Document Detail


Surgery for the failing heart after myocardial infarction.
MedLine Citation:
PMID:  19028641     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Function follows form and this maxim provides an understanding of the pathophysiology of congestive heart failure following myocardial infarction. The heart fails as it enlarges and becomes more spherical. Surgical methods to treat dilated ischemic cardiomyopathy have evolved and been applied to thousands of patients worldwide. Known as "surgical ventricular restoration", or SVR, the operation reduces left ventricular volume and restores the ventricle towards a more conical normal shape. Global systolic function is improved. Mechanical synchrony is restored. Arrhythmias are largely abated. Neurohumoral mediators that stimulate continued ventricular enlargement are largely reduced. Finally, there is marked and sustained symptomatic improvement of congestive heart failure post-infarction patients after SVR.
Authors:
Constantine L Athanasuleas; Gerald D Buckberg
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology     Volume:  8 Suppl 2     ISSN:  1308-0032     ISO Abbreviation:  Anadolu Kardiyol Derg     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-25     Completed Date:  2009-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101095069     Medline TA:  Anadolu Kardiyol Derg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  93-100     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, School of Medicine, University of Alabama, Birmingham, Alabama 35294, USA. cathanasuleas@mac.com
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MeSH Terms
Descriptor/Qualifier:
Heart Failure / surgery*
Humans
Hypertrophy, Left Ventricular / physiopathology*,  surgery
Myocardial Infarction / surgery*
Ventricular Dysfunction, Left / physiopathology*,  surgery
Ventricular Function / physiology*
Ventricular Remodeling / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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