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British medical bulletin · Mar 2018
ReviewDevices in heart failure; diagnosis, detection and disease modification.
- John Gierula, Mark T Kearney, and Klaus K Witte.
- Division of Cardiovascular and Diabetes Research, Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, Clarendon Way, Leeds LS29JT, UK.
- Br. Med. Bull. 2018 Mar 1; 125 (1): 91-102.
Introduction/BackgroundImplantable cardiac devices are widely used in chronic heart failure (CHF) therapy. This review covers current CHF treatment with electronic cardiac devices, areas of discussion and emerging technologies.Sources Of DataA comprehensive search of available literature resources including Pubmed, MEDLINE and EMBASE was performed. National and international guidelines were accessed.Areas Of AgreementExcessive right ventricular pacing is detrimental to cardiac function. Cardiac resynchronization therapy is beneficial in specific individuals with CHF.Areas Of ControversyImplantable cardioverter defibrillators might not benefit all. Optimizing CRT delivery. Remote monitoring seems not to be of benefit in CHF.Growing PointsDevice-based optimization.Areas Timely For Developing ResearchPersonalization of device therapy. Focussing implantable cardioverter defibrillator therapy. What to do at implantable cardioverter defibrillator box change?
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