Managing arrhythmia in cardiac resynchronisation therapy.
AF ablation
AV node ablation
arrhythmia (any)
atrial fibillation
cardiac resynchronisation therapy (CRT)
heart failure
supraventricular arrhythmias
ventricular arrhythmia (VAs)
Journal
Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388
Informations de publication
Date de publication:
2023
2023
Historique:
received:
24
04
2023
accepted:
30
06
2023
medline:
23
8
2023
pubmed:
23
8
2023
entrez:
23
8
2023
Statut:
epublish
Résumé
Arrhythmia is an extremely common finding in patients receiving cardiac resynchronisation therapy (CRT). Despite this, in the majority of randomised trials testing CRT efficacy, patients with a recent history of arrhythmia were excluded. Most of our knowledge into the management of arrhythmia in CRT is therefore based on arrhythmia trials in the heart failure (HF) population, rather than from trials dedicated to the CRT population. However, unique to CRT patients is the aim to reach as close to 100% biventricular pacing (BVP) as possible, with HF outcomes greatly influenced by relatively small changes in pacing percentage. Thus, in comparison to the average HF patient, there is an even greater incentive for controlling arrhythmia, to achieve minimal interference with the effective delivery of BVP. In this review, we examine both atrial and ventricular arrhythmias, addressing their impact on CRT, and discuss the available evidence regarding optimal arrhythmia management in this patient group. We review pharmacological and procedural-based approaches, and lastly explore novel ways of harnessing device data to guide treatment of arrhythmia in CRT.
Identifiants
pubmed: 37608808
doi: 10.3389/fcvm.2023.1211560
pmc: PMC10440957
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
1211560Informations de copyright
© 2023 de Vere, Wijesuriya, Elliott, Mehta, Howell, Bishop, Strocchi, Niederer and Rinaldi.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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