Cardiac Resynchronization Therapy: An Established Pacing Therapy for Heart Failure and Mechanical Dyssynchrony


by

Ignasi A. Camòs

DOI: 10.2174/97816080503071110101
eISBN: 978-1-60805-030-7, 2011
ISBN: 978-1-60805-655-2



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Indexed in: Scopus

In recent decades, the prevalence of heart failure has steadily increased and can be considered a contemporary cardiovascular epidemic...[view complete introduction]

Table of Contents

Foreword

- Pp. i

Ignacio Garcia Bolao

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Preface

- Pp. ii

Ignasi Anguera

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List of Contributors

- Pp. iii-iv (2)

Ignasi Anguera Camos

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Epidemiology of Heart Failure: The Importance of Ventricular Dyssynchrony and Left Bundle Branch Block in Heart Failure Patients

- Pp. 1-10 (10)

José González-Costello, Nicolás Manito Lorite and Josep Roca Elías

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Scientific Evidences Supporting the Benefits of Cardiac Resynchronization Therapy: History of Cardiac Resynchronization Therapy

- Pp. 11-23 (13)

Antonio Hernandez Madrid, Roberto Matia Frances and Concepcion Moro

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Echocardiographic Evaluation of Ventricular Dyssynchrony

- Pp. 24-32 (9)

Adelina Doltra and Marta Sitges

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Indications of Cardiac Resynchronization Therapy Based on Clinical Guidelines

- Pp. 33-37 (5)

Concepción Alonso-Martin, Nuria Rivas Gandara, Oscar Alcalde Rodríguez and Angel Moya Mitjans

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Cardiac Resynchronization Therapy with or Without Defibrillation Capabilities

- Pp. 38-48 (11)

Aurelio Quesada, Javier Jimenez, Joaquin Osca and Victor Palanca

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Echocardiographic Evaluation during Follow-Up of Cardiac Resynchronization Therapy Patients

- Pp. 49-61 (13)

Adelina Doltra and Marta Sitges

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Programming and Follow-up of Cardiac Resynchronization Therapy Devices: Troubleshooting

- Pp. 62-82 (21)

Ignasi Anguera and Xavier Sabaté

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Novel Indications of Cardiac Resynchronization Therapy: Patients in Atrial Fibrillation, with Narrow QRS Complex and in Functional Class II

- Pp. 83-89 (7)

Ana Martin and Antonio Berruezo

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CRT Considered in Patients with Established Pacing Indication and in Patients with Right Bundle Branch Block

- Pp. 90-101 (12)

Ernesto Diaz Infante and Rocio Cozar Leon

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Sequential versus Simultaneous Biventricular Pacing and Biventricular versus Left Univentricular Pacing in Cardiac Resynchronization Therapy

- Pp. 102-107 (6)

Victor Bazan, Ermengol Valles, Jordi Bruguera-Cortada and Julio Marti-Almor

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Index

- Pp. 108-109 (2)

Ignasi Anguera Camós

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Foreword

In the last two decades we have witnessed major advances in our therapeutic options to treat heart failure. Among them, cardiac resynchronization therapy (CRT) has emerged as a standard of care for patients with congestive heart failure, depressed left ventricular ejection fraction and ventricular dyssynchrony.

“Cardiac Resynchronization Therapy: An Established Pacing Therapy for Heart Failure and Mechanical Dyssynchrony” has been written by a broad panel of experts in the field that was selected on their leadership in heart failure, electrophysiology, echocardiography and CRT. The book starts with an excellent update on the pathophysiology and clinical significance of cardiac dyssynchrony, very useful not only for heart failure specialists, but also for the general clinical cardiologist. The role of echocardiography for the evaluation of dyssynchrony and for the follow-up of the device is easy and friendly approached in two chapters. Finally, the role of CRT in new indications such as NYHA class II patients or right bundle branch block is comprehensively addressed in the last part of the book.

Anguera´s book is intended to be very clinically oriented. Particularly, the part of programming and follow-up is enriched with clinical cases to illustrate the theoretical basis of CRT. Indeed, most clinicians will find this excellent book of immediate practical use. Personally I consider it an exciting contribution for anyone interested in CRT.

Ignacio Garcia Bolao,MD
Director
Department of Cardiology and Cardiac Surgery
University Clinic of Navarre, Pamplona
Spain


Preface

In recent decades, the prevalence of heart failure has steadily increased and can be considered a contemporary cardiovascular epidemic. Therefore, treatment of heart failure is a primary focus of cardiovascular disease management strategies. This project, called “Cardiac resynchronization therapy: an established pacing therapy for heart failure and mechanical dyssynchrony” should provide basic knowledge about congestive heart failure and also covers the evolution of cardiac resynchronization therapy. It should provide state-of-the-art information and future directions of this therapeutic tool. As cardiac resynchronization therapy (CRT) is a new therapy which still undergoes rapid advancement, it is imperative to provide updates in key issues. These include technological advances, the unique role of imaging to assess mechanical dyssynchrony, troubleshooting, recent key clinical trials, and the incorporation of monitoring capabilities into CRT or CRT plus defibrillation devices. Cardiac resynchronization therapy is an exciting new option for a growing number of heart failure patients, but CRT systems present special challenges to clinicians, even those accustomed to working with pacemakers.

Ignasi Anguera Camós
Cardiology Department
Bellvitge Hospital
Spain

List of Contributors

Editor(s):
Ignasi A. Camòs
Bellvitge Hospital
Spain




Contributor(s):
Oscar Alcalde Rodríguez
Hospital Universitari de la Vall d’Hebron,
Barcelona
Spain


Concepción Alonso-Martin
Hospital Universitari de la Vall d’Hebron
Barcelona
Spain


Ignasi Anguera Camós
Arrhythmia and Electrophysiology Unit, Cardiology Department, Bellvitge Hospital
University of Barcelona, L’Hospitalet de Llobregat
Barcelona
Spain


Victor Bazán
Electrophysiology Unit, Hospital del Mar, IMAS
Barcelona
Spain


Antonio Berruezo
Cardiology Department
Thorax Institute, Hospital Clínic, University of Barcelona
Barcelona
Spain


Jordi Bruguera-Cortada
Electrophysiology Unit, Hospital del Mar, IMAS.
Barcelona
Spain


Rocío Cózar León
Arrhythmia Unit, Cardiology Department
Hospital Universitario Virgen Macarena
Seville
Spain


Ernesto Díaz Infante
Arrhythmia Unit, Cardiology Department
Seville
Spain


Adelina Doltra
Cardiology Department
Thorax Institute. Hospital Clinic, University of Barcelona
Barcleona
Spain


José González-Costello
Heart Failure and Cardiac Transplant Unit, Department of Cardiology
Bellvitge Hospital, University of Barcelona, L’Hospitalet de Llobregat
Barcelona
Spain


Antonio Hernández Madrid
Arrhythmia Unit, Ramón y Cajal Hospital
Madrid
Spain


Javier Jiménez
Hospital General Universitario de Valencia
Spain


Nicolás Manito Loriten
Heart Failure and Cardiac Transplant Unit, Department of Cardiology
Bellvitge Hospital, University of Barcelona, L’Hospitalet de Llobregat
Barcelona
Spain


Julio Martí-Almor
Electrophysiology Unit, Hospital del Mar, IMAS
Barcelona
Spain


Ana Martín
Cardiology Department
Thorax Institute, Hospital Clínic, University of Barcelona
Barcelona
Spain


Roberto Matía Francés
Arrhythmia Unit, Ramón y Cajal Hospital
Madrid
Spain


Concepción Moro
Arrhythmia Unit, Ramón y Cajal Hospital
Madrid
Spain


Angel Moya Mitjans
Hospital Universitari de la Vall d’Hebron
Barcelona



Joaquín Osca
Hospital General Universitario de Valencia
Spain


Víctor Palanca
Hospital General Universitario de Valencia
Spain


Aurelio Quesada
Hospital General Universitario de Valencia
Spain


Nuria Rivas Gandara
Hospital Universitari de la Vall d’Hebron
Barcelona



Josep Roca Elías
Heart Failure and Cardiac Transplant Unit, Department of Cardiology
Bellvitge Hospital, University of Barcelona, L’Hospitalet de Llobregat
Barcelona
Spain


Marta Sitges
Cardiology Department
Thorax Institute, Hospital Clinic, University of Barcelona
Barcleona
Spain


Xavier Sabaté
Arrhythmia and Electrophysiology Unit, Cardiology Department
Bellvitge Hospital, University of Barcelona, L’Hospitalet de Llobregat
Barcelona
Spain


Ermengol Vallés
Electrophysiology Unit, Hospital del Mar, IMAS
Barcelona
Spain




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