about 65 y old patient with dyspnoe; a coronary disease is known, condition after surgical myocardial revascularisation in the 80´s.
In TTE you can see a distinct decrease of myocardial funktion with septo-apical akinesia. In cardia catheter there is no chance for improve the coronary state.
optimal medical therapy is established.
We will implantate an AICD, no LBBB, so no indication for CRT-D to improve the clinical afflictions.
Do you have some experiences with cardiac contractility modulation? Do you think that patient could have any benefit with this therapeutical option?