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Defibrillators - Buenaventura IEEE Engineering in Medicine and
Defibrillators - Buenaventura IEEE Engineering in Medicine and

... The heart regulates its beating with electrical pulses We can see these pulses using an ECG device ...
Cardiogenic Shock & Post Myocardial Infarction Complications
Cardiogenic Shock & Post Myocardial Infarction Complications

... • Patients with infarct extension or post MI angina usually have continuous or recurrent chest pain, with protracted elevation in creatine kinase (CK) and occasional new ECG changes. CK-MB is a more useful marker for tracking ongoing infarction than troponins, given their shorter half-life. Rising a ...
Special place of PETN among nitrates. No tolerance
Special place of PETN among nitrates. No tolerance

... BACKGROUND: Cardiac resynchronisation therapy (CRT) is often recommended for the treatment of patients with severe heart failure and cardiac dyssynchrony. The procedure efficacy should be evaluated not only by objective criteria and clinical end points, but also by patients' subjective opinion of th ...
Off-pump ventricular assist device implantation: Easy as
Off-pump ventricular assist device implantation: Easy as

... even more pain and slower recovery. Finally, in the eleventh hour, when there is significant bleeding, or a need for right ventricular support, and the patient is unstable, minimizing delays in tackling the problem at hand is crucial. Although it can be done expeditiously, going on bypass through th ...
1. Valve Repair vs Valve Replacement
1. Valve Repair vs Valve Replacement

... As the incidence of rheumatic heart disease declines with economic development, more degenerative valvular problems are being seen. Reduced operative mortality has allowed these patients to be referred for surgery at earlier stage of the disease. More patients are now favouring the use of bioprosthe ...
Chapter 20 Reading Guide - Student
Chapter 20 Reading Guide - Student

... 25. Summarize the steps of an action potential in “working” atrial and ventricular muscle fibers called contractile fibers. ...
backgrounder
backgrounder

...  The Freezor® MAX Cardiac CryoAblation Catheter, which is a single-point catheter used to provide additional ablations, as needed; and  The CryoConsole, which houses the coolant, electrical and mechanical components that run the catheters during a cryoablation procedure. ...
www.sjhg.org
www.sjhg.org

... can result from any structural or functional cardiac disorder that impairs ability of ventricle to fill with or eject blood Impact! ...
Should doctors recommend defibrillators for use at home after
Should doctors recommend defibrillators for use at home after

... tion, ­monitoring, and prior evaluation, they cost about $100 000 in the United States during the first year. Defibrillators were introduced to save lives in patients with hearts “too good to die,” but now they are used more often in patients with hearts “too bad to live.” Patients who have had a my ...
Testosterone treatment for men with chronic heart failure
Testosterone treatment for men with chronic heart failure

... small sample size limited our ability to detect any significant impact of treatment on myocardial contractility, physical strength or humoral factors. Alterations of skeletal muscle in heart failure patients include changes in muscle microstructure and cellular energy handling and it may be that mic ...
Promote™ RF CRT-D
Promote™ RF CRT-D

... than 15 ohms. The pulse generator provides dual-chamber bradycardia pacing with ventricular resynchronization therapy. If another pacemaker is used, it should have a bipolar pacing reset mode and be programmed for bipolar pacing to minimize the possibility of the output pulses being detected by the ...
prevention of sudden cardiac death during sports
prevention of sudden cardiac death during sports

... risk among their nonathletic counterparts. Arrhythmic cardiac arrest may be precipitated by the interaction between exercise-induced adrenergic stimulation and underlying cardiovascular diseases, such as cardiomyopathies (mostly hypertrophic cardiomyopathy and arrhythmogenic right ventricular cardio ...
Treatment of Congestive Cardiac Failure
Treatment of Congestive Cardiac Failure

... designed for heart failure. Some CRT+ICD devices include the intrathoracic impedance technology which detects subclinical fluid overload in heart failure patients. A reduction in the intrathoracic impedance may precede clinical manifestation of heart failure by one to three weeks and provide early w ...
the lab - Camenae Group
the lab - Camenae Group

... A good quality H & P (recognition of potential for valvular heart disease) A good quality TTE (gold standard initial test) Follow the patients based upon presence or absence of symptoms and with serial echoes Once symptomatic or if they develop echo features which require invasive therapies, then re ...
Cardovascular System The Heart Chap. 12
Cardovascular System The Heart Chap. 12

... (conducting) cells” – which can spontaneously generate action potentials ...
Cardiac Impulse
Cardiac Impulse

... • Heart beats rhythmically - result of action potentials it generates itself (autorhythmicity) • Two specialized types of cardiac muscle cells – Contractile cells  99% of cardiac muscle cells  Do mechanical work of pumping  Normally do not initiate own action potentials ...
MACVPR Springcon 2016 Pacemakers Defibrillators and Cardiac
MACVPR Springcon 2016 Pacemakers Defibrillators and Cardiac

... immediate symptomatic benefit, late remodeling may be avoided along with long-term HF consequences. There are no trials that support CRT-pacing (without ICD) in NYHA class I and II patients. Thus, it is anticipated these patients would receive CRT-D unless clinical reasons or personal wishes make CR ...
Electrophysiology research includes MR
Electrophysiology research includes MR

... or cardioverter defibrillator is implanted in the patient, with lead wires to effectuate electrical communication to the cardiac tissue. Typically, one lead is placed in the right atrium (RA), one in the right ventricle (RV) and one through the coronary veins to the left ventricle (LV). Reza Nezafat ...
Revision of PRECAUTIONS Sugammadex sodium
Revision of PRECAUTIONS Sugammadex sodium

... In Clinically significant adverse reactions subsection of Adverse Reactions section, texts regarding severe bradycardia should be revised to the following texts (underlined parts are added): Ventricular fibrillation, ventricular tachycardia, cardiac arrest, and/or severe bradycardia: Ventricular fib ...
Pediatric Cardiac Conditions
Pediatric Cardiac Conditions

... When the aortic valve does not open properly the left ventricle must work harder to eject blood into the aorta. Left ventricular muscle becomes hypertrophied. ...
Pharmacology 9a – Drugs of the Heart
Pharmacology 9a – Drugs of the Heart

... • severe bradycardia / sick sinus syndrome / 2-3rd degree heart block • cardiogenic shock • recent myocardial infarction Mode of Action Blocks If channel (f is for “funny”) – a Na/K channel important in the sinoatrial node resulting in a reduction in heart rate. Cardiac Inotropes Names Dobutamine Us ...
211 Heart Failure notes
211 Heart Failure notes

...  ICU: Elevated pulmonary artery pressure and decreased cardiac output measured with catheter o Cardiogenic shock affecting brain, kidneys, GI, and skin. o Increased ADH and aldosterone  Compensation o Same as right side CHF. o Arterial vasoconstriction, also known as increased afterload ...
How to Manage Treatment of Hypothyroidism in Patients with
How to Manage Treatment of Hypothyroidism in Patients with

... patients with heart disease are titrated to TSH levels in the reference range, ...
AUTOIMMUNE RESPONSE TO BACTERIAL ANTIGENS IN
AUTOIMMUNE RESPONSE TO BACTERIAL ANTIGENS IN

... arterial hypertension (AH) have high risk of congestive heart failure (CHF). Today the attention of the scholars in many countries is drawn to the role of immune mechanisms in the development and progression of many diseases [1, 2]. Of great importance is to determine the role of specific immune res ...
Congestive Heart Failure
Congestive Heart Failure

... possible benefit specifically in HF with statin therapy Improved LVEF  Reversal of ventricular remodeling  Reduction in inflammatory markers (CRP, ...
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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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