Interv Akut Kardiol. 2002;1(2):96-99

Resynchronization therapy for chronic heart failure - summary of current knowledge

Přemysl ©váb, Jaroslav ©imon
Kardiocentrum dospělých, oddělení invazivní kardiologie interní kliniky 2. LF UK a FN Motol, Praha

Resynchronization therapy represents a new nonpharmacological method for the treatment of chronic heart failure. Historically, the older modality of electric therapy for heart failure by the standard double chamber stimulation with optimal a-v interval has not been widely accepted as a suitable method for the treatment of heart failure and is efficient probably only in a small number of patients. On the other hand, the clinical benefit of biventricular stimulation has been proved in large randomized studies (PATCHF, MIRACLE, MUSTIC, CONTAKT-CD). This treatment modality significantly improves exercise tolerance, quality of life in patients with severe heart failure (NYHA III-IV), dilated left ventricle and intraventricular conduction delay. Other recently launched large studies, CARE-HF (in Europe) and COMPANION (in the USA), should, in two years time, give answers to other questions, especially the impact of this treatment on overall mortality and morbidity.

Keywords: chronic heart failure, resynchronization therapy, biventricular stimulation

Published: December 31, 2002  Show citation

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©váb P, ©imon J. Resynchronization therapy for chronic heart failure - summary of current knowledge. Interv Akut Kardiol. 2002;1(2):96-99.
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