The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy

Cardiac resynchronization therapy (CRT) in multiple and large trials has been demonstrated to improve symptoms and decrease hospitalization and mortality of patients when used in addition to optimal medical therapy. The global mechanical performance of the heart is affected in subjects with heart fa...

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Main Authors: Diana R. Tudorașcu, Constantin Bătăiosu, Alina Paraschiv, Elena-Anca Târtea, Ionuț Donoiu, Cristina Florescu
Format: Article
Language:English
Published: MDPI AG 2018-04-01
Series:Journal of Mind and Medical Sciences
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Online Access:https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1083&context=jmms
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author Diana R. Tudorașcu
Constantin Bătăiosu
Alina Paraschiv
Elena-Anca Târtea
Ionuț Donoiu
Cristina Florescu
author_facet Diana R. Tudorașcu
Constantin Bătăiosu
Alina Paraschiv
Elena-Anca Târtea
Ionuț Donoiu
Cristina Florescu
author_sort Diana R. Tudorașcu
collection DOAJ
description Cardiac resynchronization therapy (CRT) in multiple and large trials has been demonstrated to improve symptoms and decrease hospitalization and mortality of patients when used in addition to optimal medical therapy. The global mechanical performance of the heart is affected in subjects with heart failure by atrio-ventricular, interventricular, or intraventricular conduction disorders, which lead to the desynchronization of electrical activity. Cardiac resynchronization therapy can effectively improve the clinical and haemodynamic status of these patients. According to literature data, CRT is performed only on well-selected patients (who qualify for CRT based on current indications), and approximately 70% of those patients respond favorably. We present the case of a patient responsive to cardiac resynchronization therapy which led to lowering of his NYHA classification and to improvement of left ventricle hemodynamics. The benefits of cardiac resynchronization therapy were multiple in this case, including improved tolerance to physical exercise and a decreased rate of hospitalization, which overall led to improved quality of life.
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spelling doaj-art-2d99220c5fc94751aa0d26da3ef566ce2025-08-20T02:24:04ZengMDPI AGJournal of Mind and Medical Sciences2392-76742392-76742018-04-015114515010.22543/7674.51.P145150The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathyDiana R. Tudorașcu0Constantin Bătăiosu1Alina Paraschiv2Elena-Anca Târtea3Ionuț Donoiu4Cristina Florescu5Craiova University of Medicine and Pharmacy, Department of Internal MedicineEmergency County Hospital of Craiova, Department of CardiologyEmergency County Hospital of Craiova, Department of CardiologyCraiova University of Medicine and Pharmacy of Craiova, Department of PhysiologyCraiova University of Medicine and Pharmacy, Department of CardiologyCraiova University of Medicine and Pharmacy, Department of CardiologyCardiac resynchronization therapy (CRT) in multiple and large trials has been demonstrated to improve symptoms and decrease hospitalization and mortality of patients when used in addition to optimal medical therapy. The global mechanical performance of the heart is affected in subjects with heart failure by atrio-ventricular, interventricular, or intraventricular conduction disorders, which lead to the desynchronization of electrical activity. Cardiac resynchronization therapy can effectively improve the clinical and haemodynamic status of these patients. According to literature data, CRT is performed only on well-selected patients (who qualify for CRT based on current indications), and approximately 70% of those patients respond favorably. We present the case of a patient responsive to cardiac resynchronization therapy which led to lowering of his NYHA classification and to improvement of left ventricle hemodynamics. The benefits of cardiac resynchronization therapy were multiple in this case, including improved tolerance to physical exercise and a decreased rate of hospitalization, which overall led to improved quality of life.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1083&context=jmmsheart failureischemic cardiomyopathycardiac resynchronization therapy
spellingShingle Diana R. Tudorașcu
Constantin Bătăiosu
Alina Paraschiv
Elena-Anca Târtea
Ionuț Donoiu
Cristina Florescu
The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy
Journal of Mind and Medical Sciences
heart failure
ischemic cardiomyopathy
cardiac resynchronization therapy
title The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy
title_full The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy
title_fullStr The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy
title_full_unstemmed The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy
title_short The effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy
title_sort effectiveness of the cardiac resynchronization in a patient with ischemic cardiomyopathy
topic heart failure
ischemic cardiomyopathy
cardiac resynchronization therapy
url https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1083&context=jmms
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