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The Long QT Syndrome
The Long QT Syndrome

... often occurs during or just after physical exertion, emotional excitement or sudden auditory arousal (such as a doorbell or alarm clock), but may occur during sleep or at rest. Conversely, in vasovagal syncope, most times there are warning symptoms, such as dizziness, blurring or blackening of visio ...
CAUSES OF HYPERTENSION Increase of systemic arterial
CAUSES OF HYPERTENSION Increase of systemic arterial

... cardiac failure with an increased circulating blood volume (high output cardiac failure), as shown here. The failure may be left-sided, right-sided, or combined left- and right-sided heart failure. This illustration shows the major manifestations of failure of the left and right ventricles. Cardiac ...
Ch 14: Cardiovascular Physiology
Ch 14: Cardiovascular Physiology

... The heart is a dual pump! ...
Chapter 12 The Cardiovascular System: The Heart Pages 388
Chapter 12 The Cardiovascular System: The Heart Pages 388

Antiarrythmic drugs
Antiarrythmic drugs

... also suppress ventricular fibrillation associated with myocardial infarction Dofetilide - prolongs action potential by delaying K+ efflux with no other effects ...
HYPERTENSIVE HEART DISEASE (Hypertensive cardiomyopathy)
HYPERTENSIVE HEART DISEASE (Hypertensive cardiomyopathy)

... • There is myocytic hypertrophy in response to the increased work. (pressure load in systemic hypertension) • The stress of pressure on the ventricular wall causes increased production of: Myofilaments  Myofibrils  Other cell organelles and  Nuclear enlargement • Since the the adult myocardial f ...
Cardiovascular Risk Factors and Atrial Fibrillation: What is the
Cardiovascular Risk Factors and Atrial Fibrillation: What is the

... coronary risk factors, proven cardiovascular preventive therapies and end-organ damage in 2024 patients with documented hypertension and coronary heart disease. Patients were stratified as having or not having atrial fibrillation according to the baseline 12-lead ECG which was also used to derive he ...
Paradigm shift in the management of Atrial Fibrillation
Paradigm shift in the management of Atrial Fibrillation

...  Only a small proportion of patients will remain in paroxysmal AF over several decades (2-3% of AF patients) ...
CONGESTIVE HEART FAILURE - Home Page
CONGESTIVE HEART FAILURE - Home Page

... Systolic congestive heart failure occurs when the ability of the heart to contract is limited. The heart is unable to pump out an adequate blood supply during contraction, (systole). Blood coming from the lungs into the heart may back up and cause fluid leakage back into the lungs with ensuing pulmo ...
Non-cardiac surgery in the heart failure patient - Heart
Non-cardiac surgery in the heart failure patient - Heart

... decompensation (that is, medical noncompliance, worsening ischaemia, atrial fibrillation, etc). Once the patient has stabilised, surgery should be postponed at least two weeks to ensure that the new medical regimen is appropriate and that the underlying process has been adequately addressed. Compens ...
Diagnostic Heart Failure Clinic Referral Form
Diagnostic Heart Failure Clinic Referral Form

... Urgent within next two weeks or within next six weeks ...
Improved Cardiac Output with Right Ventricular Septal Pacing in a
Improved Cardiac Output with Right Ventricular Septal Pacing in a

... A 55-year-old gentleman with ischemic cardiomyopathy and severe left ventricular dysfunction (ejection fraction 25%) received an implantable cardioverter defibrillator (ICD) for primary prevention of sudden cardiac death. Although he had New York Heart Association class II-III heart failure symptoms ...
Formed Elements of Blood
Formed Elements of Blood

... circulation, including the example shown in this figure. Do the lungs receive a portion of the systemic cardiac output? Why or why not? Why does fetal circulation allow mixing of blood between the two circuits? ...
Cardiovascular System
Cardiovascular System

... energy to the blood in order for it to be dispersed throughout the body. ...
S15 Pharmacology HEART FAILURE
S15 Pharmacology HEART FAILURE

...  It is also most helpful in patients with a dilated heart & third heart sound.  It is usually given after ACE inhibitors.  When symptoms are mild, slow loading (digitalization) is safer and just as effective as the rapid method. ...
Evaluation of AF
Evaluation of AF

... August 11, 2003 ...
EKG Basics.ppt [Read-Only]
EKG Basics.ppt [Read-Only]

... –  Each depolarization initiates one complete cardiac cycle (contraction and relaxation) ...
الشريحة 1
الشريحة 1

... 2- Use scissors to make a Iongitudinal incision through the skin and body wall of the thoracic region to expose the heart . 3- Hold the pericardium with forceps and carefully cut away the sac from the heart, using scissors . from this point on make sure that the heart is periodically moistened with ...
Curing Cancer and Caring for the Heart: Advancing
Curing Cancer and Caring for the Heart: Advancing

...  To develop a “risk score” using state-of-the-art imaging, blood markers, genetics (to identify CV disease before overt symptoms)  To develop innovative strategies to protect the heart (and understand who will derive the most benefit)  To ensure our patients can successfully be treated for their ...
By Sasha Darwazeh FY1
By Sasha Darwazeh FY1

... Generally associated with LA hypertrophy. Ineffective contractions = blood stasis in atria → thrombus formation. If from LA, can cause CVA; in RA can cause PE's. 3 types of AF: Acute AF - associated with systemic disease, precipated by electrolyte disturbance or hypoxia, resolves with treatment of u ...
OBESITY AND CONGESTIVE HEART FAILURE
OBESITY AND CONGESTIVE HEART FAILURE

... substrate for obesity-induced CHF, often referred to as obesity cardiomyopathy. Substantial weight loss reverses many of the changes in cardiac structure and function as well as many of the clinical manifestations of obesity cardiomyopathy. Right ventricular failure may result from LV failure and ma ...
cardiac rehab fact sheet 2013 Final
cardiac rehab fact sheet 2013 Final

... even reversing the progression of cardiovascular disease (CVD).2 Patients with other cardiovascular diseases such as valve repair and heart failure also benefit from a CR program, such as exercise rehabilitation. Yet despite its clear benefits, CR remains underutilized, particularly among women and ...
Heart
Heart

The Cardiovascular System
The Cardiovascular System

... the electrical activity of the heart and the cardiac cycle can be shown in an electrocardiogram (ECG) ...
2-Heart sounds2015-03-08 09:541.7 MB
2-Heart sounds2015-03-08 09:541.7 MB

... sounds by placing a transducer on specific areas of auscultation it will records them after amplification and the heart sounds will appear as waves The audible range of frequency is :40-500 cycles/sec The recorded range of frequency : 3-20 cycle/sec ...
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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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