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Evaluation of the CO2 Rebreathing Cardiac Output
Evaluation of the CO2 Rebreathing Cardiac Output

... of cardiac output have been attempted such as impedance cardiography, echocardiography, and ballistocardiography.-1 Methods such as these have first had to establish the soundness of the principles involved in measuring cardiac output, and then to demonstrate that results obtained from the given tec ...
Linköping University Post Print Computer-assisted determination of left ventricular endocardial borders reduces
Linköping University Post Print Computer-assisted determination of left ventricular endocardial borders reduces

... (LVEF) and wall thickness are strong predictors for survival in most types of cardiac diseases. These measurements have important implications for therapy. The optimal timing for valve surgery and supportive surgery for heart failure such as ventricular restraint, ventricular restoration and left ve ...
Mortality Risk Reduction Associated With Smoking Cessation in
Mortality Risk Reduction Associated With Smoking Cessation in

... (N=4165) and relatively high-quality study (see “Sensitivity Analyses” for evaluation of quality).40 The other 3 studies included patients with MI and with other coronary diseases.37,43,46 ...
introductory guide to identifying ecg irregularities
introductory guide to identifying ecg irregularities

... ventricles. The right atrium receives oxygen-depleted blood coming back from the body via 2 large veins: the superior vena cava and inferior vena cava. The right atrium pumps this blood into the right ventricle, which then pumps the blood into the lungs, which is oxygenated. The blood then comes bac ...
of acute myocardial infarction. estimated infarct size in the early
of acute myocardial infarction. estimated infarct size in the early

... electrocardiogram, (c) total delay time <4 hours, (d) no contraindications to anticoagulant treatment. In patients with successful recanalisation after streptokinase treatment, creatine kinase concentration peaks earlier and these patients have a greater cumulative release of creatine kinase than co ...
Pulmonary Embolectomy: Should It Be Offered
Pulmonary Embolectomy: Should It Be Offered

CT - American College of Radiology
CT - American College of Radiology

... medical physicists in the United States. The College is a nonprofit professional society whose primary purposes are to advance the science of radiology, improve radiologic services to the patient, study the socioeconomic aspects of the practice of radiology, and encourage continuing education for ra ...
2012 focused update of the ESC Guidelines
2012 focused update of the ESC Guidelines

... and a three-fold incidence of congestive heart failure, and higher mortality. Hospitalization of patients with AF is also very common. This arrhythmia is a major cardiovascular challenge in modern society and its medical, social and economic aspects are all set to worsen over the coming decades. For ...
Electrocardiographic Changes During Exercise in Acute Hypoxia
Electrocardiographic Changes During Exercise in Acute Hypoxia

... cardiac diseases in the general population exposed to moderate or high altitude for sports or leisure activities, conflicting data are reported. In the mountains, 10% to 30% of deaths are sudden deaths.24,25 The rate of sudden death increases with altitude, in part because of the absence of medical ...
Continuously transverse scanning of fetal heart for comprehensive
Continuously transverse scanning of fetal heart for comprehensive

... Abstract: Objective: To investigate the feasibility of the screening method of continuously transverse scan for comprehensive cardiac evaluation. Case Report: After pretreating, 5 cases of normal fetal heart samples were cut transversely and serially to produce 60 μm thick sections. Then the section ...
What happens to broken hearts?
What happens to broken hearts?

...  They are located in the Locus Ceruleus and the adrenal medulla  They can cause an increase in:  heart rate, cardiac contractility as well as vascular smooth muscle contraction ...
Focused update 2012 on atrial fibrillation
Focused update 2012 on atrial fibrillation

... and a three-fold incidence of congestive heart failure, and higher mortality. Hospitalization of patients with AF is also very common. This arrhythmia is a major cardiovascular challenge in modern society and its medical, social and economic aspects are all set to worsen over the coming decades. For ...
15. 6_tugma_yurak_porok
15. 6_tugma_yurak_porok

... flow. Treatment: only prompt. The optimum age for surgery 2-5 years. However, in complicated disease early age is not a contraindication to surgery. The operation was performed from the left-hand transthoracic access. Flow closed either by tying his double ligature, or its intersection with subseque ...
ACQUIRED VITIUMS
ACQUIRED VITIUMS

... P: 4xV2 - pressure gradient – highest actual gradient (Bernoulli-formula) – monitoring left ventricular function – when is an operation required? -> symptoms, decreased left ventricular function ...
Optimal AV delay
Optimal AV delay

... • Validation of the different methods • Optimization at rest but also during exercise • Optimization of AV and VV timings is time and persons consuming and not adequate with the decrease of medical demography in many countries • Device based algorithms are very attractive at least because of the spe ...
Inhaled Nitric Oxide Reduces Pulmonary Vascular Resistance More
Inhaled Nitric Oxide Reduces Pulmonary Vascular Resistance More

... oxide induces relatively selective pulmonary vasodilation while producing minimal systemic vasodilation because its half-life is only 5 to 10 s (15–22). Some authors similarly report that nitric oxide markedly decreases pulmonary vascular resistance and transpulmonary gradient without substantial ef ...
Increased high-frequency heart rate variability during insulin
Increased high-frequency heart rate variability during insulin

... The sympathetic counter-regulatory response to hypoglycaemia is characterized by systemic adrenaline (epinephrine) and noradrenaline release [1] and enhanced sympathetic neural activity [2,3]. It is assumed that such sympathetic activation induces tachycardia [4]; however, several early studies desc ...
心脏mri检查中自由呼吸单次激发ss fiesta序列应用
心脏mri检查中自由呼吸单次激发ss fiesta序列应用

... sequence, MDE has become the diagnostic criterion for myocardial infarction, and can be used for the rapid detection of myocardial lesions. MDE can not only be used to diagnose myocardial infarction, but also be used to observe many other heart diseases, such as myocarditis, infection, cardiomyopath ...
R21 - American College of Radiology
R21 - American College of Radiology

... proximal to the abnormal vessel section and is another measurement 1 cm distal to the stenosis or dilatation on the longitudinal straightened curved planar images. The average diameter of these 2 measurements is used as the reference normal diameter of the vessel. The diameter of the abnormal segmen ...
Fetal Arrhythmias: A Clinical Review
Fetal Arrhythmias: A Clinical Review

... venous system in the dorsal left atrial wall with the primitive conduction system. Studies on CCS lacZ mouse showed the development of the interatrial Bachmann’s bundle and the continuation of the right ventricular moderator band with the right atrioventricular ring bundle. It was postulated a role ...
Immediate Outcomes and Long-Term Follow-Up
Immediate Outcomes and Long-Term Follow-Up

... rate in 879 patients, (18) while Iung et al. report a primary success rate of 89%, with an incidence of 3.4% severe MR. (19) In our series, the rate of MR after PMV is lower than that of other authors. (15-19) In 27 patients (20.4%) there was manifestation or increase of MR, although in most cases t ...
AHA/ACC Guideline
AHA/ACC Guideline

... Assess fasting lipid profile in all patients, and within 24 hours of hospitalization for those with an acute cardiovascular or coronary event. For hospitalized patients, initiate lipid-lowering medication as recommended below before discharge according to the following schedule: • LDL-C should be ⬍1 ...
Management of Patients Undergoing Coronary Artery
Management of Patients Undergoing Coronary Artery

... high likelihood of good long-term outcome (e.g., a low SYNTAX score [<22], ostial or trunk left main CAD); and 2) clinical characteristics that predict a significantly increased risk of adverse surgical outcomes (e.g., STS-predicted risk of operative mortality >5%). (Level of Evidence: B) 2. PCI to ...
Right ventricular reserve in a piglet model of chronic pulmonary hypertension
Right ventricular reserve in a piglet model of chronic pulmonary hypertension

... des techniques de dépistage et de traitement des maladies cardio-vasculaires” (ADETEC, Suresnes, France). The Vivid E9 cardiac ultrasound system (General Electric Medical System) was financed by a grant from the ...
3. Beckman JA, Libby P, Creager MA. Diabetes mellitus, the
3. Beckman JA, Libby P, Creager MA. Diabetes mellitus, the

... relation to chronic effects of disease and cardiovascular problems. But following self-care programs automatically don’t cause better controlling of blood sugar. That it means remote care.(7) There are many case reports of patient admitted with diabetic ketoacidosis (DKA) and acute myocardial infarc ...
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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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