Congestive Heart Failure & Angina

Device Therapy for Heart Failure and Angina

Device therapy plays a critical role in the management of advanced heart failure and refractory angina, offering life-saving options for patients who do not respond adequately to pharmacological treatment. Implantable devices such as cardiac resynchronization therapy (CRT) and implantable cardioverter-defibrillators (ICDs) have been shown to reduce mortality and improve quality of life in selected heart failure patients. CRT, in particular, improves ventricular synchrony, enhancing cardiac efficiency and reducing heart failure symptoms.

For patients with severe angina not amenable to revascularization, options such as enhanced external counterpulsation (EECP) and spinal cord stimulation (SCS) offer symptomatic relief by promoting collateral circulation and modulating pain perception. The ongoing development of novel devices, including left ventricular assist devices (LVADs) and wearable sensors for remote monitoring, continues to push the boundaries of what is possible in the treatment of heart failure and angina.