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

doi:10.1159/000092616

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 journal › Article › peer-review

31 Scopus citations

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
Pages (from-to)	59-62
Number of pages	4
Journal	Cardiology
Volume	106
Issue number	1
DOIs	https://doi.org/10.1159/000092616
State	Published - 1 Jun 2006
Externally published	Yes

Keywords

Cardiac resynchronization therapy
Death
Heart failure
Inotropic treatment

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Pharmacology (medical)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1159/000092616

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

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.",

keywords = "Cardiac resynchronization therapy, Death, Heart failure, Inotropic treatment",

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

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doi = "10.1159/000092616",

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T1 - Urgent cardiac resynchronization therapy in patients with decompensated chronic heart failure receiving inotropic therapy

T2 - A case series

AU - Konstantino, Yuval

AU - Iakobishvili, Zaza

AU - Arad, Orna

AU - Ben-Gal, Tuvia

AU - Kusniec, Jairo

AU - Mazur, Alexander

AU - Porter, Avital

AU - Strasberg, Boris

AU - Battler, Alexander

AU - Hasdai, David

PY - 2006/6/1

Y1 - 2006/6/1

N2 - 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.

AB - 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.

KW - Cardiac resynchronization therapy

KW - Death

KW - Heart failure

KW - Inotropic treatment

UR - https://www.scopus.com/pages/publications/33745685596

U2 - 10.1159/000092616

DO - 10.1159/000092616

M3 - Article

AN - SCOPUS:33745685596

SN - 0008-6312

VL - 106

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JO - Cardiology

JF - Cardiology

IS - 1

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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