How to improve outcomes: should we put more emphasis on programming and medical care and less on patient selection?

Abstract:

:Many factors contribute to the pathophysiology and progression of heart failure (HF), offering the potential for many synergistic therapeutic approaches to its management. For patients, who have systolic HF, prolonged QRS and receiving guideline-indicated pharmacological therapy, cardiac resynchronization therapy (CRT) may provide additional benefits in terms of symptom improvement and mortality reduction. Nevertheless, in many patients, moderate or severe symptoms may persist or recur after CRT implantation due to either the severity or progression of the underlying disease, the presence of important co-morbidities or suboptimal device programming. Identifying and, where possible, treating the reasons for persistent or recurrent symptoms in patients who have received CRT is an important aspect of patient care. The present review summarizes the available evidence on this topic.

journal_name

Heart Fail Rev

journal_title

Heart failure reviews

authors

Buga L

doi

10.1007/s10741-012-9351-x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

791-802

issue

6

eissn

1382-4147

issn

1573-7322

journal_volume

17

pub_type

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