دورية أكاديمية
Mid-Term Results of Dual-Chamber Pacing in Children with Hypertrophic Obstructive Cardiomyopathy.
| العنوان: | Mid-Term Results of Dual-Chamber Pacing in Children with Hypertrophic Obstructive Cardiomyopathy. |
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| المؤلفون: | Alday LE; Section of Pediatric Cardiology, Hospital Privado, Naciones Unidas 346, 5016 Cordoba, Argentina., Bruno E, Moreyra E, Amuchastegui LM, Juaneda E, Maisuls H |
| المصدر: | Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 1998 Apr; Vol. 15 (3), pp. 289-296. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8511187 Publication Model: Print Cited Medium: Internet ISSN: 1540-8175 (Electronic) Linking ISSN: 07422822 NLM ISO Abbreviation: Echocardiography Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., [c1984- |
| مستخلص: | BACKGROUND: Permanent dual-chambered pacing (DDD) is an alternative to surgical treatment in patients with severe hypertrophic obstructive cardiomyopathy (HOCM) who do not have a satisfactory response to medical treatment. METHODS: Five children with severe HOCM still symptomatic despite medical treatment underwent permanent DDD pacing and were followed for 21 +/- 9.7 months. RESULTS: All patients improved their functional class. Doppler echocardiographic studies showed an early reduction of the left ventricular outflow tract gradient from 66 +/- 40 to 40 +/- 20 mmHg (P < 0.05) and to 30 +/- 11 mmHg (P < 0.05 and NS for comparison with the baseline and the early post-DDD pacing gradients, respectively) at mid-term follow-up. There was no evidence of left ventricular systolic dysfunction, and the results of left ventricular filling studies ruled out deleterious effects on diastolic function. Doppler echocardiography played a key role in the initial and subsequent assessment of these patients. CONCLUSIONS: Permanent DDD pacing is a reasonable alternative to surgery in children with HOCM who are still symptomatic despite medical therapy. |
| تواريخ الأحداث: | Date Created: 20010215 Latest Revision: 20191120 |
| رمز التحديث: | 20240627 |
| DOI: | 10.1111/j.1540-8175.1998.tb00609.x |
| PMID: | 11175042 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1540-8175 |
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| DOI: | 10.1111/j.1540-8175.1998.tb00609.x |