Refining Patient Selection for Cardiac Resynchronization Therapy
نویسندگان
چکیده
منابع مشابه
Patient Selection for Cardiac Resynchronization Therapy
Cardiac resynchronization therapy (CRT) is a relatively new therapy for patients with symptomatic heart failure resulting from systolic dysfunction. CRT is achieved by simultaneously pacing both the left and right ventricles. Biventricular pacing resynchronizes the timing of global left ventricular depolarization and improves mechanical contractility and mitral regurgitation. Published clinical...
متن کاملSelection for Cardiac Resynchronization Therapy
SEE PAGE 969 C ardiac resynchronization therapy (CRT) is a highly effective treatment for some patients with heart failure. Current guidelines recommend the implantation of CRT devices in patients with left ventricular (LV) dysfunction and electrical dyssynchrony, evidenced by a left bundle branch block (1). Unfortunately, not all patients suitable for CRT derive symptomatic benefit—an unsatisf...
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Cardiac resynchronization therapy (CRT) is an established treatment modality for systolic heart failure. Aimed to produce simultaneous biventricular stimulation and correct the lack of ventricular synchrony in selected patients with congestive heart failure, CRT has shown to improve mortality and reduce hospital admissions when compared to medical treatment. At present, the indication criteria ...
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After the publication of the PROSPECT (Predictors of Response to CRT) trial, the use of echocardiography for the assessment of mechanical dyssynchrony and as a possible aid for selecting patients for cardiac resynchronization therapy has been heavily criticized. Calls have been made to observe the current guidelines and implant according to the entry criteria of recent major trials. However, al...
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An estimated 5.7 million adults with heart failure (HF) currently burden the human, medical, and financial resources of the United States. By 2030, this number is expected to increase to more than 8 million. In 2012, the total cost of HF in the United States was estimated at $30.7 billion, which is expected to increase to $69.7 billion by 2030. HF contributes substantially to mortality and is d...
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ژورنال
عنوان ژورنال: JACC: Clinical Electrophysiology
سال: 2015
ISSN: 2405-500X
DOI: 10.1016/j.jacep.2015.02.011