Heart failure patients selection for cardiac resynchronization therapy.
Cardiac resynchronization therapy (CRT) is an established treatment for refractory chronic heart failure (CHF) patients with ventricular dyssynchrony. The patient selection for this therapy remains the basis for response improvement. Various parameters, methods and technology for identification of appropriate patient are under research. The influences of age and gender, disease progress stage such as mild and late stage CHF including right ventricular dysfunction, dyssynchrony and scar identified by imaging techniques like echocardiography, magnetic resonance and nuclear imaging, and atrial fibrillation on CRT benefits were respectively discussed. This review summarizes the current advancement in these areas.
Department of Cardiology, No 1 Hospital affiliated to Medical School of Zhejiang University, Hangzhou, China.
Junchao
J
Geng
Bifeng
B
Wu
Liangrong
L
Zheng
Jianhua
J
Zhu
D058406:Cardiac Resynchronization Therapy; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D010138:Pacemaker, Artificial; D018579:Patient Selection; D011379:Prognosis; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000628:therapy*