Download or read book Impact de l optimisation de la resynchronisation cardiaque written by Thibaut Moulin and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : L'optimisation échographique des délais atrio-ventriculaire (AV) et inter- ventriculaire (W) pourrait améliorer le taux de réponse à la resynchronisation cardiaque (CRT) mais son utilisation en routine fait débat. Objectif : Décrire un programme hospitalier d'optimisation clinique et échographique de CRT en « vie réelle », et évaluer son impact sur la réponse clinique. Méthode : Tous les patients implantés de CRT à l'hôpital Henri Mondor (Créteil, France) ont été reconvoqués pour optimisation à 3-12 mois. Le programme comprenait une évaluation clinique et biologique, un dépistage standardisé des causes potentielles de non-réponse et une optimisation échographique systématique des délais AV et VV. La réponse initiale à la CRT était définie par critère clinique composite, et l'amélioration à 6 mois de l'optimisation a été évaluée prospectivement selon le même critère. Les événements majeurs de l'insuffisance cardiaque (IC) ont été suivis pendant un an après optimisation. Résultats : Un total de 227 patients admis pour optimisation de CRT ont été inclus (âge 71 ± 11 ans, hommes 77%, FEVG 30.6 ± 7.9%, délai médian depuis l'implantation 5.4 mois), dont 111 (48.9%) non-répondeurs initiaux. Plusieurs complications ont été dépistées : déplacement de sonde ventriculaire gauche (n = 4), perte de capture biventriculaire ou taux de capture

Download or read book Importance de la r serve contractile dans la r ponse h modynamique la resynchronisation cardiaque written by Clément Bars and published by . This book was released on 2006 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: RATIONNEL L’insuffisance cardiaque est devenue un important problème de santé publique par son incidence qui ne cesse d’augmenter ainsi que par le coût de sa prise en charge. En corrigeant l’asynchronisme cardiaque, conséquence de la fibrose et du remodelage ventriculaire, la stimulation biventriculaire permet d’améliorer les symptômes et de diminuer la mortalité des patients insuffisants cardiaques, sous traitement médical optimal. OBJECTIF Vingt à trente pour cent des patients ne répondent pas à cette thérapeutique. La présence d’un asynchronisme mécanique est reconnue comme un important facteur prédictif de réponse. Cependant, il semble que cette condition ne soit pas suffisante pour prédire le maximum de répondeurs. En effet, la présence d’une fibrose et d’une viabilité sur la paroi ventriculaire gauche stimulée serait une donnée importante à prendre en compte. METHODOLOGIE Dix-neuf patients insuffisants cardiaques porteurs d’un stimulateur cardiaque biventriculaire ont été étudiés (neuf cardiopathies ischémiques). Une échographie avec mesures d’asynchronisme et de débit cardiaque a été effectuée (en mode spontané et en entraînement biventriculaire) et une réserve contractile sur la paroi stimulée a été recherchée par échographie sous faibles doses de dobutamine (5?/kg/min). RESULTATS La resynchronisation permet une amélioration du volume d’éjection systolique de 10% (p=0,02), cependant cette amélioration n’est présente qu’en présence d’un asynchronisme mécanique, intra ou inter-ventriculaire. Par ailleurs, on observe une diminution de ces délais qu’en présence d’une réserve contractile sur la paroi stimulée. De plus, l’amélioration hémodynamique n’est significative qu’en présence d’une réserve contractile. CONCLUSION La mise en évidence d’un asynchronisme mécanique est une étape indispensable avant une resynchronisation cardiaque, mais il semblerait qu’une réserve contractile pourrait, si elle est présente, permettre d’encore mieux sélectionner les patients répondeurs

Download or read book Cardiac Resynchronization Therapy written by Cheuk-Man Yu and published by John Wiley & Sons. This book was released on 2009-01-26 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac Resynchronization Therapy continues to evolve at a rapidpace. Growing clinical experience and additional clinical trialsare resulting in changes in how patients are selected for CRT. This new edition of the successful Cardiac ResynchronizationTherapy builds on the strengths of the first edition, providingbasic knowledge as well as an up-to-date summary of new advances inCRT for heart failure. Fully updated to include information ontechnological advances, trouble shooting and recent key clinicaltrials, and with nine new chapters, this expanded text provides thelatest information, keeping the reader up-to-date with this rapidlyevolving field. The second edition of Cardiac Resynchronization Therapyis an essential addition to your collection.

Download or read book L e sant et la t l m decine written by SALGUES Bruno and published by Lavoisier. This book was released on 2013-05-01 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: La télémédecine ou la e-santé regroupent un ensemble d’applications des technologies de l’information et de la communication, lesquelles sont traitées dans cet ouvrage en partant d’idées simples. Cet ouvrage place le patient au cœur du système. La santé est vue sous cet angle à travers la multitude des technologies disponibles actuellement. L’acceptabilité de ces technologies par le patient, l’aidant et le professionnel de soin devient alors un élément clé. L’auteur liste les différentes applications ainsi que les briques matérielles et logicielles indispensables à leur réalisation. Quelques éléments de prospective complètent les évolutions récentes, comme le partage entre l’hôpital et les nouveaux lieux de soins tel le domicile du patient. L’ouvrage analyse les contraintes liées à la mise en place de ces dispositifs, en particulier les normes et certifications nécessaires, puis il aborde les différentes formations mises en œuvre au service du déploiement de ces solutions.

Download or read book Cardiac Arrhythmia written by Philip J. Podrid and published by Lippincott Williams & Wilkins. This book was released on 2001 with total page 996 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Second Edition of this clinically oriented textbook about cardiac arrhythmia management continues to be a must-have volume for practicing cardiologists and internists, who require up-to-date information for the daily management of their patients. The material, prepared by recognized experts in the field, presents an in-depth look at diagnostic and treatment protocols in a readable, well-organized format. Unique chapters regarding pregnancy, athletes, and genetics also are included. A Brandon-Hill recommended title.

Download or read book Decoding Cardiac Electrophysiology written by Afzal Sohaib and published by Springer Nature. This book was released on 2019-11-09 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a concise overview of cardiac electrophysiology for cardiologists who are not electrophysiologists and for allied cardiovascular professionals, cardiology registrars and fellows who are new to the field. It familiarises them with the main procedures performed in the electrophysiology laboratory. Emphasis is placed on helping the reader develop a core understanding of how data is collected and interpreted in the electrophysiology laboratory, and how this is used to guide ablation for the commonest arrhythmias including AV nodal re-entry tachycardia, accessory pathways, atrial fibrillation and ventricular arrhythmias. Decoding Cardiac Electrophysiology: Understanding the Techniques and Defining the Jargon will translate some of the technical terminology and data frequently used by electrophysiologists into terms and concepts familiar to the wider cardiovascular community. This includes the interpretation of electrograms and 3D electro-anatomical maps of common arrhythmias. Accordingly, it offers a valuable resource for all non-electrophysiologists seeking a guide to the topic and for electrophysiology trainees establishing their core knowledge and skills in the field. The aim is that this should be the first book anyone new to the field should choose to read.

Download or read book Medical Image Computing and Computer Assisted Intervention MICCAI 2012 written by Nicholas Ayache and published by Springer. This book was released on 2012-08-28 with total page 645 pages. Available in PDF, EPUB and Kindle. Book excerpt: The three-volume set LNCS 7510, 7511, and 7512 constitutes the refereed proceedings of the 15th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2012, held in Nice, France, in October 2012. Based on rigorous peer reviews, the program committee carefully selected 252 revised papers from 781 submissions for presentation in three volumes. The third volume includes 79 papers organized in topical sections on diffusion imaging: from acquisition to tractography; image acquisition, segmentation and recognition; image registration; neuroimage analysis; analysis of microscopic and optical images; image segmentation; diffusion weighted imaging; computer-aided diagnosis and planning; and microscopic image analysis.

Download or read book A Treatise on Acupuncturation written by James Morss Churchill and published by BoD – Books on Demand. This book was released on 2018-09-21 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reproduction of the original: A Treatise on Acupuncturation by James Morss Churchill

Download or read book Functional Imaging and Modeling of the Heart written by Isabelle E. Magnin and published by Springer Science & Business Media. This book was released on 2003-05-22 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The refereed proceedings of the Second International Workshop on Functional Imaging and Modeling of the Heart, FIMH 2003, held in Lyon, France in June 2003. The 29 revised full papers presented together with 2 invited papers were carefully reviewed and selected for presentation. The papers are organized in topical sections on anatomy extraction and description, modeling of the cardiac mechanics and functions, electro-physiology and electro- and magnetography, motion estimation, image registration and image analysis, and data acquisition and experimental and modeling issues.

Download or read book The Right Ventricle written by Marvin A. Konstam and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is quite natural that literature related to car heart disease, cardiomyopathy, pulmonary and diac structure, function, pathology, and patho pulmonary vascular disease, trauma, acquired valvular disease, congenital disease, and surgi physiology has emphasized the left heart and systemic circulation. The relative lack of im cal considerations. The pathologic and clinical relevance of myocardial infarction of the right portance of the right ventricle was supported by studies performed in the 1940s and 1950s ventricle has only been documented over the which suggested that the right ventricular free last 15 years. The chapter on right ventricular wall could be effectively destroyed in an animal infarction integrates clinical, functional, patho model without detectable untoward hemody physiologic, and pathologic observations to pro namic consequences. The relative inadequacy vide the reader with a thorough review, equally of noninvasive tools to study right ventricular relevant to the clinician and investigator. The contribution on dilated cardiomyopathy pro structure and function obviated detailed and systematic investigation. However, over the vides novel insight into the impact of right ventricular performance on the functional in past 15 years there has been a resurgence of interest in the right ventricle by a variety of capacity accompanying left heart failure. A book dealing with the right ventricle would investigators. The skeptic would argue that this renewed interest resulted from an exhaustion be incomplete without at least cursory reference we have of clinically-related observations that could be to the pulmonary circulation.

Download or read book Diagnostic Echocardiography written by Joseph W. Linhart and published by . This book was released on 1982 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medical image computing and computer assisted intervention written by Nicholas Ayache and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medical Computer Vision written by Bjoern Menze and published by Springer. This book was released on 2011-02-02 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the thoroughly refereed post-workshop proceedings of the International Workshop on Medical Computer Vision, MCV 2010, held in Beijing, China, in September 2010 as a satellite event of the 13th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2010. The 10 revised full papers and 11 revised poster papers presented were carefully reviewed and selected from 38 initial submissions. The papers explore the use of modern image recognition technology in tasks such as semantic anatomy parsing, automatic segmentation and quantification, anomaly detection and categorization, data harvesting, semantic navigation and visualization, data organization and clustering, and general-purpose automatic understanding of medical images.

Download or read book Cardiorenal Syndrome in Heart Failure written by W. H. Wilson Tang and published by Springer Nature. This book was released on 2019-08-26 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive manual reviews the management of cardiorenal syndrome in heart failure. Chapters are structured in a practically applicable and easy-to-follow format with realistic case vignettes and key clinical management questions and answers, followed by a brief discussion of underlying pathophysiological mechanisms of a patient with cardiorenal syndrome. Building from this case, key questions are posed that are relevant to the clinical management and then potential evidence-based treatment strategies are proposed. Topics covered include loop diuretic resistance in acute and chronic heart failure, abdominal congestion, low output failure and potential diuretic complications due to hyponatremia. Cardiorenal Syndrome in Heart Failure thoroughly reviews cardiorenal syndrome from the perspective of both the cardiologist and nephrologist. Its case-based approach makes it an ideal resource for both practising and trainee cardiology and nephrology practitioners.

Download or read book Homeopathic Practice written by Steven B. Kayne and published by . This book was released on 2008 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uniquely approaches the subject of homeopathy by demonstrating how the theoretical principles underpinning practice directly translate to day-to-day practice. Contents include homepathic theory and the need for an evidence base, homeopathic drug provings and the Materia Medica, the production and use of homeopathic medicines, and use of homeopathy by different healthcare providers working in a variety of global settings.

Download or read book Sex Differences in Cardiovascular Physiology and Pathophysiology written by Babbette LaMarca and published by Academic Press. This book was released on 2019-04-11 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sex Differences in Cardiovascular Physiology and Pathophysiology is a comprehensive look into the often overlooked and underappreciated fundamental sex differences between men and women and how those differences affect the cardiovascular system. It covers cardiovascular function, anatomy, cell signaling and the development of pathology. With contributions from world-renowned research investigators, this up-to-date reference compiles critical knowledge on cardiovascular sex differences, providing researchers and clinicians with a better understanding of the diagnosis, prevention and treatment of cardiovascular diseases in both men and women.

Download or read book Women in England 1870 1950 written by Jane E. Lewis and published by Brighton, Sussex : Wheatsheaf Books ; Bloomington : Indiana University Press. This book was released on 1984 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: "... offers an alternative depth of context for viewing the structure of women's lives.... thoughtful and judicious." --Joyce Berkman "Women in England breaks ground in its interpretive treatment of feminist, suffrage, and labor issues in a single volume." --Signs A penetrating account of the changing nature of English working and middle-class women's experiences at school, home, work, and in politics from 1870 to 1950.