Key result
Regular follow-up of cardiac resynchronization therapy requires tailored programming and assessment of permanent biventricular capture to ensure optimal treatment for heart failure.
Optimal management of patients with cardiac resynchronization therapy requires careful follow-up to ensure permanent biventricular capture, including tailored programming for activity, age, and arrhythmias.
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Supports careful CRT follow-up for biventricular capture; extends prior consensus yet leaves open need for prospective outcome trials.
Biventricular pacing is an efficient treatment to improve symptoms and clinical outcome in patients with drug-refractory heart failure, low left ventricular ejection fraction and wide QRS. The basis of the treatment is the permanent delivery of biventricular pacing. During the follow-up of biventricular devices the assessment of permanent biventricular capture is fundamental. This requires a tailored programming with respect to the patient's activity and age, and thus also careful evaluations during an exercise test as well as adequate programming in case of cardiac arrhythmias.
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Christophe Leclercq (2009) conducted a review in Drug-refractory heart failure with low left ventricular ejection fraction and wide QRS. Cardiac resynchronization therapy (biventricular pacing) was evaluated. Regular follow-up of cardiac resynchronization therapy requires tailored programming and assessment of permanent biventricular capture to ensure optimal treatment for heart failure.
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