An Overview of Current Cardiac Resynchronization Therapy.
نویسندگان
چکیده
UNLABELLED Cardiac resynchronization therapy (CRT) is currently an established device therapy for heart failure (HF) patients. Existing knowledge of implantation techniques, advances in device-based technologies and clinical trial experience have all significantly impacted this evolving therapy in recent years. This review article will address the updated CRT guidelines, and potentially new indications for CRT such as patients with mild HF symptoms and prolonged QRS duration; it also highlights new approaches for placement of the left ventricular (LV) lead, multi-site LV pacing, and the role of automatic device optimization in CRT. KEY WORDS Cardiac resynchronization therapy; Guideline; Heart failure; Optimization.
منابع مشابه
Heart failure patients with ventricular dysynchrony: management with a cardiac resynchronization therapy device.
Despite an array of treatment modalities, the overall prognosis for patients with severe heart failure remains bleak. Biventricular pacing, or cardiac resynchronization therapy, is gaining increasing acceptance as a compelling treatment for those individuals with advanced heart failure (New York Heart Association functional class III or IV). This article provides a brief description of the atri...
متن کاملCardiac resynchronization therapy.
Systolic heart failure is a major problem for Americans today, with 550,000 new cases diagnosed per year, and ultimately contributes to 287,000 deaths annually. While pharmacologic therapy has drastically improved outcomes in patients with systolic heart failure, hospitalizations from systolic heart failure continue to increase and remain a major cost burden. In response to this unmet need, rec...
متن کاملThe Role of Stem Cell Therapy in Multiple Sclerosis: an Overview of the Current Status of the Clinical Studies
The complexity of multiple sclerosis (MS) and the incompetence of a large number of promise treatments in MS urge us to plan new and more effective therapeutic approaches that aim to suppress ongoing autoimmune responses and induction of local endogenous regeneration. Emerging data propose that hematopoietic, mesenchymal and neural stem cells have the potential to restore self-tolerance, to pro...
متن کاملCardiac resynchronization therapy in heart failure patients with atrial fibrillation
Cardiac resynchronization therapy (CRT) is an important device-based, non-pharmacological approach that has shown, in large randomized trials, to improve left ventricular (LV) function and reduce both morbidity and mortality rates in selected patients affected by advanced heart failure (HF): New York Heart Association (NYHA) functional class III-IV, reduced LV systolic function with an ejection...
متن کاملUse of Echocardiography to Manage Cardiac Resynchronization Therapy
Current guidelines recommend cardiac resynchronization therapy (CRT) for a subset of patients with systolic heart failure; however, the optimal settings for each patient and the characterization of the patient population most likely to benefit are still areas of active research and debate. New techniques in echocardiography may facilitate adjustment of pacer specifications to augment a positive...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Acta Cardiologica Sinica
دوره 29 6 شماره
صفحات -
تاریخ انتشار 2013