title: [Advanced programming of cardiac resynchronisation therapy under echocardiographic examination: is it feasible and efficient?].
abstract: In patients with heart failure treated with cardiac resynchronisation therapy (CRT), proper programming of the device can enhance the benefits of stimulation. Nowadays, adjustment of atrio-ventricular delay (AVD) is usually guided by echocardiography and performed only in resting conditions. The issue of optimal CRT programming during exercise, and the decision regarding the use of rate-adaptive pacing and rate-adaptive AVD algorithm during CRT, are largely empirical. We present a case report, and we indicate that programming of rate-adaptive pacing and rate-adaptive AVD algorithm on the basis of extended echocardiographic evaluation can further benefit the individual patient.
authors.affiliation: Department of Cardiology and Electrotherapy, Medical University of Gdansk, Gdansk, Poland. adabrowska@gumed.edu.pl
authors.forename: Alicja
authors.initials: A
authors.lastname: Dąbrowska Kugacka
authors.forename: Anna
authors.initials: A
authors.lastname: Faran
authors.forename: Ewa
authors.initials: E
authors.lastname: Lewicka
authors.forename: Piotr
authors.initials: P
authors.lastname: Niedoszytko
authors.forename: Filip M
authors.initials: FM
authors.lastname: Szymański
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Raczak
mesh_terms: D000368:Aged; D000465:Algorithms; D058406:Cardiac Resynchronization Therapy / Q000379:methods*; D015150:Echocardiography, Doppler / Q000379:methods*; D015444:Exercise / Q000502:physiology; D005080:Exercise Test; D006333:Heart Failure / Q000517:prevention & control*; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D016896:Treatment Outcome