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Acute Cardiac Unloading
Acute cardiac unloading is any maneuver, therapy, or intervention that decreases the power expenditure of the ventricle and limits the hemodynamic forces that lead to ventricular remodeling after insult or injury to the heart. This technique is being investigated as a therapeutic to aid after damage has occurred to the heart, such as after a heart attack. The theory behind this approach is that by simultaneously limiting the oxygen demand and maximizing oxygen delivery to the heart after damage has occurred, the heart is more fully able to recover. This is primarily achieved by using temporary minimally invasive mechanical circulatory support to supplant the pumping of blood by the heart. Using mechanical support decreases the workload of the heart, or unloads it. Cardiac traumas such as myocardial infarction (commonly called a heart attack), myocarditis, peripartum cardiomyopathy, cardiogenic shock , and takotsubo cardiomyopathy result in an impaired ability of the hea ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ventricle (heart)
A ventricle is one of two large chambers toward the bottom of the heart that collect and expel blood towards the peripheral beds within the body and lungs. The blood pumped by a ventricle is supplied by an atrium (heart), atrium, an adjacent chamber in the upper heart that is smaller than a ventricle. Interventricular means between the ventricles (for example the interventricular septum), while intraventricular means within one ventricle (for example an intraventricular block). In a four-chambered heart, such as that in humans, there are two ventricles that operate in a double circulatory system: the right ventricle pumps blood into the pulmonary circulation to the lungs, and the left ventricle pumps blood into the systemic circulation through the aorta. Structure Ventricles have thicker walls than atria and generate higher blood pressures. The physiological load on the ventricles requiring pumping of blood throughout the body and lungs is much greater than the pressure generated ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Myocardial Scarring
Myocardial scarring is the accumulation of fibrous tissue resulting after some form of trauma to the cardiac tissue. Fibrosis is the formation of excess tissue in replacement of necrotic or extensively damaged tissue. Fibrosis in the heart is often hard to detect because fibromas, scar tissue or small tumors formed in one cell line, are often formed. Because they are so small, they can be hard to detect by methods such as magnetic resonance imaging. A cell line is a path of fibrosis that follow only a line of cells. Causes Myocardial infarction A myocardial infarction, also known as a heart attack, often result in the formation of fibrosis. A myocardial infarction is an ischemic event, or a restriction of blood flow to body tissue, such as by atherothrombosis. Without blood flow to the myocardium, it is deprived of oxygen, causing tissue death and irreversible damage. The tissue destroyed by the infarction is replaced with non-functioning fibrosis, restoring some of the st ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cardiac Muscle
Cardiac muscle (also called heart muscle, myocardium, cardiomyocytes and cardiac myocytes) is one of three types of vertebrate muscle tissues, with the other two being skeletal muscle and smooth muscle. It is an involuntary, striated muscle that constitutes the main tissue of the wall of the heart. The cardiac muscle (myocardium) forms a thick middle layer between the outer layer of the heart wall (the pericardium) and the inner layer (the endocardium), with blood supplied via the coronary circulation. It is composed of individual cardiac muscle cells joined by intercalated discs, and encased by collagen fibers and other substances that form the extracellular matrix. Cardiac muscle contracts in a similar manner to skeletal muscle, although with some important differences. Electrical stimulation in the form of a cardiac action potential triggers the release of calcium from the cell's internal calcium store, the sarcoplasmic reticulum. The rise in calcium causes the c ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Complete Unloading Figure
Complete may refer to: Logic * Completeness (logic) * Completeness of a theory, the property of a theory that every formula in the theory's language or its negation is provable Mathematics * The completeness of the real numbers, which implies that there are no "holes" in the real numbers * Complete metric space, a metric space in which every Cauchy sequence converges * Complete uniform space, a uniform space where every Cauchy net in converges (or equivalently every Cauchy filter converges) * Complete measure, a measure space where every subset of every null set is measurable * Completion (algebra), at an ideal * Completeness (cryptography) * Completeness (statistics), a statistic that does not allow an unbiased estimator of zero * Complete graph, an undirected graph in which every pair of vertices has exactly one edge connecting them * Complete category, a category ''C'' where every diagram from a small category to ''C'' has a limit; it is ''cocomplete'' if every such functor ha ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Preload (cardiology)
In cardiac physiology, preload is the amount of sarcomere stretch experienced by cardiac muscle cells, called cardiomyocytes, at the end of ventricular filling during diastole. Preload is directly related to ventricular filling. As the relaxed ventricle fills during diastole, the walls are stretched and the length of sarcomeres increases. Sarcomere length can be approximated by the volume of the ventricle because each shape has a conserved surface-area-to-volume ratio. This is useful clinically because measuring the sarcomere length is destructive to heart tissue. It requires cutting out a piece of cardiac muscle to look at the sarcomeres under a microscope. It is currently not possible to directly measure preload in the beating heart of a living animal. Preload is estimated from end-diastolic ventricular pressure and is measured in millimeters of mercury (mmHg). Estimating preload Though not exactly equivalent to the strict definition of ''preload,'' end-diastolic volume i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Aorta
The aorta ( ) is the main and largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen, where it splits into two smaller arteries (the common iliac arteries). The aorta distributes oxygenated blood to all parts of the body through the systemic circulation. Structure Sections In anatomical sources, the aorta is usually divided into sections. One way of classifying a part of the aorta is by anatomical compartment, where the thoracic aorta (or thoracic portion of the aorta) runs from the heart to the diaphragm. The aorta then continues downward as the abdominal aorta (or abdominal portion of the aorta) from the diaphragm to the aortic bifurcation. Another system divides the aorta with respect to its course and the direction of blood flow. In this system, the aorta starts as the ascending aorta, travels superiorly from the heart, and then makes a hairpin turn known as the aortic arch. Following the aortic a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Impella
Impella is a family of medical devices used for temporary ventricular support in patients with depressed heart function. Some versions of the device can provide left heart support during other forms of mechanical circulatory support including ECMO and Centrimag. The device is approved for use in high-risk percutaneous coronary intervention (PCI) and cardiogenic shock following heart attack or open heart surgery and is placed through a peripheral artery. From the peripheral artery it pumps blood to the left or right heart via the ascending aorta or pulmonary artery. The Impella technology was acquired by Abiomed in 2005. As of March 2019, the Impella series includes: the Impella 2.5, Impella 5.0/LD, Impella CP and Impella RP. Medical uses The Impella device is an alternative for percutaneous mechanical circulatory support that has been utilized as a bridge to recovery. Used alone or in tandem sets, it utilizes the concept of magnetic levitation to reduce moving parts to an ab ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Myofilament
Myofilaments are the three protein filaments of myofibrils in muscle cells. The main proteins involved are myosin, actin, and titin. Myosin and actin are the ''contractile proteins'' and titin is an elastic protein. The myofilaments act together in muscle contraction, and in order of size are a thick one of mostly myosin, a thin one of mostly actin, and a very thin one of mostly titin. Types of muscle tissue are striated skeletal muscle and cardiac muscle, obliquely striated muscle (found in some invertebrates), and non-striated smooth muscle. Various arrangements of myofilaments create different muscles. Striated muscle has transverse bands of filaments. In obliquely striated muscle, the filaments are staggered. Smooth muscle has irregular arrangements of filaments. Structure There are three different types of myofilaments: thick, thin, and elastic filaments. *Thick filaments consist primarily of a type of myosin, a motor protein – myosin II. Each thick filament is approxi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Stroke Volume
In cardiovascular physiology, stroke volume (SV) is the volume of blood pumped from the left ventricle per beat. Stroke volume is calculated using measurements of ventricle volumes from an echocardiogram and subtracting the volume of the blood in the ventricle at the end of a beat (called end-systolic volume) from the volume of blood just prior to the beat (called end-diastolic volume). The term ''stroke volume'' can apply to each of the two ventricles of the heart, although it usually refers to the left ventricle. The stroke volumes for each ventricle are generally equal, both being approximately 70 mL in a healthy 70-kg man. Stroke volume is an important determinant of cardiac output, which is the product of stroke volume and heart rate, and is also used to calculate ejection fraction, which is stroke volume divided by end-diastolic volume. Because stroke volume decreases in certain conditions and disease states, stroke volume itself correlates with cardiac function. Calcul ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Joule
The joule ( , ; symbol: J) is the unit of energy in the International System of Units (SI). It is equal to the amount of work done when a force of 1 newton displaces a mass through a distance of 1 metre in the direction of the force applied. It is also the energy dissipated as heat when an electric current of one ampere passes through a resistance of one ohm for one second. It is named after the English physicist James Prescott Joule (1818–1889). Definition In terms of SI base units and in terms of SI derived units with special names, the joule is defined as One joule can also be defined by any of the following: * The work required to move an electric charge of one coulomb through an electrical potential difference of one volt, or one coulomb-volt (C⋅V). This relationship can be used to define the volt. * The work required to produce one watt of power for one second, or one watt-second (W⋅s) (compare kilowatt-hour, which is 3.6 megajoules). This relationship c ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Work (thermodynamics)
In thermodynamics, work is one of the principal processes by which a thermodynamic system can interact with its surroundings and exchange energy. An exchange of energy is facilitated by a mechanism through which the system can spontaneously exert macroscopic forces on its surroundings, or vice versa. In the surroundings, this mechanical work can lift a weight, for example. The externally measured forces and external effects may be electromagnetic,Guggenheim, E.A. (1985). ''Thermodynamics. An Advanced Treatment for Chemists and Physicists'', seventh edition, North Holland, Amsterdam, .Jackson, J.D. (1975). ''Classical Electrodynamics'', second edition, John Wiley and Sons, New York, .Konopinski, E.J. (1981). ''Electromagnetic Fields and Relativistic Particles'', McGraw-Hill, New York, . gravitational,North, G.R., Erukhimova, T.L. (2009). ''Atmospheric Thermodynamics. Elementary Physics and Chemistry'', Cambridge University Press, Cambridge (UK), . or mechanical (such as pressur ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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