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Valvular Heart Disease - Nursing PowerPoint Presentations
Valvular Heart Disease - Nursing PowerPoint Presentations

... Mitral stenosis Balloon mitral valvuloplasty • The technique involves passing a balloon flotation catheter across the interatrial septum after trans-septal puncture and dilating the balloon within the mitral valve orifice. • Results of the procedure are highly dependent on the experience of the ope ...
The Effects and Safety of Exercise Training in Subjects With Chronic
The Effects and Safety of Exercise Training in Subjects With Chronic

... However, conflicting results were found in two meta-analyses. Smart and Marwick33 performed a systematic review of studies on exercise training and analyzed 871 CHF subjects from 17 randomized controlled trials. They found no significant difference in total mortality between the treatment and comparis ...
Association of Arginine Vasopressin Levels With Outcomes and the
Association of Arginine Vasopressin Levels With Outcomes and the

... Conclusions—Elevated baseline AVP level was independently predictive of mortality, but did not identify a group of patients who had improved outcomes with tolvaptan treatment. Tolvaptan treatment increased AVP levels during follow-up, but this incremental increase was not associated with worsened ou ...
Early Diastolic Strain Rate in Relation to Systolic and Diastolic
Early Diastolic Strain Rate in Relation to Systolic and Diastolic

... OBJECTIVES This study examined the impact of early mitral inflow velocity-to-early diastolic strain rate (E/SRe) ratio on long-term outcome after aortic valve replacement (AVR) in aortic stenosis (AS). BACKGROUND In AS, increased filling pressures are associated with a poor prognosis and can be estima ...
Cardiac autonomic modulation in judo athletes: evaluation by linear
Cardiac autonomic modulation in judo athletes: evaluation by linear

Tetralogy of Fallot | SpringerLink
Tetralogy of Fallot | SpringerLink

... is increasingly towards neonatal complete repair. Centres that undertake neonatal palliation will perform the complete repair at the age of 4 to 6 months. Follow-up in patients born 30 years ago shows a rate of survival greater than 85%. Chronic issues that now face such adults include pulmonary reg ...
The visualization and measurement of left ventricular deformation
The visualization and measurement of left ventricular deformation

... Received 19 December 2002; received in revised form 13 March 2003; accepted 13 April 2003 ...
Relationship QRS Amplitude Changes During Exercise to
Relationship QRS Amplitude Changes During Exercise to

... alterations in ventricular volume and function can improve the diagnostic value of the exercise test. To evaluate this, electrocardiographic data and equilibrium radionuclide angiographic images were recorded simultaneously in 18 normal subjects and 60 coronary artery disease patients at rest and du ...
Systolic Blood Pressure, Heart Rate and Treadmill
Systolic Blood Pressure, Heart Rate and Treadmill

... angina pectoris patients before their physician interrupts an exercise test or before they terminate their own exercise is lower in angina pectoris patients than in normal subjects58 and their work capacity is lower than that of normal subjects. When the method of stress is held constant by means of ...
Chest Roentgenogram in the Evaluation of Heart Defects in
Chest Roentgenogram in the Evaluation of Heart Defects in

... know the result of the clinical examination when making the CDE. Six specialists in pediatric radiology, with experience in pediatric cardiologic radiology, evaluated all the chest radiographs independently. The radiologists were informed that the children had a heart murmur, but did not have access ...
Julia AMoffitt CV short - St. Ambrose University
Julia AMoffitt CV short - St. Ambrose University

... Kadow ZA, Jepson AJ, Firkins RM, Davenport AN, Henry, MK, and Moffitt JA. Moderate intensity exercise training reduces the incidence of supraventricular arrhythmias and increases atrial Connexin40 expression in young and aged rats. DMU Research Symposium, December 2012. Note: Zach Kadow was awarded ...
Name of presentation
Name of presentation

... Normal cats change with age • Long axis of the heart is more horizontal in old cats (40%) • Aortic bulge (30%) – Not due to hypertension or hyperthyroidism – At the aortic isthmus – Measurements in young & old cats are the same ...
2012 ACCF/AHA/HRS Focused Update of the 2008 Guidelines for
2012 ACCF/AHA/HRS Focused Update of the 2008 Guidelines for

... “Methodology and Evidence Review”). Through a broadbased vetting process, the studies included are identified as being important to the relevant patient population. The focused update is not intended to be based on a complete literature review from the date of the previous guideline publication but ...
reviews
reviews

... Box 1 | Mutations in the cardiac RyR2 linked to exercise-induced sudden cardiac death Sudden cardiac death is associated with common cardiac diseases and conditions, most notably heart failure (roughly 50% of heart failure patients die from fatal ventricular arrhythmias). However, fatal arrhythmias ...
Aortic Regurgitation, chronic
Aortic Regurgitation, chronic

... Pistol shots = sharp, high frequency systolic sounds, analogous to Korotkoff sounds, heard over the peripheral arteries ...
Electromechanical Large Scale Computational Models of the Ventricular Myocardium
Electromechanical Large Scale Computational Models of the Ventricular Myocardium

... protein interaction models. Cellular models describe ionic currents and dynamics of the microscopic structures with a high degree of detail. They have been used to describe cellular properties as well as the influence of pharmaceuticals, neurotransmitters and mechanics. Despite all their advantages, ...
Congenital Cardiology Today
Congenital Cardiology Today

... procedure as follows: Within the first six weeks from the previous PAB, one should select a balloon catheter whose diameter is 150% of the RVD, because the major cause of RPS is probably shrink of the vessel wall. On the other hand, beyond the early period from previous PAB, one should select a ball ...
strategic review of cardiac physiology services in england: final report
strategic review of cardiac physiology services in england: final report

... consistently and uniformly applied without variation by time, day or place of service provision. The Review recommends that NHS England establishes a partnership working group jointly chaired by the British Cardiovascular Society (BCS) and the Society for Cardiological Science and Technology (SCST) ...
Print - Circulation Research
Print - Circulation Research

... waveshape is relatively unaffected by ACh thereby elicit a more normal action potential amplitude in the upper AV nodal cells.29 An increase in heart rate exaggerates the depressant effect of ACh on conduction in the atrionodal marginal cells. There is little direct effect on the action potentials o ...
The Influence of Left Ventricular Ejection Fraction on the
The Influence of Left Ventricular Ejection Fraction on the

... clinical covariates (treatment, ischemic etiology of cardiomyopathy, NYHA class III or IV greater than 3 months before enrollment, baseline heart rate, and age at enrollment) revealed similar findings. Patients with LVEF ⱕ25% had 55% higher risk of HF or death compared with patients with LVEF 26% to ...
The Plateau of the Action Potential of the Frog Ventricle
The Plateau of the Action Potential of the Frog Ventricle

... rhythm of heart action. The prolonged plateau of ventricular cell action potentials is unique in excitable tissues; action potentials of striated skeletal muscle and of nerve under normal circumstances do not show such a phenomenon. The nature of the process that delays repolarization in the related ...
Catheter Ablation in the Treatment of Atrial Fibrillation
Catheter Ablation in the Treatment of Atrial Fibrillation

... • To date there is no evidence that treatment of AF by ablation improves mortality, although there are uncontrolled data suggesting that this may be the case. • Therefore, asymptomatic patients should not be offered curative ablation of AF, except in the case of those patients undergoing cardiac sur ...
The impact of pressure overload on coronary vascular - AJP
The impact of pressure overload on coronary vascular - AJP

... damage, and vasoconstriction (33). Many patients with ischemic heart disease have also a history of hypertension, increasing the risk of MI (13, 30). However, reduced diastolic blood pressure has also been associated with an increased incidence of MI. This might be due to reduced myocardial perfusio ...
The Influence of Left Ventricular Ejection Fraction on the
The Influence of Left Ventricular Ejection Fraction on the

... clinical covariates (treatment, ischemic etiology of cardiomyopathy, NYHA class III or IV greater than 3 months before enrollment, baseline heart rate, and age at enrollment) revealed similar findings. Patients with LVEF ⱕ25% had 55% higher risk of HF or death compared with patients with LVEF 26% to ...
The physiology of cardiac auscultation
The physiology of cardiac auscultation

... size of the orifice or vessel through which the blood flows, (2) the pressure difference or gradient across the narrowing, and (3) the blood flow or volume across the site. As sound radiates away from its source, sound intensity diminishes with the square of the distance. Consequently, heart sounds ...
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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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