How to improve outcomes: should we put more emphasis on programming and medical care and less on patient selection?
| Autor: | Laszlo Buga |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Heart Failure
Postoperative Care medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Patient Selection MEDLINE Cardiac resynchronization therapy medicine.disease Medical care Cardiac Resynchronization Therapy QRS complex Treatment Outcome Heart failure Ambulatory Physical therapy Electrocardiography Ambulatory Medicine Humans In patient Cardiology and Cardiovascular Medicine business Intensive care medicine Electrocardiography |
| Zdroj: | Heart failure reviews. 17(6) |
| ISSN: | 1573-7322 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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