Possibilities and perspectives of using cardiac contractility modulation in patients with chronic heart failure and atrial fibrillation

Abstract

Heart failure is one of the main health care problems all over the world. Although, there are many drugs with proven effectiveness and hi‑tech devices, there is a continuous process of searching new possibilities in heart failure prophylaxis going on because of huge economic burden and impact on life quality. Developing of atrial fibrillation in heart failure patients increases the risks of hospitaliza‑ tion and all‑cause mortality. Appearance of new Optimizer Smart® system of cardiac contractility modulation is a perspective way of treatment in patients with heart failure and atrial fibrillation, who are not a candidate or have not got a good result from cardiac resynchronization therapy (CRT).