Modern opportunities for treatment of patient having chronic heart failure with low ejection fraction


DOI: https://dx.doi.org/10.18565/therapy.2023.4.103-111

Roitberg G.E., Ardashev A.V., Zhelyakov E.G., Kondratova N.V., Merzyavko L.K., Ponkina N.K., Slastnikova I.D., Sokolov D.V.

1) JSC «Meditsina» (Clinic of Academician Roitberg), Moscow; 2) N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia, Moscow; 3) Medical scientific and educational center of M.V. Lomonosov Moscow State University, Moscow
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.
Keywords: cardioresynchronization therapy, chronic heart failure with low ejection fraction, implantable cardioverter-defibrillator, ventricular tachycardia, radiofrequency ablation
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About the Autors

Grigory E. Roitberg, MD, professor, academician of RAS, head of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education, N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia, head of JSC «Meditsina» (Clinic of Academician Roitberg). Address: 125047, Moscow, 10 2nd Tverskoy-Yamskoy Lane. E-mail: contact@medicina.com. ORCID: https://orcid.org/0000-0003-0514-9114
Andrey V. Ardashev, MD, professor, Medical Scientific and Educational Center of M.V. Lomonosov Moscow State University. Address: 119234, Moscow, 1/53 Leninskiye Gory Str. E-mail: ardashev@yahoo.com. ORCID: https://orcid.org/0000-0003-1908-9802
Evgeniy G. Zhelyakov, PhD in Medical Sciences, associate professor of the Department of cardiovascular surgery of the Faculty of additional professional education, N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia. Address: 143442, Moscow region, Krasnogorsk, pos. Otradnoe, ow. 2, bld.1A. E-mail: zheleu@rambler.ru. ORCID: https://orcid.org/0000-0003-1865-8102
Natalya V. Kondratova, MD, professor of RAS, professor of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education, N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia, head of hospital of JSC «Meditsina» (Clinic of Academician Roitberg). Address: 125047, Moscow, 10 2nd Tverskoy-Yamskoy Lane. E-mail: kondratova@medicina.ru. ORCID: https://orcid.org/0000-0003-2421-0558
Larisa K. Merzyavko, doctor of functional diagnostics at JSC “Meditsina” (Clinic of Academician Roitberg). Address: 125047, Moscow, 10 2nd Tverskoy-Yamskoy Lane. E-mail: larisa.konst@gmail.com
Natalya K. Ponkina, resident of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education, N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia. Address: 125047, Moscow, 10 2nd Tverskoy-Yamskoy Lane. E-mail: bauhaus33@yandex.ru
Irina D. Slastnikova, PhD in Medical Sciences, associate professor of the Department of therapy, general medical practice and nuclear medicine of the Faculty of additional professional education, N.I. Pirogov Russian National Research University of the Ministry of Healthcare of Russia. Address: 125047, Moscow, 10 2nd Tverskoy-Yamskoy Lane. E-mail: slastid@mail.ru. ORCID: https://orcid.org/0000-0002-4076-2849
Denis V. Sokolov, PhD in Medical Sciences, cardiologist at JSC «Meditsina» (Clinic of Academician Roitberg). Address: 125047, Moscow, 10 2nd Tverskoy-Yamskoy Lane. E-mail: sokolovdv@medicina.ru. ORCID: https://orcid.org/0000-0002-5120-4594

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