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http://hdl.handle.net/1942/30626
Title: | CRT Optimization: What Is New? What Is Necessary? | Authors: | DAUW, Jeroen MARTENS, Pieter MULLENS, Wilfried |
Issue Date: | 2019 | Source: | Current Treatment Options in Cardiovascular Medicine, 21 (9) (Art N° 45) | Abstract: | Cardiac resynchronization therapy (CRT) has proven to improve quality of life, reduce heart failure hospitalization, and prolong life in selected heart failure patients with reduced ejection fraction, on optimal medical therapy and with electrical dyssynchrony. To ensure maximal benefit for CRT patients, optimization of care should be implemented. This begins with appropriate referring as well as selecting patients, knowing that the presence of left bundle branch block and QRS ≥ 150 ms is associated with the greatest reverse remodeling. The LV lead, preferably quadripolar, is best targeted in a postero-lateral position. After implantation, optimal device programming should aim for maximal biventricular pacing and in selected cases further electrical delay optimization might be of use. Even as important, is the implementation of thorough multidisciplinary heart failure care with medication uptitration, remote monitoring, rehabilitation, and patient education. The role of newer pacing strategies as endocardial or His-bundle pacing remains the subject of ongoing investigation. | Keywords: | Cardiac resynchronization therapy;Heart failure;Optimization;Multidisciplinary care | Document URI: | http://hdl.handle.net/1942/30626 | ISSN: | 1092-8464 | DOI: | 10.1007/s11936-019-0751-2 | Category: | A1 | Type: | Journal Contribution | Validations: | vabb 2022 |
Appears in Collections: | Research publications |
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Dauw2019_Article_CRTOptimizationWhatIsNewWhatIs.pdf Restricted Access | Published version | 348.58 kB | Adobe PDF | View/Open Request a copy |
Peer reviewed author version.pdf | Peer-reviewed author version | 374.2 kB | Adobe PDF | View/Open |
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