Prophylactic pacemaker use to allow beta-blocker therapy in patients with chronic heart failure with bradycardia
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چکیده
Health technology The study compared two treatment strategies for patients with chronic heart failure (CHF). The strategies compared were the conventional strategy and the pacemaker-carvedilol strategy. In the conventional strategy, patients were treated with angiotensin-converting enzyme inhibitors, diuretics and digoxin. In the pacemaker-carvedilol strategy, patients received conventional treatment therapy and had a permanent pacemaker implanted to maintain adequate heart rate after the initiation of beta-blocker therapy with carvedilol. Pacemaker therapy consisted of the implantation of a dual-chamber pacemaker set to an atrial-based rate-response pacing mode (DDDR mode with long atrioventricular (AV) delay).
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Prophylactic pacemaker use to allow h-blocker therapy in patients with chronic heart failure with bradycardia
Background Although the benefits of h-blocker therapy for patients with congestive heart failure (CHF) are independent of pretreatment heart rate, patients with chronic systolic heart failure and low resting heart rates are often excluded from h-blocker therapy. We investigated the effectiveness and cost-effectiveness of prophylactic pacemaker insertion to facilitate h-blocker use in these pati...
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BACKGROUND Although the benefits of beta-blocker therapy for patients with congestive heart failure (CHF) are independent of pretreatment heart rate, patients with chronic systolic heart failure and low resting heart rates are often excluded from beta-blocker therapy. We investigated the effectiveness and cost-effectiveness of prophylactic pacemaker insertion to facilitate beta-blocker use in t...
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