A hybrid approach combining heart failure and electrophysiology expertise is highlighted as a strategy to optimize rhythm management and improve outcomes in pediatric heart failure.
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May support hybrid HF-EP models in pediatric HF; leaves open confirmation by prospective trials before practice change.
There are several options now available for the management of arrhythmias and ventricular dysfunction in pediatric patients with heart failure. A hybrid approach that combines the expertise of heart failure and electrophysiology specialists may be well suited for the optimal management of these complex patients. Medical and device therapies may be synergistic in decreasing the morbidity and mortality in pediatric heart failure. Pediatric electrophysiology can now potentially offer therapies that can help prevent both arrhythmic and pump failure deaths, as well as improve functional capacity and quality of life. These therapies and the available supporting data relevant to pediatrics will be the focus of this review.
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Berul et al. (2006) studied this question.
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