Cardiac resynchronization therapy - Part 2 - Issues during and after device

被引：136

作者：

Bax, JJ

Abraham, T

Barold, SS

Breithardt, OA

Fung, JWH

Garrigue, S

Gorcsan, J

Hayes, DL

Kass, DA

Knuuti, J

Leclercq, C

Linde, C

Mark, DB

Monaghan, MJ

Nihoyannopoulos, P

Schalij, MJ

Stellbrink, C

Yu, CM

机构：

[1] Leiden Univ, Med Ctr, Dept Cardiol, NL-2333 ZA Leiden, Netherlands

[2] Johns Hopkins Univ, Baltimore, MD USA

[3] Univ S Florida, Tampa, FL USA

[4] Univ Klinikum Mannheim, Mannheim, Germany

[5] Chinese Univ Hong Kong, Hong Kong, Hong Kong, Peoples R China

[6] Univ Pittsburgh, Pittsburgh, PA USA

[7] Hop Cardiol Haut Leve, Pessac, France

[8] Mayo Clin Rochester, Minneapolis, MN USA

[9] Univ Turku, Turku PET Ctr, Turku, Finland

[10] Karolinska Univ Hosp, Stockholm, Sweden

[11] Hop Pontchaillou, Rennes, France

[12] Duke Clin Res Inst, Durham, NC USA

[13] Kings Coll London, London WC2R 2LS, England

[14] Hammersmith Hosp, London, England

[15] Stadt Klin Bielefeld, Bielefeld, Germany

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY | 2005年 / 46卷 / 12期

关键词：

D O I：

10.1016/j.jacc.2005.09.020

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Encouraged by the clinical success of cardiac resynchronization therapy (CRT), the implantation rate has increased exponentially, although several limitations and unresolved issues of CRT have been identified. This review concerns issues that are encountered during implantation of CRT devices, including the role of electroanatomical mapping, whether CRT implantation should be accompanied by simultaneous atrioventricular nodal ablation in patients with atrial fibrillation, procedural complications, and when to consider surgical left ventricular lead positioning. Furthermore, (echocardiographic) CRT optimization and assessment of CRT benefits after implantation are highlighted. Also, controversial issues such as the potential value of CRT in patients with mild heart failure or narrow QRS complex are addressed. Finally, open questions concerning when to combine CRT with implantable cardioverter-defibritlator therapy and the cost-effectiveness of CRT are discussed.

引用

页码：2168 / 2182

页数：15

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