The Usefulness and Limitations of Impedance Cardiography for Cardiac Resynchronization Therapy Device Optimization

Impedance cardiography: a useful and reliable tool in optimization of cardiac resynchronization devices.

AIMS Optimizing cardiac resynchronization therapy (CRT) devices has become more complex since modification of both atrioventricular (AV) and interventricular (VV) stimulation intervals has become possible. The current paper presents data from the routine use of impedance cardiography (IC)-based cardiac output (CO) measurements to guide the optimization of AV- and VV-interval timing of CRT devic...

Resynchronization therapy optimization by intracardiac impedance.

AIMS For successful cardiac resynchronization therapy (CRT), an optimization of left ventricular (LV) lead position and stimulation timing is required. The feasibility of optimizing LV lead position, atrioventricular delay (AVd), and interventricular delay (VVd) in CRT using intracardiac impedance measurement was evaluated. METHODS AND RESULTS Heart failure patients (n = 14, NYHA 13×III, 1×II...

Impedance Cardiography for Cardiac Output Estimation

everal studies suggest the importance of cardiac power output calculation, which is derived from cardiac output (CO) and mean blood pressure, to predict the prognosis in heart failure patients not only in hospital but also in the outpatient setting.1–3 CO measured by the thermodilution method with a Swan-Ganz catheter placed in the pulmonary artery has become one of the most widely accepted and...

Pitfalls and limitations in the use of impedance cardiography.

Anodal capture in cardiac resynchronization therapy implications for device programming.

INTRODUCTION Right ventricular (RV) anodal capture (AC) has been reported in cardiac resynchronization therapy (CRT), when left ventricular (LV) pacing uses pseudobipolar (LV tip to RV proximal electrode) configuration. The aim of the study was to analyze the prevalence of AC and its implications for device programming. METHODS AND RESULTS When AC occurred, the resulting QRS morphology was ev...