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Advances and Future Directions in Cardiac Pacemakers: Part 2 of a 2-Part Series.

Abstract：

:In the second part of this 2-part series on pacemakers, we present recent advances in pacemakers and preview future developments. Cardiac resynchronization therapy (CRT) is a potent treatment for heart failure in the setting of ventricular dyssynchrony. Successful CRT using coronary venous pacing depends on appropriate patient selection, lead implantation, and device programming. Despite optimization of these factors, nonresponse to CRT may occur in one-third of patients, which has led to a search for alternative techniques such as multisite pacing, His bundle pacing, and endocardial left ventricular pacing. A paradigm shift in pacemaker technology has been the development of leadless pacemaker devices, and on the horizon is the development of batteryless devices. Remote monitoring has ushered in an era of greater safety and the ability to respond to device malfunction in a timely fashion, improving outcomes.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Madhavan M,Mulpuru SK,McLeod CJ,Cha YM,Friedman PA

doi

10.1016/j.jacc.2016.10.064

subject

Has Abstract

pub_date

2017-01-17 00:00:00

pages

211-235

issue

2

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(16)37071-1

journal_volume

69

pub_type

杂志文章,评审

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