Dynamic cardiomyoplasty and its use in patients with chronic heart failure.
Chronic heart failure is a growing problem affecting an increasing number of patients. Medical therapies exist, but many patients are not able to fully benefit from these therapies. Few surgical therapies have been effective in managing chronic heart failure. This article provides a comprehensive overview of dynamic cardiomyoplasty. This surgical therapy is a new procedure being utilized to enhance myocardial function in patients with end-stage heart failure. Also discussed are patient selection criteria, skeletal muscle transformation, and pulse train stimulation. The surgical procedure is described and postoperative nursing care guidelines are outlined. Surgical outcomes are presented.
Dimengo
J M
JM
D001415:Back; D002908:Chronic Disease; D006333:Heart Failure / Q000451:nursing / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D009132:Muscles / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods*