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 language | English |
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Pages (from-to) | 59-62 |
Number of pages | 4 |
Journal | Cardiology |
Volume | 106 |
Issue number | 1 |
DOIs | |
State | Published - Jun 2006 |
Keywords
- Cardiac resynchronization therapy
- Death
- Heart failure
- Inotropic treatment