Academic Journal

Device‐therapy in chronic heart failure: Cardiac contractility modulation versus cardiac resynchronization therapy

التفاصيل البيبلوغرافية
العنوان: Device‐therapy in chronic heart failure: Cardiac contractility modulation versus cardiac resynchronization therapy
المؤلفون: Goekhan Yuecel, Leo Gaasch, Abbass Kodeih, Svetlana Hetjens, Babak Yazdani, Stefan Pfleger, Daniel Duerschmied, William T. Abraham, Ibrahim Akin, Juergen Kuschyk
المصدر: ESC Heart Failure, Vol 12, Iss 1, Pp 456-466 (2025)
بيانات النشر: Wiley, 2025.
سنة النشر: 2025
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: Chronic heart failure, CCM, CRT, CIED, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Abstract Aims Cardiac implantable electrical devices such as cardiac resynchronization therapy with defibrillator (CRT‐Ds) or cardiac contractility modulation (CCMs) are therapy options for patients with symptomatic heart failure (HF) and reduced left ventricular ejection fraction (LVEF) despite optimal medical treatment. As yet, a comparison between both devices has not been performed. Methods and results The Mannheim Cardiac Resynchronization Therapy Registry (MARACANA) and the Mannheim Cardiac Contractility Modulation Observational Study (MAINTAINED) included all patients who received CRTs or CCMs in our medical centre between 2012 and 2021. For the present analysis, we retrospectively compared patients provided with either CRT‐Ds (n = 220) or CCMs with additional defibrillators (n = 105) regarding New York Heart Association classification (NYHA), LVEF, tricuspid annular plane systolic excursion (TAPSE), QRS‐width and other HF modification aspects after 12 months. Before implantation, CCM patients presented with lower LVEF (23.6 ± 6.2 vs. 26.3 ± 6.5%) and worse NYHA (3.03 ± 0.47 vs. 2.81 ± 0.48, both P 0.05), while the paced QRS‐width with CRT‐D after 12 months was lower than intrinsic values at baseline (157.5 ± 16.5 vs. 139.2 ± 16 ms, P
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2055-5822
Relation: https://doaj.org/toc/2055-5822
DOI: 10.1002/ehf2.15067
URL الوصول: https://doaj.org/article/76db61adfa07475ea87aae0b3d4eb527
رقم الانضمام: edsdoj.76db61adfa07475ea87aae0b3d4eb527
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20555822
DOI:10.1002/ehf2.15067