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Cardiac resynchronization therapy: could a numerical simulator be a
Cardiac resynchronization therapy: could a numerical simulator be a

... considered as an established therapy for patients with moderate or severe heart failure (HF), depressed systolic function and a wide QRS complex. Biventricular stimulation through the CRT is applied at patients with an intra and/or inter-ventricular conduction delay. The goal of this technique is to ...
Pathophysiological role and clinical relevance of cytokines
Pathophysiological role and clinical relevance of cytokines

... and clinically relevant. Furthermore, recent large randomized clinical trials of tumor necrosis factor antagonists in heart failure patients in the younger population showed disappointing results. Therefore, the significance of cytokine activation in heart failure remains controversial. Is cytokine ...
Regional differences in the Diameter of coronary Sinus among Black
Regional differences in the Diameter of coronary Sinus among Black

... The mean diameter of the proximal CS was 8.67 ± 0.52 mm (range 7.32-10.19 mm); 8.52 ± 0.51 mm (range 7.64-10.19 mm) in males and 8.48 ± 0.49 mm (range 6-15 mm) in females (p=0.006). The diameter at the middle segment of the CS was 6.93 ± 0.77 mm (range 4.66-8.92mm); 6.98 ± 0.82 mm (range 4.46-8.92 m ...
Wearable Cardioverter Defibrillators - bcbsks.com
Wearable Cardioverter Defibrillators - bcbsks.com

Forearm Blood Flow In Individuals With CHF And Age
Forearm Blood Flow In Individuals With CHF And Age

... limited due to impaired skeletal muscle perfusion. However, there is some indirect evidence that impaired peripheral blood flow at rest is not directly related to reduced cardiac output or other central hemodynamic factors, including: (a) forearm resistance is increased following cardiac transplanta ...
Medicare and Atrial Fibrillation
Medicare and Atrial Fibrillation

... newly diagnosed AFib patients.9 These costs are largely driven by the greater utilization of healthcare services associated with AFib complications, including stroke, HF, acute myocardial infarction, and tachycardia. Importantly, these costs are considered by some to be an underestimate since they e ...
Hemodynamic Determinants of Prognosis of Aortic
Hemodynamic Determinants of Prognosis of Aortic

... cm2/m2) who had no evidence of other hemodynamically significant valvular disease at catheterization were identified. Of this group, 28 patients (33%) had an angiographically determined left ventricular ejection fraction less than 0.45 and a clinical presentation of severe congestive heart failure ( ...
Confused in the ICU
Confused in the ICU

... Results. Eighty-seven of 541 patients (16%) became delirious. Among all subjects, risk factors for delirium were cognitive impairment (relative risk, or RR, 3.6; 95% confidence interval, or CI, 1.8–7.2), abnormal blood pressure (RR 2.3, 95% CI 1.2–4.7), and heart failure (RR 2.9, 95% CI 1.6–5.3). Pa ...
Contents - British Cardiovascular Society
Contents - British Cardiovascular Society

... Spaces are limited and will be allocated on a first come, first served basis. The Harvey mannequin patient simulator will also feature in the session ‘How to examine the heart’ held in the exhibition hall on Tuesday 3 June at 13.00. ...
Rate Control vs Rhythm Control in Patients With
Rate Control vs Rhythm Control in Patients With

... length of hospital stay, 12.3 ⫾ 4.2 days). There were 211 hospitalizations in the group in which sinus rhythm restoration was attempted (mean length of hospital stay, 2.5 ⫾ 1.1 days). Excluding 104 hospitalizations required by protocol for cardioversion, there were 1.03 hospitalizations per person i ...
Recent Advances in Pacing and Defibrillation Harish Doppalapudi
Recent Advances in Pacing and Defibrillation Harish Doppalapudi

... Cardiac Defibrillators: Cardiac arrest is sudden cessation of cardiac activity with collapse, that will lead to death (Sudden Cardiac Death) without prompt intervention. Cardiac arrest is most commonly due to rapid rates in the lower chambers of the heart (ventricular fibrillation); the most effect ...
Polymorphous Ventricular Tachycardia
Polymorphous Ventricular Tachycardia

... total). An anterior MI was defined when the electrocardiogram demonstrated ST segment elevation of 1 mm or more occurring in leads I and aVL or in at least two adjacent precordial leads. An inferior MI was defined when a similar degree of ST segment elevation occurred in at least two of the inferior ...
Provoked Coronary Spasm Predicts Adverse Outcome in
Provoked Coronary Spasm Predicts Adverse Outcome in

... significantly higher in the positive group than in the negative group. In the analyses of advance of coronary lesions, TVR and de novo lesions were more frequent in the spasm-positive arteries than in the spasm-negative arteries. Also, ACS was more frequent in the spasm-positive arteries than in the ...
Full text - Nasjonalt kunnskapssenter for helsetjenesten
Full text - Nasjonalt kunnskapssenter for helsetjenesten

... The use of the CardioMEMS™ HF System is safe and probably reduces the heartfailure-related hospitalisation rate compared to standard treatment in heart failure patients with NYHA functional class III. The evidence on efficacy and safety had relative short follow-up periods, 18 and 31 months respecti ...
paediatric age dilated cardiomyopathy (dcm): report on a few cases
paediatric age dilated cardiomyopathy (dcm): report on a few cases

... caused by a high and/or irregular ventricular rate. This high and/or irregular ventricular rate may result from any type of cardiac arrhythmia.” (Brugada P., Andries E.) Tachycardiomyopathy and reduced contractility are two intertwining aspects that make diagnosis of the primary cause particularly d ...
Severe coronary artery ectasia and abdominal aortic aneurysm
Severe coronary artery ectasia and abdominal aortic aneurysm

... the future. To date, surgical or endovascular repair is the standard therapy for end-stage AAA, smoking cessation and control of hypertension may help to slow AAA growth. CAE seems not to be a benign condition, anecdotal evidence suggests that CAE may predispose to coronary thrombus formation, spasm ...
RAS revascularization review DR SHERIF
RAS revascularization review DR SHERIF

... • In unilateral RAS, no statistically significant differences in outcome were observed between the two groups • No significant differences in serum creatinine • Major outcome events (death, MI, heart failure, stroke, dialysis) were similar during follow-up • In the 40/135 patients undergoing angiopl ...
Rate versus rhythm control in atrial fibrillation and
Rate versus rhythm control in atrial fibrillation and

... failure, diabetes, arterial hypertension, left ventricular hypertrophy, valvular heart disease, myocardial infarction and advanced age. The lifetime risk of developing AF in subjects aged greater than 40 years is around 25% [1,2]. AF is associated with increased cardiovascular morbidity and mortalit ...
Recognizing and Managing Asymptomatic Left Ventricular Dysfunction: After Myocardial Infarction
Recognizing and Managing Asymptomatic Left Ventricular Dysfunction: After Myocardial Infarction

... a randomized controlled trial in which placebo and trandolapril were compared in patients with myocardial infarction, provides the best database for examining the occurrence of asymptomatic LVSD after myocardial infarction. Of 6676 patients in whom wall motion index (the degree of motion of the left ...
Haemodynamic Effects of Continuous Positive Airway Pressure in
Haemodynamic Effects of Continuous Positive Airway Pressure in

... and five control subjects with normal cardiac function. Among the eight patients with heart failure and elevated pulmonary capillary wedge pressure ( 212mmHg) ( 21.6 kPa), cardiac index increased from 2.47 f0.34 at baseline to 2.91 f0.32 to 3.12 & 0.401min-'m-* (P<0.025) while on 5 and lOcm H 2 0 of ...
Relations between heart failure, ejection fraction, arrhythmia
Relations between heart failure, ejection fraction, arrhythmia

... achieve the arrhythmia suppression criteria required by CAST than were those without heart failure (58% vs. 75%; p < 0.001). The results were similar for heart failure definitions 2 and 3. Left ventricular ejection fraction obtained at baseline also was significantly related to suppressibility; 75% ...
Tachycardia (Fast Heart Rhythm)
Tachycardia (Fast Heart Rhythm)

... Ventricular tachycardia (VT) occurs when the electrical impulses arise in the ventricles, the bottom chambers of the heart. The ventricles start beating at an abnormally fast, regular rate. Because the ventricles are beating rapidly the heart does not work as efficiently. This can cause symptoms of ...
The influence of residual coronary stenosis on size of
The influence of residual coronary stenosis on size of

... (groups II and III). This variability could not be attributed to different myocardial oxygen demands, however, because within individual groups there was no association between the mean rate-pressure product and the relative infarct size. The most extensive necrosis was observed in the endocardial h ...
Multiple Coronary Artery-Left Ventricular Fistulas Associated With
Multiple Coronary Artery-Left Ventricular Fistulas Associated With

... LIMA graft at its anastomosis to the left anterior descending artery. Flow in the LIMA graft was delayed and pulsatile, with no effective filling of the left anterior descending artery. There was also a 90% stenosis in the native left anterior descending coronary artery directly underlying the LIMA ...
Influenza and Coronary Artery Disease: Exploring a
Influenza and Coronary Artery Disease: Exploring a

... case series, Smeeth and colleagues26 examined over 20,000 patients who had MI. The incidence ratio of having an MI within the first 3 days after infection was 4.95 (95% confidence interval [CI], 4.43-5.53).26 Similar results were shown for patients who had stroke. It is also noteworthy that patients ...
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