L'apport de la stimulation cardiaque dans les cardiomyopathies hypertrophiques obstructives [Cardiac pacing in obstructive hypertrophic cardiomyopathies]

Details

Serval ID
serval:BIB_D4E3D90699F9
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
L'apport de la stimulation cardiaque dans les cardiomyopathies hypertrophiques obstructives [Cardiac pacing in obstructive hypertrophic cardiomyopathies]
Journal
Annales de Cardiologie et d'Angéiologie
Author(s)
Kappenberger L., Aebischer N., Jeanrenaud X.
ISSN
0003-3928
Publication state
Published
Issued date
1994
Peer-reviewed
Oui
Volume
43
Number
10
Pages
573-577
Language
french
Notes
English Abstract Journal Article Review --- Old month value: Dec
Abstract
Up until recently, the first-line treatment of obstructive hypertrophic cardiomyopathy was pharmacological and surgical in refractory cases. However, the immediate beneficial effect of a cardiac pacing on infra-aortic obstruction has been known for many years. The development of sophisticated two-chamber pacemakers and their use in patients with obstructive hypertrophic cardiomyopathy has confirmed their beneficial effect both in terms of haemodynamic and clinical parameters. There appears to be many reasons for this advantageous effect and only some of them have been elucidated, including alteration of the activation sequence of the left ventricle secondary to apical ectopic electrical activation and reduction of the contact time of the mitral valve with the proximal septum and, in the long term, ventricular remodelling secondary to release of the outflow obstruction. The increasing number of publications reporting a beneficial effect of two-chamber pacemakers in these patients justifies consideration of this approach in all patients refractory to drug therapy.
Keywords
Cardiac Pacing, Artificial, Cardiomyopathy, Hypertrophic, Hemodynamics, Humans, Time Factors
Pubmed
Web of science
Create date
28/01/2008 9:45
Last modification date
20/08/2019 15:54
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