In recent decades, the prevalence of heart failure has steadily increased and can be considered a 'contemporary cardiovascular epidemic'. Therefore, treatment of heart failure is a primary focus of cardiovascular disease management strategies. "Cardiac Resynchronization Therapy" provides basic knowledge about congestive heart failure but also covers the evolution of cardiac resynchronization therapy and provides state-of-the-art information and future directions of this therapeutic tool. As CRT is a new therapy which still undergoes rapid advancement, it is imperative to provide updates in key issues. These include technological advances, the unique role of imaging to assess mechanical dyssynchrony, troubleshooting, recent key clinical trials, and the incorporation of monitoring capabilities into CRT or CRT plus defibrillation devices. "Cardiac Resynchronization Therapy" is an essential addition to your collection.
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Cardiac resynchronization therapy (CRT) is one of the most exciting new advances in the treatment of chronic severe (NYHA symptom class) heart failure associated with dyssynchronous ventricular contraction that is refractory to medical treatment. In all randomized trials CR has resulted in improved NYHA symptom class, exercise capacity and quality of life in the majority of patients as compared to patients on optimal medical therapy including angiotensin converting enzyme inhibitor (ACE)/angiotensin receptor blocker inhibitor (ARB) and b adrenergic receptor blockers. These symptomatic benefits are mediated by "reverse remodeling" of the left ventricle, that is reduction in volume, regression of LV mass, improvement in ejection fraction and severity of mitral regurgitation induced by synchronization of ventricular contraction.
This new text is edited by 5 experts in heart failure, electrophysiology and non-invasive cardiac imaging and is extensively illustrated with high quality figures and examples of clinical cases. The purpose of the book is to put into perspective this novel therapy with regards to traditional heart failure treatment and to provide criteria for identifying patients likely to have an optimal and sustained response to CRT using a practical "how to" approach. This text begins by describing the background and evolution of the technique to the current implementation and the impact of complications on clinical outcome. There are chapters describing "cutting edge" Doppler echocardiography for assessing dyssynchrony, reverse remodeling and triaging patients into those with greatest likelihood of responding to CRT with illustrative clinical case examples. There is a full description of the results of all the randomized clinical trials and a number of chapters discussing the need for concomitant internal cardiac defibrillator (ICD), special circumstances such as atrial fibrillation, right bundle branch block, left ventricular lead placement and etiology of heart failure with clinical case examples for each.
Cardiac Resynchronization Therapy continues to evolve at a rapid pace. Growing clinical experience and additional clinical trials are resulting in changes in how patients are selected for CRT.
This new edition of the successful Cardiac Resynchronization Therapy builds on the strengths of the first edition, providing basic knowledge as well as an up–to–date summary of new advances in CRT for heart failure. Fully updated to include information on technological advances, trouble shooting and recent key clinical trials, and with nine new chapters, this expanded text provides the latest information, keeping the reader up–to–date with this rapidly evolving field.
The second edition of Cardiac Resynchronization Therapy is an essential addition to your collection.
Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.
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