CRT-D Therapy in Patients with Decompensated NYHA Class-Four CHF
Joint Authors
Kluger, Jeffrey
Giedriemiene, Dalia
Zweibel, Steven
Radojevic, Joseph
Crespo, Eric
Coleman, Craig
Clyne, Christopher A.
Zaeem, Faisal
Source
Cardiology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
ACC-HRS Guidelines for Cardiac Resynchronization Therapy ICD implantation (CRT-D) do not include patients with advanced nonambulatory NYHA class-four CHF due to an expectation of limited survival.
There is little data available from these large multicenter randomized studies to support or refute this claim.
Purpose.
We evaluated the outcomes of patients with advanced nonambulatory NYHA class-four CHF who received CRT-D devices as an attempt to improve the clinical status and promote hospital discharge.
Methods.
Sixteen (of our six hundred and seventy CRT-D patients) were classified as advanced nonambulatory NYHA Class four inotrope/vasodilator/diuretic-dependent patients.
These patients were analyzed retrospectively for weaning success to oral medications, hospital discharge, hemodynamic stability, and survival over eighteen months.
Results.
Thirteen of sixteen patients were discharged to home within two weeks of implantation.
The survival to hospital discharge, as well as at six, twelve, and eighteen months was positive (ninety-four percent, seventy-five percent, sixty-nine percent, sixty-nine percent, resp.).
The groups showed significant improvements in systolic blood pressure, renal function, left ventricular ejection fraction, and CHF class.
Conclusion.
CRT-D in advanced nonambulatory NYHA four patients proved feasible and beneficial.
These findings suggest that the strategy merits further study.
American Psychological Association (APA)
Zaeem, Faisal& Giedriemiene, Dalia& Coleman, Craig& Crespo, Eric& Radojevic, Joseph& Zweibel, Steven…[et al.]. 2012. CRT-D Therapy in Patients with Decompensated NYHA Class-Four CHF. Cardiology Research and Practice،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-463158
Modern Language Association (MLA)
Zaeem, Faisal…[et al.]. CRT-D Therapy in Patients with Decompensated NYHA Class-Four CHF. Cardiology Research and Practice No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-463158
American Medical Association (AMA)
Zaeem, Faisal& Giedriemiene, Dalia& Coleman, Craig& Crespo, Eric& Radojevic, Joseph& Zweibel, Steven…[et al.]. CRT-D Therapy in Patients with Decompensated NYHA Class-Four CHF. Cardiology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-463158
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463158