Cardiac resynchronization therapy in congenital heart disease
Language English Country Germany Media print-electronic
Document type Journal Article, Review
PubMed
27225165
DOI
10.1007/s00399-016-0433-7
PII: 10.1007/s00399-016-0433-7
Knihovny.cz E-resources
- Keywords
- Biventricular pacemakers, artificial, Cardiomyopathy, Dyssynchrony, Heart failure, Prognosis,
- MeSH
- Adult MeSH
- Ventricular Dysfunction, Left complications diagnosis prevention & control MeSH
- Humans MeSH
- Evidence-Based Medicine MeSH
- Cardiac Resynchronization Therapy methods MeSH
- Heart Failure complications diagnosis prevention & control MeSH
- Heart Defects, Congenital complications diagnosis therapy MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
Cardiac resynchronization therapy (CRT) is an established treatment option for adult patients suffering heart failure due to idiopathic or ischemic cardiomyopathy associated with electromechanical dyssynchrony. There is limited evidence suggesting similar efficacy of CRT in patients with congenital heart disease (CHD). Due to the heterogeneity of structural and functional substrates, CRT implantation techniques are different with a thoracotomy or hybrid approach prevailing. Efficacy of CRT in CHD seems to depend on the anatomy of the systemic ventricle with best results achieved in systemic left ventricular patients upgraded to CRT from conventional pacing. Indications for CRT in patients with CHD were recently summarized in the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS) Expert Consensus Statement on the Recognition and Management of Arrhythmias in Adult Congenital Heart Disease and are presented in the text.
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