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Pacemakers and AICDs: The ABCs
Pacemakers and AICDs: The ABCs

... example, St Jude Medical has the descriptor “SJM” on the generator and Medtronic has “M.” Subcutaneous ICDs—defibrillators that recently gained FDA approval—have a typical pulse generator, but the lead is implanted subcutaneously and no part of the system is intracardiac or intravascular. This allow ...
DRUGS USED IN CARDIAD FAILURE CONGESTIVE CARDIAC
DRUGS USED IN CARDIAD FAILURE CONGESTIVE CARDIAC

... Inability of the heart to pump sufficient blood to meet the metabolic needs of the body is called heart failure. ...
Folia Cardiologica 2006
Folia Cardiologica 2006

... In 13,034 discharges at 217 hospitals, <40% of potentially eligible congestive heart failure (CHF) patients had an ICD at discharge or plans for ICD implantation after discharge. Hernandez AF et al. JAMA 2007;298:1525-1532. ...
UCLA offers specialized care for hypertrophic
UCLA offers specialized care for hypertrophic

... Hypertrophic cardiomyopathy — a thickening of the heart muscle — can obstruct the flow of blood to the body and is associated with disturbances in the heart’s electrical signals. It is the leading cause of sudden cardiac death in young athletes and is among the more common inherited cardiovascular d ...
Chapter 6 - Boone County Schools
Chapter 6 - Boone County Schools

... • Sudden cardiac death is an unresolved health crisis. • CPR and defibrillation improve chance for survival. • Automated external defibrillators (AEDs) must be used in first few minutes following cardiac arrest. • Public access defibrillation (PAD) laws have helped make AEDs available. ...
Challenges and opportunities in heart failure: unmet clinical needs
Challenges and opportunities in heart failure: unmet clinical needs

... 2. Loehr LR, et al. Am J Cardiol. 2008;101:1016-22. ...
Can I have Heart Failure with a Normal Heart Function?
Can I have Heart Failure with a Normal Heart Function?

... diagnosis because its diagnosis is still being defined. However, many people agree on a few things. Heart failure symptoms must be present. The EF or ejection fraction must be 50 percent or greater. There must be evidence of cardiac dysfunction. This can be evident in many different ways such as atr ...
the PowerPoint
the PowerPoint

... • Both medications are currently used in our EMS system. Both are used as one of the main treatments. • Both medications could be harmful. We do not know how many patients survive to hospital discharge.  False hope  The use of these drugs may stop people from receiving other more effective treatme ...
Device Therapy for Stage C HFrEF
Device Therapy for Stage C HFrEF

... Randomized clinical trials have mainly enrolled patients with HFrEF and it is only in these patients that efficacious therapies have been demonstrated to date. Also referred to as diastolic HF.. The diagnosis of HFpEF is challenging because it is largely one of excluding other potential noncardiac c ...
HEART FAILURE
HEART FAILURE

... Pathophysioylogy of H.F Before reaching H.F we have many mechanisms that is compensatory mechanisms : Adaptive mechanisms by which the CVS maintains arterial pressure & perfusion of vital organs : The Frank-Starling mechanism : >preload of .1 dilation helps to sustain cardiac performance by enhanci ...
New guidelines from the American Heart Association Antibiotics and
New guidelines from the American Heart Association Antibiotics and

... birth have complicated circumstances. They should check with their cardiologist to determine if their condition is one that requires antibiotics before dental treatment. ...
Step 2 Review Qns OBJECTIVES FOR THIS WEEK - med
Step 2 Review Qns OBJECTIVES FOR THIS WEEK - med

... palpitations and severe shortness of breath and coughing. She reports that she has had several episodes of palpitations in the past, often lasting a day or two, but never with dyspnea like this. She has a history of rheumatic fever at age 14 years. She is now 20 weeks pregnant with her first child a ...
heart failure
heart failure

... the United States in patients with moderate to severe heart failure (NYHA Functional Class III and IV), limited functional capacity, systolic ventricular dysfunction, and ventricular dysynchrony. Please consult with your physician to determine if you are a candidate. As with any active implantable d ...
Future Horizons: An Electrophysiologist`s Perspective
Future Horizons: An Electrophysiologist`s Perspective

... • More challenging than for sinus rhythm patients • Benefit over time may be similar to that seen for NSR patients but more challenging to achieve and less consistent • The importance of AVJ ablation to facilitate response is provocative but not yet proven ...
Words of Wellness - Presbyterian Village North
Words of Wellness - Presbyterian Village North

... Line Dancing This class provides a great way to get your daily exercise and have a fun time! Come and learn new line dances or show off your moves with some old favorites! ...
Development of High Precession Dominant Frequency
Development of High Precession Dominant Frequency

... Department of Biomedical Engineering Perpetuating pumping of blood by THE HEART delivers adequate support of nutrients and oxygen to sustain the organs. Normal heartbeat requires precise synchronization of electrical impulses passing through portions of the heart tissue. When regular and rhythmic im ...
At The Heart Of It All
At The Heart Of It All

... CA U TI O N : Investigational Device. Limited by Federal (or United States) law to investigational use. ...
Cardiac Conducting System
Cardiac Conducting System

... b. Purkinje fibers – where the bundle of His diverge into smaller branches i. Cause ventricular contraction ii. Wave action from apex(bottom) to base(top) iii. Blood is pushed out aortic and pulmonary trunk ELECTROCARDIOGRAM Monitors electrical activity of heart 1. P wave: small, atria contract aft ...
Heart Failure
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Chemotherapy Induced Cardiac Toxicity
Chemotherapy Induced Cardiac Toxicity

... • Evidence that the method of drug administration may affect the risk of cardiac toxicity. • Rapid administration of drugs results in high blood levels, which may cause more heart damage than the same amount of drug given over a longer period of time. • Small doses of drug, more frequently can decre ...
Slide 1
Slide 1

... • Evidence that the method of drug administration may affect the risk of cardiac toxicity. • Rapid administration of drugs results in high blood levels, which may cause more heart damage than the same amount of drug given over a longer period of time. • Small doses of drug, more frequently can decre ...
Current® PlusVR - St. Jude Medical
Current® PlusVR - St. Jude Medical

... The Current ® pulse generators are intended to provide ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular arrhythmias. AF Suppression pacing is indicated for suppression of paroxysmal or persistent atrial fibrillation in patients ...
Lourdes Cardiology Today 2015
Lourdes Cardiology Today 2015

... are often used as indirect measures of increasing heart failure. CardioMEMS is a 10 millimeter-long sensor that is implanted in the distal pulmonary artery, in a procedure similar to a cardiac catheterization. “Placing the device takes less than an hour and ...
The Management Of Atrial Fibrillation At The Front Door
The Management Of Atrial Fibrillation At The Front Door

... •Confirmed diagnosis of AF- on ECG •General measures- O2, IV access, bloods (FBC, U+E, LFTs, Bone, Clotting, Glucose, Mg, TFT’s) •Treat pain, hypoxia, hypovolaemia, myocardial ischaemia •Is patient haemodynamically unstable- if so is this due to AF? ...
Management of congestive heart failure
Management of congestive heart failure

... bilateral renal artery stenosis. ACE inhibitors are not contraindicated in renal failure unless it is associated with elevated potassium levels (greater than 5.0 mmol/L). Nonetheless, these drugs should be used with caution. Patients with renal failure require careful monitoring of renal function an ...
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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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