scholarly journals Use of Cardiac Contractility Modulation in an Older Patient with Non-Ischemic Dilated Cardiomyopathy: A Case Report

2021 ◽  
Vol 11 (4) ◽  
pp. 835-840
Author(s):  
Gianvito Manganelli ◽  
Antonio Fiorentino ◽  
Gianluca Ceravolo ◽  
Stefana Minichiello ◽  
Giuseppe Bianchino ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Dilated Cardiomyopathy ◽  
Cardiac Contractility ◽  
Poor Quality ◽  
Older Patient ◽  
Cardiac Contractility Modulation ◽  
Novel Device ◽  
Reverse Remodelling ◽  
Non Ischemic Dilated Cardiomyopathy

Cardiac contractility modulation (CCM) is a novel device-based therapy used in patients with HFrEF. CCM therapy is associated with an improvement in exercise tolerance, increased quality of life, reduced HF hospitalizations, and reverse remodelling of the left ventricle in patients with HFrEF. In this case, we report the clinical benefit of CCM in an older patient with advanced HFrEF due to ischemic dilated cardiomyopathy with frequent heart failure-related hospitalizations and poor quality of life despite optimal medical therapy.

scholarly journals The Potential of Devices for HFpEF

2017 ◽  
Vol 10 ◽  
Author(s):  
Andrew Coats ◽  
Stefan Anker
Keyword(s):  
Quality Of Life ◽  
Clinical Evidence ◽  
Cardiac Contractility ◽  
Improve Quality ◽  
Cardiac Contractility Modulation ◽  
Novel Device ◽  
Novel Devices ◽  
Life Prolongation ◽  
Delay Progression

The 2016 ESC/HFA HF guidelines list the very many drug and device therapies that are proven to be beneficial in terms of life prolongation and hospitalisation prevention for HFrEF. The list of recommended therapies or devices for HFpEF and HFmrEF is limited to diuretics and the management of comorbidities and so far there is no clinical evidence for an electrical or mechanical device for HFpEF. The Cardiac Contractility Modulation (CCM) device that may have a role in selected HFrEF and HFmrEF patients has been reviewed in another paper in this issue but here we survey the results so far of a novel device for patients with HFpEF. Despite lagging many years behind HFrEF, HFpEF patients are now being targeted with novel devices with the potential to improve symptoms, improve quality of life, reduce hospitalization and delay progression of the syndrome. The front-runner is a novel inter-atrial left atrial pressure decompression device the Corvia IASD, which currently enrolling patients in a randomized trial. This device is a CE-marked investigational, non- surgical transcatheter implant designed to provide continuous and dynamic decompression of the left atrium, in an effort to reduce symptoms, HF hospitalizations, and improve quality of life as well as potentially slowing the progression of HFpEF.

scholarly journals Cardiac contractility modulation in treatment of patients with chronic heart failure

2015 ◽  
Vol 18 (4) ◽  
pp. 158
Author(s):  
Yu. V. Mareev
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Chronic Heart Failure ◽  
Exercise Tolerance ◽  
Cardiac Contractility ◽  
Modern Method ◽  
Sufficient Data ◽  
Cardiac Contractility Modulation ◽  
Mortality And Morbidity

Chronic heart failure is a condition with high mortality and morbidity. Cardiac contractility modulation (CCM) is a modern method for treating patients with CHF. There is evidence that CCM improves quality of life and exercise tolerance of patients. There is no sufficient data that MCC can improve a patients prognosis. We need more data to understand the place of MCC in treatment of patients with CHF.

KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Hemorrhagic Stroke ◽  
Poor Quality ◽  
Social Dimension ◽  
Stroke Patients ◽  
Sampling System ◽  
Post Stroke ◽  
Psychological Dimension

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life

scholarly journals Hyperhidrosis: prevalence and impact on quality of life

2018 ◽  
Vol 44 (4) ◽  
pp. 292-298 ◽  
Author(s):  
Erica Nishida Hasimoto ◽  
Daniele Cristina Cataneo ◽  
Tarcísio Albertin dos Reis ◽  
Antonio José Maria Cataneo
Keyword(s):  
Quality Of Life ◽  
Poor Quality ◽  
Cluster Sampling ◽  
Excessive Sweating ◽  
Medical Evaluation ◽  
Primary Hyperhidrosis ◽  
Systematic Cluster ◽  
The City ◽  
Impaired Quality

ABSTRACT Objective: To determine the prevalence of primary hyperhidrosis in the city of Botucatu, Brazil, and to evaluate how this disorder affects the quality of life in those suffering from it. Methods: A population survey was conducted in order to identify cases of hyperhidrosis among residents in the urban area of the city, selected by systematic cluster sampling. In accordance with the census maps of the city, the sample size should be at least 4,033 participants. Ten interviewers applied a questionnaire that evaluated the presence of excessive sweating and invited the subjects who reported hyperhidrosis to be evaluated by a physician in order to confirm the diagnosis. Results: A total of 4,133 residents, in 1,351 households, were surveyed. Excessive sweating was reported by 85 residents (prevalence = 2.07%), of whom 51 (60%) were female. Of those 85 respondents, 51 (60%) agreed to undergo medical evaluation to confirm the diagnosis and only 23 (45%) were diagnosed with primary hyperhidrosis (prevalence = 0.93%). Of the 23 subjects diagnosed with primary hyperhidrosis, 11 (48%) reported poor or very poor quality of life. Conclusions: Although the prevalence of self-reported excessive sweating was greater than 2%, the actual prevalence of primary hyperhidrosis in our sample was 0.93% and nearly 50% of the respondents with primary hyperhidrosis reported impaired quality of life.

Advances in critical care for the older patient

2013 ◽  
Vol 23 (2) ◽  
pp. 118-130 ◽  
Author(s):  
Diane Monkhouse
Keyword(s):  
Quality Of Life ◽  
Critical Care ◽  
Critical Illness ◽  
General Population ◽  
Acute Illness ◽  
Limited Resources ◽  
Care Practice ◽  
Older Patient ◽  
Life Sustaining Treatment

SummaryAs the proportion of elderly people in the general population increases, so does the number admitted to critical care. In caring for an older patient, the intensivist has to balance the complexities of an acute illness, pre-existing co-morbidities and patient preference for life-sustaining treatment with the chances of survival, quality of life after critical illness and rationing of expensive, limited resources. This remains one of the most challenging areas of critical care practice.

scholarly journals Depression—A Major Contributor to Poor Quality of Life in Patients With Advanced Cancer

2017 ◽  
Vol 54 (6) ◽  
pp. 889-897 ◽  
Author(s):  
Kjersti S. Grotmol ◽  
Hanne C. Lie ◽  
Marianne J. Hjermstad ◽  
Nina Aass ◽  
David Currow ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Poor Quality ◽  
Major Contributor
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