医学
心脏再同步化治疗
心脏病学
心力衰竭
心房颤动
内科学
QRS波群
植入式心律转复除颤器
烧蚀
射血分数
作者
Jeroen J. Bax,Theodore P. Abraham,S. Serge Barold,Ole A. Breithardt,Jeffrey Wing‐Hong Fung,Stéphane Garrigue,John Gorcsan,David L. Hayes,David A. Kass,Juhani Knuuti,Christophe Leclercq,Cecilia Linde,Daniel B. Mark,Mark Monaghan,Petros Nihoyannopoulos,Martin J. Schalij,C. Stellbrink,Cheuk Man Yu
标识
DOI:10.1016/j.jacc.2005.09.020
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-defibrillator therapy and the cost-effectiveness of CRT are discussed.
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