Not enough QRS shortening? Keep calm and add another lead

Cardiac resynchronization therapy (CRT) diminishes symptoms and reduces hospitalization and mortality in patients with heart failure, LV dysfunction and left bundle branch block. However, up to one third of patients do not respond to CRT. In that regard, few initial studies presenting multisite paci...

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Detalles Bibliográficos
Autores: Jiménez-López, Jesús, Vallés Gras, Ermengol, Alcalde Rodríguez, Oscar, Benito Villabriga, Begoña, Cabrera Gómez, Sandra, Martí-Almor, Julio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/27688
Acceso en línea:http://hdl.handle.net/10230/27688
http://dx.doi.org/10.4172/2165-7920.1000789
Access Level:acceso abierto
Palabra clave:Cor -- Malalties -- Tractament
Infart de miocardi
Fibril·lació auricular
Descripción
Sumario:Cardiac resynchronization therapy (CRT) diminishes symptoms and reduces hospitalization and mortality in patients with heart failure, LV dysfunction and left bundle branch block. However, up to one third of patients do not respond to CRT. In that regard, few initial studies presenting multisite pacing have shown encouraging results, demonstrating both feasibility and safety in placing a second CS lead in >80% of patients intended, with further QRS shortening, which is the most powerful predictor of LV reverse remodelling.