Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular

The prevalence of congestive heart failure has increased in the world. Despite advances in pharmacological treatment, some patients have progression of the disease and deterioration of their functional class. In this group of patients cardiac resynchronization therapy has been accepted as a treatmen...

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Autores principales: Vergara S,Ismael, Frangini S,Patricia, González A,Rolando
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500012
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spelling oai:scielo:S0034-988720060005000122006-06-22Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricularVergara S,IsmaelFrangini S,PatriciaGonzález A,Rolando Cardiomiopathy dilated Electric stimulation Heart failure congestive The prevalence of congestive heart failure has increased in the world. Despite advances in pharmacological treatment, some patients have progression of the disease and deterioration of their functional class. In this group of patients cardiac resynchronization therapy has been accepted as a treatment option. However, some patients are non-responders to cardiac resynchronization, and others who respond favorably, will experience reappearance of their symptoms. For these patients, multisite stimulation with the implant of a second electrode in the right ventricle has been published as a new option. We report a 76 year-old woman with a dilated cardiomyopathy, who was treated with resynchronization therapy with good clinical response during two years, but symptoms of congestive heart failure reappeared and her functional class deteriorated to NYHA class IV. She was successfully treated with right ventricular multisite stimulation, with a reduction of symptoms that has lasted during the two months of follow up after the procedureinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.5 20062006-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500012es10.4067/S0034-98872006000500012
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Cardiomiopathy
dilated
Electric stimulation
Heart failure
congestive
spellingShingle Cardiomiopathy
dilated
Electric stimulation
Heart failure
congestive
Vergara S,Ismael
Frangini S,Patricia
González A,Rolando
Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular
description The prevalence of congestive heart failure has increased in the world. Despite advances in pharmacological treatment, some patients have progression of the disease and deterioration of their functional class. In this group of patients cardiac resynchronization therapy has been accepted as a treatment option. However, some patients are non-responders to cardiac resynchronization, and others who respond favorably, will experience reappearance of their symptoms. For these patients, multisite stimulation with the implant of a second electrode in the right ventricle has been published as a new option. We report a 76 year-old woman with a dilated cardiomyopathy, who was treated with resynchronization therapy with good clinical response during two years, but symptoms of congestive heart failure reappeared and her functional class deteriorated to NYHA class IV. She was successfully treated with right ventricular multisite stimulation, with a reduction of symptoms that has lasted during the two months of follow up after the procedure
author Vergara S,Ismael
Frangini S,Patricia
González A,Rolando
author_facet Vergara S,Ismael
Frangini S,Patricia
González A,Rolando
author_sort Vergara S,Ismael
title Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular
title_short Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular
title_full Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular
title_fullStr Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular
title_full_unstemmed Estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular
title_sort estimulación ventricular derecha multisitio en insuficiencia cardíaca refractaria a tratamiento con resincronización biventricular
publisher Sociedad Médica de Santiago
publishDate 2006
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500012
work_keys_str_mv AT vergarasismael estimulacionventricularderechamultisitioeninsuficienciacardiacarefractariaatratamientoconresincronizacionbiventricular
AT franginispatricia estimulacionventricularderechamultisitioeninsuficienciacardiacarefractariaatratamientoconresincronizacionbiventricular
AT gonzalezarolando estimulacionventricularderechamultisitioeninsuficienciacardiacarefractariaatratamientoconresincronizacionbiventricular
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