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Diane Publishing Books
Cardiac Resynchronization Therapy for Congestive Heart Failure
Finlay McAlister (au). The AHRQ sponsors the development of evidence reports & tech. assess. to assist org. in their efforts to improve the quality of health care. This report addresses congestive heart failure (CHF), the fastest growing cardiovascular diagnosis in N. Amer. CHF leads to significant morbidity & mortality. The objectives were to determine the efficacy, safety, & cost-effectiveness of cardiac resynchronization therapy (CRT) in adults with symptomatic CHF. This report concludes that in patients with NYHA Class III or IV CHF despite med. mgmt., reduced ejection fractions, & prolonged QRS duration, CRT improves functional & hemodynamic markers & reduces morbidity/mortality. However, the cost-effectiveness of CRT remains uncertain. Illustrations.
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