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November 1, 2022Texas Heart Institute JournalOpen Access

Cardiac Contractility Modulation Therapy: Should We Be Aiming Higher for Patients With Moderately Severe Heart Failure?

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Key result

Cardiac contractility modulation therapy improved mean LVEF from 27% to 35%, NYHA class from 3.9 to 2.4, and 6-minute walk distance from 159 m to 212 m over 6 months in 10 patients with HFrEF.

Why the study?

Does cardiac contractility modulation therapy improve symptoms and outcomes in patients with moderately severe heart failure?

Design

Editorial

Authors

SSSoraya SamiiGNGerald V. Naccarelli

Discussion

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Overview

May benefit narrow-QRS or AF patients ineligible for CRT; hypothesis-generating and requires randomized confirmation.

Structured PICO

Does cardiac contractility modulation therapy improve symptoms and outcomes in patients with moderately severe heart failure?

P
Population
10 patients with chronic heart failure with reduced ejection fraction treated with cardiac contractility modulation therapy and followed for 6 months.
I
Intervention
Cardiac contractility modulation (CCM) therapy (Optimizer Smart device delivering high-output biphasic electrical pulses)

This editorial highlights the expanding role of cardiac contractility modulation therapy for symptomatic heart failure patients, particularly those with narrow QRS or atrial fibrillation who are ineligible for CRT.

Limitations

  • The discussed study is only a case series
  • 50% of screened patients were not considered ideal candidates for the therapy

Cite This Study

Samii et al. (2022) conducted an editorial in chronic heart failure with reduced ejection fraction (HFrEF) (n=10). Cardiac contractility modulation (CCM) therapy was evaluated. Cardiac contractility modulation therapy improved mean LVEF from 27% to 35%, NYHA class from 3.9 to 2.4, and 6-minute walk distance from 159 m to 212 m over 6 months in 10 patients with HFrEF.

synapsesocial.com/papers/6a81952b5feb15765cbf60achttps://doi.org/10.14503/thij-22-8008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Established and Emerging Device Therapy in Heart Failure: Cardiac Contractility Modulation2023
  2. 2Cardiac Contractility Modulation in 20182018 · 46 citations
  3. 3Cardiac contractility modulation therapy: Are there superresponders?2017 · 10 citations
  4. 4USE OF CARDIAC CONTRACTILITY MODULATION: OUR EXPERIENCE2024
  5. 5Cardiac contractility modulation for the treatment of moderate to severe HF2020 · 30 citations