Patient assessment for cardiac resynchronization therapy: Past, present and future of imaging techniques.

The Canadian Journal of Cardiology
D AugerE O'Meara

Abstract

It has been proposed that dyssynchrony assessment before cardiac resynchronization therapy (CRT) implantation could help predict response to CRT. It is known that up to 40% of patients who receive a CRT device for established indications do not respond to CRT. Great expectations came from the Predictors of Response to Cardiac Resynchronization Therapy (PROSPECT) study, which would finally identify the ultimate echocardiographic dyssynchrony criteria to help select responders. The recently published PROSPECT trial failed to identify an ideal parameter of dyssynchrony. Patient selection for CRT should involve a multimodal approach, and new promising tools are being investigated in that view. The present review integrated new data coming from the exciting field of imaging with currently available evidence to generate a stepwise approach to patient selection.

References

Oct 5, 2001·Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology·J A Salerno-Uriarte, M Tritto
Nov 13, 2002·Journal of the American College of Cardiology·Maria Vittoria PitzalisPaolo Rizzon
Jan 5, 2005·Journal of the American College of Cardiology·Maria Vittoria PitzalisPaolo Rizzon
Nov 7, 2006·Journal of the American College of Cardiology·Nico R Van de VeireJeroen J Bax
Apr 3, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Fabian KnebelAdrian C Borges
Oct 16, 2007·Heart·Gabe B BleekerJeroen J Bax

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Citations

Oct 16, 2010·Internal and Emergency Medicine·Michele CorrealeMatteo Di Biase
Dec 23, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Vincent GalandJagmeet P Singh

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