Lege Artis Medicinae

[ICARUS]

MATOS Lajos

SEPTEMBER 20, 2005

Lege Artis Medicinae - 2005;15(08-09)

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Lege Artis Medicinae

[BIVENTRICULAR PACING - A NEW TREATMENT OPTION IN CONGESTIVE HEART FAILURE]

BŐHM Ádám

[Cardiac resynchronisation therapy with biventricular pacing is a new treatment option in patients with moderate-to-advanced heart failure and left bundle branch block. Cardiac resynchronisation therapy leads to improved haemodynamics at diminished energy cost. Beneficial effects include reverse remodelling resulting in decreased heart size and ventricular volumes, improved ejection fraction and decreased functional mitral regurgitation. The haemodynamic improvements are associated with a significantly better quality of life, improved exercise tolerance and less frequent hospitalisation. Several randomised trials have evaluated the short- and longterm effect of biventricular pacing on haemodynamics and clinical parameters and recent preliminary data suggest that cardiac resynchronisation therapy can reduce the mortality. Despite major advances of lead and pacemaker techniques, the implantation of a biventricular pacemaker is still a challenging and complex procedure. To introduce the left ventricular pacing lead into the sinus coronarius may cause difficulties. Approximately one third of the patients do not respond to the therapy, therefore better pre-implant identification of the responders are needed. For patient selection and follow- up echocardiography has a major role.]

Lege Artis Medicinae

[SCIENTIFIC DIGEST]

Lege Artis Medicinae

[In the focus: cardiology]

PRÉDA István

Lege Artis Medicinae

[Hungarian health care - A vision of future in 2005]

FRENKL Róbert

Lege Artis Medicinae

[REHABILITATION OF HEARING IMPAIRMENTS WITH HEARING AIDS IN CHILDREN AND ADULTS - INDICATIONS, POSSIBILITIES, CARE]

REJTŐ Kálmán

[The early diagnosis of the different types of hearing impairments and the adequate surgical or conservative therapy have changed in the last decades. Up-to-date objective audiological methods (otoacustic emission, auditory brain stem potentials, audiotory steady state potentials) and genetic laboratory examinations help us in the diagnosis of the congenital hearing impairments. Formerly, only patients with the different diseases of the middle ear consisted into the group for surgical rehabilitation but recently this has been completed with middle ear implantation of different types as well. In cases of sensoryneural hearing impairments of severe degree cochlear implantation is now possible and in the case of severe impairments nerve VIII brain stem implantation can be performed. The high level of the technical development brought revolution in the rehabilitation with hearing aids as well. The new digital technology, the sizes of the hearing aids, good cosmetic and excellent functional results help the medicaltechnical team in the optimal fulfilment of the demands and expectations. In the process of the complex rehabilitation with hearing aids, the exact diagnosis, the fitting of the proper hearing aids with individual ear moulds, the teaching and training and the care of the patient will bring the expected result.]

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