Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation

Aim. To evaluate the dynamics of cardiac arrhythmias on the background of cardiac contractility modulation (MCC) in patients with chronic heart failure (CHF) and various forms of atrial fibrillation (AF) on the basis of daily electrocardiogram (ECG) monitoring. Materials and methods. In 100 patie...

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Autores principales:	Alfiya A. Safiullina, Tatiana M. Uskach, Yulduz S. Sharapova, Anatolii G. Kochetov, Oleg V. Sapelnikov, Sergey N. Tereshchenko
Formato:	article
Lenguaje:	RU
Publicado:	"Consilium Medicum" Publishing house 2021
Materias:	heart failure cardiac contractility modulation qrs complex holter ecg monitoring ventricular extrasystole atrial fibrillation Medicine R
Acceso en línea:	https://doaj.org/article/ba37402b78d64895a1853d4e9262b6d2
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spelling	oai:doaj.org-article:ba37402b78d64895a1853d4e9262b6d22021-12-01T12:22:36ZDynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation0040-36602309-534210.26442/00403660.2021.09.201034https://doaj.org/article/ba37402b78d64895a1853d4e9262b6d22021-09-01T00:00:00Zhttps://ter-arkhiv.ru/0040-3660/article/viewFile/82968/63448https://doaj.org/toc/0040-3660https://doaj.org/toc/2309-5342Aim. To evaluate the dynamics of cardiac arrhythmias on the background of cardiac contractility modulation (MCC) in patients with chronic heart failure (CHF) and various forms of atrial fibrillation (AF) on the basis of daily electrocardiogram (ECG) monitoring. Materials and methods. In 100 patients with CHF and AF, the following studies were performed before implantation of the MCC device and after 12 months of follow-up: 12-channel ECG with an estimate of the width of the QRS complex, transthoracic echocardiography (EchoCG), and Holter ECG monitoring. All patients received long-term optimal drug therapy for CHF before surgery. Results. The results obtained indicate that there is no effect of MCC on the development and progression of ventricular arrhythmias in patients with CHF and AF during the year of follow-up, both extrasystole and tachyarrhythmias, regardless of the etiology and LVEF (less than 35% or more than 35%), and a decrease in the frequency of AF paroxysms in patients with CHF during treatment. These results are due to the reverse remodeling of the LV myocardium under the influence of the MCC device. Conclusion. The use of MСС in patients with CHF and AF is a safe method of therapy that does not induce cardiac arrhythmias, including ventricular extrasystole. Large-scale comparative studies are required to evaluate these results.Alfiya A. SafiullinaTatiana M. UskachYulduz S. SharapovaAnatolii G. KochetovOleg V. SapelnikovSergey N. Tereshchenko"Consilium Medicum" Publishing housearticleheart failurecardiac contractility modulationqrs complexholter ecg monitoringventricular extrasystoleatrial fibrillationMedicineRRUТерапевтический архив, Vol 93, Iss 9, Pp 1044-1051 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	heart failure cardiac contractility modulation qrs complex holter ecg monitoring ventricular extrasystole atrial fibrillation Medicine R
spellingShingle	heart failure cardiac contractility modulation qrs complex holter ecg monitoring ventricular extrasystole atrial fibrillation Medicine R Alfiya A. Safiullina Tatiana M. Uskach Yulduz S. Sharapova Anatolii G. Kochetov Oleg V. Sapelnikov Sergey N. Tereshchenko Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation
description	Aim. To evaluate the dynamics of cardiac arrhythmias on the background of cardiac contractility modulation (MCC) in patients with chronic heart failure (CHF) and various forms of atrial fibrillation (AF) on the basis of daily electrocardiogram (ECG) monitoring. Materials and methods. In 100 patients with CHF and AF, the following studies were performed before implantation of the MCC device and after 12 months of follow-up: 12-channel ECG with an estimate of the width of the QRS complex, transthoracic echocardiography (EchoCG), and Holter ECG monitoring. All patients received long-term optimal drug therapy for CHF before surgery. Results. The results obtained indicate that there is no effect of MCC on the development and progression of ventricular arrhythmias in patients with CHF and AF during the year of follow-up, both extrasystole and tachyarrhythmias, regardless of the etiology and LVEF (less than 35% or more than 35%), and a decrease in the frequency of AF paroxysms in patients with CHF during treatment. These results are due to the reverse remodeling of the LV myocardium under the influence of the MCC device. Conclusion. The use of MСС in patients with CHF and AF is a safe method of therapy that does not induce cardiac arrhythmias, including ventricular extrasystole. Large-scale comparative studies are required to evaluate these results.
format	article
author	Alfiya A. Safiullina Tatiana M. Uskach Yulduz S. Sharapova Anatolii G. Kochetov Oleg V. Sapelnikov Sergey N. Tereshchenko
author_facet	Alfiya A. Safiullina Tatiana M. Uskach Yulduz S. Sharapova Anatolii G. Kochetov Oleg V. Sapelnikov Sergey N. Tereshchenko
author_sort	Alfiya A. Safiullina
title	Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation
title_short	Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation
title_full	Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation
title_fullStr	Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation
title_full_unstemmed	Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation
title_sort	dynamics of holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation
publisher	"Consilium Medicum" Publishing house
publishDate	2021
url	https://doaj.org/article/ba37402b78d64895a1853d4e9262b6d2
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Dynamics of Holter electrocardiogram monitoring in patients with chronic heart failure and atrial fibrillation on the background of cardiac contractility modulation

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