Russian Heart Failure Journal 2005year Is successful treatment of ventricular rhythm possible in CHF? Problems of prevention of sudden cardiac death


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2005/

Is successful treatment of ventricular rhythm possible in CHF? Problems of prevention of sudden cardiac death

Mareev V.Yu.

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Heart rhythm disturbances are a manifestation of chronic heart failure (CHF). Multiple studies have shown that ventricular rhythm disorders (VRD) are the most frequent cause of sudden death in patients with CHF. Article considers in detail the approaches to prevention and treatment of VRD and prevention of sudden death in patients with CHF. Prevention of sudden death in patients with CHF is currently real and involves a combination of pharmacological (β-adrenoblockers, BAB, with other neurohormonal modulators such as angiotensin-converting enzyme inhibitors, ACEI and aldosterone antagonists) and electrophysiological treatment (implantation of a cardioverter defibrillator, ICD, in severe CHF along with resynchronization of heart function). Further investigations will allow more precise determination of indications for reasonable combinations of these therapeutic methods in patients with CHF.

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