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Asymptomatic Left Ventricular Dysfunction and Diabetes
Asymptomatic Left Ventricular Dysfunction and Diabetes

... • Like ACE inhibitors, beta-blockers have been shown to improve survival, improve remodeling and decrease hospitalizations in patients with symptomatic systolic heart failure • Most effective when initiated early in disease state but may also impact survival in patients with advanced disease • Under ...
Heart Failure Program
Heart Failure Program

... Heart Failure When the heart cannot pump blood properly, fluid can spread from the blood into the lungs, feet, legs, hands, liver, and abdominal cavity. The heart failure team recommends calling your physician or nurse if you are experiencing any of these symptoms: ...
Heart failure
Heart failure

... the right base but be bilateral as it progresses. Look for anaemia which can exacerbate symptoms. It is important to look for the Jugular venous pulse in all patients with suspected heart failure. When the patient is at 30-45o the JVP should be just visible above the clavicle. If it is higher this s ...
office ecg interpretation
office ecg interpretation

... Atrial fibrillation (AF) is the most common cardiac arrhythmia that can have adverse consequences related to a reduction in cardiac output (symptoms) and to atrial and atrial appendage thrombus formation (stroke and peripheral embolization). In addition, affected patients may be at increased risk fo ...
Undergraduate Medical Student Research Programs Research Abstract Proposal
Undergraduate Medical Student Research Programs Research Abstract Proposal

... nearly 25% of colorectal (CRC) and renal cell cancer (RCC) patients. In the emerging field of Cardio-Oncology, specialized collaborative efforts amongst Cardiologists and Oncologists are developing in multiple academic centers across Canada, including the University of Manitoba, to address the cardi ...
New ESC Guidelines On Acute And Chronic Heart Failure
New ESC Guidelines On Acute And Chronic Heart Failure

... heart failure patients will die, primarily from sudden death and worsening heart failure. The new guidelines were published in European Heart Journal and the European Journal of Heart Failure to coincide with the heart failure congress, and include LCZ696 for this first time. This drug is the first ...
CARDIAC MUSCLE
CARDIAC MUSCLE

... layers—a tough, fibrous covering and a secretory lining. The outer fibrous covering of the sac attaches to the connective tissue partition that separates the lungs. This attachment anchors the heart so that it remains properly positioned within the chest. The sac’s secretory lining secretes a thin p ...
Should we achieve the target doses of beta
Should we achieve the target doses of beta

... We screened for symptomatic chronic heart failure patients with reduced left ventricular ejection fraction (<0.40) (HFrEF) and newly initiated beta-blocker treatment (bisoprolol, carvedilol, metoprolol tartrate, or nebivolol) with at least 1 year follow-up in Maharaj Nakorn Chiang Mai Hospital betwe ...
Bio202studentlecturenotesHeartlll
Bio202studentlecturenotesHeartlll

... -in stress – S dominant – increase HR and also increases ________________________ so have an increased CO. The two hormones _______________________ and _____________________ released from the _______________ gland are also part of the sympathetic effect and has similar effects. Other effects on HR: ...
Chapter 10
Chapter 10

... Evaluation and Treatment of Patients with Suspected Myocardial Infarction: The Acute Coronary Syndrome Classification Restoring Blood Flow Through a Thrombosed Coronary Artery Subsequent Treatment of Myocardial Infarction Case Studies Taking Aspirin to Reduce the Risk of Cardiovascular Disease Cocai ...
Glossary of Cardiology Terms
Glossary of Cardiology Terms

... Heart Attack: See Myocardial Infarction. Heart Failure: the inability of the heart to efficiently pump blood to the body, characterized by difficulty breathing, chronic fatigue and fluid retention. Holter Monitoring: a technique for the continuous recording of electrocardiographic (ECG) signals, usu ...
Rotation Specific Cardiology and CCU Goals and Objectives
Rotation Specific Cardiology and CCU Goals and Objectives

... Learn how to triage patients who require advanced cardiac care Ensure appropriate follow up of patient issues arising from the consults ...
SCA Partners - American Heart Association
SCA Partners - American Heart Association

... LVEF  Evaluation of LVEF with echocardiography should occur in all patients with newly diagnosed HF during admission. In patients with established HF, evidence must be present in the medical record that LVEF was evaluated prior to admission, ideally within the past 1-2 years. Device therapy for HF ...
Sudden Death Syndrome
Sudden Death Syndrome

... Sudden Death Syndrome (SDS) is the wide term used for several causes of cardiac arrest in young people and is usually defined as non-traumatic, non-violent and unexpected. These can be related to the thickening or abnormal structure of the heart muscle or even changes of the electrical impulses that ...
Dilated Cardiomyopathy Allen Repp, M.D. November 5, 2002
Dilated Cardiomyopathy Allen Repp, M.D. November 5, 2002

... Introduction  Cardiomyopathy refers to disease of the myocardium associated with cardiac dysfunction  5 types of cardiomyopathies identified by WHO, each of which may have multiple etiologies: dilated, hypertrophic, restrictive, arrhythmogenic right ventricular, and unclassified  Dilated cardiomy ...
SUDDEN CARDIAC ARREST AWARENESS FORM – derived from
SUDDEN CARDIAC ARREST AWARENESS FORM – derived from

Presentation to FDA Medical Imaging Division Regarding New
Presentation to FDA Medical Imaging Division Regarding New

... Right-to-left, bi-directional, or transient right-to-left cardiac shunts Worsening or clinically unstable heart failure Acute myocardial infarction or acute coronary syndromes Serious ventricular arrhythmias or high risk for arrhythmias due to prolongation of the QT interval Respiratory failure, as ...
Costanzo Transcript
Costanzo Transcript

... transplants in the US each year since 1997 and this is not changing. Actually it’s further decreasing this year. Cardiac transplantation has multiple contraindications, some of which are general, some are more specific, some are uncertain, but there is a proportion of patients that because of these ...
Normalization of High Pulmonary Pressure with HeartMate II LVAD
Normalization of High Pulmonary Pressure with HeartMate II LVAD

... Objective: Pulmonary hypertension (PHT) and elevated pulmonary vascular resistance (PVR)  lead to poor outcome after heart transplantation due to postoperative failure of the donor  right ventricle. As such, patients with PHT and elevated PVR are considered high risk for  transplantation. The use of ...
Heart Failure - Sheba Hungary Student
Heart Failure - Sheba Hungary Student

... Heart failure is a clinical syndrome that occurs in patients who develop a constellation of clinical symptoms (dyspnea and fatigue) and signs (edema and rales) that lead to frequent hospitalizations, a poor quality of life, and a shortened life expectancy. ...
Word
Word

... Cardiac Resynchronization Therapy (CRT) devices are a cost-effective and beneficial therapy for indicated heart failure patients, reducing the risk of death and offering improvements in quality of life, cardiac structure and function for heart failure patients. Until now, CRT-Ds have been contraindi ...
Inclusion/exclusion criteria
Inclusion/exclusion criteria

... if recovered from all toxicities) History or evidence of brain metastasis Clinically significant active GI bleeding Residual toxicity resulting from previous therapy (e.g., hematologic, cardiovascular, or neurologic toxicity that is Grade ≥ 2). Alopecia is permitted. Other malignancy (in addition to ...
Anita Szigeti | Lajos Sebestyén
Anita Szigeti | Lajos Sebestyén

... Professional, material and personal conditions are all prerequisites in order to achieve the objective of successful education by the PD team. On the part of the PD patient somatic and psychical aptitude, motivation and willingness of cooperation are required. Education must always be individually-t ...
Cardiac Rhythm - WordPress.com
Cardiac Rhythm - WordPress.com

... • Sodium rushes in, causing a voltage change across the membrane ...
Heart Failure BY Dr.Arshad Fuad
Heart Failure BY Dr.Arshad Fuad

... The overall prevalence of HF in the adult population in developed countries is 2%. rising with age, and affects 6–10% of people over age 65. Although the relative incidence of HF is lower in women than in men, women constitute at least one-half the cases of HF because of their longer life expectancy ...
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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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