Interv Akut Kardiol. 2004;3(4):185-188

TEMPORARY RESYNCHRONIZATION PACING FOR THE TREATMENT OF ACUTE HEART FAILURE

Jan Janoušek, Pavel Vojtovič, Roman Antonín Gebauer
Dětské kardiocentrum, FN Motol, Praha

Cardiac resynchronization therapy is an accepted method for the treatment of chronic left ventricular failure in dilated cardiomyopathy associated with electromechanical dyssynchrony. Beneficial acute hemodynamic effects may be used in the treatment of acute heart failure following cardiac surgery. Available data from patients after surgical correction of congenital heart defects have shown multiple effects of resynchronization pacing in terms of increased arterial pressure, cardiac index and maximum ventricular +dP/dt. Temporary resynchronization pacing has been used as an alternative to mechanical circulatory support in patients who failed weaning from cardiopulmonary bypass. Temporary cardiac resynchronization therapy is a useful adjunct to the treatment of selected patients with acute heart failure following cardiac surgery. Compared to catecholamines such therapy does not increase myocardial oxygen consumption.

Keywords: cardiac resynchronization therapy, acute heart failure, congenital heart disease.

Published: December 31, 2004  Show citation

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Janoušek J, Vojtovič P, Gebauer RA. TEMPORARY RESYNCHRONIZATION PACING FOR THE TREATMENT OF ACUTE HEART FAILURE. Interv Akut Kardiol. 2004;3(4):185-188.
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