Effects of Cardiac Resynchronization Therapy on Mitral Regurgitation in Heart Failure Patients

AuthorJalal Kheirkhahen
AuthorVahid Toulabien
AuthorHassan Moladousten
AuthorMohammad Assadian-Raden
AuthorHamid Reza Bonakdaren
AuthorAnoosh Barzigaren
AuthorFardin Mirbolouken
AuthorBijan Shaden
AuthorVahid Niksereshten
Issued Date2015-01-28en
AbstractBackground:: Cardiac resynchronization therapy (CRT) has been introduced as a promising therapeutic choice in heart failure (HF) patients with ventricular dyssynchrony, shown with a wide QRS. In previous study, we showed a positive effect of CRT on ejection fraction. This study aimed to evaluate the effect of CRT on the severity of mitral regurgitation (MR) quantitatively using the volumetric Doppler method in HF patients. Materials and Methods:: In this prospective before-after survey, 22 HF patients with wide QRS (≥120 ms) and NYHA class III who were included. All patients were evaluated initially for QRS width, NYHA class, MR volume, MR fraction and mitral valve area (MV area). Biventricular pacing was done through cardiac-resynchronization device along with three pacing leads and same evaluations were done after CRT. Results:: The mean (SD) QRS width and NYHA class were significantly decreased after CRT in HF patients (p Conclusion:: As MR is associated with morbidity and mortality in HF patients and the standard surgical therapy may not be practical for a majority of them, this novel treatment may improve their disease condition significantly.en
DOIhttps://doi.org/en
KeywordCardiac resynchronization therapyen
KeywordHeart failureen
KeywordMitral valve insufficiencyen
KeywordEchocardiographyen
PublisherBrieflandsen
TitleEffects of Cardiac Resynchronization Therapy on Mitral Regurgitation in Heart Failure Patientsen
TypeResearch Articleen

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