van den Berg M P, Brouwer M H, Wijnberg D S, Brügemann J, van der Maaten J M, Ebels T
Academisch Ziekenhuis, Thoraxcentrum, Groningen.
Ned Tijdschr Geneeskd. 1997 Jul 26;141(30):1480-4.
Four patients, one woman and three men aged 48, 62, 49, en 54 years respectively, were subjected to cardiomyoplasty because of medically refractory heart failure secondary to ischaemic or idiopathic dilating cardiomyopathy. The operation and the training period were uncomplicated. In one patient symptoms of heart failure did not improve; the other patients experienced substantial relief of symptoms. However, all three died suddenly within one year after the operation, probably due to ventricular arrhythmias. Cardiomyoplasty may deserve a place in the treatment of heart failure, provided sudden death can be better prevented. Possibly, treatment with an implantable cardioverter-defibrillator might be useful.
四名患者，一名女性和三名男性，年龄分别为48岁、62岁、49岁和54岁，因缺血性或特发性扩张型心肌病继发的药物难治性心力衰竭接受了心肌成形术。手术和训练期均无并发症。一名患者的心力衰竭症状未改善；其他患者症状得到明显缓解。然而，所有三名患者均在术后一年内突然死亡，可能是由于室性心律失常。如果能更好地预防猝死，心肌成形术在心力衰竭治疗中可能值得占有一席之地。植入式心脏复律除颤器治疗可能会有帮助。
