التفاصيل البيبلوغرافية
| العنوان: |
Successful Reversal of Severe Tachycardia-Induced Cardiomyopathy with Cardiogenic Shock by Urgent Rhythm or Rate Control: Only Rhythm and Rate Matter |
| المؤلفون: |
Kim Volle, Clément Delmas, Anne Rollin, Quentin Voglimacci-Stephanopoli, Pierre Mondoly, Eve Cariou, Franck Mandel, Hubert Delasnerie, Maxime Beneyto, Michel Galinier, Yoan Lavie-Badie, Didier Carrié, Jerôme Roncalli, Olivier Lairez, Pauline Fournier, Caroline Biendel, Philippe Maury |
| المصدر: |
Journal of Clinical Medicine; Volume 10; Issue 19; Pages: 4504 |
| بيانات النشر: |
Multidisciplinary Digital Publishing Institute |
| سنة النشر: |
2021 |
| المجموعة: |
MDPI Open Access Publishing |
| مصطلحات موضوعية: |
cardiogenic shock, tachycardia-induced cardiomyopathy, catheter ablation, heart failure, atrial fibrillation, atrial flutter |
| الوصف: |
Background and objectives Severe forms of Tachycardia-induced cardiomyopathy (TIC) with cardiogenic shock are not well described so far, and efficiency of catheter ablation in this setting is unknown. Methods We retrospectively included consecutive patients admitted to the Intensive Cardiac Care Unit for acute heart failure with cardiogenic shock associated with atrial arrhythmia and managed by ablation. Result Fourteen patients were included, each with cardiogenic shock and two needing the use of extracorporeal membrane oxygenation. Successful ablation was performed in the acute setting or over the following weeks. Two patients experienced relapses of arrhythmias and were treated by new ablation procedures. At 7.5 ± 5 months follow-up, all patient were alive with stable sinus rhythm. The left ventricular Ejection Fraction dramatically improved (21 vs. 54%, p = 0.001) as well as the end-diastolic left ventricular diameter (61 vs. 51 mm, p = 0.01) and NYHA class (class IV in all vs. median 1, p = 0.002). Conclusion Restoration and maintenance of sinus rhythm in severe TIC with cardiogenic shock and atrial arrhythmias lead to a major increase or normalization of LVEF, reduction of ventricular dimensions, and improvement in functional status. Ablation is efficient in long-term maintenance of sinus rhythm and may be proposed early in refractory cases. |
| نوع الوثيقة: |
text |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| Relation: |
Cardiology; https://dx.doi.org/10.3390/jcm10194504 |
| DOI: |
10.3390/jcm10194504 |
| الاتاحة: |
https://doi.org/10.3390/jcm10194504 |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: |
edsbas.82599FBC |
| قاعدة البيانات: |
BASE |