[Treatment of refractory cardiac failure by resynchronization]

Permanent resynchronisation as a complementary treatment of refractory cardiac failure has recently been reported. There have been several publications demonstrating the value of this new therapeutic approach, based on improved quality of life and exercise capacity. The benefits depend on careful patient selection, accurate positioning of the pacing catheters, especially the left ventricular catheter, and on individual follow-up. The present data completely justifies the pursuit of research projects in this new therapeutic domain by using on-going studies to define its impact on mortality.