Cases in Cardiac Resynchronization Therapy, a brand-new medical reference book for cardiologists, electrophysiologists, surgeons, and primary care doctors, offers aninformative and structured view of the newest approaches, treatments and follow-up care methods for heart failure patients treated with Cardiac Resynchronization Therapy. Complete with practical examples from top leaders in the field, this resource is designed to equip you with the cohesive, expert knowledge you need to make the best use of today's available technologies and research.
Yu, Hayes, Auricchio
Section 1: Current Indications
1. Paroxysmal Afib
2. Permanent Afib
3. Pacemaker upgrade
4. Efficacy of CRT in RBBB
5. Issue of QRS 120 - 150 ms
6. Impact of right heart failure
7. Role of optimal medical therapy
Section 2: Expanding Indications of CRT
8. NYHA class I/II
9. Narrow QRS complex
10. Pacemaker indication
11. Intercommissural Lead Placement into a Right Ventricular Coronary Sinus
Section 3: Challenging CRT Implantation
12. Skill and techniques to handle difficult CS cannulation
13. Positioning of LV and/or RV leads
14. CS venoplasty
15. LV lead screw into the CS branch vein
16. The Utility of Active Fixation Lead in Unstable Left Ventricular Lead Positions within the Coronary Sinus for Left Ventricular Stimulation
17. Left side SVC
18. Surgical implantation of LV lead
19. Role of cardiac CT before implant
Section 4: New CRT Implantation Techniques
20. Endocardial LV lead - high approach
21. Endocardial LV lead - low approach
22. Transcutaneous endocardial LV lead implantation
23. Novel wireless technologies
24. 2 LV leads
25. Robotic assisted implantation
Section 5: Optimization of CRT Device
26. Atrioventricular optimization by transthoracic echocardiography in a patient with intra-atrial delay
27. VV optimization: Is it necessary ?
28. Programming LV lead vectors, including Quadra
29. How to detect loss of LV/RV pacing
30. How to ensure a high percentage of BV pacing
Section 6: Post-implant Follow-up
31. How to manage VT: total block after ablation
32. How to manage VT: prevention of effective pacing by frequent PVCs
33. How to manage AF
34. CRT-P upgrade to CRT-D
35. CRT-D downgrade to CRT-P
36. Persistent AF (no RA lead) than back to sinus
Section 7: Management of Complications of CRT
37. Guide wire fraction during CRT implantation and subsequent management
38. Diaphragmatic stimulation post-implant
39. LV lead extraction
40. LV lead extraction and replacement in occluded vein
41. Infection
Section 8: Non-responders of CRT
42. Role of dyssynchrony assessment: Echo
43. Role of dyssynchrony assessment: CMR
44. Role of scar burden versus distribution assessment by CMR in ischemic patients
45. Role of contractile reserve
46. Ablation of frequent VES
47. Role of add-on CCM
48. Switch off if worsening
49. Recognition of anodal stimulation
50. Significant residual or worsening mitral regurgitation (MitraClip)
Section 9: Device-based Diagnostics for HF Monitoring and Remote Monitoring
51. Intrathoracic impedance
52. Heart rate variability
53. Pulmonary pressure
54. LA Pressure
55. Role of remote monitoring in managing a CRT patient: Medical therapy and device optimization
56. Role of remote monitoring in managing a CRT patient: Atrial Fibrillation
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