{"id":102,"date":"2024-05-01T00:34:38","date_gmt":"2024-04-30T20:34:38","guid":{"rendered":"https:\/\/medcenter.ge\/?p=5288"},"modified":"2025-04-06T07:43:48","modified_gmt":"2025-04-06T07:43:48","slug":"heart-failure-and-resynchronization-therapy","status":"publish","type":"post","link":"https:\/\/medcenter.ge\/en\/heart-failure-and-resynchronization-therapy\/","title":{"rendered":"Heart failure and resynchronization therapy of the heart"},"content":{"rendered":"

Cardiac Resynchronization therapy (CRT) is an important<\/span><\/p>\n

Method of treatment of congestive heart failure with complaints (symptoms)<\/span><\/p>\n

Insufficiency (CHF) in patients caused by heart muscle<\/span><\/p>\n

With pathological changes (cardiomyopathy). Cardiomyopathy is most common<\/span><\/p>\n

It is often caused by damage to the coronary artery (which feeds the heart with blood)<\/span><\/p>\n

With irreversible damage, but it can also be genetic<\/span><\/p>\n

Due to factors, viral infections, or toxins (such as, for example, toxins).<\/span><\/p>\n

Alcohol). Symptoms usually include shortness of breath, tingling in the ankles and<\/span><\/p>\n

Swelling of the legs, fatigue, intolerance to physical activity<\/span><\/p>\n

Exhaustion, decreased appetite, depression and more.<\/span><\/p>\n

It is estimated that more than 22 million people live with heart failure.<\/span><\/p>\n

With congestive insufficiency all over the world, and every year this figure increases by another 2.<\/span><\/p>\n

A million people have been diagnosed.<\/span><\/p>\n

Medications for people with cardiomyopathy and heart failure<\/span><\/p>\n

This is the basic basis of patient therapy. Stimulates the body<\/span><\/p>\n

The release of excess fluid increases the contraction of the heart and<\/span><\/p>\n

Reduces stress on the heart by relaxing blood vessels and blood<\/span><\/p>\n

By reducing the pumping resistance. Treatment is important<\/span><\/p>\n

An important component is also a lifestyle that includes regular exercise and<\/span><\/p>\n

dietary restrictions, such as minimizing salt and liquid intake.<\/span><\/p>\n

Reduced fluid intake, which prevents the accumulation of fluid.<\/span><\/p>\n

Many patients with cardiomyopathy and heart failure also<\/span><\/p>\n

There is a malfunction of the electrical system of the heart, which leads to heart attacks.<\/span><\/p>\n

Uncoordinated (asynchronous) muscle contraction. This is even more<\/span><\/p>\n

Reduces the ability of a weakened (abnormal) heart muscle to pump blood.<\/span><\/p>\n

How does the electrical system of the heart work?<\/span><\/p>\n

The heart is a muscle pump consisting of 4 chambers. 2 upper<\/span><\/p>\n

The chamber is called the atrium, and the 2 lower ones, that is, the main pumping chambers,<\/span><\/p>\n

are known as ventricles. Coordinated pumping of these 4 cameras<\/span><\/p>\n

This action is controlled by the electrical system. Normal heart rate<\/span><\/p>\n

It is stimulated by a weak electrical signal that is generated<\/span><\/p>\n

The area of the right atrium is known as the sinoatrial<\/span><\/p>\n

node. The electrical signal then spreads to both atria, causing<\/span><\/p>\n

They compress and pump blood into the ventricles. Electrical signal<\/span><\/p>\n

It then passes through an electrical control station known as<\/span><\/p>\n

the atrioventricular node. After a second delay, the signal<\/span><\/p>\n

enters the ventricles through special channels<\/span><\/p>\n

called the left and right branches of the Gis cone. Hiss Conn<\/span><\/p>\n

The lower branches break into the ventricles, thus transmitting an electrical signal<\/span><\/p>\n

Stimulating simultaneous contraction of both ventricles. Ventricles<\/span><\/p>\n

These simultaneous, coordinated contractions are necessary for the body and<\/span><\/p>\n

They ensure optimal blood circulation in the lungs.<\/span><\/p>\n

In some patients with cardiomyopathy and heart failure<\/span><\/p>\n

It has violations in the electrical system. The most common pathology<\/span><\/p>\n

There is a delay in the electrical conductivity of the left leg of the gis cone<\/span><\/p>\n

Because of the blockade (LBBB). Due to a violation of the electrical signal of the left ventricle<\/span><\/p>\n

Caused by a blockage of the gis leg of the left ventricle or a branch of the MISIS<\/span><\/p>\n

Because both ventricles contract at the same time, and not the right ventricle first<\/span><\/p>\n

the ventricle begins to contract, then the left one, which causes the ventricles to become<\/span><\/p>\n

Asynchronous during compression. This uncoordinated contraction of the ventricles is uniform<\/span><\/p>\n

It further reduces the efficiency of pumping an already weakened heart muscle.<\/span><\/p>\n

It is known that in patients with cardiomyopathy and heart failure<\/span><\/p>\n

, 40% have uncoordinated ventricular contractions, which<\/span><\/p>\n

They are caused by power outages, most often by NBPW. It’s electric<\/span><\/p>\n

The delay is visible on the electrocardiogram (ECG) in the form of an extensive QRS complex.<\/span><\/p>\n

What is Cardiac Resynchronization therapy or CRT?<\/span><\/p>\n

The function of CRT is to normalize ventricular coordination<\/span><\/p>\n

Restoration of pumping function, slowing down of electrical conductivity<\/span><\/p>\n

With overtaking caused by hiss cone blocking (also called<\/span><\/p>\n

resynchronization). This is achieved due to the unique type of heart<\/span><\/p>\n

Through a pacemaker. Conventional pacemakers<\/span><\/p>\n

It is used in connection with an excessively slow heart rate<\/span><\/p>\n

To avoid the symptoms. The pacemaker is continuously<\/span><\/p>\n

Monitors the patient’s heart rate and provides a small, unobtrusive<\/span><\/p>\n

Electric charging according to need. Pacemakers<\/span><\/p>\n

Most often they have 2 electrodes, one in the right atrium, and<\/span><\/p>\n

In the second right ventricle, CRT pacemakers have a third<\/span><\/p>\n

An electrode that is located in a vein outside the left ventricle<\/span><\/p>\n

Surface. This allows the simultaneous use of an electron beam pacemaker<\/span><\/p>\n

Activate the left and right ventricles and restore<\/span><\/p>\n

A coordinated, or synchronous, pumping function. What reduces<\/span><\/p>\n

Electrical delay and leads to a narrowing and normalization of the QRS complex<\/span><\/p>\n

On an ECG.<\/span><\/p>\n

Who is the candidate for CPT?<\/b><\/p>\n

Congestive heart failure with moderate and\/or severe symptoms,<\/span><\/p>\n

despite drug therapy<\/span><\/p>\n

Cardiomyopathy (weakening and\/or enlargement of the heart muscle)<\/span><\/p>\n

Significant delay in the supply of electric current to the lower pumping chambers (hisis)<\/span><\/p>\n

The blockade of Connie’s foot<\/span><\/p>\n

Some heart failure patients suffering from heart failure<\/span><\/p>\n

There are also candidates for resynchronization therapy (CRT)<\/span><\/p>\n

With a high risk of sudden cardiac death from the ventricles<\/span><\/p>\n

Arising from a rapid heartbeat. Available for these patients<\/span><\/p>\n

A special electron beam device that can stop for a lifetime<\/span><\/p>\n

Dangerous rapid heartbeat in case of electric shock is known as<\/span><\/p>\n

Defibrillation. This device is called a CRTD device (D stands for<\/span><\/p>\n

Defibrillation). The question of whether you need a CRTP or CRTD device depends on<\/span><\/p>\n

You should consider many clinical factors and consider your own in detail<\/span><\/p>\n

To the doctor.<\/span><\/p>\n

What to expect from CRT?<\/b><\/p>\n

The answer to cardiac resynchronization therapy (CRT) can be found<\/span><\/p>\n

They vary significantly from patient to patient. Scientific research,<\/span><\/p>\n

Which involved more than 2,000 patients from all over the world, it was shown<\/span><\/p>\n

Moderate improvement in exercise tolerance, congestive heart failure<\/span><\/p>\n

About failures and the quality of life of most patients.<\/span><\/p>\n

Although these improvements can be noticeable almost<\/span><\/p>\n

In many patients at once, in others this may not be fully realized<\/span><\/p>\n

For weeks or months.<\/span><\/p>\n

Doctor: Bukhuti Beridze<\/span><\/p>\n

Cardiologist, arrhythmologist<\/span><\/p>","protected":false},"excerpt":{"rendered":"

Cardiac Resynchronization therapy (CRT) is an important Method of treatment of congestive heart failure with complaints (symptoms) Insufficiency (CHF) in patients caused by heart muscle With pathological changes (cardiomyopathy). Cardiomyopathy is most common It is often caused by damage to the coronary artery (which feeds the heart with blood) With irreversible damage, but it can […]<\/p>\n","protected":false},"author":1,"featured_media":199,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-102","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/posts\/102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/comments?post=102"}],"version-history":[{"count":1,"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/posts\/102\/revisions"}],"predecessor-version":[{"id":1895,"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/posts\/102\/revisions\/1895"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/media\/199"}],"wp:attachment":[{"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/media?parent=102"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/categories?post=102"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medcenter.ge\/en\/wp-json\/wp\/v2\/tags?post=102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}