Device therapy in chronic heart failure: a case of hypertrophic cardiomyopathy treated with cardiac contractility modulation therapy

被引:0
作者
Gragnano, Felice [1 ,2 ]
Munciguerra, Orlando [1 ,2 ]
Iacono, Agostino Mattera [2 ]
Brignoli, Marcello [2 ]
Chianese, Raffaele [2 ]
Limongelli, Giuseppe [3 ]
Viscusi, Miguel [2 ]
Calabro, Paolo [1 ,2 ]
机构
[1] Univ Campania Luigi Vanvitelli, Dipartimento Sci Med Traslazionali, Via F Palasciano, I-81100 Naples, Italy
[2] AORN Sant Anna San Sebastiano, Div Cardiol, Dipartimento Cardiovasc, Caserta, Italy
[3] Univ Campania Luigi Vanvitelli, AORN Osped Colli Ospedale Monaldi, Malattie Rare Cardiovasc, Dipartimento Sci Med Traslazionali, Naples, Italy
关键词
Cardiac contractility modulation; Device therapy; Heart failure; Hypertrophic cardiomyopathy;
D O I
10.1714/3949.39289
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac contractility modulation (CCM) currently represents an innovative therapeutic strategy to improve quality of life and reduce hospitalizations in patients with chronic heart failure with reduced ejection fraction. In contemporary practice, a substantial proportion of patients with heart failure unfortunately remains symptomatic despite guideline-recommended pharmacological therapy and implantation of cardiac resynchronization therapy (CRT) devices. Such patients represent possible candidates for the use of CCM therapy with the goal of improving symptoms, ventricular function and, ultimately, prognosis. In this case report, we describe, for the first time, the use of CCM therapy in a patient with non-obstructive hypertrophic cardiomyopathy and symptomatic chronic heart failure despite optimal medical therapy and CRT.
引用
收藏
页码:23S / 26S
页数:4
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