CARDIAC RESYNCHRONIZATION THERAPY FOR TREATMENT OF CHRONIC PULMONARY RIGHT VENTRICULAR DYSFUNCTION IN CONGENITAL HEART DISEASE
Tématický okruh: Poruchy rytmu, kardiostimulace | |||||||||||||||||||||||||||||||||||||||||
Typ: Ústní sdělení - lékařské , Číslo v programu: 43 | |||||||||||||||||||||||||||||||||||||||||
Etický kodex: Podpora výzkumu / granty: Supported by the grant No 15-28029A, Agency for Medical Research, Ministry of Health of the Czech Republic | |||||||||||||||||||||||||||||||||||||||||
Kovanda J.1, Ložek M.1, Kubuš P.1, Tomek V.1, Gebauer R.1, Janoušek J.1 1 Dětské kardiocentrum, Kovanda Jan, Praha | |||||||||||||||||||||||||||||||||||||||||
Background: Chronic pulmonary right ventricular (RV) dysfunction is common in congenital heart disease (CHD). We sought to evaluate mid-term results of permanent RV cardiac resynchronization therapy (RV-CRT) in this setting.
Conclusions: Permanent pulmonary RV-CRT alone or in association with redo cardiac surgery carried sustained clinical benefit and improvement in RV function and synchrony over mid-term follow-up in patients with CHD and RV dysfunction associated with electromechanical dyssynchrony. RV-CRT may be a useful adjunct to long-term management of RV dysfunction and failure in selected patients. | |||||||||||||||||||||||||||||||||||||||||