Cardiac contractility modulation a treatment for patients with moderate to severe left ventricular systolic heart failure and is delivered by a medical device which uses electrical impulses, delivered by electrodes contracting the heart muscles, to regulate what?
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 by modulating (adjusting) the myocardial contractility. 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.
Beta-adrenergic agonist Beta adrenergic agonists or Beta agonists are medications that relax muscles of the airways, which widens the airways and results in easier breathing. They are a class of sympathomimetic agents which act upon the beta adrenoceptors. In general, pure beta-adrenergic agonists have the opposite function of beta blockers. Beta adrenoreceptor agonist ligands mimic the action of epinephrine and norepinephrine signaling in the heart, lungs and smooth muscle tissue, with epinephrine expressing the highest affinity. The activation of β, β and β activates the enzyme, adenylate cyclase. This in turn leads to the activation of the secondary messenger cyclic adenosine monophosphate (cAMP), cAMP then activates Protein Kinase A (PKA) which phosphorylates target proteins ultimately inducing smooth muscle relaxation and contraction of the cardiac tissue.