| Autor: |
Bhatti, Qamar-Uz-Zaman, Adeel-ur-Rehman, Iqbal, Usman, Fazal, Imran, Siddique, Mohammad Bilal, Chaudhry, Azhar Ali |
| Předmět: |
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| Zdroj: |
Pakistan Armed Forces Medical Journal; Apr2017, Vol. 67 Issue 2, pS194-S197, 4p, 3 Graphs |
| Abstrakt: |
Objective: To determine the success rate of cardiac resynchronization therapy and defibrillator implantation in heart failure patients. Study Design: Descriptive cross sectional study. Place and Duration of Study: This study was conducted at AFIC-NIHD from 1st Jul 2014 to 31st Dec 2014. Material and Methods: A total of 45 patients were included in the study that underwent CRT-D implantation. The procedural success was noted in the catheterization laboratory (cath lab) and in wards, where patients were managed after CRT-D implantation. Procedural success was based on three criteria: 1) class improvement in NYHA class, 2) ≥ 5 % improvement in ejection fraction (EF) and 3) conversion of Left bundle branch block (LBBB) into normal QRS complexes. Results: Most of patients 15 (33.0%) were between 57-62 years of age. 34 (75.6%) were males and 11 (24.4%) females. the mean age of the patients was 53.6 ± 7.8 years (range 35 - 67 years). Pre-procedure mean EF was 24.71% and post procedure mean EF was 31.33%. Prior to procedure 33 (73.3%) patients were in NYHA Class III and 12 patients (26.7%) were in NYHA Class IV. 93.0% patients showed improvement in NYHA class. EF improved in 93.0% patients and 89.1% patients converted to normal QRS complexes after CRT-D implantation. The overall combined success rate was 93.0%. Conclusion: The procedural success rate of CRT-D was high and should be offered to the patients with heart failure who are non responder to medical treatment whenever the facility is available. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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