Current Technology to Maximize Cardiac Resynchronization Therapy Benefit for Patients With Symptomatic Heart Failure

Huntsinger, Mary; Rabara, Roselou; Peralta, Irene; Doshi, Rahul N.

doi:10.1097/nci.0000000000000113

Cited by 3 publications

(1 citation statement)

References 79 publications

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“…CRT has the potential to improve heart failure symptoms, reduce hospital admissions, and improve the survival and functional capacity. The mechanisms of benefits from CRT include improved left ventricular remodeling resulting in reduced left ventricular size and increased ejection fraction, as well as mitigation of mitral regurgitation ( 5 , 13 ). With the advancement of retrograde coronary sinus cannulation technology, delivery systems and dedicated left ventricular lead technology, the fully transvenous route has become the first-line approach for CRT ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

A Novel Approach for Repetitive Dislocation of Transvenous Left Ventricular Leads During Cardiac Resynchronization Therapy Implantation by the Loop Technique

Zheng

et al. 2022

Front. Cardiovasc. Med.

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Cardiac resynchronization therapy (CRT) for heart failure requires transvenous insertion of a left ventricular pacing lead through the coronary sinus. However, repeated intraoperative dislocations often occur. Therefore, we describe a novel technique that uses the loop technique to treat patients with repeated intraoperative dislocations during transvenous left ventricular lead implantation to stabilize the lead in its final position. In five patients with repeated intraoperative dislocation during transvenous left ventricular lead implantation, the loop technique was successfully used to stabilize the lead in its final position. The pacing and sensing parameters were satisfactory in all patients at implantation and 12 months post-operatively. Compared with the pre-operative values, the 12-month post-operative values for the left ventricular ejection fraction were significantly increased and the left ventricular end systolic dimension and left ventricular end diastolic dimension were significantly decreased (P < 0.05). The left ventricular ejection fraction of these 5 patients increased by more than 15%. CRT significantly improved the left ventricular structure and function of these 5 patients. During the 1-, 3-, 6-, and 12-month follow-ups, no left ventricular lead dislocations were observed. This loop technique is safe and effective and can be considered for repeated intraoperative dislocation during transvenous left ventricular lead implantation through the coronary sinus of a CRT device.

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Section: Discussionmentioning

confidence: 99%

A Novel Approach for Repetitive Dislocation of Transvenous Left Ventricular Leads During Cardiac Resynchronization Therapy Implantation by the Loop Technique

Zheng

et al. 2022

Front. Cardiovasc. Med.

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Influence of of education on the self-care of patients with the chronic heart failure

Vila¹,

Mikulandra²

2016

Cardiologia Croatica

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Uvod: Zatajivanje srca je klinički sindrom koji nastaje kao posljedica poremećaja strukture i funkcije srca. Incidencija raste sa životnom dobi tako da 10% populacije iznad 70 godina boluje od srčanog zatajivanja.1 Briga o sebi je važan oblik nefarmakološkog liječenja, a uključuje pacijentovo ponašanje vezano uz održavanje stabilnog fiziološkog stanja i prepoznavanje znakova pogoršanja bolesti. Ciljevi rada: Ispitati utjecaj edukacije na samozbrinjavanje bolesnika s kroničnim srča-nim zatajivanjem. Ispitati utjecaj edukacije u odnosu na dob, spol, obiteljski status, mjesto stanovanja, stručnu spremu te broj hospitalizacija. Ispitati u kojim je aspektima samopomoći edukacija imala značajan utjecaj. Pacijenti i metode:U istraživanje je uključeno 50 bolesnika liječenih na Zavodu za bolesti srca i krvnih žila Kliničkog bolničkog centra Osijek, od kojih je 14 preminulo u prvoj fazi istraživanja. Ostalih 36 ispitanika od kojih 23 (63%) muškar-ca i 13 (36%) žena, starosti od 51 do 90 godine je sudjelovalo u istraživanju. Kao instrument istraživanja upotrijebljen je anketni upitnik European Heart Failure Self-care Behavior scale (EHFScB-9) i anketni upitnik kreiran za potrebe ovog istraživanja.Rezultati: Značajno je veći ukupni prosječni rezultat nakon edukacije 46,67 ± 6,01, od minimalnih 34 do maksimalnih 58 bodova, u usporedbi sa ukupnim prosječnim rezultatom prije edukacije 33,94 ± 6,85, od minimalnih 23 do maksimalnih 49 bodova (p<0,001). Gledajući odvojeno po skupinama i muškar-ci (n=23) 63 % i žene (n=13) 36 %, i stanovnici grada (n=19) 52 % i stanovnici sela (n=17) 47 %; i ispitanici sa osnovnim (n=18) 50 % i sa srednjim obrazovanjem (n=18) 50 %; i ispitanici koji žive sami (n=13) 36 % i koji žive s nekim (n=23) 63 %, svaka skupina za sebe ima statistički značajno bolje rezultate nakon edukacije uz p < 0,001. Odnosno nema značajne razlike u napretku nakon edukacije niti između muškaraca i žena (p = 0,373), niti onih koji žive u gradu odnosno na selu (p = 0,485), niti onih koji imaju tek osnovno odnosno srednje obrazovanje (p = 0,639), ni onih koji žive sami odnosno s nekim (p = 0,415). Nije nađena korelacija između dobi i napretka u ukupnom broju bodova (p = 0,704) niti između broja hospitalizacija i napretka u ukupnome broju bodova (p = 0,261).

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Heart Failure Care: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model (APIM)—A Scoping Review

Uchmanowicz

Faulkner

Vellone

et al. 2022

IJERPH

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Self-care behaviors are essential for the effective treatment of heart failure (HF), and poor self-care may lead to adverse clinical events in patients with HF. A growing body of literature addresses the need to analyze the characteristics of both patient and caregiver since they are in mutual, long-term interaction, and their reactions to events are dependent on each other. One of the most common approaches for analyzing data on HF self-care dyads is the Actor–Partner Interdependence Model (APIM). The purpose of this study was to conduct a scoping review to answer the following question: what did we learn from HF dyadic studies based on the APIM approach? Medline, Academic Search Ultimate, and CINAHL Complete databases were searched, using the terms “dyad,” “dyadic,” and “heart failure,” for studies published between 2009 and April 2021. Fifteen studies were reviewed from a pool of 106 papers. Studies using the APIM approach revealed interrelated patient and caregiver characteristics that influence self-care and explain many complex dyadic behaviors. Our analysis provided evidence that (1) APIM is a useful analytical approach; (2) a family-oriented approach can improve the functioning of a patient with HF; and (3) social support from caregivers significantly enhances patients’ adaptation to illness.

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Current Technology to Maximize Cardiac Resynchronization Therapy Benefit for Patients With Symptomatic Heart Failure

Cited by 3 publications

References 79 publications

A Novel Approach for Repetitive Dislocation of Transvenous Left Ventricular Leads During Cardiac Resynchronization Therapy Implantation by the Loop Technique

A Novel Approach for Repetitive Dislocation of Transvenous Left Ventricular Leads During Cardiac Resynchronization Therapy Implantation by the Loop Technique

Influence of of education on the self-care of patients with the chronic heart failure

Heart Failure Care: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model (APIM)—A Scoping Review

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