• Study Resource
  • Explore
    • Arts & Humanities
    • Business
    • Engineering & Technology
    • Foreign Language
    • History
    • Math
    • Science
    • Social Science

    Top subcategories

    • Advanced Math
    • Algebra
    • Basic Math
    • Calculus
    • Geometry
    • Linear Algebra
    • Pre-Algebra
    • Pre-Calculus
    • Statistics And Probability
    • Trigonometry
    • other →

    Top subcategories

    • Astronomy
    • Astrophysics
    • Biology
    • Chemistry
    • Earth Science
    • Environmental Science
    • Health Science
    • Physics
    • other →

    Top subcategories

    • Anthropology
    • Law
    • Political Science
    • Psychology
    • Sociology
    • other →

    Top subcategories

    • Accounting
    • Economics
    • Finance
    • Management
    • other →

    Top subcategories

    • Aerospace Engineering
    • Bioengineering
    • Chemical Engineering
    • Civil Engineering
    • Computer Science
    • Electrical Engineering
    • Industrial Engineering
    • Mechanical Engineering
    • Web Design
    • other →

    Top subcategories

    • Architecture
    • Communications
    • English
    • Gender Studies
    • Music
    • Performing Arts
    • Philosophy
    • Religious Studies
    • Writing
    • other →

    Top subcategories

    • Ancient History
    • European History
    • US History
    • World History
    • other →

    Top subcategories

    • Croatian
    • Czech
    • Finnish
    • Greek
    • Hindi
    • Japanese
    • Korean
    • Persian
    • Swedish
    • Turkish
    • other →
 
Profile Documents Logout
Upload
The effect of left ventricular pacing site on cardiac resynchronization
The effect of left ventricular pacing site on cardiac resynchronization

... Heart failure † Cardiac resynchronization therapy † Left ventricular pacing site † Mortality † Predictors ...
11.2 Regulation of the Heart
11.2 Regulation of the Heart

... • abnormal beating of the heart, too fast or too slow • ventricle or atria contraction is not normal ...
Post Operative Clinical Improvement in the Absence of Reverse
Post Operative Clinical Improvement in the Absence of Reverse

... where their only purpose is to slow progression. Patients who are unsuitable candidates for surgery or TAVI—or who are currently awaiting a surgical or TAVI procedure—may be treated with digoxin, diuretics, ACE inhibitors, or ARBs if they experience HF symptoms. Co-existing hypertension should be tr ...
DR. EUGENE BRAUNWALD RECEIVES HEART FAILURE
DR. EUGENE BRAUNWALD RECEIVES HEART FAILURE

... leadership or inspiration to others resulting in an important impact on the field.   ...
Tachycardia-Induced Cardiomyopathy
Tachycardia-Induced Cardiomyopathy

... therapy, AV node ablation and the implantation of VVIR ventricular pacemaker was planned. Richard was admitted to the hospital for the implantation of the pacemaker. In the immediate post-operative period, he became unwell and developed acute dyspnea, hypoxia and hypotension. There was no evidence o ...
Circulatory System:
Circulatory System:

PSYC7910_Appendix2
PSYC7910_Appendix2

... Cardiac muscle extracts the largest amount of oxygen because of the extensive work the heart does (manifested as contractility) even during rest. At rest: 8-10 ml O2/min/100g of myocardium. During exercise this can increase by a factor of 10. ...
Goal BP
Goal BP

...  HTN prevalence ~ age > 18 years 25-30% age > 65 years 50%  Only 30-35% of hypertensive patients are well control  The BP relationship to risk of CVD is continuous, consistent, and independent of other risk factors. ...
Cardiac arrhythmias and conduction
Cardiac arrhythmias and conduction

... a chronic disease, often related to significant disabilities, arrhythmias may cause anxiety despite its clinical irrelevance and reassurance is very important. Anti-arrhythmic drug therapy is the mainstay of management. Drug selection is based upon their electrophysiological effects and the type of ...
Natural Health Support Measures for Congestive Heart Failure
Natural Health Support Measures for Congestive Heart Failure

... function such that the output of blood is inadequate to meet the body's oxygen demands. There are many conditions that lead to CHF: Hypertension, failure of heart valves to work properly, congenital malformations, hardening of the arteries (arteriosclerosis), infections, constrictive infection of th ...
BME 301 - Rice University
BME 301 - Rice University

... The Food and Drug Administration is actively seeking reports of possible problems with a stent that came on the market last month, saying it has heard of serious medical complications in some cases. But Dr. Daniel G. Schultz, director of the agency's office of device evaluation, said in a telephone ...
Implantable Cardioverter Defibrillator (ICD)
Implantable Cardioverter Defibrillator (ICD)

... is at least 40 or more days post-MI, with a LVEF less than or equal to 30% and are in NYHA functional Class I HF after 3 months of GDMT or with a LVEF less than or equal to 35% and in NYHA Class II or III HF after 3 months of GDMT Individual has confirmed hypertrophic cardiomyopathy (HCM) with two ( ...
AED- Automated External Defibrillation
AED- Automated External Defibrillation

... When the Heart Stops • The two most common treatable abnormal rhythms are: • Ventricular fibrillation (V-fib) • Ventricular tachycardia (V-tach) ...
Out-of-Hospital Cardiac Arrest — Are Drugs Ever the
Out-of-Hospital Cardiac Arrest — Are Drugs Ever the

... mean time to drug treatment was 19.3 minutes — well into the metabolic phase. What if the drug therapy were administered sooner, as we might presume would occur for the substantial subgroup (66%) whose arrest was witnessed by a bystander? For these patients, the rate of survival to hospital discharg ...
February 18, 2016
February 18, 2016

... DALLAS, February 18, 2016 – Mended Hearts, the largest heart-patient support network in the world, announces today the launch of a new, national video contest (www.ThanksLVAD.com). The contest, which is hosted by Mended Hearts (MHI) with support from St. Jude Medical, is designed to provide educatio ...
Heart failure - Modest Mango
Heart failure - Modest Mango

... A 78 year old man had a large anterior myocardial infarction 3 years ago. Initially he made a good recovery although he has required to take a diuretic for ankle swelling since. In the last 2 months he has become short of breath on exertion. You suspect he has developed left ventricular failure (a) ...
Early Extracorporeal Membrane Oxygenation Support for 5
Early Extracorporeal Membrane Oxygenation Support for 5

... with a regressive inflammation.[5] Unfortunately, the MRI could not be performed in the acute setting with severely decreased left‑ventricular function due to ECMO‑therapy and therefore, the extent of myocardial edema and hyperemia might be underestimated. Treatment of cardiogenic shock is still a t ...
File
File

... also called the pacemaker, sets the rate at which the heart contracts ...
Application of Echocardiography in Clinic Practice
Application of Echocardiography in Clinic Practice

... filled with increased pressure ( elevated LV enddiastolic pressure). In the old days, diagnosis can only be arrived at by invasive cardiac catheterisation8. However, nowadays non-invasive echocardiographic assessment has been considered the choice and tool in diastolic cardiac assessment for clinica ...
Heart Failure
Heart Failure

...  Regardless of the nature of the inciting event, the feature that is common to each of these index events is that they all, in some manner, produce a decline in the pumping capacity of the heart ...
Toward Better Treatment for Heart Failurewith Preserved Ejection
Toward Better Treatment for Heart Failurewith Preserved Ejection

... option, but about 90 percent of Johns Hopkins cases are done using iliofemoral insertion because of its lower complication rate. “Patients are up and moving around the same day,” says interventional cardiologist Rani Hasan. “Most go home in two to five days.” Regardless of the trial outcomes, a ...
Cardiology Inpatient (ACS) - Upstate Medical University
Cardiology Inpatient (ACS) - Upstate Medical University

... patients. Many of the patients found on the service have multiple diseases linked with or caused by their concomitant heart disease. This requires team members to have an integral understanding of the patient’s entire physical well being rather than simply one perspective. Medical Knowledge-Addition ...
Simulating the beating human heart Advanced Cardiac Mechanics
Simulating the beating human heart Advanced Cardiac Mechanics

... For the correct description of the cardiac contraction the following aspects have to be considered:  Modeling the conduction system  Calculus of excitation wave propagation  Incorporation of anisotropic conductivity values for fiber and cross-fiber direction  Correspondence between electrical st ...
HEART DISEASE IN PREGNANCY
HEART DISEASE IN PREGNANCY

... (c) Marfan’s syndrome with normal aorta. (d) Uncomplicated coarctation of aorta. (e) Past history of myocardial infarction. ...
thyroid and anti thyroid drugs
thyroid and anti thyroid drugs

... 3- phosphodiesterase -III inhibitors : Therapeutic uses: - Milrinone is the PDE-III inhibitor in clinical use - used only intravenously for management of ...
< 1 ... 590 591 592 593 594 595 596 597 598 ... 680 >

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.
  • studyres.com © 2025
  • DMCA
  • Privacy
  • Terms
  • Report