Vnitr Lek 2009, 55(9):808-811

How to improve response to cardiac resynchronization therapy?

J. Lukl
I. interní klinika Lékařské fakulty UP a FN Olomouc, přednosta prof. MUDr. Jan Lukl, CSc.

Cardiac resynchronization therapy decreases mortality and rehospitalization for heart failure. However, around 30% of patients do not respond to this therapy. The paper analyses factors, with a possible impact on the response to this therapy. It is a left ventricular lead proximity to the left ventricle segment with the latest activity, presence and size of postinfarction scar and a percentage of fully captured paced beats. Methods of optimalization of these factors are described as well as circumstances, under which some patients should be indicated for cardiosurgical lead implantation or if a cardiac resynchronization therapy should be ommited.

Keywords: cardiac resynchronization therapy; responders; postinfartion scar; atrial fibrillation

Received: June 29, 2009; Published: September 1, 2009  Show citation

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Lukl J. How to improve response to cardiac resynchronization therapy? Vnitr Lek. 2009;55(9):808-811.
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