Optimizing lead placement for pacing in dyssynchronous heart failure

Jazyk:	angličtina
Rok vydání:	2021
Předmět:	Cardiac resynchronization therapy STRATEGIES Lead placement Heart failure Left bundle branch block ACTIVATION Dyssynchrony CONDUCTION HIS-BUNDLE ELECTRICAL DELAY ECHOCARDIOGRAPHY OPTIMIZATION LEFT-VENTRICULAR LEAD BUNDLE-BRANCH BLOCK
Zdroj:	Heart Rhythm. 18(6):1024-1032
ISSN:	1556-3871 1547-5271
Popis:	Cardiac resynchronization therapy (CRT) greatly reduces morbidity and mortality in patients with dyssynchronous heart failure. However, despite tremendous efforts, response has been variable and can be further improved. Although optimizing left ventricular lead placement (LVLP) is arguably the cornerstone of CRT, the procedure of LVLP using the transvenous approach has remained largely unchanged for more than 2 decades. Improvements have been developed using scar location and electrical and/or mechanical mapping, and interest in conduction system pacing as an alternative to biventricular pacing has emerged recently. Conduction system pacing is promising but may not be suitable for all patients with dyssynchronous heart failure. This review underscores the importance of a patient-tailored approach and discusses the potential applications of both conduction system pacing and targeted biventricular CRT.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=od________83::a348fa56fd9ecc6f83f757ff64780f1a https://cris.maastrichtuniversity.nl/en/publications/07611468-7ecc-48be-9f24-79a4d31a1aae Zobrazit plný text záznamu