Publications by authors named "Angelo Cotogni"
Background: Questionable systolic assistance and latissimus dorsi (LD) muscular degeneration as a result of continuous electrical stimulation constitute important drawbacks to dynamic cardiomyoplasty. To avoid full transformation of the LD and thereby cause better systolic assistance, a new stimulation protocol was developed. Fewer impulses per day are delivered so that the LD wrap has daily periods of rest (demand), based on a heart rate cutoff.
View Article and Find Full Text PDFArticle Synopsis
- Objective of the study was to improve results of dynamic cardiomyoplasty (DCMP) by developing a new stimulation protocol that reduces continuous electrical stimulation of the latissimus dorsi muscle to prevent degeneration.
- The study involved 12 patients over a mean follow-up period of 40.2 months, with assessments showing significant clinical improvements and no perioperative deaths.
- Results indicated that the demand stimulation protocol led to better heart function, reduced symptoms, and a 5-year survival rate of 83.3%, suggesting that demand DCMP should be reconsidered for end-stage heart failure patients.