title: Cardiac resynchronisation therapy in 2015: keeping up with the pace.
abstract: Despite improved understanding of the pathophysiology of heart failure (HF) and availability of better medical therapies, HF continues to grow as a cause of morbidity and mortality in Australia and worldwide. Over the past decade, cardiac resynchronisation therapy (CRT), or biventricular pacing, has been embraced as a powerful weapon against this growing epidemic. However, much has changed in our understanding of dyssynchrony in HF, and this has led to a change in guidelines to ensure more appropriate selection of CRT candidates to improve the 'non-response' rate. More data have also emerged about the use of CRT in atrial fibrillation and in pacemaker-dependent patients. There has also been a growing focus on multimodality imaging to guide patient selection and lead positioning. Exciting new lead technologies are also emerging, with the potential to improve CRT outcomes further.
authors: Department of Cardiology, Western Hospital, Melbourne, Victoria, Australia.|Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia.
authors: A
authors: A
authors: Voskoboinik
authors: Department of Cardiovascular Medicine, Adelaide, South Australia, Australia.
authors: A D
authors: AD
authors: McGavigan
authors: Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia.|Cardiac Investigation Unit, St Vincent' Hospital, Melbourne, Victoria, Australia.
authors: J A
authors: JA
authors: Mariani
mesh_terms: D001315:Australia / Q000453:epidemiology; D058406:Cardiac Resynchronization Therapy / Q000379:methods* / Q000639:trends; D006333:Heart Failure / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D010138:Pacemaker, Artificial / Q000639:trends; D016032:Randomized Controlled Trials as Topic / Q000379:methods
keywords: biventricular pacing; cardiac resynchronisation therapy; dyssynchrony; heart failure