New York Heart Association Functional Class Correlates Poorly with Peak Oxygen Consumption during Cardiopulmonary Exercise Tolerance Testing: Implications for Cardiac Resynchronization Therapy

2008 ◽  
Vol 14 (6) ◽  
pp. S102
Author(s):  
Paul L. Eugenio ◽  
Eugen C. Palma ◽  
Timothy J. Vittorio ◽  
Daniel M. Spevack ◽  
Ronald Zolty
2010 ◽  
Vol 106 (8) ◽  
pp. 1146-1151 ◽  
Author(s):  
Rutger J. van Bommel ◽  
Eva van Rijnsoever ◽  
C. Jan Willem Borleffs ◽  
Victoria Delgado ◽  
Nina Ajmone Marsan ◽  
...  

2016 ◽  
Vol 25 (5) ◽  
pp. 383-385
Author(s):  
Shinichiro Ikeda ◽  
Hideo Yoshida ◽  
Keiji Yunoki ◽  
Kunikazu Hisamochi

We performed coronary artery grafting, mitral valve plasty, and tricuspid plasty in a 75-year-old man who had double-vessel coronary disease and moderate mitral and tricuspid insufficiency. Preoperative transthoracic echocardiography revealed an ejection fraction of 34% and dyssynchronous wall motion of the septum and free wall. We placed pacing leads on the right ventricular outlet and posterior left ventricular wall for cardiac resynchronization therapy. The dyssynchrony disappeared postoperatively and the New York Heart Association functional class improved from IV to I.


2019 ◽  
Vol 32 (1) ◽  
pp. 43-48
Author(s):  
Izaias Marques de Sa Junior ◽  
Jose Carlos Pachón Mateos ◽  
Juan Carlos Pachón Mateos ◽  
Remy Nelson Albornoz Vargas

Cardiac resynchronization therapy (CRT) emerged as a therapeutic modality for patients with cardiac insufficiency (CI) refractory to pharmacological treatment. Over the last 20 years, several clinical studies have sought to establish their benefits in different populations. The review of the results of these studies has shown that in patients with advanced CI (functional class (FC) I, II, III and IV of the New York Heart Association (NYHA) CRT produces consistent improvements in quality of life, FC and exercise capacity, as well as reducing hospitalizations and mortality rates. Up to 70% of patients submitted to CRT evolve as responders. The criteria adopted in the evaluation of the CRT response rate will be elucidated in this article, in which the main objective is to highlight the concept of the CRT super-responder.


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