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A handbook for the clinical cardiologist about CRT/ICD. A practical guide about how to survive during an on call
Fabiana Lucà1,2, Emilia Biscottini3,4, Laura Cipolletta5
1Unit of Cardiac Intensive Therapy and Interventional Cardiology, "Bianchi Melacrino Morelli" Hospital, Reggio Calabria, Italy - fabiana.luca92@gmail.com.
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Cardiac resynchronization therapies (CRTs) improve heart failure outcomes. This review details diagnostic and therapeutic algorithms for CRT devices, enhancing patient management through remote monitoring and personalized programming.
Area of Science:
- Cardiology
- Biomedical Engineering
Background:
- Cardiac resynchronization therapies (CRTs) offer improved clinical management and prognosis for heart failure patients.
- CRT devices, including pacemakers (CRT-P) and defibrillators (CRT-D), address heart failure and life-threatening arrhythmias.
Purpose of the Study:
- To review the primary diagnostic and therapeutic algorithms utilized in the clinical application of CRTs.
- To highlight the role of advanced technology in remote patient monitoring and personalized programming for CRT devices.
Main Methods:
- Literature review of current clinical practices and technological advancements in cardiac resynchronization therapy.
- Analysis of diagnostic and therapeutic algorithms employed in CRT device management.
Main Results:
- CRTs significantly enhance patient outcomes in selected heart failure populations.
- Advanced CRT devices facilitate remote monitoring of vital parameters.
- Personalized programming maximizes therapeutic benefits for individual patients.
Conclusions:
- CRTs are crucial for managing heart failure and arrhythmias.
- Remote monitoring and personalized programming represent key advancements in CRT.
- The reviewed algorithms are essential for optimizing CRT efficacy in clinical practice.
Abstract:
Cardiac resynchronization therapies (CRTs) have been demonstrated to improve the clinical management and prognosis of selected patients with heart failure. CRT devices include both CRT pacemakers (CRT-P) and CRT defibrillators (CRT-D), with the latter being used to treat life-threatening ventricular arrhythmias. A significant advantage of CRTs is the ability to monitor several vital parameters which, thanks to advanced technology, may be remotely assessed. Personalized programming options allow patients to receive the maximum benefit from these treatments. In this review we report the main diagnostic and therapeutic algorithms used in clinical practice.