Modern opportunities for treatment of patient having chronic heart failure with low ejection fraction
- Authors: Roitberg G.E.1,2, Ardashev A.V.3, Zhelyakov E.G.1, Kondratova N.V.1,2, Merzyavko L.K.1, Ponkina N.K.2, Slastnikova I.D.2, Sokolov D.V.1
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Affiliations:
- JSC «Meditsina» (Clinic of Academician Roitberg)
- N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia
- M.V. Lomonosov Moscow State University
- Issue: Vol 9, No 4 (2023)
- Pages: 103-111
- Section: CLINICAL CASE
- URL: https://journals.eco-vector.com/2412-4036/article/view/568955
- DOI: https://doi.org/10.18565/therapy.2023.4.103–111
- ID: 568955
Cite item
Abstract
Worldwide, the prevalence of chronic heart failure (CHF) is increasing every year, representing a serious medical and social problem. Medicinal drugs can help manage the symptoms of CHF and improve the prognosis in patients, but often the use of drug therapy alone may not be enough. Modern approaches to the treatment of CHF with low ejection fraction (CHFnEF), in addition to drug therapy, also include the use of various electrophysiological methods: implantation of cardioresynchronizing devices, cardioverter defibrillators, interventional treatment of arrhythmias. Article presents an analysis of a clinical case of successful treatment of a comorbid patient with severe CHFrEF using optimal drug therapy, as well as such interventional cardiac surgical interventions as implantation of a cardioresynchronization device with defibrillator function and radiofrequency ablation of arrhythmogenic heart zones.
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About the authors
Grigory E. Roitberg
JSC «Meditsina» (Clinic of Academician Roitberg); N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia
Author for correspondence.
Email: contact@medicina.com
ORCID iD: 0000-0003-0514-9114
MD, professor, academician of RAS, head of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education; head
Russian Federation, Moscow; MoscowAndrey V. Ardashev
M.V. Lomonosov Moscow State University
Email: ardashev@yahoo.com
ORCID iD: 0000-0003-1908-9802
MD, professor, Medical Scientific and Educational Center
Russian Federation, MoscowEvgeniy G. Zhelyakov
JSC «Meditsina» (Clinic of Academician Roitberg)
Email: zheleu@rambler.ru
ORCID iD: 0000-0003-1865-8102
PhD in Medical Sciences, associate professor of the Department of cardiovascular surgery of the Faculty of additional professional education
Russian Federation, MoscowNatalya V. Kondratova
JSC «Meditsina» (Clinic of Academician Roitberg); N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia
Email: kondratova@medicina.ru
ORCID iD: 0000-0003-2421-0558
MD, professor of RAS, professor of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education; head of hospital
Russian Federation, Moscow; MoscowLarisa K. Merzyavko
JSC «Meditsina» (Clinic of Academician Roitberg)
Email: larisa.konst@gmail.com
doctor of functional diagnostics
Russian Federation, MoscowNatalya K. Ponkina
N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia
Email: bauhaus33@yandex.ru
resident of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education
Russian Federation, MoscowIrina D. Slastnikova
N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia
Email: slastid@mail.ru
ORCID iD: 0000-0002-4076-2849
PhD in Medical Sciences, associate professor of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education
Russian Federation, MoscowDenis V. Sokolov
JSC «Meditsina» (Clinic of Academician Roitberg)
Email: sokolovdv@medicina.ru
ORCID iD: 0000-0002-5120-4594
PhD in Medical Sciences, cardiologist
Russian Federation, MoscowReferences
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