CARDIOSYNCHRONOUS ELECTROMYOSTIMULATION IN PATIENTS WITH ACUTE HEART FAILURE
https://doi.org/10.15829/1728-8800-2013-6-15-20
Abstract
Aim. To study the effectiveness of the external cardiosynchronous electromyostimulation (ECSEMS) in patients with different variants of acute heart failure (AHF).
Material and methods. The study included 62 AHF patients: Group I — those receiving only standard pharmacological therapy; and Group II — those in whom standard pharmacological therapy was ineffective after 12 hours, and who were also administered ECSEMS sessions for the next 7 days. The examination included multi-frequency bio-impedance measurement and dispersion mapping.
Results. Clinical symptoms were less severe in Group I. In 64% of the Group II patients, the combination treatment was associated with a positive dynamics of the water balance parameters. The 7-day ECSEMS, as a part of the complex management of AHF patients, significantly reduced the one-month lethality, although did not change the one-year survival.
Conclusion. The ECSEMS method could be used in order to increase the effectiveness of the conservative treatment of AHF patients.
About the Authors
G. G. Ivanov
I.M. Sechenov First Moscow State Medical University;
Russian University of People’s Friendship;
Institute of Medico-Biological Problems, Russian Academy of Sciences, Moscow
Russian Federation
tel.: 8–495–958–95–78
Russian Federation
tel.: 8–495–958–95–78
M. Yu. Orkvasov
Russian University of People’s Friendship
Russian Federation
Russian Federation
G. Khalabi
Russian University of People’s Friendship
Russian Federation
Russian Federation
References
1. Ageev FT. Heart failure in Russian Federation: new epidemic, threatenning safety state. Trudnyj pacient 2005; 10: 11. Russian (Агеев Ф. Т. Сердечная недостаточность в Российской Федерации: новая эпидемия, угрожающая безопасности государства. Трудный пациент 2005; 10:11).
2. Bokerija LA, Buziashvili JuI, Lapanashvili LV, et al. Using muscular conterpulsation in complex treatment sick IHD at early period after coronary artery surgery. Bjull NC SSH im. A. N. Bakuleva RAMN 2004; 5 (9): 30–7. Russian (Бокерия Л. А., Бузиашвили Ю. И., Лапанашвили Л.В. и др. Применение мышечной контрпульсации в комплексном лечении больных ИБС в раннем периоде после аортокоронарного шунтирования. Бюлл. НЦССХ им. А. Н. Бакулева РАМН 2004; 5 (9): 30–7).
3. Belenkov JuN. Application of method externally conterpulsation in medical practical persons. V sb. Usilennaja naruzhnaja kontrpul’sacija 2003; 1: 4–6. Russian (Беленков Ю.Н. Применение метода усиленной наруж- ной контрпульсации в медицинской практике. В сб. Усиленная наружная контрпульсация 2003; 1: 4–6).
4. Bokerija LA, Shatalov KV, Svobodov AA. Systems support and substitute circulation M.: NC SSH im. A.N. Bakuleva RAMN. 2000; 196 p. Russian (Бокерия Л. А., Шаталов К.В., Свободов А. А. Системы вспомо- гательного и заместительного кровообращения. М.: НЦ ССХ им. А.Н. Бакулева РАМН 2000; 196 c).
5. Gabrusenko SA, Malahov VV, Sergienko IV, et al. New possibilities in treatment heart failure. Methods of externally conterpulsation. Kardiologija 2008; 9: 14–20. Russian (Габрусенко С.А., Малахов В.В., Сергиенко И.В. и др. Новые возможности в лечении больных сердечной недостаточностью. Метод наружной контрпульсации Кардиология 2008; 9: 14–20).
6. Ivanov GG, Sula AS. Dispersion ECG-mapping: theoretical bases and clinical practice. M.: Tehnosfera 2009; 192 p. Russian (Иванов Г.Г., Сула А.С. Дисперсионное ЭКГ-картирование: теоретические основы и клиническая практика. М. Техносфера 2009; 192 с).
7. Kellett JA, Emmanuel A, Rasool S. The prediction by ECG dispersion mapping of clinical deterioration, as measured by increase in the Simple Clinical Score. Acute Medicine 2012; 11 (1): 8–12.
Review
For citations:
Ivanov G.G., Orkvasov M.Yu., Khalabi G. CARDIOSYNCHRONOUS ELECTROMYOSTIMULATION IN PATIENTS WITH ACUTE HEART FAILURE. Cardiovascular Therapy and Prevention. 2013;12(6):15-20. (In Russ.) https://doi.org/10.15829/1728-8800-2013-6-15-20
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