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心臟衰竭治療的新契機-心臟再同步化治療

A New Device Therapy for Heart Failure Treatment-Cardiac Resynchronization Therapy

摘要


心臟衰竭病患的照護是現代老年化社會中一個很沉重的負擔,心臟再同步化治療利用比傳統節律器多一條導極的方式,讓心臟收縮同步化,增強心臟工作的效能,進而改善病患之症狀及生活品質,甚至可以減少病患的死亡率;由於上市的時間並不長,仍有許多相關的未知問題尚待釐清,但心臟再同步化治療的臨床功效已經無庸置疑,身為內科醫師應了解心臟再同步化治療的原理,熟悉其對病人可能造成的影響,並了解其適應症,以提供病患最佳之治療方向。

並列摘要


Congestive heart failure is a major burden in modern society. Cardiac resynchronization therapy (CRT) improves cardiac function by allowing the ventricle to contract in a synchronized mode. By breaking the vicious cycle of heart failure, CRT reverses cardiac remodeling and therefore increases heart contractility. Not only does CRT improve the symptoms of heart failure, but it also prolongs the survival of heart failure patients, as shown in clinical trials. All physicians, including primary care physicians, should know this new therapeutic option and be familiar with the related issues.

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