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December 10, 2018Circulation

Cardiac Contractility Modulation in 2018

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Key result

Cardiac contractility modulation added to optimal medical therapy improves peak VO2 and quality of life in heart failure patients, particularly those with an ejection fraction between 25% and 45%.

Why the study?

Does cardiac contractility modulation improve exercise tolerance and quality of life in patients with heart failure and reduced ejection fraction?

Design

Review

Authors

MBMartin BorggrefeDMDouglas L. Mann

Discussion

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Overview

May support CCM consideration in select HFrEF; leaves open need for confirmatory RCTs on outcomes.

Structured PICO

Does cardiac contractility modulation improve exercise tolerance and quality of life in patients with heart failure and reduced ejection fraction?

P
Population
Patients with heart failure and reduced ejection fraction (LVEF 25-45%)
I
Intervention
Cardiac contractility modulation (CCM) added to guideline-directed optimal medical therapy
C
Comparator
Guideline-directed optimal medical therapy (including an implanted cardiac defibrillator, when indicated)
O
Outcome
Exercise tolerance, peak VO2, and quality of life (Minnesota Living With Heart Failure Questionnaire score)patient reported

Cardiac contractility modulation is a promising device-based therapy that improves functional capacity and quality of life in heart failure patients with reduced ejection fraction, particularly those with LVEF 35-45%.

Cite This Study

Borggrefe et al. (2018) conducted a review in Heart failure (HF). Cardiac contractility modulation (CCM) vs. Optimal medical therapy was evaluated. Cardiac contractility modulation added to optimal medical therapy improves peak VO2 and quality of life in heart failure patients, particularly those with an ejection fraction between 25% and 45%.

synapsesocial.com/papers/6a8439ba002ab1506fb2a41ehttps://doi.org/10.1161/circulationaha.118.036460
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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 patients with advanced heart failure2013 · 13 citations
  3. 3Clinical Effects of Cardiac Contractility Modulation (CCM) as a Treatment for Chronic Heart Failure2012 · 71 citations
  4. 4Modulation of Cardiac Contractility – a New Method in the Treatment of Heart Failure2016 · 1 citations
  5. 5Cardiac Contractility Modulation Therapy: Should We Be Aiming Higher for Patients With Moderately Severe Heart Failure?2022