000			02995cam a2200349 a 4500
003			EG-GiCUC
005			20250223031807.0
008			170916s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.09.Ph.D.2016.Mo.R
100	0		_aMohamed Fawzi Abdu Abdu
245	1	0	_aRight ventricular dysfunction as a predictor of no response and clinical outcome following CRT / _cMohamed Fawzi Abdu Abdu ; Supervised Aliaa Abdelfattah , Randa Ali Soliman , Ayman Gaber
246	1	5	_aتأثير فشل البطين الأيمن على النتائج الأكلينيكية ودراسة قدرته على التنبؤ بعدم الأستجابة لأجهزة إعادة مزامنة القلب
260			_aCairo : _bMohamed Fawzi Abdu Abdu , _c2016
300			_a230 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520			_aThe aim of our work is to study the effect of impaired RV function on the response and clinical outcome of CRT patients The study included 30 cardiomyopathy patients with refractory heart failure, fulfilling criteria for CRT implantation They were subdivided prospectivly according to their RV function into 2 equal groups (A&B) with 15 patients in each There was no significant difference between the 2 groups in the pre- implantation data as age, sex, risk factors, aetiology of HF, laboratory data. All the patients take full anti-failure medications, according to guideline with maximum tolerable doses The implantation data showed no significant difference between the two groups except the higher number of the CRT leads (3 lead system) in group A Comparison between the 2 groups showed superiority of group A as regard the clinical improvement of the NYHA class, 6MWD and HR regression, but there was no significant differences in QOL score. Group B showed higher incidence of hospitalization for HF related complications and for none cardiac hospitalizations. Evaluating Reversed remodeling by Echo showed superiority of group A in the regression of LA dimensions, regression of LV dimensions and volumes, improvement in EF and Tei index. But there was no significant difference between them in the EPSS and D.D. As regard the CRT response there was higher incidence of responders in group A clinically (11 patients, 73.3%) and by echo (13 patients, 86.5%) as compared to group B (10 patients, 66.6%) clinically and by echo (4 patients, 26.6%)
530			_aIssued also as CD
653		4	_aCardiomyopathy patients
653		4	_aCRT
653		4	_aRight ventricular dysfunction
700	0		_aAliaa Abdelfattah , _eSupervisor
700	0		_aAyman Gaber , _eSupervisor
700	0		_aRanda Ali Soliman , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c62330 _d62330