Successful Treatment of Heart Failure with Devices Requires Collaboration
Key result
Multidisciplinary collaboration between heart failure clinicians and electrophysiologists is required to overcome the underuse of life-saving device therapies like CRT and ICDs in eligible patients.
Population
Patients with chronic heart failure who are optimally treated with pharmacologic agents according to current…
Design
Editorial
Authors
Discussion
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Implication
Efforts to improve guideline adherence and foster collaboration among specialists are essential to increase the appropriate use of CRT and ICDs in heart failure patients.
Structured PICO
P
Population
Patients with chronic heart failure (CHF) who are optimally treated with pharmacologic agents according to current guidelines
I
Intervention
Implanted biventricular pacemakers (cardiac resynchronisation therapy, CRT) with or without implantable cardioverter defibrillators (ICD) and collaborative care
Efforts to improve guideline adherence and foster collaboration among specialists are essential to increase the appropriate use of CRT and ICDs in heart failure patients.
Limitations
- Limited evidence for device treatment in certain patient subgroups, such as NYHA Class I or IV heart failure, and CRT in patients with modest QRS prolongation or modestly reduced ejection fraction.
Cite This Study
Swedberg et al. (2008) conducted an editorial in Chronic heart failure. Device therapy (CRT and ICD) and multidisciplinary collaboration was evaluated. Multidisciplinary collaboration between heart failure clinicians and electrophysiologists is required to overcome the underuse of life-saving device therapies like CRT and ICDs in eligible patients.