Significant improvement of clinical course and reverse myocardial remodeling in young patients with chronic heart failure using cardiac contractility modulation
https://doi.org/10.15829/1560-4071-2019-7-99-102
Abstract
Three clinical cases of 2-year follow-up of young patients with chronic heart failure with a low left ventricular ejection fraction of non-coronarogenic genesis after implantation of the cardiac contractility modulation system are presented. Significant positive dynamics of clinical course and reverse myocardial remodeling according to two-dimensional echocardiography and 2D speckle tracking echocardiography (STE) is shown. The 2D STE technique allowed us to demonstrate the improvement in local contractility of the interventricular septum in the area of implanted electrodes and the remote effect of global contractility improving during 1 year of observation with cardiac contractility modulation.
About the Authors
M. A. VanderRussian Federation
St. Petersburg
Competing Interests: not
E. A. Lyasnikova
Russian Federation
St. Petersburg
Competing Interests: not
I. M. Kim
Russian Federation
St. Petersburg
Competing Interests: not
T. A. Lelyavina
Russian Federation
St. Petersburg
Competing Interests: not
M. Yu. Sitnikova
Russian Federation
St. Petersburg
Competing Interests: not
D. S. Lebedev
Russian Federation
St. Petersburg
Competing Interests: not
E. N. Mikhailov
Russian Federation
St. Petersburg
Competing Interests: not
References
1. Abraham WT, Kuck KH, Goldsmith RL, et al. A randomized controlled trial to evaluate the safety and efficacy of cardiac contractility modulation. JACC Heart Fail. 2018;6:10:874-83. doi:10.1016/j.jchf.2018.04.010.
2. Artukhina EA, Revishvili AS. Implantable devices for cardiomodulation-a new approach in the treatment of heart failure. Niznij Novgorod: Medicinskij al'manach. 2017;3(48):218-20.(In Russ.)
Review
For citations:
Vander M.A., Lyasnikova E.A., Kim I.M., Lelyavina T.A., Sitnikova M.Yu., Lebedev D.S., Mikhailov E.N. Significant improvement of clinical course and reverse myocardial remodeling in young patients with chronic heart failure using cardiac contractility modulation. Russian Journal of Cardiology. 2019;(7):99-102. (In Russ.) https://doi.org/10.15829/1560-4071-2019-7-99-102