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Title: | Optimized implementation of cardiac resynchronization therapy: a call for action for referral and optimization of care | Authors: | MULLENS, Wilfried Auricchio, Angelo MARTENS, Pieter Witte, Klaus Cowie, Martin R. Delgado, Victoria Dickstein, Kenneth Linde, Cecilia Vernooy, Kevin Leyva, Francisco Bauersachs, Johann Israel, Carsten W. Lund, Lars H. Donal, Erwan Boriani, Giuseppe Jaarsma, Tiny Berruezo, Antonio Traykov, Vassil Yousef, Zaheer Kalarus, Zbigniew Cosedis Nielsen, Jens Steffel, Jan Vardas, Panos Coats, Andrew Seferovic, Petar Edvardsen, Thor HEIDBUCHEL, Hein Ruschitzka, Frank Leclercq, Christophe |
Issue Date: | 2020 | Publisher: | WILEY | Source: | EUROPEAN JOURNAL OF HEART FAILURE, 22 (12) , p. 2349 -2369 | Abstract: | Cardiac resynchronization therapy (CRT) is one of the most effective therapies for heart failure with reduced ejection fraction and leads to improved quality of life, reductions in heart failure hospitalization rates and all-cause mortality. Nevertheless, up to two-thirds of eligible patients are not referred for CRT. Furthermore, post-implantation follow-up is often fragmented and suboptimal, hampering the potential maximal treatment effect. This joint position statement from three European Society of Cardiology Associations, Heart Failure Association (HFA), European Heart Rhythm Association (EHRA) and European Association of Cardiovascular Imaging (EACVI), focuses on optimized implementation of CRT. We offer theoretical and practical strategies to achieve more comprehensive CRT referral and post-procedural care by focusing on four actionable domains: (i) overcoming CRT under-utilization, (ii) better understanding of pre-implant characteristics, (iii) abandoning the term 'non-response' and replacing this by the concept of disease modification, and (iv) implementing a dedicated post-implant CRT care pathway. | Notes: | Mullens, W (corresponding author), Ziekenhuis Oost Limburg, Dept Cardiol, Schiepse Bos 6, B-3600 Genk, Belgium. wilfried.mullens@zol.be |
Other: | Mullens, W (corresponding author), Ziekenhuis Oost Limburg, Dept Cardiol, Schiepse Bos 6, B-3600 Genk, Belgium. wilfried.mullens@zol.be | Keywords: | Cardiac resynchronization therapy;Response;Heart failure;Implementation;Utilization;Care pathways;Disease modification;Disease management;Outcome | Document URI: | http://hdl.handle.net/1942/33599 | ISSN: | 1388-9842 | e-ISSN: | 1879-0844 | DOI: | 10.1002/ejhf.2046 | ISI #: | WOS:000615960600022 | Category: | A2 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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ejhf.2046.pdf | Published version | 4.44 MB | Adobe PDF | View/Open |
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