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Afib - Ronna
Afib - Ronna

... commonest drug for control of AF IV onset of action is 30 minutes maximal response occur in 1 to 4 hours loading dose 0.1 to 0.6 mg additional doses as needed 0.1 to 0.25 mg every 4 to 6 hours ƒ total dose in 24 hours is 1 mg ...
heart - eSSUIR
heart - eSSUIR

... size cells that are strongly con-tactile ...
Coronary Heart Disease - Healthcare Improvement Scotland
Coronary Heart Disease - Healthcare Improvement Scotland

... of aspects of the patient pathway covering presentation, diagnosis and management of atrial and ventricular arrhythmias in the community setting and as unscheduled care presenting to emergency services in secondary and tertiary care. The standards for each pathway will be developed by three pathway ...
7 Conclusions and Future Perspectives F.S. de Man , N. Westerhof
7 Conclusions and Future Perspectives F.S. de Man , N. Westerhof

... not tolerate its (transient) myocardial depressant effects. However, in Chapter 5 we have demonstrated that if introduced carefully, the cardio-selective β-blocker bisoprolol improves cardiac function and decelerates the progression towards right heart failure in rats. To assess if bisoprolol therap ...
Sudden Cardiac Death in Heart Failure
Sudden Cardiac Death in Heart Failure

... A single centre retrospective study over a 6 months period including patients < 80 years old, who were enrolled in our heart failure clinical care pathway was performed. Demographics including gender, age, LVEF and HF aetiology were analysed. The prevalence of ICD implantation in patients enrolled i ...
Rigid Spine Syndrome: A Noninvasive Cardiac Evaluation Abstract
Rigid Spine Syndrome: A Noninvasive Cardiac Evaluation Abstract

... This study detected a relatively high prevalence of MVP, with or without valve regurgitation. In the general population the incidence of MVP is 6% to 10%, and it is more common in young females. MVP has been found in association with thoracic skeletal disorders such as pectus excavatum, scoliosis, a ...
Acute Decompensated Heart Failure: Inpatient Management
Acute Decompensated Heart Failure: Inpatient Management

... related hospitaliazation: similar Length of initial hospitalization: shorter in serelaxin arm (9.1 vs 9.6 days, p<0.05) Worsening HF within the first 5 days: lower in the serelaxin arm (6.7% vs. 12.2%, p<0.05) ...
Non-invasive Cardiac Output measurement during BxB
Non-invasive Cardiac Output measurement during BxB

... Output and Stroke Volume) in response to exercise that is independent of disturbed lung physiology and acid-base changes during exercise. Importance of Cardiac Function Evaluation Cardiac function evaluation is an important component of Cardio Pulmonary Exercise Test (CPET), especially when heart fa ...
What are the symptoms/warning signs of Sudden Cardiac Arrest
What are the symptoms/warning signs of Sudden Cardiac Arrest

... Sudden cardiac arrest is the leading cause of death in young athletes while training or participating in sport competition. Even athletes who appear healthy and have a normal preparticipation screening may have underlying heart abnormalities that can be life threatening. What is Sudden Cardiac Arres ...
Myocardial infarction
Myocardial infarction

... is the development of Q waves, the initial downward deflection of the QRS complex.  Q waves represent the flow of electrical forces toward the septum. Small, narrow Q waves may be seen in the normal ECG in leads I, II, III, aVR, aVL, V5, and V6.  Q waves compatible with an MI are usually 0.04 seco ...
Appendix _: Glossary
Appendix _: Glossary

... under 60 beats per minute or a rate that is too slow to physiologically support a person and their activities. ...
Glossary of Cardiology Terms
Glossary of Cardiology Terms

... under 60 beats per minute or a rate that is too slow to physiologically support a person and their activities. ...
specialty : cardiology clinical problem: heart failure
specialty : cardiology clinical problem: heart failure

... blood pressure and clinical status should be checked before each dose increase. If patients were already on a beta-blocker prior to developing heart failure, it is acceptable to continue with the existing beta-blocker.(Nurse led Heart Failure Clinic) Spironolactone. Patients who remain moderately sy ...
Impaired gas exchange in congestive heart failure
Impaired gas exchange in congestive heart failure

... gas convert in Volcanoes to the vulcanologist impertinent and was therefore larger than could have. Be good to a state of Illinois gas exchange in of strata referred to examples of letters of affirmation. Most types of heart disease if left untreated can lead to heart failure. Many other conditions ...
Long-Term Oral Anticoagulant Therapy in Patients With Unstable
Long-Term Oral Anticoagulant Therapy in Patients With Unstable

... demand for minimally invasive procedures. Much time was and will be spent to inform patients with single or multiple coronary vessel disease about the different revascularization options actually available. In accordance with Bonchek and Ullyot,1 we also are waiting for study results comparing minim ...
Two causes in one patient for extremely low voltage on the
Two causes in one patient for extremely low voltage on the

... left ventricular hypertrophy than any previous criteria. The concept of low QRS voltage was described initially when only three electrocardiographic leads were available. The 12-lead From the Baylor Heart and Vascular Institute and the Department of Internal Medicine, Division of Cardiology, Baylor ...
Heart B
Heart B

... Sympathetic nervous system (SNS) stimulation is activated by stress, anxiety, excitement, or exercise Parasympathetic nervous system (PNS) stimulation is mediated by acetylcholine and opposes the SNS PNS dominates the autonomic stimulation, slowing heart rate and causing vagal tone (used to describe ...
Patient assessment - American Heart Association
Patient assessment - American Heart Association

... This fact sheet is meant to be a guide for you to understand and discuss your risk for Sudden Cardiac Arrest. With the information below, you can be informed and discuss with your doctor or nurse how best to reduce your risk for Sudden Cardiac Arrest. Don’t hesitate to ask your doctor or nurse if yo ...
Pacemakers and AICD`s
Pacemakers and AICD`s

... External defibrillation and cardioversion Do not withhold therapy for fear of damaging ICD If pt’s internal defibrillator activates during chest ...
What`s Next: Beyond the EKG, to a Hypersensitive Heart
What`s Next: Beyond the EKG, to a Hypersensitive Heart

... has evolved rapidly since the ...
1- Functional anatomy and mechanical properties of heart
1- Functional anatomy and mechanical properties of heart

... high pressure. The left ventricle has a thicker wall than the right ventricle because of the higher pressure in the systemic circulation. About 75% of the blood flow directly through the atria into the ventricles even before the atria contract. The atrial contraction causes an additional 25% filling ...
Control of the Cardiac Cycle
Control of the Cardiac Cycle

... Atrial Systole Ventricular Systole ...
PPMC - SCOAP
PPMC - SCOAP

... Take last dose within 2 hours prior to surgery on day of surgery. Hold for SBP < 100 or HR<55  Intravenous therapy (for patients who are NPO only) Metoprolol 5 mg IV every 10 minutes pm HR> 90 bpm. Do not exceed total dose of 15 mg. Hold if SBP < 100 or HR < 55 bpm. If patient has not previously be ...
Chest pain workup
Chest pain workup

...  This is not to say you couldn’t order additional tests/labs; however, these imaging/labs will:  Cover the differentials in our chest pain work -up  Focus on the most serious (i.e. life-threatening) targets in our chest pain work -up (the ones which clinically you cannot afford to miss)  Help to ...
Diastolic Heart Failure
Diastolic Heart Failure

... Heart sounds: lub dub Atrial systole ...
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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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