Pacing in heart failure: patient and pacing mode selection
نویسندگان
چکیده
منابع مشابه
Pacing in heart failure: patient and pacing mode selection.
Pharmacological therapy in the management of heart failure has been proven and is well established. In the last decade ACE inhibitors, betablockers, spironolactone and digoxin have contributed to a reduction in mortality of nearly 50%, a reduced frequency of hospital admissions and improvement in quality of life. However, congestive heart failure still endures a high overall annual mortality of...
متن کاملPacing in congestive heart failure
Despite the major advances in medical drug therapy, heart failure remains a syndrome associated with high mortality and morbidity. Biventricular or left ventricular (LV) short atrioventricular (AV) delay pacing is being tested in congestive heart failure patients with left bundle branch block. The aim is to resynchronise the dyscoordinate LV contraction. A number of studies are underway, but it...
متن کاملPhysiologic pacing: where pacing mode selection reflects the indication.
Results of recent trials suggest that in patients with left ventricular dysfunction, interventricular synchrony is possibly more important than atrioventricular synchrony. In patients with AV block and conduction system disease, alternatives to right ventricular apical pacing are therefore needed.
متن کاملHeart failure during cardiac pacing.
BACKGROUND Right ventricular apical (RVA) pacing creates abnormal left ventricular contraction, hypertrophy, and reduced pump function. The adverse effects of ventricular desynchronization may explain the association of RVA pacing with an increased risk of heart failure hospitalization (HFH) in clinical trials. METHODS AND RESULTS Baseline and postimplantation variables were used to predict H...
متن کاملBiventricular Pacing in Congestive Heart Failure
Congestive heart failure (CHF) is a common, debilitating and usually lethal condition responsible for enormous burden on health care. The recent trials have shown improvement in morbidity and mortality with ACE inhibitors and beta blockers1-3. However, despite this the overall prognosis remains dismal. The other alternative of cardiac transplantation has several limitations including the donor ...
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2003
ISSN: 0195-668X
DOI: 10.1016/s0195-668x(03)00149-0