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Updated: Oct 26, 2025

Evaluation of Cardiac Contractility Modulation Therapy in 2D Human Stem Cell-Derived Cardiomyocytes
Published on: December 16, 2022
Optimizer Smart System for the treatment of chronic heart failure: Overview of its safety and efficacy
Habib Hymie Chera1, Mohammed Al-Sadawi2, Nickolaos Michelakis1
1Department of Cardiology, NYU Langone, Mineola, NY, USA.
Insights
Cardiac contractility modulation (CCM) therapy, delivered by the Optimizer Smart System, offers a new treatment for heart failure (HF) patients ineligible for CRT. This device therapy shows promise for improving HF morbidity and mortality.
Area of Science:
- Cardiology
- Biomedical Engineering
- Medical Devices
Background:
- Heart failure (HF) remains a leading cause of global morbidity and mortality.
- Current device therapies like cardiac resynchronization therapy (CRT) and implantable cardioverter-defibrillators (ICD) have limitations.
- A new device therapy, cardiac contractility modulation (CCM), is emerging for HF patients.
Purpose of the Study:
- To review the function of the Optimizer Smart System, a device delivering CCM therapy.
- To analyze data from recent clinical trials on CCM therapy.
- To discuss the efficacy and future potential of CCM for HF treatment.
Main Methods:
- Review of existing literature and clinical trial data.
- Analysis of the Optimizer Smart System's mechanism of action.
- Evaluation of CCM therapy's safety and applicability.
Main Results:
- The Optimizer Smart System delivers CCM therapy in a minimally invasive manner.
- CCM therapy is safe, feasible, and applicable to a broad spectrum of HF patients.
- Initial data suggests CCM therapy can improve HF morbidity.
Conclusions:
- CCM therapy with the Optimizer Smart System presents a viable new option for specific HF patient populations.
- Further large-scale, multicenter randomized controlled trials are warranted to definitively establish the effectiveness of the Optimizer Smart System.
- CCM therapy holds potential for improving outcomes in heart failure management.
Abstract:
Introduction: Heart failure (HF) is a major cause of morbidity and mortality throughout the world. Despite the significant progress in the prevention and treatment of HF, mortality rates still remain high. Device therapy for HF includes cardiac resynchronization therapy (CRT) and the use of an implantable cardioverter-defibrillator (ICD). Recently, a new device therapy for the treatment of HF became available, called cardiac contractility modulation (CCM). CCM is a new device therapy for patients with HF who do not qualify for CRT. It is implanted in a minimally invasive manner to improve the patient's morbidity. Optimizer Smart System is a new device that delivers CCM therapy.Areas covered: We review the function of the Optimizer Smart System, the data from the recent clinical trials, and discuss its efficacy and future projections in the treatment for HF.Expert opinion: CCM therapy provided with the Optimizer® Smart System is safe, feasible, and applicable to a wide range of patients with HF. To demonstrate the effectiveness of the Optimizer Smart System's use merits further large multicenter randomized controlled trials.
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