By William T. Abraham MD, Ragavendra R. Baliga MD MBA FRCP FACC
Written via famous specialists with daily adventure in cardiac resynchronization remedy (CRT), this finished, useful reference offers physicians an intensive wisdom of the symptoms, concepts for implantation, issues, programming, and follow-up of CRT units in sufferers with middle failure and intra- and interventricular conduction delays. each one bankruptcy has how-to and troubleshooting sections to aid readers keep away from or navigate the pitfalls encountered in daily medical perform. each one bankruptcy additionally has a precis field shooting the main medical pearls. This ebook could be a helpful relief in getting ready for the center Rhythm Exam/International Board of center Rhythm Examiners (IBHRE) exam.
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Extra resources for Cardiac Resynchronization Therapy in Heart Failure
2003;7: 315–324. 103. Hay I, Melenovsky V, Fetics BJ, et al. Short-term effects of right-left heart sequential cardiac resynchronization in patients with heart failure, chronic atrial fibrillation, and atrioventricular nodal block. Circulation. 2004;110:3404–3410. 104. Molhoek SG, Bax JJ, Bleeker GB, et al. Comparison of response to cardiac resynchronization therapy in patients with sinus rhythm versus atrial fibrillation. Am J Cardiol. 2004;94:1506–1509. 30 Cardiac Resynchronization Therapy in Heart Failure 105.
There remains a great need for simpler and reproducible criteria that can reliably identify patients who are most likely to show improvement in LV performance with CRT and, by extension, overall outcome. PRACTICAL POINTS 1. CRT has been shown to result in substantial improvements in both acute and long-term LV performance of patients with chronic heart failure by retiming the contraction of dyssynchronous LV wall segments. 2. Improvements in LV performance with CRT, in terms of increase in LVEF and reduction in LV volumes (reversal of LV remodeling), play an important role in the outcome of CRT-treated patients with chronic heart failure.
J Am Coll Cardiol. 1998;32: 695–703. 99. Leclercq C, Walker S, Linde C, et al. Comparative effects of permanent biventricular and right-univentricular pacing in heart failure patients with chronic atrial fibrillation. Eur Heart J. 2002;23:1780–1787. 100. Hope UC, Casares JM, Eiskjaer H, et al. Effect of cardiac resynchronization on the incidence of atrial fibrillation in patients with severe heart failure. Circulation. 2006;144:18–25. 101. Etienne Y, Mansourati J, Gilard M, et al. Evaluation of left ventricular based pacing in patients with congestive heart failure and atrial fibrillation.
Cardiac Resynchronization Therapy in Heart Failure by William T. Abraham MD, Ragavendra R. Baliga MD MBA FRCP FACC