What question did this study set out to answer?

Assess the functional improvement in patients treated with dual chamber pacing for hypertrophic cardiomyopathy.

August 1, 1988European Heart Journal

Functional assessment of patients treated with permanent dual chamber pacing as a primary treatment for hypertrophic cardiomyopathy

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Why the study?

Does permanent dual chamber pacing improve symptoms and exercise tolerance in patients with severe hypertrophic cardiomyopathy?

Population

11 patients with severe hypertrophic cardiomyopathy

Design

Case_series

Authors

KMKenneth McDonaldHeart Failure & Transplant EMEric T. McWilliamsConquest Hospital BOB O’KeeffeGeorgetown University

Discussion

Member takes

Implication

May support dual-chamber pacing for symptom relief in severe HCM; hypothesis-generating, needs RCTs before practice change.

Key Points

Assess the functional improvement in patients treated with dual chamber pacing for hypertrophic cardiomyopathy.
Treatment of 11 patients with dual chamber pacing (DDD) over a period from 1984 to 1986.
Evaluation of subjective and objective improvements in exercise tolerance during paced rhythm.
All patients reported subjective improvement in symptoms.
Objectively, there was an observed increase in exercise tolerance during the paced rhythm.

Structured PICO

Does permanent dual chamber pacing improve symptoms and exercise tolerance in patients with severe hypertrophic cardiomyopathy?

Population

11 patients with severe hypertrophic cardiomyopathy

Intervention

Permanent dual chamber pacing (DDD)

Outcome

Subjective improvement and objective increase in exercise tolerancepatient reported

Permanent dual chamber pacing may provide subjective symptom relief and objective improvement in exercise tolerance for patients with severe hypertrophic cardiomyopathy.

Cite This Study

McDonald et al. (1988) studied this question.

synapsesocial.com/papers/6a0fdd1a5725bbd5cc602b90 https://doi.org/10.1093/oxfordjournals.eurheartj.a062584

Topics

Hypertrophic cardiomyopathy

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Functional assessment of patients treated with permanent dual chamber pacing as a primary treatment for hypertrophic cardiomyopathy

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Functional assessment of patients treated with permanent dual chamber pacing as a primary treatment for hypertrophic cardiomyopathy

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider