Surgical Treatment of Ischemic Heart Failure

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Surgical Treatment for Heart Failure in Ischemic Cardiomyopathy

Background: Cardiac transplantation remains the gold standard of surgical therapies for severe LV dysfunction ischemic cardiomyopathy. However, the Achilles heel of heart transplantation is the shortage of organ donors. Thus, nontransplant surgical alternatives are necessary to treat many of the patients who progress to intractable Class III, or especially Class IV, heart failure. Methods: Two ...

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STICH (Surgical Treatment for Ischemic Heart Failure) trial enrollment.

OBJECTIVES The aim of this study was to assess the influence of enrolling site location and enrollment performance on the generalizability of STICH (Surgical Treatment for Ischemic Heart Failure) trial results. BACKGROUND The international STICH trial seeks to define the role of cardiac surgery for patients with ischemic cardiomyopathy. METHODS Baseline characteristics of 2,136 randomized S...

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Surgical Treatment for Heart Failure

ICM is defined as diffuse akinesis of the ventricle after myocardial ischemia, and the pathology is different from LV aneurysm, which is dyskinesis after myocardial infarction. The etiology has been described as chronic LV remodeling after the ischemia,1 and the surgical treatment of ICM was thought to be heart transplantation only. However, the new surgical procedure of endoventricular circula...

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Quality of life and economic outcomes with surgical ventricular reconstruction in ischemic heart failure: results from the Surgical Treatment for Ischemic Heart Failure trial.

BACKGROUND Surgical ventricular reconstruction (SVR) is used in conjunction with coronary artery bypass graft surgery (CABG) to improve left ventricular function and clinical outcomes in selected patients with ischemic heart failure. The impact of SVR on quality of life (QOL) and medical costs is unknown. METHODS We compared CABG plus SVR with CABG alone in 1,000 patients with ischemic heart ...

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Sex Difference in Patients With Ischemic Heart Failure Undergoing Surgical Revascularization: Results From the STICH Trial (Surgical Treatment for Ischemic Heart Failure).

BACKGROUND Female sex is conventionally considered a risk factor for coronary artery bypass grafting (CABG) and has been included as a poor prognostic factor in multiple cardiac operative risk evaluation scores. We aimed to investigate the association of sex and the long-term benefit of CABG in patients with ischemic left ventricular dysfunction enrolled in the prospective STICH trial (Surgical...

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ژورنال

عنوان ژورنال: Circulation Journal

سال: 2009

ISSN: 1346-9843,1347-4820

DOI: 10.1253/circj.cj-08-1081