Cardiac Resynchronization Therapy in Patients with Heart Failure: What is New?

Heart Fail Clin. 2021 Apr;17(2):289-301. doi: 10.1016/j.hfc.2021.01.010.

Abstract

Cardiac resynchronization therapy (CRT) is an established treatment of patients with medically refractory, mild-to-severe systolic heart failure (HF), impaired left ventricular function, and wide QRS complex. The pathologic activation sequence observed in patients with abnormal QRS duration and morphology results in a dyssynchronous ventricular activation and contraction leading to cardiac remodeling, worsening systolic and diastolic function, and progressive HF. In this article, the authors aim to explore the current CRT literature, focusing their attentions on the promising innovation in this field.

Keywords: Cardiac resynchronization therapy; Heart failure; Multimodality imaging.

Publication types

  • Review

MeSH terms

  • Cardiac Resynchronization Therapy / trends*
  • Heart Failure / physiopathology
  • Heart Failure / therapy*
  • Humans
  • Treatment Outcome
  • Ventricular Function, Left / physiology*
  • Ventricular Remodeling / physiology*