Urgent cardiac resynchronization therapy in patients with decompensated chronic heart failure receiving inotropic therapy: A case series

Yuval Konstantino, Zaza Iakobishvili, Orna Arad, Tuvia Ben-Gal, Jairo Kusniec, Alexander Mazur, Avital Porter, Boris Strasberg, Alexander Battler, David Hasdai

Research output: Contribution to journalArticlepeer-review

Abstract

Background: It remains unknown whether patients with severe decompensated class IV heart failure (HF) receiving intravenous inotropic treatment benefit from cardiac resynchronization therapy (CRT). Methods: We identified patients who underwent urgent CRT implantation due to decompensated class IV HF necessitating intravenous inotropic therapy. Results: Of 10 patients with chronic ischemic cardiomyopathy (median QRS duration of 170 ms), CRT implantation was associated with symptomatic improvement in 8 patients. The mortality rate was 50% during a median follow-up of 9.5 months, with a median CRT-to-death duration of 6 months. Conclusions: CRT was feasible among class IV patients receiving inotropic treatment and was associated with clinical improvement.

Original languageEnglish
Pages (from-to)59-62
Number of pages4
JournalCardiology
Volume106
Issue number1
DOIs
StatePublished - Jun 2006

Keywords

  • Cardiac resynchronization therapy
  • Death
  • Heart failure
  • Inotropic treatment

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