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Devices for Cardiac Resynchronization: (eBook)

Technologic and Clinical Aspects
eBook Download: PDF
2007 | 2008
XVII, 527 Seiten
Springer US (Verlag)
978-0-387-71167-6 (ISBN)

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Devices for Cardiac Resynchronization: -
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Here is an essential text for cardiologists, heart surgeons, intensive care specialists and anyone interested in pacing. It is a comprehensive guide to contemporary devices used in the resynchronization of patients' heartbeats. The treatment of congestive heart failure by implanted biventricular pacemakers, or cardiac resynchronization, has revolutionized the practice of implanting pacemakers and defibrillators. More cardiac resynchronization therapy devices than conventional pacemakers are now being implanted and the numbers are growing worldwide.


The last of an ongoing series of Cardiostim monographs all devoted to cardiac pacing, was published four years ago. Since then, cardiac res- chronization for the treatment of heart failure has undergone spectacular progress and has revolutionized device therapy. Many patients have benefited from ventricular resynchronization often combined with an implantable cardioverter-defibrillator. More implantations are likely in the future as the indications continue to evolve with more attention being paid to the primary prevention of heart failure in selected patients and the treatment of earlier stages of left ventricular dysfunction. Thus, we felt it was time for the current Cardiostim monograph to focus exclusively on cardiac resynchronization so as to review the remarkable technologic and clinical advances in the field. We are grateful to the contributors who worked so hard to complete their manuscripts on time and their diligence in presenting new concepts and technical details in an easily understandable fashion. Working with the Springer publishers, especially Melissa Ramondetta, Executive Editor, Dianne Wuori, Editorial Assistant, and Candace Rosa, Production Editor, was a real pleasure. Their patience, courtesy and efficiency are very much appreciated.

Table of Contents 5
Preface 8
List of Contributors 9
Indications and Implantation for Cardiac Resynchronization Therapy 16
Do the Official Guidelines for Cardiac Resynchronization Therapy Need to Be Changed? 17
Alternative Techniques for Left Ventricular Lead Placement 30
Importance of the Right Ventricular Pacing Site in Cardiac Resynchronization 39
Alternative Means of Achieving Cardiac Resynchronization 46
CRT-Pacing Only Versus CRT- Defibrillator 73
Upgrading Conventional Pacemakers to CRT: Indications and Technical Considerations 78
Cardiac Resynchronization for Heart Failure 102
Update of Cardiac Resynchronization Trials 103
Cardiac Resynchronization for Heart Failure: Do We Need More Trials? 113
Should Cardiac Resynchronization Be Considered for the Prevention of Heart Failure? 131
Left Bundle Branch Block–Induced Cardiomyopathy: A New Concept of Mechanically Induced Cardiomyopathy 146
Role of Echocardiography Before CRT Implantation: Can We Predict Nonresponders? 153
Role of Echocardiography After Implantation of a Cardiac Resynchronization System 172
Advances in Technology 184
Recent Advances in the Technology of Cardiac Resynchronization Therapy 185
Advances in Left Ventricular Pacing Leads 206
New Pacing Algorithms and Functions in CRT Devices 216
Significance of Latency During Left Ventricular Pacing for Cardiac Resynchronization Therapy 228
Programmability of the Interventricular Interval During Cardiac Resynchronization Therapy 239
Hemodynamic Sensors in Heart Failure Devices 254
Assessment of Single-Shock Defibrillation Testing of Biventricular ICDs 270
Follow-up 281
How to Program CRT Devices 282
Programming and Follow-up of CRT and CRTD Devices 316
The Standard Electrocardiogram During Cardiac Resynchronization 423
Cardiac Arrhythmias After Cardiac Resynchronization 455
Advances in CRT Device Diagnostics 472
Complex Issues in the Follow-up of CRT Devices 492
Recurrent Heart Failure and Appropriate Evaluation After Cardiac Resynchronization Therapy 503
Index 511

Erscheint lt. Verlag 22.11.2007
Zusatzinfo XVII, 527 p.
Verlagsort New York
Sprache englisch
Themenwelt Medizinische Fachgebiete Innere Medizin Kardiologie / Angiologie
Schlagworte Congestive Heart Failure • CRT • electrophysiologists • ICDs • pacemakers • Pacing
ISBN-10 0-387-71167-8 / 0387711678
ISBN-13 978-0-387-71167-6 / 9780387711676
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