Sustained ventricularArrhythmiasArrhythmiaFibrillationSudden cardiDysfunctionAtrialResynchronizationSystolicEchocardiographyArrestOutcomesArrhythmogenic right ventricuRisk of ventricularMETHODSCardiomyopathyRight ventricleSymptomsAbstractMortalityMagneticEjection fractionLVADHypertrophyEchocardiographicCongestive heart fMyocardial infarctionRecurrentOutflow tractTherapyCardiovascularIdiopathicLVEFIschemiaRehabilitationDyssynchronyAorticTransplantationCongenitalAssessmentAblationPulmonaryEctopicDiastolicUndergoing cardiac surgeryRefractoryHeart diseaseCONCLUSIONSAbnormalSeptalFunctionStructuralSurgeryImplantationDefibrillation
Sustained ventricular5
- CONCLUSION: One-fifth of all ARVC/D patients present after age 50 years, often with sustained ventricular tachycardia, and are less likely to have prior syncope, ECG changes, ventricular ectopy, or identifiable pathogenic mutation. (uu.nl)
- We concluded for a diagnosis of ATTR wild-type CA. The Holter ECG monitoring registered numerous ventricular ectopic beats and an episode of non-sustained ventricular tachycardia. (anmco.it)
- 53% females) with frequent premature ventricular contractions (PVCs ≥ 500/24 h) and/or non-sustained ventricular tachycardia (NSVT), an otherwise normal electrocardiogram, normal echocardiography and no coronary artery disease. (ox.ac.uk)
- 1 The study's primary endpoint was sustained ventricular tachycardia (VT) ≥200 beats per minute or ventricular fibrillation (VF), whichever occurred first. (medpagetoday.com)
- 2. Recurrent sustained ventricular tachycardia requiring therapy due to symptoms, ICD shocks, or requiring hospitalization. (who.int)
Arrhythmias20
- Over median 6-year follow-up, 68 patients with late presentation (65%) experienced sustained ventricular arrhythmias, with similar arrhythmia-free survival at 5-year follow up (P = .48). (uu.nl)
- 2017 AHA/ACC/HRS Guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines and the Heart Rhythm Society [published correction appears in J Am Coll Cardiol. (medlineplus.gov)
- when it does occur, ventricular fibrillation is usually a degeneration of other malignant arrhythmias, such as ventricular tachycardia (VT). (medscape.com)
- In a population of patients with known ventricular arrhythmias, individuals who had ventricular fibrillation were more likely to have underlying significant heart disease (eg, cardiac tumors, long QT syndrome, structural congenital heart disease) than patients with ventricular tachycardia. (medscape.com)
- However, technologic advances in both implantable and external automated defibrillators have made these devices an important part in the management of malignant ventricular arrhythmias. (medscape.com)
- Ventricular Arrhythmias and Sudden Cardiac Death. (varian.com)
- Patients with heart failure are about 6 to 9 times more likely than the general population to have ventricular arrhythmias that can lead to SCA. (clevelandclinic.org)
- Atrial fibrillation is the most frequent arrhythmia in cardiac amiloidosis (CA), but many cases of ventricular arrhythmias (VA) and sudden cardiac death (SCD) have been described. (anmco.it)
- For 2 patients, QT-interval prolongation but no arrhythmias occurred. (cdc.gov)
- In patients with out-of-hospital cardiac arrest due to refractory ventricular arrhythmias, treatment with amiodarone resulted in a higher rate of survival to hospital admission. (nih.gov)
- Succinylcholine chloride injection may induce serious cardiac arrhythmias or cardiac arrest due to hyperkalemia. (nih.gov)
- Cardiac Magnetic Resonance to Detect the Underlying Substrate in Patients with Frequent Idiopathic Ventricular Arrhythmias. (ox.ac.uk)
- BACKGROUND: A routine diagnostic work-up does not identify structural abnormalities in a substantial proportion of patients with idiopathic ventricular arrhythmias (VAs). (ox.ac.uk)
- This case shows that potentially lethal arrhythmias can arise during reperfusion and that ventricular fibrillation during reperfusion may be self-terminating. (bmj.com)
- This may lead to a dynamic compression of the left vessel wall during increased heart activity - myocardial ischemia may occur and trigger ventricular arrhythmias. (uni-saarland.de)
- Exercise-dependent cardiac arrhythmias can lead to sudden death. (uni-saarland.de)
- This affects the electrical functioning of the heart and may lead to malignant arrhythmias, syncope and cardiac arrest. (uni-saarland.de)
- Ventricular Arrhythmias: Which Patients Benefit Most From an ICD? (medpagetoday.com)
- Should the etiology of cardiomyopathy, whether it's ischemic or non-ischemic, influence clinical decision-making about the use of an implantable cardioverter-defibrillator (ICD) for primary prevention of life-threatening ventricular arrhythmias? (medpagetoday.com)
- While previous data supporting primary ICD therapy for prevention of sudden cardiac death is generally considered more robust among patients with ischemic cardiomyopathy [ICM], our findings indicate that patients with non-ischemic cardiomyopathy [NICM] who receive a primary prevention ICD in fact have similar frequencies of both potentially lethal ventricular arrhythmias and appropriate ICD therapy as those with ischemic disease. (medpagetoday.com)
Arrhythmia8
- Ventricular fibrillation (VF) is a severely abnormal heart rhythm ( arrhythmia ) that is life threatening. (medlineplus.gov)
- The period of arrhythmia may not be extensive, but ventricular fibrillation that occurs without a few initial beats of ventricular tachycardia is unusual. (medscape.com)
- Various factors can lead to the lowering of the ventricular fibrillation threshold and, thus, increase the likelihood of an arrhythmia proceeding to ventricular fibrillation. (medscape.com)
- Reperfusion was thought to be responsible for the ventricular fibrillation because the arrhythmia started while the ST segment was returning to the baseline during an episode of silent ischaemia that was probably caused by coronary spasm. (bmj.com)
- Congenital ion channel diseases (long QT or short QT syndromes, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia) are a group of rare cardiac arrhythmia syndromes caused by genetic changes in certain ion channels in the heart muscle. (uni-saarland.de)
- Patients who experienced arrhythmia during HD had higher left ventricular mass and left ventricular mass index, lower post-dialysis K+ level, higher QTc and QTdc both before and after HD. (who.int)
- ST-segment depression was significantly related to ventricular arrhythmia. (who.int)
- If the patient requires continuous sedation/anesthesia for arrhythmia control consent can be provided by the next of kin. (who.int)
Fibrillation23
- In adults, ventricular fibrillation is preceded by ventricular tachycardia in approximately 80% of cases. (medscape.com)
- Primary ventricular fibrillation is uncommon in children. (medscape.com)
- In a study of pediatric out-of-hospital arrests, ventricular fibrillation was the initial recorded rhythm in 19% of cardiac arrests. (medscape.com)
- Thus, ventricular fibrillation as a terminal rhythm in cardiac arrest may result from various causes. (medscape.com)
- The outcome in patients with ventricular fibrillation is better than in patients with asystole or pulseless electrical activity (PEA), and outcome may be further improved by prompt recognition and treatment of ventricular fibrillation. (medscape.com)
- After initial resuscitation, therapy in patients with ventricular fibrillation is primarily focused on preventing the antecedent ventricular tachycardias. (medscape.com)
- The electrical activity in ventricular fibrillation is characterized by chaotic depolarization of cells throughout the ventricular myocardium. (medscape.com)
- Surface ECG demonstrates no identifiable QRS complexes, although a wide range of amplitude of electrical activity is present, from sine-wave ventricular flutter to fine ventricular fibrillation, which may be difficult to distinguish from asystole (see image below). (medscape.com)
- Ventricular fibrillation may be initiated when an area of myocardium has refractory and conducting portions, and, as in any reentrant circuit, this combination promotes a self-sustaining rhythm. (medscape.com)
- Ventricular fibrillation with polymorphic morphology and cycle lengths varying from 80-280 milliseconds. (medscape.com)
- These variables may influence myocardial susceptibility to an R-on-T phenomenon, causing depolarization of partially repolarized tissue, potentially initiating ventricular fibrillation. (medscape.com)
- Because ventricular fibrillation is usually a degeneration of ventricular tachycardias, the role ventricular tachycardias play in the evolution of the rhythm disturbance must be considered. (medscape.com)
- 300 beats per minute [bpm]) presents a potential risk for degeneration to ventricular fibrillation in patients with Wolff-Parkinson-White (WPW) syndrome . (medscape.com)
- The lower chambers of the heart (ventricles) can flutter or quiver (ventricular fibrillation) or the heart can beat very quickly (ventricular tachycardia). (clevelandclinic.org)
- If they get out of synch because of ventricular tachycardia or fibrillation, the CRT-D sends a shock to restore a normal rhythm. (clevelandclinic.org)
- Patients who had cardiac arrest with ventricular fibrillation (or pulseless ventricular tachycardia) and who had not been resuscitated after receiving three or more precordial shocks were randomly assigned to receive 300 mg of intravenous amiodarone (246 patients) or placebo (258 patients). (nih.gov)
- A patient in whom self-terminating ventricular fibrillation was a manifestation of myocardial reperfusion. (bmj.com)
- Self-terminating ventricular fibrillation was recorded in a 47 year old woman without coronary artery or other structural heart disease. (bmj.com)
- Ventricular fibrillation causes uncoordinated quivering of the ventricle with no useful contractions. (msdmanuals.com)
- Ventricular fibrillation (VF) is due to multiple wavelet reentrant electrical activity and is manifested on electrocardiogram (ECG) by ultrarapid baseline undulations that are irregular in timing and morphology. (msdmanuals.com)
- Brugada Syndrome Brugada syndrome is an inherited channelopathy causing an increased risk of ventricular tachycardia (VT) and ventricular fibrillation (VF) leading to syncope and sudden death. (msdmanuals.com)
- Ventricular fibrillation is much less common among infants and children, in whom asystole is the more common presentation of cardiac arrest. (msdmanuals.com)
- If comprehensive electrocardiographic, imaging, and provocative testing do not identify any such causative disorder, the patient is considered to have idiopathic ventricular fibrillation. (msdmanuals.com)
Sudden cardi5
- Sudden cardiac death results. (medlineplus.gov)
- Present indications for primary ICD placement, which are based on the presence of LVEF [left ventricular ejection fraction] ≤35% and heart failure symptomatology, appear to lack sensitivity and specificity for predicting sudden cardiac death risk," says Dr. Narins. (medpagetoday.com)
- Fire fighter suffers sudden cardiac death after responding to a water rescue call - Pennsylvania. (cdc.gov)
- The NIOSH investigator concluded that the FF's underlying mitral valve prolapse and/or left ventricular hypertrophy were responsible for his sudden cardiac death, possibly triggered by the physical stress of responding to the rescue call. (cdc.gov)
- It is doubtful any of these recommendations would have prevented this FF's sudden cardiac death. (cdc.gov)
Dysfunction8
- The prevailing theories as to the difference in the trials is the amount of left ventricular dysfunction in enrolled patients. (cardiacdimensions.com)
- Left ventricular dysfunction and heart failure were seen in 24 (32%) and 15 patients (14%), respectively, without need for cardiac transplantation. (uu.nl)
- BACKGROUND: There are limited data on ethnic differences in the risk for VTA in mildly symptomatic heart failure patients with left ventricular dysfunction. (duke.edu)
- Elevated red cell distribution width (RDW) has been associated with poor long-term outcomes in patients with systolic dysfunction. (elsevierpure.com)
- This study aimed to investigate whether AR aggravates LV deformation dysfunction and to identify independent factors affecting the global peak strain (PS) of LV remodeling in patients with type 2 diabetes mellitus (T2DM) who presented with AR and those without T2DM. (biomedcentral.com)
- Therefore, it is important to investigate cardiac dysfunction in patients with T2DM who present with AR before the occurrence of adverse events to reduce cardiovascular risk and improve outcomes. (biomedcentral.com)
- Ivabradine is indicated in chronic heart failure NYHA II to IV class with systolic dysfunction, in patients in sinus rhythm and whose heart rate is ≥ 75 bpm, in combination with standard therapy including beta-blocker therapy or when beta-blocker therapy is contraindicated or not tolerated. (medicines.org.uk)
- Hypertrophic Cardiomyopathy Hypertrophic cardiomyopathy is a congenital or acquired disorder characterized by marked ventricular hypertrophy with diastolic dysfunction (eg, due to valvular aortic stenosis, coarctation. (msdmanuals.com)
Atrial3
- If the patient presents to with a history of atrial fib, whether persistent or intermittent, you are certain that they are at an increased risk for cardiac disease, presently, or in future. (checkbiotech.org)
- Besides for the detailed evaluation of atrial and ventricular volumes and function, MRI can be used in combination with body surface potential mapping (BSPM) in a non-invasive inverse potential mapping (IPM) strategy. (eur.nl)
- College of Wisconsin, current era from 28 patients with septal defects who factor HEY2 in formalin fixed tissue taken from a Milwaukee, Wisconsin, USA underwent cardiac surgery and who were enrolled in our collection of hearts with atrial septal defects congenital heart disease tissue bank. (cdc.gov)
Resynchronization6
- OBJECTIVES: The study sought to analyze the risk of ventricular tachyarrhythmia (VTA) or death in black and white subjects implanted with implantable cardioverter-defibrillators (ICDs) or defibrillator and combined cardiac resynchronization therapy (CRT-D) in the MADIT-CRT (Multicenter Automatic Defibrillator Implantation with Cardiac Resynchronization Therapy) trial. (duke.edu)
- Cardiac resynchronization therapy (CRT) helps the ventricles contract normally. (clevelandclinic.org)
- Cardiac resynchronization therapy helps improve survival, quality of life, heart function and your ability to exercise, and can lower your risk of hospitalization. (clevelandclinic.org)
- The relationship between baseline RDW and reverse ventricular remodeling in advanced heart failure patients undergoing cardiac resynchronization therapy (CRT) has not been established. (elsevierpure.com)
- 2 In the past decade, cardiac resynchronization therapy (CRT), achieved by simultaneous LV and right ventricular (RV) pacing, has emerged as a potent therapeutic option that improves the quality of life and functional status of patients with congestive heart failure, as well as prolongs survival. (amrita.edu)
- Appropriately selected patients with NICM have the potential to benefit from primary prevention ICD therapy…Besides consideration of ICD placement, attention to guideline-directed medical therapy and consideration of cardiac resynchronization therapy among individuals with NICM also remain paramount. (medpagetoday.com)
Systolic8
- Independent risk factors for VTA among blacks included increased systolic blood pressure values and larger cardiac volumes. (duke.edu)
- Patients with a reduction in left ventricular end-systolic volume ≥15% following CRT were considered "responders. (elsevierpure.com)
- The T2DM patients with AR had a lower LV global PS, peak systolic strain rate (PSSR), and peak diastolic strain rate (PDSR) in three directions than those without AR and non-T2DM controls. (biomedcentral.com)
- Background and Objectives: We investigated echocardiographic predictors: left ventricular (LV) geometric changes following aortic valve replacement (AVR) according to the late gadolinium enhancement (LGE) on cardiac magnetic resonance imaging (CMR) in patients with severe aortic stenosis (AS) and preserved LV systolic function. (elsevierpure.com)
- TDI E' is an independent determinant of LGE in patients with severe AS and preserved LV systolic function. (elsevierpure.com)
- Subjects and Methods: We analyzed 41 patients (24 males, 63.1±8.7 years) with preserved LV systolic function who were scheduled to undergo AVR for severe AS. (elsevierpure.com)
- The mean values of right ventricular fractional area change (RVFAC), tricuspid annular plane systolic excursion (TAPSE), right ventricular ejection fraction (RVEF), right myocardial performance index (RMPI), and tricuspid annular plane systolic speed (S') were compared between patients after COVID-19 rehabilitation and healthy subjects. (hindawi.com)
- It acts directly on cardiac muscle, increasing myocardial systolic contractions. (medscape.com)
Echocardiography11
- Background :The aim of this study was to validate whether pulmonary capillary wedge pressure estimated using transoesophageal echocardiography in anaesthetised patients receiving mechanical ventilation can be comparable to gold standard method of estimating PCWP by using pulmonary artery catheter. (amrita.edu)
- We investigated the effect of OLV on RV afterload during inspiration and expiration in patients after cardiac surgery using Doppler echocardiography. (biomedcentral.com)
- We investigated the role of technetium-99m (99mTc) sestamibi cardiac imaging and dobutamine echocardiography in detecting myocardial viability early after acute myocardial infarction. (cnr.it)
- Nineteen patients (mean age 52 ± 10 years) underwent coronary angiography, low-dose dobutamine echocardiography and rest 99mTc sestamibi imaging within 10 days of myocardial infarction. (cnr.it)
- Methods: Since June 1994, 23 patients with end-stage idiopathic dilated cardiomyopathy who were supported by a left ventricular assist device or biventricular assist device for 1 to 26 months (mean, 6 months) underwent removal of the device after complete or extensive cardiac recovery, as revealed by echocardiography. (mdc-berlin.de)
- All patients were examined with transthoracic echocardiography (TTE), CMR before and after AVR (in the hospital) and serial TTEs (at 6 and 12 months) were repeated. (elsevierpure.com)
- This research was aimed at exploring the changes in right ventricular function in patients after the recovery of coronavirus disease 2019 (COVID-19) under echocardiography and providing a reference for the rehabilitation and treatment of COVID-19 patients. (hindawi.com)
- Echocardiography is one of the most commonly used examination methods to assess cardiac structure and function and plays a crucial role in the diagnosis, disease evaluation, and prognosis evaluation of cardiovascular diseases [ 11 , 12 ]. (hindawi.com)
- 14 ] analyzed the potential role of echocardiography in the current critical period and short and long term of COVID-19 and found that echocardiography has an important role in the assessment of cardiac function in COVID-19. (hindawi.com)
- 12 lead ECGs , ambulatory monitoring and cardiac stress testing and echocardiography. (southampton.ac.uk)
- Because of the possibility that the disorder is familial, it is recommended that family members have clinical evaluation for possible cardiac events (eg, syncope, palpitations) and limited testing, including ECG, exercise stress testing, and echocardiography. (msdmanuals.com)
Arrest11
- If the heartbeat is interrupted, even for a few seconds, it can lead to fainting (syncope) or cardiac arrest. (medlineplus.gov)
- Ventricular tachycardia is a fast, abnormal heart rate and may lead to sudden cardiac arrest if not treated successfully. (varian.com)
- An ICD can help reduce your risk of sudden cardiac arrest (SCA). (clevelandclinic.org)
- What is Sudden Cardiac Arrest (SCA)? (clevelandclinic.org)
- Sudden cardiac arrest (SCA) is a sudden death that happens when the heart stops working because of an abnormal heart rhythm. (clevelandclinic.org)
- Whether antiarrhythmic drugs improve the rate of successful resuscitation after out-of-hospital cardiac arrest has not been determined in randomized clinical trials. (nih.gov)
- We conducted a randomized, double-blind, placebo-controlled study of intravenous amiodarone in patients with out-of-hospital cardiac arrest. (nih.gov)
- Acute rhabdomyolysis with hyperkalemia followed by ventricular dysrhythmias, cardiac arrest, and death has occurred after use in apparently healthy pediatric patients who were subsequently found to have undiagnosed skeletal muscle myopathy. (nih.gov)
- If his or her doctor does not bear in mind cardiac arrest and every step of such a patient's care, things will go poorly. (checkbiotech.org)
- Cardiac Arrest Cardiac arrest is the cessation of cardiac mechanical activity resulting in the absence of circulating blood flow. (msdmanuals.com)
- Cardiac arrest stops blood from flowing to vital organs, depriving them of. (msdmanuals.com)
Outcomes4
- OBJECTIVE: The purpose of this study was to characterize the genotype, cardiac phenotype, and long-term outcomes of ARVC/D patients with late presentation (age ≥50 years at diagnosis). (uu.nl)
- If this approach is supported by planned clinical studies it may lead to better outcomes for patients. (varian.com)
- For these reasons, the accurate assessment of RV function and the early diagnosis of its failure might improve outcomes in the most critical patients undergoing cardiac surgery, leading to better prevention and management strategies. (thoracickey.com)
- A dozen researchers at 2 U.S. universities recently examined outcomes among ischemic versus non-ischemic cardiomyopathy patients who received an implantable cardioverter-defibrillator. (medpagetoday.com)
Arrhythmogenic right ventricu1
- BACKGROUND: The clinical profile of arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) patients with late presentation is unknown. (uu.nl)
Risk of ventricular1
METHODS6
- Methods : A cross sectional validity study conducted in a tertiary care cardiac centre in south India over a period of 6 months from February 2016 - August 2016 among 100 patients undergoing cardiac surgery where intraoperative TEE and pulmonary artery catheter used. (amrita.edu)
- METHODS: The risk for first VTA (≥180 beats/min) or death was evaluated in black (n = 139) versus white (n = 1,638) patients enrolled in the MADIT-CRT trial using Kaplan-Meier survival analyses and Cox proportional hazards regression models after adjustment for relevant clinical covariates. (duke.edu)
- Further development of the model and methods will permit personalized assessment of patient BF status. (frontiersin.org)
- Methods This multicentre, observational study enrolled 72 patients with AC, including right, left and biventricular forms of the disease, with underlying desmosomal and non-desmosomal mutations. (bmj.com)
- Methods: Ten patients with an MRI-conditional pacemaker system and a structurally normal heart were studied. (eur.nl)
- Methods: Twenty-three patients with suspected MVA (66 ± 11 years), 19 CAD patients (69 ± 5 years) with stress-induced ischaemia and 24 healthy controls (61 ± 10 years) underwent cardiac magnetic resonance (CMR) including coronary sinus flow measurements and first-pass perfusion at rest and during adenosine stress. (lu.se)
Cardiomyopathy6
- For more information, see Ventricular Tachycardia and Pediatric Hypertrophic Cardiomyopathy . (medscape.com)
- This study was designed to assess the relation between cardiac MIBG uptake and circulating levels of proinflammatory cytokines in patients with idiopathic dilated cardiomyopathy (IDC). (nih.gov)
- Aims of our study were the assessment of the response to exercise in patients with Transthyretin amyloid (ATTR) cardiomyopathy (CA), and the correlation of clinical, biohumoral and echocardiographic parameters with CPET parameters, such as VO 2 peak and VE/VCO 2 slope. (cpxinternational.com)
- Objective: Cardiac recovery in end-stage idiopathic dilated cardiomyopathy recently occurred after temporary support with a left ventricular assist device. (mdc-berlin.de)
- Conclusions: In selected patients with idiopathic dilated cardiomyopathy, lasting recovery can be achieved after unloading with a left ventricular assist device. (mdc-berlin.de)
- Objective To investigate the association of accelerometer-measured lifestyle physical activity with rapid-rate non-sustained ventricular tachycardias (RR-NSVTs) in patients with arrhythmogenic cardiomyopathy (AC). (bmj.com)
Right ventricle2
- Echocardiographic parameters can not only estimate the hemodynamic status of patients but also measure the diameter of the pulmonary artery, the size, and the overall motion status of the right ventricle to assess the right ventricular function of patients [ 13 ]. (hindawi.com)
- The disease is characterised by a replacement of cardiac muscle tissue by connective tissue and fat, particularly in the right ventricle. (uni-saarland.de)
Symptoms14
- About 75% of patients who do not get relief from symptoms with medication and have CRT, with or without an ICD, have improvement in their symptoms. (clevelandclinic.org)
- Patients were included in the final cohort if they had an RDW level within 7days of CRT implantation, a left ventricular ejection fraction (LVEF) ≤40%, and New York Heart Association class II to IV symptoms. (elsevierpure.com)
- The patients in group A had longer histories of heart failure and first cardiac symptoms and duration of assist when compared with group B. Group B demonstrated a quicker cardiac recovery on the assist device, and thus support was shorter. (mdc-berlin.de)
- Some patients may have other symptoms, such as sore throat, runny nose, nausea, vomiting, headache, and diarrhea, and some have decreased or even loss of their ability to smell and taste [ 7 ]. (hindawi.com)
- Patients with COVID-19 not only cause lung lesions and symptoms, but it may also affect other organs, such as the heart, liver, and spleen. (hindawi.com)
- Infected patients present to the emergency department with cardiovascular symptoms, and approximately 10% of COVID-19 patients eventually develop cardiac injury [ 10 ]. (hindawi.com)
- If, during treatment, heart rate decreases below 50 beats per minute (bpm) at rest or the patient experiences symptoms related to bradycardia such as dizziness, fatigue or hypotension, the dose must be titrated downward including the lowest dose of 2.5 mg twice daily. (medicines.org.uk)
- If during treatment, heart rate decreases persistently below 50 beats per minute (bpm) at rest or the patient experiences symptoms related to bradycardia, the dose must be titrated downward to the next lower dose in patients receiving 7.5 mg twice daily or 5 mg twice daily. (medicines.org.uk)
- It is indicated for pulmonary arterial hypertension (WHO Class I) in patients with NYHA Class III or IV symptoms to improve exercise tolerance and symptoms and to delay deterioration. (medscape.com)
- Bosentan is an endothelin receptor antagonist indicated for the treatment of pulmonary arterial hypertension (PAH) in patients with WHO class III or IV symptoms. (medscape.com)
- Monitor patients until symptoms completely resolve. (biospace.com)
- Determine which clinical assessments and tests are needed for a patient with cardiovascular symptoms. (cdc.gov)
- Today I'll present an overview of post-COVID conditions as an introduction of the main presentation on evaluating and supporting patients with cardiovascular symptoms and complications following COVID-19. (cdc.gov)
- Even those patients who were presumed by a clinician to have COVID can present with lingering symptoms. (cdc.gov)
Abstract2
- SEE NAMCS PATIENT DATASET NAMES FOR DSN ABSTRACT General Information This material provides documentation for users of the Micro-Data tapes of the National Ambulatory Medical Care Survey (NAMCS) conducted by the National Center for Health Statistics. (cdc.gov)
- DSN: CC37.NAMCS90.PATIENTS ABSTRACT This material provides documentation for users of the Micro-Data tapes of the National Ambulatory Medical Care Survey (NAMCS) conducted by the National Center for Health Statistics. (cdc.gov)
Mortality6
- the shortage of donors has led to a high mortality rate among these patients. (jcardcritcare.org)
- 1 Left ventricular (LV) dyssynchrony causes decreased ventricular filling and impaired LV contractility and is associated with increased mortality. (amrita.edu)
- He adds, however: "While overall mortality is substantially greater among patients with ICM compared to NICM, the overwhelming majority of deaths in ICM are nonsudden and, consequently, not preventable by ICD therapy. (medpagetoday.com)
- In contrast, however, risk for all-cause mortality, primarily nonsudden cardiac death, was nearly double in the ICM cohort compared to the NICM group at 3.5 years. (medpagetoday.com)
- Patients in pre-action are engaged in less daily activity and have lower exercise tolerance/capacity than those in A/M. Lower exercise tolerance/capacity suggests these patients are more fragile and at greater risk for complications and early mortality. (scirp.org)
- Current cardiac care has already reduced early acute coronary mortality so much so that further exercise training, as an "isolated" intervention, may not be able to cause significant reduction in the morbidity and mortality. (medscape.com)
Magnetic5
- Cardiac magnetic resonance (CMR) confirmed ventricular wall thickening with evidence at T1 mapping of interstitial infiltration more evident in the septum and inferior-lateral wall with apical savings. (anmco.it)
- We investigated the added value of cardiac magnetic resonance (CMR) imaging in this group of patients. (ox.ac.uk)
- In total, 215 patients with T2DM and 83 age- and sex-matched healthy controls who underwent cardiac magnetic resonance examination were included. (biomedcentral.com)
- To test this hypothesis, the first cardiac magnetic resonance study of patients with generalized lipodystrophy was performed, using magnetic resonance imaging and localized proton spectroscopy to detect excessive triglyceride content in the hypertrophied myocytes. (elsevierpure.com)
- Background: With the advent of magnetic resonance imaging (MRI) conditional pacemaker systems, the possibility of performing MRI in pacemaker patients has been introduced. (eur.nl)
Ejection fraction5
- mean age 56.5 +/- 9 years) with angiographically proved IDC, in New York Heart Association functional classes II to III, and who had left ventricular ejection fraction 30.6 +/- 9.5%, and 20 healthy controls were studied with planar MIBG. (nih.gov)
- At the time of implantation, there were no significant differences between the groups with regard to age, hemodynamics, left ventricular ejection fraction, left ventricular internal diameter in diastole, and autoantibody levels. (mdc-berlin.de)
- The increase of ejection fraction and the decrease of left ventricular internal diameter in diastole after 2 months were highly significant. (mdc-berlin.de)
- The ejection fraction of the left ventricle is the percentage of a evacuation of that chamber for cardiac cycle. (checkbiotech.org)
- If a patient has a reduced ejection fraction, you can be fairly certain they are at increased risk for cardiac disease. (checkbiotech.org)
LVAD5
- A left ventricular assist device (LVAD) is a device to provide mechanical circulatory support for patients unresponsive to heart failure therapy. (jcardcritcare.org)
- QC and peak oxygen uptake (VO2) have a pivotal role in the prognostic stratification and in the definition of therapeutic interventions, including medical therapies and devices , but also specific treatments such as heart transplantation and left ventricular assist device (LVAD) implantation. (bvsalud.org)
- This paper aims to review the pathophysiological background of exercise limitations in HF patients and to examine the complex physiology of exercise in LVAD recipients, analysing the interactions between the cardiopulmonary system, the musculoskeletal system , the autonomic nervous system , and the pump. (bvsalud.org)
- We performed a literature review to highlight the current knowledge on this topic and possible interventions that can be implemented to increase exercise capacity in AdHF patients -including administration of levosimendan , rehabilitation , and the intriguing field of LVAD speed changes. (bvsalud.org)
- The first left ventricular assist device (LVAD) system was created by Domingo Liotta at Baylor College of Medicine in Houston in 1962. (wikipedia.org)
Hypertrophy2
- Recent echocardiographic studies suggest that concentric left ventricular (LV) hypertrophy is another characteristic feature of this syndrome, but the mechanism remains unknown. (elsevierpure.com)
- Patients with generalized lipodystrophy, compared with controls, also had a striking degree of concentric LV hypertrophy, independent of blood pressure: LV mass index 101.0 ± 18.3 versus 69.0 ± 17.7 g/m 2 , respectively (p = 0.02), and LV concentricity 1.3 ± 0.3 versus 0.99 ± 0.1 g/ml, respectively (p = 0.04). (elsevierpure.com)
Echocardiographic7
- The aim of this study was to test the feasibility of the assessment of right ventricular (RV) volumes and function using real-time three-dimensional (3D) transesophageal echocardiographic (TEE) imaging in patients undergoing cardiac surgery. (thoracickey.com)
- In a subgroup of 81 patients, 3D transthoracic echocardiographic imaging was also performed. (thoracickey.com)
- Intraoperative 3D TEE assessment of RV volumes and function is feasible in patients with normal and dilated right ventricles, with good correlation between 3D transthoracic echocardiographic and TEE RV parameters. (thoracickey.com)
- Currently used two-dimensional (2D) echocardiographic RV assessment is challenging because of the peculiar morphology of this ventricular cavity. (thoracickey.com)
- Moreover, a new generation of transesophageal echocardiographic (TEE) probes with a novel matrix-array technique has been introduced, allowing 3D TEE representation of the cardiac structures in real time. (thoracickey.com)
- From February 2018 to March 2019, 72 cardiac ATTR patients were prospectively enrolled and underwent a complete clinical, biohumoral, echocardiographic and CPET assessment. (cpxinternational.com)
- Three echocardiographic follow-up examinations were performed on 40 recovered COVID-19 patients and 40 healthy people. (hindawi.com)
Congestive heart f1
- Cardiac glycosides are used to enhance cardiac contractility as an adjunct to treating congestive heart failure. (medscape.com)
Myocardial infarction4
- Irrigated radiofrequency catheter ablation guided by electroanatomic mapping for recurrent ventricular tachycardia after myocardial infarction: the multicenter thermocool ventricular tachycardia ablation trial. (varian.com)
- The basic principles for the use of troponin remain the same, which is that you will see elevations in patients who do not have acute myocardial infarction [MI]-[they instead] have some other etiology for cardiac injury. (medscape.com)
- 1 Patients in the ICM group were older and had significantly more comorbidities, including diabetes, hypertension, and myocardial infarction, than those in the NICM group. (medpagetoday.com)
- Of this number, approximately 1 million survivors of acute myocardial infarction (MI), as well as the more than 300,000 patients who undergo coronary bypass surgery annually, are candidates for cardiac rehabilitation. (medscape.com)
Recurrent1
- Results: Seven patients (group A) had recurrent cardiac failure after 4 to 24 months. (mdc-berlin.de)
Outflow tract2
- In approximately 25% of patients there is a narrowing (obstruction) of the left ventricular outflow tract. (uni-saarland.de)
- When the tip of the pacing lead was implanted in vicinity to the epicardium, i.e. right ventricular (RV) apex or RV outflow tract, the distance between lead tip position and epicardial breakthrough was 6.0 ± 1.9 mm. (eur.nl)
Therapy10
- Preoperative LV dimension should not be a limiting factor when evaluating patient eligibility or anticipated response to therapy with the Carillon device. (cardiacdimensions.com)
- PALO ALTO, Calif., May 26, 2021 /PRNewswire/ -- Varian, a Siemens Healthineers company, announced today that the U.S. Food and Drug Administration (FDA) has granted the company Breakthrough Device Designation for its cardiac radioablation (CRA) system, currently in development as a noninvasive therapy for select patients with refractory ventricular tachycardia (VT). (varian.com)
- This important development brings us one step closer to offering this promising therapy to patients with VT who have failed all other therapeutic options,' said Phillip Cuculich, MD, Associate Professor of Medicine at Washington University School of Medicine in St. Louis, Missouri. (varian.com)
- Use of this therapy is justified for patients with limited options. (cdc.gov)
- Mild patients usually have a good prognosis and can be cured without complications after isolation therapy [ 4 , 5 ]. (hindawi.com)
- In some patients, chronic prostacyclin analogue therapy (epoprostenol) can be of benefit, particularly as a bridge to heart-lung transplantation. (medscape.com)
- Post-dialysis CT images from patients under control, pharmacological stress (adenosine), therapy (cooled dialysate), and adenosine and cooled dialysate conditions were obtained. (frontiersin.org)
- Dr. Narins, who is an associate professor of medicine in the Division of Cardiology at the University of Rochester Medical Center, in Rochester, N.Y., says that this suggests that "appropriately selected patients with NICM have the potential to benefit from primary prevention ICD therapy. (medpagetoday.com)
- MedPage Today asked Dr. Narins whether there was a need to include more baseline characteristics in determining which patients with NICM might benefit from ICD therapy. (medpagetoday.com)
- Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product. (biospace.com)
Cardiovascular3
- Lee, KW , Jolly, C & Lip, G 2004, ' The effect of hospital-based versus home-based cardiac rehabilitation programmes on left ventricular diastolic function in patients with coronary heart disease ', European Journal of Cardiovascular Prevention & Rehabilitation , vol. 11, pp. 94. (birmingham.ac.uk)
- Digoxin is a cardiac glycoside with direct inotropic effects, as well as indirect effects, on the cardiovascular system. (medscape.com)
- the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), and the National Heart, Lung and Blood Institute (NHLBI) have recognized the wide variation in awareness and understanding of the role of cardiac rehabilitation among physicians, ancillary health care providers, third-party payers, and patients with heart disease. (medscape.com)
Idiopathic1
- CONCLUSION: CMR reveals abnormalities in a significant proportion of patients with frequent idiopathic VAs. (ox.ac.uk)
LVEF1
- Twelve patients were in Precontemplation (PC),29 inContemplation (C),30 inPreparation (PR),20 inAction (A), and20 inMaintenance (M). There were no differences in age and LVEF between stages. (scirp.org)
Ischemia1
- These precipitating factors include electrolyte abnormalities, proarrhythmic medications, alterations in the sympathetic-parasympathetic balance (particularly increased catecholamines), hypothermia or hyperthermia, primary electrical disease (eg, long QT syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia), and hypoxia/ischemia. (medscape.com)
Rehabilitation13
- Medical Rehabilitation of Patients with Post-COVID-19 Syndrome-A Comparison of Aerobic Interval and Continuous Training. (cpxinternational.com)
- Right ventricular function between patients after COVID-19 rehabilitation and healthy people was compared. (hindawi.com)
- And Dr. Jonathan Whiteson, who's a medical director of Cardiac and Pulmonary Rehabilitation, and codirector of NYU Post-COVID Care Program at Rusk Rehabilitation NYU Langone Health. (cdc.gov)
- Cardiac rehabilitation aims to reverse limitations experienced by patients who have suffered the adverse pathophysiologic and psychological consequences of cardiac events. (medscape.com)
- The image below depicts cardiac rehabilitation after bypass surgery. (medscape.com)
- Traditionally, cardiac rehabilitation has been provided to somewhat lower-risk patients who could exercise without getting into trouble. (medscape.com)
- However, astonishingly rapid evolution in the management of CAD has now changed the demographics of the patients who can be candidates for rehabilitation training. (medscape.com)
- Currently, about 400,000 patients who undergo coronary angioplasty each year make up a subgroup that could benefit from cardiac rehabilitation. (medscape.com)
- Furthermore, approximately 4.7 million patients with CHF are also eligible for a slightly modified program of rehabilitation, as are the ever-increasing number of patients who have undergone heart transplantation. (medscape.com)
- Patients who are at low or moderate risk typically undergo early rehabilitation. (medscape.com)
- Cardiac rehabilitation programs have been consistently shown to improve objective measures of exercise tolerance and psychosocial well being without increasing the risk of significant complications. (medscape.com)
- Approximately 38% of US patients and 32% of Canadian patients with acute MI who were involved in the Global Utilization of Streptokinase and t-PA for Occluded Coronary Arteries (GUSTO) trial were enrolled in cardiac rehabilitation programs. (medscape.com)
- Therefore, the outcome measures of cardiac rehabilitation now include improvement in quality of life (QOL), such as the patient's perception of physical improvement, satisfaction with risk factor alteration, psychosocial adjustments in interpersonal roles, and potential for advancement at work commensurate with the patient's skills (rather than simply return to work). (medscape.com)
Dyssynchrony1
- SIGNIFICANT VENTRICULAR DYSSYNCHRONY manifested by left bundle-branch block (LBBB) and wide QRS complex is demonstrated on an electrocardiogram (ECG) in 30% of patients with heart failure. (amrita.edu)
Aortic3
- One hundred-fifty surgical patients were enrolled: 65 undergoing mitral valve repair, 10 undergoing mitral valve and tricuspid valve repair, four with congenital heart disease, two undergoing Jarvik implantation, 13 undergoing aortic valve surgical replacement, and 56 undergoing transcatheter aortic valve implantation. (thoracickey.com)
- Type 2 diabetes mellitus causes left ventricular (LV) remodeling and increases the risk of aortic regurgitation (AR), which causes further heart damage. (biomedcentral.com)
- Aortic regurgitation (AR) can occur if diabetes causes left ventricular (LV) remodeling and increases the risk of degenerative aortic valve disease. (biomedcentral.com)
Transplantation2
- Normally, the long-term VAD is used as a bridge to transplantation (BTT) - keeping the patient alive, and in reasonably good condition, and able to await heart transplant outside of the hospital. (wikipedia.org)
- Transplantation was performed in 6 patients, and one died while on the waiting list. (mdc-berlin.de)
Congenital4
- only 2 of 29 patients had congenital heart disease. (medscape.com)
- Cardiac catheterization, or interventional cardiology, is a procedure used for the diagnosis and management of patients with congenital (and acquired) heart disease. (weillcornell.org)
- In many older patients, we perform the procedures as a team of pediatric and adult congenital interventional cardiologists. (weillcornell.org)
- It is distinct from structural cardiac disorders such as coronary artery disease, valvular disorders, and congenital heart disorders. (msdmanuals.com)
Assessment2
- Individualize dosage after careful assessment of the patient. (nih.gov)
- Single-Centre Case Series Assessment of Early Exercise Capacity Data Among Patients Who Received an Alterra Prestent and SAPIEN 3 Valve Placement. (cpxinternational.com)
Ablation3
- Patients with VT may be treated with an implantable cardioverter-defibrillator (ICD), antiarrhythmic medications, or an invasive catheter ablation procedure. (varian.com)
- Ventricular Tachycardia Ablation versus Escalation of Antiarrhythmic Drugs. (varian.com)
- Acute failure of catheter ablation for ventricular tachycardia due to structural heart disease: causes and significance. (varian.com)
Pulmonary1
- the right side of the heart is then often able to make use of the heavily increased blood flow), but when the pulmonary arterial resistance is high, then an (additional) right ventricular assist device (RVAD) might be necessary to resolve the problem of cardiac circulation. (wikipedia.org)
Ectopic1
- Ventricular paced beats were used to simulate ventricular ectopic foci. (eur.nl)
Diastolic1
- Incubation of electrically-paced ventricular myocytes with a membrane-permeant Ins(1,4,5) P 3 ester provoked the occurrence of spontaneous diastolic Ca 2+ transients with the same characteristics and sensitivity to 2-APB as the events stimulated by endothelin-1. (biologists.com)
Undergoing cardiac surgery1
- Right ventricular (RV) dimensions and function are known to be of diagnostic and prognostic importance in patients with cardiac diseases, particularly in subjects undergoing cardiac surgery. (thoracickey.com)
Refractory3
- Varian's CRA system was designated a Breakthrough Device by the FDA because of its potential to offer a more effective treatment for select patients with refractory VT. (varian.com)
- Early positive clinical results suggest that non-invasive cardiac radioablation could offer new hope for patients with refractory VT,' said Kolleen Kennedy, President, Proton Solutions and Growth Office, Varian. (varian.com)
- I. Determine the response rate (complete and partial) in patients with relapsed or refractory Burkitt's, mantle cell or diffuse large cell non-Hodgkin's lymphoma treated with FR901228 (depsipeptide). (knowcancer.com)
Heart disease1
CONCLUSIONS2
Abnormal2
- In CPET evaluation, a significant proportion of patients presented an abnormal arterial pressure response and heart rate variation to exercise. (cpxinternational.com)
- Abnormal samples can increase risk for poor data quality,15 we cardiac development appears to occur through a were interested in replicating these experiments process that is heterogeneous and complex, with using fresh frozen cardiac tissue instead of formalin both environmental and genetic risk factors.1 fixed tissue after decades of storage. (cdc.gov)
Septal1
- Dr Michael Mitchell, Division of Cardiothoracic Surgery, defects (ASD, n = 13), ventricular septal defects (VSD, NKX2-5 sequence variants were found in .95% of Department of Surgery, Medical n = 5), and atrioventricular canal defects (AVCD, n = 10). (cdc.gov)
Function10
- In conclusion, "In patients with functional MR and severe LV enlargement, the Carillon device improved mitral valve function, LV morphology, and functional outcome compared to patients receiving GDMT only. (cardiacdimensions.com)
- A ventricular assist device (VAD) is an electromechanical device for assisting cardiac circulation, which is used either to partially or to completely replace the function of a failing heart. (wikipedia.org)
- The function of a VAD differs from that of an artificial cardiac pacemaker in that a VAD pumps blood, whereas a pacemaker delivers electrical impulses to the heart muscle. (wikipedia.org)
- VADs are distinct from artificial hearts, which are designed to assume cardiac function, and generally require the removal of the patient's heart. (wikipedia.org)
- These measurements could improve the quantitative evaluation of RV function during cardiac surgery. (thoracickey.com)
- Poor right ventricular function is associated with impaired exercise capacity and ventilatory efficiency in transthyretin cardiac amyloid patients. (cpxinternational.com)
- Our data demonstrate the role of right ventricular function as an independent predictor of exercise capacity and ventilatory efficiency in ATTR. (cpxinternational.com)
- AR may aggravate LV stiffness in patients with T2DM, resulting in lower LV strain and function. (biomedcentral.com)
- Changes in cardiac structure, function, and strain in patients with T2DM who present with AR are not completely understood and are challenging to quantify. (biomedcentral.com)
- In summary, COVID-19 had no substantial effect on right ventricular function and better recovery in patients. (hindawi.com)
Structural1
- In the late presentation cohort, male sex, pathogenic mutation, right ventricular structural disease, lack of family history, and electrophysiologic study inducibility were associated with increased arrhythmic risk. (uu.nl)
Surgery4
- The patient was a 37-year-old woman, and a paracorporeal (external) circuit was able to provide mechanical support for 10 days after the surgery. (wikipedia.org)
- In 28 patients scheduled for cardiac surgery, two ventilation strategies were applied in a randomized cross-over design. (biomedcentral.com)
- In patients undergoing open-heart surgery, preoperative image acquisition preceded sternotomy. (thoracickey.com)
- Phase 1: A patient walking in the hallway with a physical therapist following bypass surgery. (medscape.com)
Implantation1
- The authors reviewed the pre-implant and follow-up echocardiograms of 233 patients undergoing the new implantation of a CRT device at the Cleveland Clinic between December 2001 and November 2006. (elsevierpure.com)
Defibrillation1
- Spontaneous ventricular defibrillation. (bmj.com)