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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

Published on: December 11, 2017

[Effectiveness of simultaneous cardiac resynchronization therapy in surgical valvular patients with severe heart

Tetsuro Uchida1, Masahiro Mizumoto, Cholsu Kim

  • 1Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 30, 2013
PubMed

Insights

Cardiac resynchronization therapy (CRT) combined with valvular surgery is a feasible option for severe heart failure patients. This approach demonstrated acceptable outcomes, improving patient morbidity and mortality.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Heart Failure Management

Context:

  • Cardiac resynchronization therapy (CRT) is a standard treatment for heart failure.
  • Significant valvular heart disease has been a contraindication for CRT.
  • The effectiveness of combined CRT and valvular surgery is not well-established.

Purpose:

  • To evaluate the effectiveness of CRT in heart failure patients undergoing simultaneous valvular surgery.
  • To assess the impact of combined CRT and valvular surgery on ventricular mechanical dyssynchrony.

Summary:

  • Eight heart failure patients underwent CRT with concomitant valvular surgery.
  • Epicardial leads were implanted post-valvular procedure; maze procedure for atrial fibrillation was performed when indicated.
  • Echocardiography assessed dyssynchrony pre- and post-CRT; one patient died of ventricular tachycardia, others improved clinically (NYHA class).

Impact:

  • Combined CRT and valvular surgery is a feasible procedure for selected severe heart failure patients.
  • This approach may improve morbidity and mortality in patients with valvular disease-related heart failure.
  • Further research is needed to establish patient selection criteria for concomitant procedures.
Abstract

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