Cardiac Contractility Modulation: Implications in Heart Failure, a Current Review

Heart Fail Clin. 2024 Jan;20(1):51-60. doi: 10.1016/j.hfc.2023.05.006. Epub 2023 Jun 20.

Abstract

Cardiac contractility modulation (CCM) is a novel therapeutic approach for heart failure patients, which utilizes nonexcitatory electrical myocardial stimulation in the absolute refractory period of the cardiac cycle. This stimulation has been shown to increase contractility, leading to improved heart failure symptoms, functional status, and quality of life. CCM is FDA approved for heart failure patients with an LVEF between 25% and 45% who remained symptomatic despite optimal medical therapy and not candidate of cardiac resynchronization therapy. CCM offers expanded treatment options for heart failure patients who have continued symptoms while on optimal medical therapy.

Keywords: Cardiac contractility modulation; Cardiomyopathy; Heart failure; Implantable device; Optimizer.

Publication types

  • Review

MeSH terms

  • Cardiac Resynchronization Therapy*
  • Heart Failure*
  • Humans
  • Myocardial Contraction / physiology
  • Quality of Life
  • Treatment Outcome