[Biventricular resynchronization in the management of severe cardiac insufficiency].
Heart failure is a major problem of public health, it represents a frequent status among patients with heart disease, and its implications in term of mortality and cost are high. Non Pharmacological treatment of heart failure most commonly designed as cardiac resynchronization therapy (CRT) has demonstrate efficacy to improve functional class, exertion capacity, left ventricular ejection fraction, reduction of mitral regurgitation, and probably mortality at midterm. The most recent studies emphasize on the role of implantable cardioverter defibrillate or (ICD) combined with CRT to reduce mortality. More trials are needed to valid this concept.
Chine
Samira
S
Service de cardiologie, Hôpital Abderrahman Mami, Ariana, Tunis.
Kammoun
Ikram
I
Ben Halima
Afef
A
Lefi
Abdelatif
A
Chaabène
Olfa
O
Zouaoui
Walid
W
Essmatt
Wajih
W
Marrakchi
Sonia
S
Gargouri
Sami
S
Keskes
Hend
H
Kachboura
Salem
S
D017147:Defibrillators, Implantable; D004452:Echocardiography; D015150:Echocardiography, Doppler; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000517:prevention & control; D016277:Ventricular Function, Left