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Updated: Jun 3, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
Cardiac resynchronization therapy: prospect for long-lasting heart failure remission
1Department of Internal Medicine (Cardiology, and Clinical Cardiac Electrophysiology), The University of Texas Southwestern Medical Center, Dallas, TX, USA. shining.sun@gmail.com
Insights
Cardiac resynchronization therapy (CRT) offers a vital treatment for heart failure (HF) patients with systolic dysfunction. This review covers CRT
Area of Science:
- Cardiology
- Biomedical Engineering
Background:
- Heart failure (HF) is a significant and growing healthcare challenge in the US, particularly with an aging population.
- Advances in pharmacologic and device-based therapies have improved HF management.
- Cardiac resynchronization therapy (CRT) has emerged as a key therapeutic option for HF with systolic dysfunction.
Purpose of the Study:
- To review the physiologic basis and clinical evidence supporting CRT.
- To outline current indications for CRT use in heart failure patients.
- To explore ongoing research questions and future directions for CRT.
Main Methods:
- Review of existing literature on CRT.
- Analysis of clinical trial data supporting CRT efficacy.
- Discussion of current and potential future indications for CRT.
Main Results:
- CRT is an important therapeutic option for heart failure due to systolic dysfunction.
- Clinical trials demonstrate the efficacy of CRT.
- Current indications for CRT are established, with ongoing research into predictors of response.
Conclusions:
- CRT has proven efficacy in treating specific heart failure populations.
- Further research is needed to optimize CRT use and expand its indications.
- Future research may identify predictors of response and broaden CRT's applicability.
Abstract:
Heart failure (HF) remains an important heath care problem in the United States. With the aging of the US population, this trend is expected to continue. However, patients have also benefited from advances in pharmacologic and device-based therapies such as angiotensin-converting enzyme inhibitors, β-blockers, aldosterone blockers, and implantable cardioverter-defibrillators. More recently, cardiac resynchronization therapy (CRT) has become another important therapeutic option for treating heart failure due to systolic dysfunction. In this article, we review the physiologic basis for CRT, the clinical trials that support its efficacy, and the current indications for its use. We also examine key clinical questions regarding CRT still under research, including predictors of response. Finally, we look at the future of CRT and how its indications can be expanded to benefit more patients in the future.
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