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Syncope
Syncope

... peripherally vasoconstrict to maintain stroke volume. The myocardium in infants is "stiff" and plays little role in increasing cardiac output. Therefore, the heart rate must increase in order to maintain adequate circulatory function. Remember C.O.=H.R. x S.V ...
falling incidence of ventricular fibrillation incidence among out
falling incidence of ventricular fibrillation incidence among out

... Copenhagen University Hospital, Gentofte, 2Mobile Emergency Care Unit of Copenhagen, 3Emergency Medicine and Emergency Medical Services, Head Office, The Capital Region of Denmark Introduction: Several studies have reported a decrease in the incidence of ventricular fibrillation (VF) among out-of-ho ...
Reversing heart failure by CRT: how long do the effects last?
Reversing heart failure by CRT: how long do the effects last?

... efforts to improve the safety, feasibility, and clinical efficacy of the implantation procedure, a small, but not negligible, perioperative risk and the possibility for long-term complications such as device infection and lead dislocation remain. Furthermore, the upfront costs at the time of implant ...
FACT SHEET Facts About Sudden Cardiac Arrest
FACT SHEET Facts About Sudden Cardiac Arrest

... Medtronic Implantable Cardioverter Defibrillators (ICDs) are indicated for ventricular antitachycardia pacing and ventricular  defibrillation for automated treatment of life‐threatening ventricular arrhythmias. Medtronic Cardiac Resynchronization Therapy  (CRT) ICDs are indicated for ventricular ant ...
Position of the Heart
Position of the Heart

... into the brachiocephalic vein, into the superior vena cava , then into the right atrium. • The pacemaker overrides the impulse from the SA node. ...
SUBJECT-VERB AGREEMENT
SUBJECT-VERB AGREEMENT

... The number of beats of the heart per minute usually (decline, declines) with age, from as much as 140 at birth to 50 in an adult male. ...
Cardiovascular Study Guide
Cardiovascular Study Guide

... b. Arteries/veins c. Capillaries/arterioles/venules d. Circuits a. Pulmonary b. Systemic ...
250177
250177

... Clinical Documentation Query ...
FACT SHEET Facts About Sudden Cardiac Arrest Overview Sudden
FACT SHEET Facts About Sudden Cardiac Arrest Overview Sudden

... Medtronic Implantable Cardioverter Defibrillators (ICDs) are indicated for ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular arrhythmias. Medtronic Cardiac Resynchronization Therapy (CRT) ICDs are indicated for ventricular antit ...
Atrial Fibrillation - Carolina Navika 2015
Atrial Fibrillation - Carolina Navika 2015

... AV conduction through Bundle of His is abnormal ...
CRT Backgound
CRT Backgound

... Combining resynchronisation therapies with a defibrillator capacity could improve the functionality in and longevity of patients by preventing sudden cardiac death. However, because they do not treat other symptoms of heart failure, there is a benefit in combining this therapy with a resynchronisati ...
thiamin supplementation in patients with chronic heart failure
thiamin supplementation in patients with chronic heart failure

... treatment and quality of life is not satisfactory yet. This randomized double blind study is designed to evaluate the effect of thiamin supplement on some systolic and diastolic echocardiographic parameters and symptoms and signs of heart failure. Methods: Forty six patients with systolic heart fail ...
271287
271287

... PHYSICIANS Please Document the Acuity and Type of CHF: ...
Cardiac Resynchronization Therapy using Inca
Cardiac Resynchronization Therapy using Inca

... in the heart in an attempt to synchronize a dyssynchronous heart chamber. According to the Ottawa Heart Institute1, however, only 50% of patients respond positively to CRT treatment, based on evidence of reverse remodeling characterized by a 15% decrease in left ventricular (LV) end systolic volume ...
Atrial Fibrillation and Sudden Death: Are they linked?
Atrial Fibrillation and Sudden Death: Are they linked?

... Among patients with HF in general, AF has not been consistently shown to increase mortality. Specific data on the additional risk for AF in patients with ICDs are limited and conflicting. Inappropriate shocks comprise 12% to 30% of all shock therapies delivered. Supraventricular tachyarrhythmia ...
winter 16 - HeartCare Western Australia
winter 16 - HeartCare Western Australia

... costs to the national health system by $35.5 million and stop 2,100 heart attacks across the country per year, according to new research published in Heart, Lung and Circulation (2016) http://www.ncbi.nlm.nih.gov/pubmed/26442971. Cardiac rehabilitation helps people get back on their feet and return ...
CRT in Patients with Permanent AF vs. Sinus Rhythm: Symptomatic
CRT in Patients with Permanent AF vs. Sinus Rhythm: Symptomatic

... • CIHR funding for 5 years • Primary hypothesis: • Catheter ablation-based atrial fibrillation rhythm control as compared with rate control in patients with heart failure of either impaired LV function (LVEF ≤ 45%) or preserved LV function (LVEF > 45%) will reduce all cause mortality or heart failur ...
Pharmacologic Treatment of Chronic Systolic Heart Failure
Pharmacologic Treatment of Chronic Systolic Heart Failure

... Diastolic Heart Failure Impaired ability to accept blood and relax during diastole  Both types increase with age, African Americans  40-70% incidence more often female, obese, older HTN and less likely to have CAD  Less symptomatic and lower morbidity and mortality ...
Cardiomyopathy
Cardiomyopathy

... Pericardial disease Specific heart muscle diseases ...
Hospital X Is Among First Hospitals in U
Hospital X Is Among First Hospitals in U

... state/province/country] to treat patients who suffer from a common form of atrial fibrillation with the new Arctic Front Advance™ Cardiac Cryoballoon System. This innovative medical technology works by freezing the heart tissue around the pulmonary veins to help stop abnormal electrical activity tha ...
Incomplete Right Bundle Branch Block (IRBBB)
Incomplete Right Bundle Branch Block (IRBBB)

... The diagnostic criteria for IRBBB consist of a QRS duration of 0.10-0.11 sec. (in contrast to complete right bundle branch block where the QRS must measure 0.12 sec. or longer), as S wave in lead I, V5 and V6 and two R waves (rR’) in V1 and/or V2. If the QRS complex measures only 0.09 sec. or less a ...
Clinical Considerations for Acute HF Management in Nursing Homes
Clinical Considerations for Acute HF Management in Nursing Homes

... who have symptoms of HF caused by reduced LVEF while receiving standard therapy. • The dosage of digoxin should be .125 mg to .25 mg daily • Serum digoxin level should be <1.0ng/ml, ...
Cardiac Arrhythmia Center - New York Hospital Queens
Cardiac Arrhythmia Center - New York Hospital Queens

... committed to ensuring that the diagnostic and treatment options physicians prefer are available for their patients right here. In the Cardiac Arrhythmia Center’s Electrophysiology Laboratory, you will find the techniques and the technology to treat all types of rhythm disorders, from ventricular tac ...
2012 ACCF/AHA/HRS Guidelines for Implantable
2012 ACCF/AHA/HRS Guidelines for Implantable

... in patients who may benefit from increased pacing rates concurrent with increases in activity and/or minute ventilation. Medtronic pacemakers are also indicated for dual chamber and atrial tracking modes in patients who may benefit from maintenance of AV synchrony. Dual chamber modes are specificall ...
INFORMATION SHEET Right Bundle Branch Block (RBBB)
INFORMATION SHEET Right Bundle Branch Block (RBBB)

... Right bundle branch block (RBBB) is an abnormality of the electrical conduction of the heart. There are two main conducting pathways in the heart, the left and the right bundle. In RBBB the right conducting pathway no longer functions so electrical conduction is maintained through the left bundle. R ...
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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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