Terapia de ressincronização cardíaca: há algo de novo no front?

Surgical treatment of heart failure: a hot topic

“…27,28 Diminished mortality, improved symptoms and improved quality of life, along with cardiac remodeling, have been reported by several authors, resulting from using cardiac resynchronization therapy for individuals with health failure. 10,27 However, because of the high cost and the fact that therapeutic failure occurs in around one third of the patients undergoing this intervention, several investigations have been conducted with the aim of identifying patients who might have greater benefit from this procedure. 10 The purpose of reverse remodeling surgery on the left ventricle is to reduce the volume of the left ventricular cavity and reestablish its shape prior to remodeling, together with complete revascularization.…”

“…10,27 However, because of the high cost and the fact that therapeutic failure occurs in around one third of the patients undergoing this intervention, several investigations have been conducted with the aim of identifying patients who might have greater benefit from this procedure. 10 The purpose of reverse remodeling surgery on the left ventricle is to reduce the volume of the left ventricular cavity and reestablish its shape prior to remodeling, together with complete revascularization. 29 More recently, within our setting, left sympathetic therapeutic block by means of thoracoscopy in patients with heart failure has shown promising results.…”

“…Thus, proposals for new therapies and improvements in the existing therapies have been seen, resulting in significantly better treatment and management for heart failure patients. Among these techniques, the development of new medications and pharmacological regimens, 8 , 9 cardiac resynchronization therapy, 10 mechanical devices to assist the circulation, cell therapy, 11 cardiovascular rehabilitation programs with exercises 4 and thoracic sympathectomy, 12 among others, can be highlighted. Within this context, heart surgery has an important role.…”

“… 10 , 27 However, because of the high cost and the fact that therapeutic failure occurs in around one third of the patients undergoing this intervention, several investigations have been conducted with the aim of identifying patients who might have greater benefit from this procedure. 10 …”