Optimization of Cardiac Resynchronization Therapy: Importance of Programmed Parameters.

Optimization of Cardiac Resynchronization Therapy. One of the basic tenets of cardiac resynchronization therapy (CRT) is that optimization of programmed parameters is important to maximize the therapeutic response. Both atrioventricular (AV) and interventricular (VV) timing intervals have been sugge...

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Publicado en:Journal of Cardiovascular Electrophysiology Vol. 23; no. 1; pp. 110 - 119
Autores principales: Cuoco, Frank A., Gold, Michael R.
Formato: diagnostic images review tables/charts tracings Journal Article
Publicado: Wiley-Blackwell Jan2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Optimization of Cardiac Resynchronization Therapy: Importance of Programmed Parameters.
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        au:
          Cuoco, Frank A.
          Gold, Michael R.
        affil: Division of Cardiology, Department of Medicine, the Medical University of South Carolina, Charleston, South Carolina, USA
      sug:
        subj:
          Rehabilitation, Cardiac Methods
          Cardiac Resynchronization Therapy Methods
          Heart Ventricle Pathology
          Electrocardiography Methods
          Blood Flow Velocity
          Hemodynamics
          Treatment Outcomes
      ab: Optimization of Cardiac Resynchronization Therapy. One of the basic tenets of cardiac resynchronization therapy (CRT) is that optimization of programmed parameters is important to maximize the therapeutic response. Both atrioventricular (AV) and interventricular (VV) timing intervals have been suggested as potential methods to improve response rates. A variety of techniques have been described to determine the optimal AV and VV delays. Many of these methods have demonstrated acute hemodynamic benefits; however, multicenter data proving long-term clinical benefit have been lacking. Echocardiography-guided methods have been most commonly employed, but no technique has been shown to be superior. In fact, many of these techniques have poor reproducibility and are time-consuming. Device-based algorithms allow for a rapid, simplified approach to CRT optimization; however, their clinical value has also been called into question. This review will describe the different techniques for CRT optimization and evaluate their potential value and limitations. (J Cardiovasc Electrophysiol, Vol. 23, pp. 110-118, January 2012)
      pubtype: Academic Journal
      doctype:
        diagnostic images
        review
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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