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Проблема отсутствия ответа на кардиоресинхронизационную терапию при хронической сердечной недостаточности

Проблема отсутствия ответа на кардиоресинхронизационную терапию при хронической сердечной недостаточности

Abstract

In spite of the fact that cardiac resynchronization therapy (CRT) helps a considerable quantity of patients, there is a category of patients for whom CRT does not render due clinical effect. Each doctor applying CRT subjectively evaluates a measure of its efficiency for patients. One of the methods to increase the quantity of responders is to find an optimum place for implantation of an electrode for LV stimulation. The majority of researchers point to the lateral and postero-lateral walls as an optimum place for stimulation of the left ventricle. However, there is no common opinion on clinical indicators, which could define the ideal responder or predict more or less exact probability of the response to CRT.

Несмотря на то что кардиоресинхронизационная терапия (CRT) помогает большому количеству пациентов, существует категория больных, у которых CRT не оказывает должного клинического эффекта. Один из способов увеличения количества респондеров поиск оптимального места имплантации электрода для стимуляции левого желудочка. В большинстве исследований оптимальным местом для стимуляции левого желудочка названа боковая и заднебоковая стенка. На сегодняшний день нет единого мнения о клиническом показателе, который мог бы определить идеального респондера или прогнозировать более или менее точную вероятность ответа на CRT.

Keywords

КАРДИОРЕСИНХРОНИЗАЦИОННАЯ ТЕРАПИЯ, РЕСПОНДЕРЫ, ХРОНИЧЕСКАЯ СЕРДЕЧНАЯ НЕДОСТАТОЧНОСТЬ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold