Cardiac resynchronization treatment of heart failure.

Abstract:

:Cardiac resynchronization therapy (CRT) is well established as a treatment for patients with moderate to severe heart failure on optimal medical therapy. Early studies demonstrated improved functional capacity and evidence of reverse remodeling; more recently, CRT has been associated with a survival benefit in advanced heart failure both with and without a defibrillator. We review the eight landmark trials in CRT. To date, criteria have focused on electrical delay, but echocardiographic parameters emphasize the importance of mechanical delay or ventricular dyssynchrony. With the exponential rise in implants, new issues have emerged, such as optimal device programming, identifying appropriate candidates, and accounting for cases without clinical benefit from CRT.

journal_name

Annu Rev Med

authors

Hasan A,Abraham WT

doi

10.1146/annurev.med.57.051804.122251

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

63-74

eissn

0066-4219

issn

1545-326X

journal_volume

58

pub_type

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