Tolosana José María, Mont Lluís
Hospital Clinic, Universitat de Barcelona, Villarroel 170, Barcelona, Catalonia 08036, Spain.
Hospital Clinic, Universitat de Barcelona, Villarroel 170, Barcelona, Catalonia 08036, Spain.
Heart Fail Clin. 2017 Jan;13(1):233-240. doi: 10.1016/j.hfc.2016.07.019.
Nonresponse to cardiac resynchronization therapy (CRT) is still a major issue in therapy expansion. The description of fast, simple, cost-effective methods to optimize CRT could help in adapting pacing intervals to individual patients. A better understanding of the importance of appropriate patient selection, left ventricular lead placement, and device programming, together with a multidisciplinary approach and an optimal follow-up of the patients, may reduce the percentage of nonresponders.
心脏再同步治疗(CRT)无反应仍然是治疗推广中的一个主要问题。描述快速、简单且经济高效的方法来优化CRT,有助于使起搏间期适应个体患者。更好地理解合适的患者选择、左心室导线放置及设备程控的重要性,同时采用多学科方法并对患者进行最佳随访,可能会降低无反应者的比例。