Progress in cardiovascular disease: technical considerations in cardiac resynchronization therapy

Progress in Cardiovascular Diseases
Safwat GassisAngel R León

Abstract

Cardiac resynchronization therapy (CRT) has been shown to improve symptoms, ventricular function, and survival in patients with left ventricular systolic dysfunction and ventricular conduction delay. Patients with moderate to severe drug-refractory heart failure symptoms along with ventricular dyssynchrony, manifested as prolongation of the QRS duration on the surface electrocardiogram, benefit from CRT. Owing to the growing awareness and application of CRT, a large number of patients have been identified as candidates for this therapy, making it necessary for clinicians involved in the care of such patients to be adequately knowledgeable of various aspects of CRT implementation. In particular, clinicians involved in the care of these patients must be aware of the practical considerations in preparing patients for the implantation procedure, careful surveillance for early or late procedure-related complications, and knowledge of the fundamental device features so as to tailor therapeutic and programming techniques to improve long-term response to CRT. This review addresses the technical considerations of the implantation procedure and device function with emphasis on the initial and long-term programming to ensure optimal deliv...Continue Reading

References

Nov 1, 1994·Pacing and Clinical Electrophysiology : PACE·S CazeauJ Mugica
Feb 1, 1995·The Annals of Thoracic Surgery·A H FosterJ S McLaughlin
Nov 1, 1996·Pacing and Clinical Electrophysiology : PACE·S CazeauJ Mugica
Feb 1, 1997·Pacing and Clinical Electrophysiology : PACE·A Auricchio, R W Salo
Feb 25, 1998·Pacing and Clinical Electrophysiology : PACE·J C DaubertS Cazeau
Nov 25, 1998·Pacing and Clinical Electrophysiology : PACE·P JaïsJ Clémenty
Dec 19, 1998·Journal of the American College of Cardiology·C LeclercqJ C Daubert
Dec 19, 2001·Circulation·C ButterUNKNOWN Pacing Therapy for Chronic Heart Failure II Study Group
Jan 31, 2002·Pacing and Clinical Electrophysiology : PACE·B O'CochlainJ Langberg
Mar 7, 2002·Pacing and Clinical Electrophysiology : PACE·Emilio Garcia-MoranJosep Brugada
Jun 14, 2002·The New England Journal of Medicine·William T AbrahamUNKNOWN MIRACLE Study Group. Multicenter InSync Randomized Clinical Evaluation
Jun 14, 2002·The New England Journal of Medicine·Gervasio A LamasUNKNOWN Mode Selection Trial in Sinus-Node Dysfunction
Aug 8, 2002·Pacing and Clinical Electrophysiology : PACE·Logan KanagaratnamAndrea Natale
Nov 1, 2002·The New England Journal of Medicine·Daniel LevyRamachandran S Vasan
Nov 13, 2002·Journal of the American College of Cardiology·Maria Vittoria PitzalisPaolo Rizzon
Nov 19, 2002·Journal of Cardiovascular Electrophysiology·Emile G DaoudTejas Meta
Apr 11, 2003·Pacing and Clinical Electrophysiology : PACE·Stephen C Vlay
Apr 18, 2003·Pacing and Clinical Electrophysiology : PACE·Robert W RhoDusan Z Kocovic
Apr 23, 2003·Journal of the American College of Cardiology·Joseph J DeRoseJonathan S Steinberg
Jun 12, 2003·European Journal of Heart Failure·Giovanni B PeregoGiuseppe Osculati
Sep 3, 2003·Journal of Cardiovascular Electrophysiology·Marco A ZenatiDavid Schwartzman
Dec 18, 2003·Journal of Cardiovascular Electrophysiology·Bruce S StamblerUNKNOWN ROVA Investigators
Dec 23, 2003·Current Opinion in Cardiology·Luna BhattaGerald V Naccarelli
Mar 11, 2004·Pacing and Clinical Electrophysiology : PACE·Peter T MortensenE Mark Harrison
May 21, 2004·The New England Journal of Medicine·Michael R BristowUNKNOWN Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure (COMPANION) Investigators
Jun 11, 2004·Pacing and Clinical Electrophysiology : PACE·Lucie RiedlbauchováThomas A Buckingham
Jul 6, 2004·Journal of the American College of Cardiology·Bradley P KnightPatrick Yong
Jan 5, 2005·Journal of the American College of Cardiology·Maria Vittoria PitzalisPaolo Rizzon
Jan 27, 2005·Circulation Journal : Official Journal of the Japanese Circulation Society·Noriko InoueSatoshi Umemura
Mar 9, 2005·The New England Journal of Medicine·John G F ClelandUNKNOWN Cardiac Resynchronization-Heart Failure (CARE-HF) Study Investigators
Jul 2, 2005·American Heart Journal·Cheuk-Man YuUNKNOWN PROSPECT Investigators

❮ Previous
Next ❯

Citations

Jun 30, 2011·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·Imre KassaiTamás Szili-Török
Nov 7, 2008·Echocardiography·Jana G DelfinoStamatios Lerakis
Nov 14, 2016·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Zsuzsanna KisTamas Szili-Torok
Jan 5, 2006·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Mary G Carey, Michele M Pelter
Jan 2, 2007·Critical Care Nursing Quarterly·Lauren Saul

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiac Remodeling

Cardiac remodeling in response to a myocardial infarction is characterized by progressive ventricular dilatation, cardiac hypertrophy, fibrosis, and deterioration of cardiac performance. Discover the latest research on Cardiac Remodeling here.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.