[Which patients with heart failure should be offered cardiac resynchronization?].

Autor: de la Fuente Cid R; Servicio de Medicina Interna. Complexo Hospitalario Universitario de Santiago. Santiago de Compostela. A Coruña. España. ramondfc@yahoo.es, González Barcala FJ, Varela Román A, García Seara FJ, Pose Reino A
Jazyk: Spanish; Castilian
Zdroj: Revista clinica espanola [Rev Clin Esp] 2007 Oct; Vol. 207 (9), pp. 451-5.
DOI: 10.1157/13109836
Abstrakt: Chronic heart failure is a very prevalent disease in developed countries. In recent decades, very important advances in drug therapy have occurred. However, mortality is still very high. One third of patients with a low ejection fraction and New York Heart Association (NYHA) functional class IIII-IV have a wide QRS. This means that there is often resynchronization of contraction and higher mortality. In order to improve the prognosis, the therapy based on cardiac resynchronization device has bee4n shown to be a complementary medical treatment and has contributed to clinical, hemodynamic and mortality improvements. In this article, we aim to show the results of clinical trials and recommendations of the main guidelines regarding this therapy.
Databáze: MEDLINE