СЕРДЕЧНАЯ РЕСИНХРОНИЗИРУЮЩАЯ ТЕРАПИЯ В ЛЕЧЕНИИ ХРОНИЧЕСКОЙ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТИ. ОБЗОР ЛИТЕРАТУРЫ И СОБСТВЕННЫЕ ДАННЫЕ

Biventricular pacing has become an accepted therapeutic modality for medically refractory congestive heart failure (CHF). This novel pacing strategy also known as cardiac resynchronization therapy (CRT) synchronizes ventricular contraction, which consequently results in improved pumping efficiency, enhanced left ventricular (LV) filling, and a reduction in the severity of the mitral regurgitation. Biventricular pacing has substantially altered the natural course of ventricular failure, exerting its physiological impact through favourable ventricular remodelling, with a reduction in LV volumes and improvement in ejection fraction (EF).