Hội Tim mạch học Việt Nam CRT bao cao

32 89 0
Hội Tim mạch học Việt Nam CRT bao cao

Đang tải... (xem toàn văn)

Tài liệu hạn chế xem trước, để xem đầy đủ mời bạn chọn Tải xuống

Thông tin tài liệu

PRIMARY RESULTS OF CRT FOR HEART FAILURE WITH QRS ≥150 ms IN VIETNAM HEART INSTITUTE Phạm Quôc Khánh, MD.PhD et al Vietnam Heart Institute Background Heart Failure (HF) Definition A complex clinical syndrome in which the heart is incapable of maintaining a cardiac output adequate to accommodate metabolic requirements and the venous return New York Heart Association Functional Classification Class I: No symptoms with ordinary activity Class II: Slight limitation of physical activity Comfortable at rest, but ordinary physical activity results in fatigue, palpitation, dyspnea, or angina Class III: Marked limitation of physical activity Comfortable at rest, but less than ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain Class IV: Unable to carry out any physical activity without discomfort Symptoms of cardiac insufficiency may be present even at rest HF Classification: Evolution and Disease Progression • Four Stages of HF (ACC/AHA Guidelines): Stage A: Patient at high risk for developing HF with no structural disorder of the heart Stage B: Patient with structural disorder without symptoms of HF Stage C: Patient with past or current symptoms of HF associated with underlying structural heart disease Stage D: Patient with end-stage disease who requires specialized treatment strategies Hunt, SA, et al ACC/AHA Guidelines for the Evaluation and Management of Chronic Heart Failure in the Adult, 2001 ` Background • Phương pháp tái đồng co bóp tim CRT đề cập vào đầu năm 1990s • Được FDA chấp nhận: 2001 • Được phân loại theo mức chứng IIA theo ACC; AHA; North American Society of Pacing and Electrophysiology Heart Rhythm Society guideline sử dụng máy tạo nhịp dụng cụ chống loạn nhịp tim (2004) MUSTIC: CRT vs no pacing, 58 bn NYHA III, EF60mm, 6-min walk 150 ms: - Reduced progression of heart failure - Reduced ventricular dimension and improved LV systolic function THANK YOU FOR YOUR ATTENTION ... đặt CRT: 412 bn • Blốc nhánh phải đặt CRT: 162 bn 60 50 40 30 20 10 LBBB RBBB Am J Cardiol 2009;103:238 Consuming time and fluoroscopy time in procedures Fluoroscopy Cosuming time (minutes) time(minutes)... chống loạn nhịp tim (2004) MUSTIC: CRT vs no pacing, 58 bn NYHA III, EF60mm, 6-min walk 150 ms:

Ngày đăng: 23/01/2018, 14:26

Tài liệu cùng người dùng

  • Đang cập nhật ...

Tài liệu liên quan