| dc.creator | Asenjo,René | |
| dc.creator | Zapata,Mario | |
| dc.creator | Aramburú,Ivonne | |
| dc.creator | Morris,Raimundo | |
| dc.creator | Cereceda,Mauricio | |
| dc.creator | Brugere,Solange | |
| dc.creator | Aguayo,Rubén | |
| dc.creator | Ríos,Jhonny | |
| dc.creator | Toro,Carlos | |
| dc.creator | Hassi,Mario | |
| dc.creator | González,Patricio | |
| dc.creator | Cannessa,José | |
| dc.creator | Oyarzún,Rodulfo | |
| dc.creator | Ortiz,Mario | |
| dc.creator | Avalos,Viviana | |
| dc.creator | Morales,Patricia | |
| dc.creator | Nicola,Martín | |
| dc.creator | Oyonarte,Miguel | |
| dc.creator | Abufhele,Alejandro | |
| dc.date | 2003-10-01 | |
| dc.date.accessioned | 2020-02-17T15:33:21Z | |
| dc.date.available | 2020-02-17T15:33:21Z | |
| dc.identifier | https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000001 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/130715 | |
| dc.description | Intraventricular resynchronization with pacemakers is a promising therapy for patients with refractory cardiac failure and intraventricular conductions delay. However its long term effects are not well known. Aim: To report the results of this therapy in patients with cardiac failure. Patients and methods: Fourteen patients (11 male), whose mean age was 68 years, with a severe and refractory cardiac failure, have been treated in our unit using intraventricular resynchronization with pacemakers. Eight had a coronary heart disease and six a dilated myocardiopathy. The pacemaker was implanted transvenously, with conventional stimulation in atrium and right ventricle. The left ventricle was stimulated through an epicardial vein, accessed through the coronary sinus. Results: In one patient the high thresholds did not allow a left ventricular stimulation. In the other 13 patients, a clinical improvement was observed in 11 (85%), that has been sustained for a mean of 8.2 months. The ejection fraction improved form 23.5 to 32.4% (p <0.001), the 6 min walking test improved from 347 to 437 m (p=0.003) and the functional capacity changes from 3.3 to 2.7 (p <0.001). Three patients died during follow up. One was the patient in whom the stimulation failed and two had a sudden death. No complications of the procedure were observed. Conclusions: In this series, intraventricular resynchronization with pacemakers was effective in 11 of 13 patients, improving functional capacity and ejection fraction. Sudden death could be avoided adding a defibrillator to the pacemaker system (Rev Méd Chile 2003; 131: 1101-10) | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.relation | 10.4067/S0034-98872003001000001 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.source | Revista médica de Chile v.131 n.10 2003 | |
| dc.subject | Cardiac surgical procedures | |
| dc.subject | Cardiac pacing | |
| dc.subject | artificial | |
| dc.subject | Pacemaker | |
| dc.subject | artificial | |
| dc.title | Resultados clínicos de la resincronización ventricular en pacientes con insuficiencia cardíaca severa | |
