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[How to improve response to cardiac resynchronization therapy?].

Authors
  • Lukl, J
Type
Published Article
Journal
Vnitr̆ní lékar̆ství
Publication Date
Sep 01, 2009
Volume
55
Issue
9
Pages
808–811
Identifiers
PMID: 19785381
Source
Medline
License
Unknown

Abstract

Cardiac resynchronization therapy decreases mortality and rehospitalization for heart failure. However, around 30% of patients do not respond to this therapy. The paper analyses factors, with a possible impact on the response to this therapy. It is a left ventricular lead proximity to the left ventricle segment with the latest activity, presence and size of postinfarction scar and a percentage of fully captured paced beats. Methods of optimalization of these factors are described as well as circumstances, under which some patients should be indicated for cardiosurgical lead implantation or if a cardiac resynchronization therapy should be ommited.

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