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Long-lasting Cardiostimulation in the Treatment of Heart Failure


Authors: M. Pšenička;  E. Kejřová;  J. Gandalovičová
Authors‘ workplace: II. interní klinika 1. LF UK a VFN, Praha
Published in: Čas. Lék. čes. 2006; 145: 259-263
Category: Review Article

Overview

Congestive heart failure is a major health problem reaching epidemic proportions in the industrialized world. Despite significant advances in medical therapy, prognosis still remains dim. Cardiac resynchronization therapy is a novel therapeutic approach in management of heart failure patients. Its goal is the restoration of an impaired cardiac synchrony, which can be found in high number of heart failure patients. Cardiac dyssynchrony is characterized by presence of intra and interventricular conduction delays. Cardiac synchrony can be regained by biventricular stimulation. The procedure consists of a special lead being inserted via coronary sinus to a suitable branch of cardiac veins of the left ventricle in addition to a lead in the right ventricle cavity and right atrium. Several clinical trials have demonstrated that cardiac resynchronization therapy improves functional status and quality of life in majority of patients, as well as renders a favourable impact on prognosis. 

Key words:
congestive heart failure, cardiac resynchronization therapy, biventricular stimulation.


Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

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Journal of Czech Physicians


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