Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 孙德生教授 (医学院) |
| 孙德生教授 (医学院) |
| 余卓文教授 (内科及药物治疗学系) |
全文
| 数位物件识别号 (DOI) http://dx.doi.org/10.1093/eurheartj/ehq263 |
引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/39WOS source URL
其它资讯
摘要Biventricular pacing or cardiac resynchronization therapy (CRT) has been a considerable advance in the therapy of chronic heart failure. However, it is clear that not all patients benefit either in terms of symptoms or cardiac function, and some may be worsened by CRT. In this review, we consider the arguments, both clinical and economical, in favour of improved selection of patients for CRT other than those in current guidelines. It also seems clear that the fundamental mechanism of CRT is correction of dyssynchrony, and we review the various methodologies available to detect dyssynchrony. Other factors are probably also important in determining outcomes such as lead position, the extent and form of myocardial damage, optimizing pacemaker performance, and clinical expertise. The potential costs of inappropriate CRT implantation are high to our patients and to the health economy, and it behoves the cardiology community to develop better selection criteria. The current guidelines can and should be improved.
着者Yu CM, Sanderson JE, Gorcsan J
期刊名称European Heart Journal
出版年份2010
月份10
日期1
卷号31
期次19
出版社Oxford University Press (OUP): Policy B - Oxford Open Option B - CC-BY
页次2326 - +
国际标準期刊号0195-668X
电子国际标準期刊号1522-9645
语言英式英语
关键词Cardiac resynchronization therapy; Dyssynchrony; Echocardiography
Web of Science 学科类别Cardiac & Cardiovascular Systems; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiovascular System & Cardiology
