ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILURE
Objective: study was analysis of long-term results of medical and surgical treatment of patients with severe chronic heart failure (CHF).Materials and methods. We studied 90 patients with CHF III–IV functional class (FC) of NYHA, treated in A.N. Bakulev Scientific Center for Cardiovascular Surgery i...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
ABV-press
2016-09-01
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| Series: | Klinicist |
| Subjects: | |
| Online Access: | https://klinitsist.abvpress.ru/Klin/article/view/256 |
| _version_ | 1797855593741942784 |
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| author | O. T. Kotsoeva O. L. Boсkeriya |
| author_facet | O. T. Kotsoeva O. L. Boсkeriya |
| author_sort | O. T. Kotsoeva |
| collection | DOAJ |
| description | Objective: study was analysis of long-term results of medical and surgical treatment of patients with severe chronic heart failure (CHF).Materials and methods. We studied 90 patients with CHF III–IV functional class (FC) of NYHA, treated in A.N. Bakulev Scientific Center for Cardiovascular Surgery in 2007. All patients were divided into 3 groups: 30 patients who underwent conventional medical therapy (MT); 30 patients who underwent cardiac resynchronization therapy (CRT); 30 patients extremely severe category, which was performed orthotopic heart transplantation. Patients were followed up for 5 years to assess long-term results of treatment of CHF.Results. In patients with severe CHF, CRT (with respect to MT) significantly reduces the 5-year risk of total mortality, death from progressive heart failure, rehospitalization for heart failure, cardiac arrhythmias, need for heart transplantation, as well as helping to reduce FC of CHF, and an increase in ejection fraction the left ventricle.Conclusion. Surgical treatment of patients with severe CHF demonstrated a significant advantage over conventional MT in terms of improving the 5-year forecast. |
| first_indexed | 2024-04-09T20:26:23Z |
| format | Article |
| id | doaj.art-358683cb454e4fa9b7c7e06a3b02aa14 |
| institution | Directory Open Access Journal |
| issn | 1818-8338 |
| language | Russian |
| last_indexed | 2024-04-09T20:26:23Z |
| publishDate | 2016-09-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Klinicist |
| spelling | doaj.art-358683cb454e4fa9b7c7e06a3b02aa142023-03-30T20:14:09ZrusABV-pressKlinicist1818-83382016-09-01102253110.17650/1818-8338-2016-10-2-25-31241ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILUREO. T. Kotsoeva0O. L. Boсkeriya1A.N. Bakulev Scientific Center for Cardiovascular Surgery of the Ministry of Health of RussiaA.N. Bakulev Scientific Center for Cardiovascular Surgery of the Ministry of Health of RussiaObjective: study was analysis of long-term results of medical and surgical treatment of patients with severe chronic heart failure (CHF).Materials and methods. We studied 90 patients with CHF III–IV functional class (FC) of NYHA, treated in A.N. Bakulev Scientific Center for Cardiovascular Surgery in 2007. All patients were divided into 3 groups: 30 patients who underwent conventional medical therapy (MT); 30 patients who underwent cardiac resynchronization therapy (CRT); 30 patients extremely severe category, which was performed orthotopic heart transplantation. Patients were followed up for 5 years to assess long-term results of treatment of CHF.Results. In patients with severe CHF, CRT (with respect to MT) significantly reduces the 5-year risk of total mortality, death from progressive heart failure, rehospitalization for heart failure, cardiac arrhythmias, need for heart transplantation, as well as helping to reduce FC of CHF, and an increase in ejection fraction the left ventricle.Conclusion. Surgical treatment of patients with severe CHF demonstrated a significant advantage over conventional MT in terms of improving the 5-year forecast.https://klinitsist.abvpress.ru/Klin/article/view/256chronic heart failuredrug therapycardiac resynchronization therapyheart transplantation5-year riskprogression of heart failuremortalityfrequency of hospitalizationsfunctional class of heart failurestroke |
| spellingShingle | O. T. Kotsoeva O. L. Boсkeriya ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILURE Klinicist chronic heart failure drug therapy cardiac resynchronization therapy heart transplantation 5-year risk progression of heart failure mortality frequency of hospitalizations functional class of heart failure stroke |
| title | ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILURE |
| title_full | ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILURE |
| title_fullStr | ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILURE |
| title_full_unstemmed | ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILURE |
| title_short | ANALYSIS OF LONG-TERM RESULTS OF MEDICAL AND SURGICAL TREATMENT OF PATIENTS WITH SEVERE CHRONIC HEART FAILURE |
| title_sort | analysis of long term results of medical and surgical treatment of patients with severe chronic heart failure |
| topic | chronic heart failure drug therapy cardiac resynchronization therapy heart transplantation 5-year risk progression of heart failure mortality frequency of hospitalizations functional class of heart failure stroke |
| url | https://klinitsist.abvpress.ru/Klin/article/view/256 |
| work_keys_str_mv | AT otkotsoeva analysisoflongtermresultsofmedicalandsurgicaltreatmentofpatientswithseverechronicheartfailure AT olboskeriya analysisoflongtermresultsofmedicalandsurgicaltreatmentofpatientswithseverechronicheartfailure |