A kardiális kontraktilitás modulációjával elért bal kamrai reverz remodelling egy dilatatív cardiomyopathiás betegben

نویسندگان

چکیده

Dilatatív cardiomyopathia talaján kialakult, súlyosan csökkent balkamra- (BK-) funkcióval (EF: 30%) járó szívelégtelenség miatt kardiáliskontraktilitás-modulátor (CCM) pacemakert implantáltunk egy 65 éves férfinak, keskeny QRS-komplex és optimális gyógyszeres kezelés ellenére perzisztáló NYHA III panaszok mellett. Betegünk esetében a szívkontraktilitás-moduláció reverz remodellinget eredményezett, amit BK-funkció növekedése 46%), BK végszisztolés térfogatának (ESV) >15%-os csökkenése, valamint funkcionális kapacitás javulása (NYHA I) reprezentált. CCMpacemaker beültetése szóba jöhet terápia mellett 25-45% közötti EF-jú, II-III stádiumú, iszkémiás, vagy noniszkémiás etiológiájú szívelégtelen betegek számára, ahol CRT kritériumai nem teljesülnek, nonrespondernek bizonyultak.

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ژورنال

عنوان ژورنال: Cardiologia Hungarica (Nyomtatott)

سال: 2022

ISSN: ['0133-5596', '1588-0230']

DOI: https://doi.org/10.26430/chungarica.2022.52.3.251