Cardiac Resynchronization Therapy

ISBN-13: 9780367388607 / Angielski / Miękka / 2019 / 324 str.

Martin St John Sutton; Jeroen Bax; Mariell Jessup

Opis

This volume discusses a novel therapy for traditional heart failure treatment and provides criteria for identifying patients likely to have an optimal and sustained response to it. Topics range from the background and evolution of the technique to the current implementation and the impact of possible complications. It describes Doppler echocardiography for assessing dyssynchrony, reverse remodeling, and triaging patients into those with greatest likelihood of responding to CRT. The book examines the results of randomized clinical trials and discusses concomitant internal cardiac defibrillator (ICD), atrial fibrillation, right bundle branch block, left ventricular lead placement, and the etiology of heart failure.

Spis treści

Part I : Heart failure: pathophysiology and treatment  1. Epidemiology of Heart Failure  2. The Desynchronized Heart  3. Conventional Medical Therapy for HF with Low EF  4. Determinants of Remodeling  5. Summary of all the Large Randomized Trials  6. Exploring subpopulations using CRT  7. Effects of CRT on Structural and Functional Remodeling  8. Non-responders and Patient Selection from a Heart Failure Perspective Part II: CRT: anatomical considerations, implantation and settings  9. Anatomy of the Coronary Sinus  10. Implantation of Cardiac Resynchronization Devices  11. AV Optimization with CRT  12. V/V Optimization with CRT  13. Complications of CRT  14. Non-responders and Patient Selection from an Electrophysiology Perspective  Part III: Patient selection and follow-up; role of echocardiography  15. Differential Effects of CRT in Ischemic versus Non-ischemic Heart Failure  16. Pathobiology of left ventricular dyssynchrony  17. Left ventricular dyssynchrony in predicting response and patient selection; role of tissue Doppler imaging  18. How to Measure Response to CRT  19. Impact of CRT on Mitral Regurgitation  20. Non-responders and Patient Selection from an Echo Perspective  Part IV: CRT: evolving indications and future perspectives  21. CRT Combined with ICD Placement?  22. Efficacy of CRT in Atrial Fibrillation  23. CRT in Atrioventricular Block or Symptomatic Bradycardia and Indication  24. CRT in RBBB  25. CRT in NYHA class II Heart Failure  26. CRT in Narrow QRS Duration (<120ms)

O autorze

Martin St John Sutton, Jeroen J. Bax, Mariell Jessup, Josep Brugada, Martin Jan Schalij