri ...
Rotation Description
Rotation Description

... might be unacceptable and why? These are the essential considerations in planning anesthesia management. Some anesthesia texts categorize congenital heart disease and anesthesia drugs into tables referencing the desirability of the effects of agents on SVR, PVR, and myocardial contractility for each ...
Podium
Podium

... white/other. All patients had HF and 94% had HTN. From the cardiac monitoring, 72% demonstrated ectopic atrial and ventricular activity. In addition, 1 paroxysmal episode of atrial fibrillation (AF) was documented, 3 people had significant non-sustained ventricular tachycardia and 4 individuals had ...
Heart Failure and Anti
Heart Failure and Anti

... Class III Potassium Channel Blockers • Corvert (ibutilide)—drug enhances efficacy in cardioversion of Afib/flutter. Can result in Torsades. Administer in controlled settings only. • Betapace (sotalol)-beta adrenergic blocking and potassium channel blocking activity. Beta blocking effects at lower d ...
Sudden Cardiac Arrest Forms (2)
Sudden Cardiac Arrest Forms (2)

... A Sudden Cardiac Arrest Information Sheet for Athletes and Parents/Guardians What is sudden cardiac arrest? Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly. When this happens blood stops flowing to the brain and other vital organs. SCA is NOT a heart attack. A ...
Survey of A&P/Chapter 11 Cardiovascular
Survey of A&P/Chapter 11 Cardiovascular

... inferior vena cava ---> right atrium --> tricuspid valve --> right ventricle --> pulmonary valve ---> pulmonary artery ---> lungs ---> pulmonary veins ---> left atrium ---> bicuspid valve --> left ventricle ---> aortic valve ---> aorta --->arteries ---> arterioles ---- ...
Use of levosimendan in the treatment of acute heart failure
Use of levosimendan in the treatment of acute heart failure

... variation, being that it’s reported increase by the use of levosimendan is not adequate for AHF patients who need to stabilize heart rate at lower values. In article [4], levosimendan is compared to placebo and dobutamine, although only the first comparison (levosimendan vs placebo) is statistically ...
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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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