Atrioventricular and interventricular delay optimization in cardiac resynchronization therapy: hysiological principles and overview of available methods
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Patrick Houthuizen • Frank A. L. E. Bracke • Berry M. van Gelder
- چاپ و سال / کشور: 2010
Description
In this review, the physiological rationale for atrioventricular and interventricular delay optimization of cardiac resynchronization therapy is discussed including the influence of exercise and long-term cardiac resynchronization therapy. The broad spectrum of both invasive and non-invasive optimization methods is reviewed with critical appraisal of the literature. Although the spectrum of both invasive and non-invasive optimization methods is broad, no single method can be recommend for standard practice as large-scale studies using hard endpoints are lacking. Current efforts mainly investigate optimization during resting conditions; however, there is a need to develop automated algorithms to implement dynamic optimization in order to adapt to physiological alterations during exercise and after anatomical remodeling.
Heart Fail Rev (2011) 16:263–276 DOI 10.1007/s10741-010-9215-1 Published online: 14 December 2010