| Title |
Širdies resinchronizacijos terapijos šiuolaikinės rekomendacijos: Vilniaus kardiologijos ir angiologijos centro patirtis / |
| Translation of Title |
Current clinical guidelines for cardiac resynchronization therapy: the experience of Vilnius Cardiology-Angiology Center. |
| Authors |
Maneikienė, Vytė ; Marinskis, Germanas ; Aidietis, Audrius ; Aidietienė, Sigita ; Čelutkienė, Jelena ; Ručinskas, Kęstutis ; Sirvydis, Vytautas-Jonas ; Laucevičius, Aleksandras |
| DOI |
10.15388/LietChirur.2010.3.2105 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2010, t. 8, nr. 3, p. 134-138.. ISSN 1392-0995 |
| Keywords [eng] |
Resynchronization ; Heart failure ; Clinical trials |
| Abstract [eng] |
Background/Objective. Cardiac resynchronisation therapy improves cardiac function and clinical outcomes for patients suffering from congestive heart failure due to systolic dysfunction associated with ventricular dyssinchrony, who are already optimized with medical therapy. The aim of the study was to present the current clinical guidelines of cardiac resynchronization therapy and the results of current clinical trials, as well as to overview the experience of the Vilnius Cardiology-Angiology Center. Patients and methods. We analyse patients who underwent cardiac resynchronisation therapy in 2002–2009. Their in- and outpatient histories were studied. The patients were tested before and after the procedure. Echocardiography was performed to assess mechanical dyssinchrony, cardiopulmonary exercise testing, B-type natriuretic peptide level. Results. Between June 2002 and December 2009 92 resynchronisation devices, were implanted. Cardiac resynchronisation therapy resulted in a higher survival of patients with NYHA III–IV. For four patients, resynchronisation therapy was a bridge to successful transplantation. Conclusions. Cardiac resynchronization therapy safely improved the quality of life in patients with moderate to severe chronic heart failure (New York Heart Association class III–IV). The present criteria for patient selection have some percent age of no responders, but the survival rate in this group of patients is significantly higher than could be expected. |
| Published |
Vilnius : Lietuvos chirurgų asociacija |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2010 |
| CC license |
|
