Optimizer Smart in the treatment of moderate-to-severe chronic heart failure

被引:33
作者
Campbell, Courtney M. [1 ]
Kahwash, Rami [1 ]
Abraham, William T. [1 ]
机构
[1] Ohio State Univ, Dept Internal Med, Div Cardiovasc Med, Wexner Med Ctr, 200 Davis Heart & Lung Inst,473 W 12th Ave, Columbus, OH 43210 USA
关键词
cardiac contractility modulation; heart failure; intracardiac device; optimizer; CARDIAC CONTRACTILITY MODULATION; RANDOMIZED CONTROLLED-TRIAL; ABSOLUTE REFRACTORY PERIOD; LEFT-VENTRICULAR FUNCTION; ELECTRICAL SIGNALS; RESYNCHRONIZATION THERAPY; EJECTION FRACTION; EFFICACY; CURRENTS; SAFETY;
D O I
10.2217/fca-2019-0044
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac contractility modulation, also referred to as CCM (TM), by the Optimizer Smart device is an innovative intracardiac device-based therapy that has been recently US FDA-approved for the treatment of patients with chronic heart failure, left ventricular ejection fraction (LVEF) between 25 and 45%, QRS <130 ms who remain symptomatic despite optimal medical therapy. Clinical trials demonstrate that CCM therapy is safe and effective in reducing heart failure hospitalization and improving heart failure symptoms, quality of life and functional performance. This novel device-based therapeutic offers benefits to patients who do not otherwise qualify for cardiac resynchronization therapy. CCM expands the indication beyond the traditional LVEF cutoff of 35% to a newer group including patients who fall in midrange LVEF group, up to 45%. [GRAPHICS] .
引用
收藏
页码:13 / 26
页数:14
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