Cardiac Resynchronization Therapy in Women

被引:11
作者
Costanzo, Maria Rosa [1 ]
机构
[1] Edward Heart Hosp, Advocate Heart Inst, 4th Floor,801 South Washington St, Naperville, IL 60566 USA
关键词
Cardiac resynchronization therapy; Left bundle branch block; Women; Heart failure; BUNDLE-BRANCH BLOCK; LEFT-VENTRICULAR DYSFUNCTION; DEFIBRILLATOR IMPLANTATION TRIAL; GENDER-RELATED DIFFERENCES; CHRONIC HEART-FAILURE; QRS DURATION; AORTIC-STENOSIS; SUPER-RESPONSE; MEN; MORPHOLOGY;
D O I
10.1016/j.hfc.2016.07.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The benefits of cardiac resynchronization therapy (CRT) on the outcomes of patients with heart failure are unquestionable. Women are under-represented in all CRT studies. Most of the available data show that CRT produces a greater clinical benefit in women than men. In several studies, women have left bundle branch block more frequently than men. Women have a remarkably high (90%) CRT response over a wide range of QRS lengths (130-175 milliseconds). Use of a QRS duration of 150 milliseconds as the threshold for CRT prescription may deny a life-saving therapy to many women likely to benefit from CRT.
引用
收藏
页码:165 / +
页数:15
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