Non‑ pharmacological treatment of heart failure in terms of the new European guidelines for resynchronization therapy

Czech version

Authors: P. Heinc; F. Kováčik; J. Přeček; A. Smékal; I. Šimková; M. Táborský
Authors‘ workplace: I. interní klinika – kardiologická FN Olomouc
Published in: Kardiol Rev Int Med 2014, 16(2): 88-94
Category: Cardiology Review

Overview

The new guidelines for cardiac resynchronization therapy state clinical and ECG features for the greatest benefit of resynchronization therapy, crucial evidence for the indication of cardiac resynchronization therapy, and indications for cardiac resynchronization therapy in patients with heart failure and low ejection fraction of the left ventricle in the presence of both sinus rhythm and atrial fibrillation. In addition, the guidelines provide recommendations for "upgrade" of original permanent cardiac pacing or primary implantation for persistent bradycardia patients and, finally, they define clinical factors that should be taken into account when choosing between a biventricular pacemaker and a biventricular defibrillator for primary prevention of sudden death.

Keywords:
resynchronization therapy – heart failure – optimal choice of pacemaker or defibrillator

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