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myocardial infarction - THRUTH ALWAYS SATISFY U ( Adeeb ul
myocardial infarction - THRUTH ALWAYS SATISFY U ( Adeeb ul

... the myocardium. This is most likely to occur in the first week between 3 to 5 days following the initial event, when the myocardium is the softest. The white arrow marks the point of rupture in this anterior-inferior myocardial infarction of the left ventricular free wall and septum. Note the dark r ...
images/Long term effects of RV pacing.pps
images/Long term effects of RV pacing.pps

... The findings of the PAVE study suggest that, in order to avoid the adverse effects of cardiac dyssynchrony generated by RV pacing, a biventricular pacing should be considered for patients who require AV node ablation for management of atrial fibrillation and who have a left ventricular ejection frac ...
Left ventricular ejection time
Left ventricular ejection time

... recognized and a positive correlation between PWV and heart rate has been consistently reported [7–10]. Furthermore, Drinnan et al. concluded from their experiments in 15 normal healthy subjects that changes in pulse transit time, from which PWV is calculated, follow changes in heart rate suggesting ...
PDF - SAS Publishers
PDF - SAS Publishers

... consequence; it is a remnant of foetal foramen ovale. Clinically, it is linked to decompression sickness, paradoxical embolism and migraine. In approximately 25% of people, foramen ovale fails to close properly, leaving patients with a patent foramen ovale. Ostium secundum type of ASD is a true defe ...
ACR-NASCI-SPR Practice Parameter for the Performance and
ACR-NASCI-SPR Practice Parameter for the Performance and

... Although the technical parameters and field of view of a cardiac MRI examination will appropriately be tailored to evaluate the cardiac anatomy and/or function in question, the images obtained will also show adjacent anatomy, often including portions of the lungs, mediastinum, spine, and upper abdom ...
Physical Fitness and Risk for Heart Failure and Coronary Artery
Physical Fitness and Risk for Heart Failure and Coronary Artery

... each possible transition. So, for example, a healthy participant was included in the risk set for transition to heart failure and the risk set for transition to MI until either of these events or a censoring event occurred. We used the robust sandwich estimate of the covariance matrix to account for ...
Syncope - OSU CCME account - The Ohio State University
Syncope - OSU CCME account - The Ohio State University

... 9 3 sec asystole and/or 50 mmHg fall in systolic blood pressure with reproduction of symptoms = ...
A Randomized Trial of Colchicine for Acute Pericarditis
A Randomized Trial of Colchicine for Acute Pericarditis

... checked, and analyzed at the cardiology department of Maria Vittoria Hospital, Turin, Italy, after blinded adjudication of events. The first draft of the manuscript was written by the first author and revised by all authors. All the authors vouch for the accuracy and completeness of the data and the ...
Obstructive sleep apnea and coronary artery disease
Obstructive sleep apnea and coronary artery disease

... participants, showed an independent association between OSA and hypertension.110 However, a subgroup analysis revealed that in persons older than 65 years this association did not persist.112 The most compelling evidence for the contributory effect of OSA to arterial hypertension comes from the Wisc ...


... Permission has been granted to the Library of the University of Manitoba to lend or sell copies of this thesis/practicum, to the National Library of Canada to microfilm this thesis and to lend or sell copies of the film, and to University Microfilms lnc. to publish an abstract of this thesis/practic ...
Left atrial function: pathophysiology, echocardiographic assessment
Left atrial function: pathophysiology, echocardiographic assessment

Ventricular tachycardia mapping and ablation in arrhythmogenic
Ventricular tachycardia mapping and ablation in arrhythmogenic

... mapping to confirm low-voltage areas are from abnormal substrate and not inadequate catheter-tissue contact. This process can be facilitated by (1) using a sheath that extends transvenously to the tricuspid valve and provides stability; and/or (2) looping the mapping catheter in the RV to facilitate ...
Heart rhythm analysis using ECG recorded with a novel
Heart rhythm analysis using ECG recorded with a novel

Jo Ellen Rodgers, PharmD, FCCP, BCPS
Jo Ellen Rodgers, PharmD, FCCP, BCPS

... Residency Progression Committee (PGY2) Partnership in Patient Care, Education Committee Student Resident Advisory Committee Heart Failure Readmission Taskforce, Education Committee Residency Research Committee Heart Failure Clinical Process Improvement Team Pharmacy Clinical Management Committee Res ...
Impulse Generation
Impulse Generation

... CVS Impulse generation ...
Analysis of Left Ventricular Wall Motion by Reflected
Analysis of Left Ventricular Wall Motion by Reflected

... 3, 4, and 6) were in clinical class II (New York Heart Association), and the remaining two were in clinical class III. All but one of these patients (case 3) were receiving digitalis and diuretic therapy at the time of the ultrasound examination. The exception had been in nodal rhythm for several ye ...
Exercise and Physical Activity in the Prevention and Treatment of
Exercise and Physical Activity in the Prevention and Treatment of

... resting blood pressure.19 The average reduction in systolic and diastolic blood pressure was 3.4 and 2.4 mm Hg, respectively. Baseline blood pressure was an important determinant of the exercise effect. Average systolic and diastolic blood pressures decreased 2.6 and 1.8 mm Hg in normotensive subjec ...
2012 HF Guidelines: Focus on Acute and Chronic Heart Failure
2012 HF Guidelines: Focus on Acute and Chronic Heart Failure

... • Reevaluate the need for additional diuresis by assessing volume status • Restrict NA+/H2O intake (and exercise caution reducing oral intake below 500 ml per 24 hours). • Review diuretic dosing. Higher bolus doses will be more effective than more frequent lower doses. Diuretic infusions (eg, furose ...
Scientech 2138A AT Manual
Scientech 2138A AT Manual

... A natural pacemaker generates electrical impulses at regular rate. To initiate the heartbeat the action potentials generated by the natural pacemaker or S.A. node gets propagated in all directions along the surface of both atria and Atrioventricular Node. This spreads throughout the right and left a ...
the PDF - Heart Rhythm Society
the PDF - Heart Rhythm Society

... of patients with AF that are at risk for stroke. LAA occlusion techniques are technically challenging. This expert consensus statement outlines our proposed institutional and operator requirements in order to assist with the implementation of credentialing standards and help providers to participate ...
Congenital Aortic Stenosis in Children
Congenital Aortic Stenosis in Children

... valvuloplasty [PTAV]) is that it is less invasive. In this procedure, cardiopulmonary bypass, which is a prerequisite for surgical procedures, can be avoided. PTAV is known to accelerate annular growth even in small sized aortic valve [26] if mitral valve stenosis is not complicated [27] .In perform ...
The Wenckebach Phenomenon: A Salute and Comment on the
The Wenckebach Phenomenon: A Salute and Comment on the

... him to decipher the rhythm disturbance that became known as Wenckebach periodicity (1). “A forty-year-old lady with nervous temperament” consulted Wenckebach about an irregular pulse. “She had noticed for a long time that her pulse was irregular. Her only heart trouble was a mild dilatation. Nevert ...
Chronic Atrial Fibrillation Is a Biatrial Arrhythmia
Chronic Atrial Fibrillation Is a Biatrial Arrhythmia

... number of procedures: 154). After the first redo, another 30 patients were in sinus rhythm (total 63), 8 patients were in atrial tachycardia (AT), and 17 patients were in AF. Another 11 patients underwent a second redo. After a mean follow-up of 20⫾4 months, 71 (81%) patients were in sinus rhythm, 1 ...
Document
Document

... – YES. It is safe to use AEDs in all weather conditions. However, if at all possible, move to shelter to keep the victim protected from inclement weather. If the victim is lying in water, move him or her to a relatively dry area before using the AED. In wet weather, dry the victims chest before plac ...
Obstructive Sleep Apnea and Cardiovascular Disease
Obstructive Sleep Apnea and Cardiovascular Disease

... (14) Mehra R et al, AJRCCM, 2006 Apr 15;173(8):910-6. Epub 2006 Jan 19 (16) Porthan KM et al, Chest, 2004 Mar;125(3):879-85 (17) Gami AS et al, Circulation, 2004 Jul 27;110(4):364-7. Epub 2004 Jul 12 (18) Kanagala R et al, Circulation, 2003 May 27;107(20):2589-94. Epub 2003 May 12 ...
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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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