Biventricular pacing in heart failure: update on results from clinical trials
نویسنده
چکیده
Biventricular pacing or resynchronisation therapy is a non-pharmacological therapy for patients with chronic heart failure. Since being originally described in 1994, biventricular pacing has become a subject of intense interest and investigation. This review analyses the results reported in observational series and randomised trials, and seeks to answer two questions. If it works, why does it work? Which heart failure patients will it benefit?
منابع مشابه
Biventricular pacing in patients with severe heart failure: has the time come?
In recent years there has been a growing interest in using cardiac pacing as additive treatment in severe heart failure. It is estimated that 30% of patients with severe heart failure have intraventricular conduction disturbances mechanically characterised by a discoordinate ventricular contraction pattern and wide QRS complexes. 1 Multisite biven-tricular pacing, which restores the synchronisa...
متن کاملPatient Selection for Cardiac Resynchronization Therapy
Cardiac resynchronization therapy (CRT) is a relatively new therapy for patients with symptomatic heart failure resulting from systolic dysfunction. CRT is achieved by simultaneously pacing both the left and right ventricles. Biventricular pacing resynchronizes the timing of global left ventricular depolarization and improves mechanical contractility and mitral regurgitation. Published clinical...
متن کاملPatient selection for cardiac resynchronization therapy: from the Council on Clinical Cardiology Subcommittee on Electrocardiography and Arrhythmias and the Quality of Care and Outcomes Research Interdisciplinary Working Group, in collaboration with the Heart Rhythm Society.
Cardiac resynchronization therapy (CRT) is a relatively new therapy for patients with symptomatic heart failure resulting from systolic dysfunction. CRT is achieved by simultaneously pacing both the left and right ventricles. Biventricular pacing resynchronizes the timing of global left ventricular depolarization and improves mechanical contractility and mitral regurgitation. Published clinical...
متن کاملInitial Experience of Biventricular Pacing in Patients with Chronic Severe Heart Failure
T he number of patients with chronic heart failure has increased substantially during the last few decades. The use of drugs such as the converting enzyme inhibitors, angiotensin II receptor blockers, ‚-blockers and spironolactone has led to significant reduction of the mortality and morbidity associated with this disabling syndrome. Despite this, the prognosis of patients with drug-resistant h...
متن کاملLeft Ventricular Reverse Remodeling With Biventricular Versus Right Ventricular Pacing in Patients With Atrioventricular Block and Heart Failure in the BLOCK HF Trial.
BACKGROUND Biventricular pacing in heart failure (HF) improves survival, relieves symptoms, and attenuates left ventricular (LV) remodeling. However, little is known about biventricular pacing in HF patients with atrioventricular block because they are typically excluded from biventricular trials. METHODS AND RESULTS The Biventricular versus Right Ventricular Pacing in Heart Failure Patients ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Current Controlled Trials in Cardiovascular Medicine
دوره 2 شماره
صفحات -
تاریخ انتشار 2001