Cases in Cardiac Resynchronization Therapy

Cases in Cardiac Resynchronization Therapy, a brand-new medical reference book for cardiologists, electrophysiologists, surgeons, and primary care doctors, offers an informative and structured view of the newest approaches, treatments and follow-up care methods for heart failure patients treated with Cardiac Resynchronization Therapy. Complete with practical examples from top leaders in the field, this resource is designed to equip you with the cohesive, expert knowledge you need to make the best use of today's available technologies and research. By Cheuk-Man Yu, MD, FRCP (London/Edin), FRACP, FHKAM (Medicine), FHKCP, FACC, MBChB, Division of Cardiology Department of Medicine and Therapeutics Prince of Wales Hospital The Chinese University of Hong Kong Hong Kong SAR; David L. Hayes, MD, FACC, FHRS, Professor of Medicine Mayo Clinic College of Medicine Rochester, Minnesota and Angelo Auricchio, MD, PhD, Director, Clinical Electrophysiology Unit Fondazione Cardiocentro Ticino Lugano, Switzerland; Professor of Cardiology University of Magdeburg Magdeburg, Germany Table of Contents: Section 1: Current Indications 1: PAROXYSMAL ATRIAL FIBRILLATION IN CRT-PATIENTS: CHALLENGE OR ROUTINE? 2: IMPLANTATION OF A BIVENTRICULAR ICD FOLLOWED BY CATHETER ABLATION IN A PATIENT WITH DILATED CARDIOMYOPATHY AND PERMANENT ATRIAL FIBRILLATION 3: EFFICACY OF CRT IN RBBB 4: ISSUE OF QRS 120-150 MS 5: VALUE OF CARDIAC RESYNCHRONIZATION THERAPY IN A PATIENT WITH RIGHT HEART FAILURE DUE TO PULMONARY ARTERIAL HYPERTENSION 6: ROLE OF OPTIMAL MEDICAL THERAPY Section 2: Expanding Indications of CRT 7: EFFICACY OF CRT IN NYHA II 8: PACEMAKER INDICATION 9: INTERCOMMISSURAL LEAD PLACEMENT INTO A RIGHT VENTRICULAR CORONARY SINUS Section 3: Challenging CRT Implantation 10: RIGHT VENTRICULAR PACING RELATED CARDIOMYOPATHY 11: IT IS WHERE YOU GO THAT MATTERS, NOT HOW YOU GET THERE! - USING THE MIDDLE CARDIAC VEIN 12: MAPPING THE CORONARY SINUS VEINS USING AN ACTIVE FIXATION LEAD TO OVERCOME PHRENIC NERVE STIMULATION 13: THE UTILITY OF ACTIVE FIXATION LEAD IN UNSTABLE LEFT VENTRICULAR LEAD POSITIONS WITHIN THE CORONARY SINUS FOR LEFT VENTRICULAR STIMULATION 14: PERSISTANT LEFT SUPERIOR VENA CAVA: UTILITY OF RIGHT-SIDED VENOUS ACCESS FOR CORONARY SINUS LEAD IMPLANTATION 15: VIDEO-ASSISTED THORACOTOMY SURGERY (VATS) FOR THE IMPLANTATION OF AN EPICARDIAL LEFT VENTRICULAR LEAD 16: ROLE OF CARDIAC CT BEFORE IMPLANT: DIAGNOSIS OF A PROMINENT THEBESIAN VALVE AS AN OBSTACLE TO LEFT VENTRICULAR LEAD DEPLOYMENT IN CRT Section 4: New CRT Implantation Techniques 17: ENDOCARDIAL LV LEAD - HIGH APPROACH 18: LEFT VENTRCIULAR ENDOCARDIAL PACING IN A PATIENT WITH AN ANOMALOUS LEFT SIDED SUPERIOR VENA CAVA 19: NOVEL WIRELESS TECHNOLOGIES 20: ROBOTICALLY-ASSISTED LEAD IMPLANTATION FOR CRT IN A RE-OPERATIVE PATIENT Section 5: Optimization of CRT Device 21: ATRIOVENTRICULAR OPTIMIZATION BY TRANSTHORACIC ECHOCARDIOGRAPHY IN A PATIENT WITH INTER-ATRIAL DELAY 22: INTEREST OF A LEFT VENTRICUALR QUADRIPOLAR LEAD Phrenic Nerve Stimulation: It is Better to Prevent than to Treat 23: Loss of LV pacing capture detected by Remote Monitoring 24: THE IMPORTANCE OF MAINTAINING A HIGH PERCENTAGE OF BIVENTRICULAR PACING Section 6: Post-implant Follow-up 25: HOW TO MANAGE VT: TOTAL AV-BLOCK AFTER ABLATION IN A PATIENT WITH NONISCHEMIC DILATED CARDIOMYOPATHY 26: PREVENTION OF EFFECTIVE CARDIAC RESYNCHRONISATION THERAPY BY FREQUENT PVCS IN A PATIENT WITH NONISCHEMIC CARDIOMYOPATHY 27: HOW TO HANDLE ATRIAL FIBRILLATION IN REFRACTORY HEART FAILURE PATIENTS 28: CRT-D IMPLANT IN AF 29: UP AND DOWN IN DEVICE THERAPY 30: RESUMPTION TO SINUS RHYTHM AFTER CRT IN PATIENT WITH LONG LASTING PERSISTENT ATRIAL FIBRILLATION Section 7: Management of Complications of CRT 31: GUIDE WIRE FRACTION DURING CRT IMPLANTATION AND SUBSEQUENT MANAGEMENT 32: A DIFFICULT CASE OF DIAPHRAGMATIC STIMULATION 33: BIVENTRICULAR DEFIBRILLATOR INFECTION WITH EXTRACTION OF A MEDTRONIC ATTAIN STARFIX ™ 4195 CORONARY VENOUS LEAD 34: COMPLICATIONS OF CARDIAC RESYNCHRONIZATION THERAPY: INFECTION Section 8: Non-responders of CRT 35: CARDIAC RESYNCHRONIZATION THERAPY IN A PATIENT WITH NON-LEFT BUNDLE BRANCH BLOCK MORPHOLOGY 36: THE USE OF CARDIOVASCULAR MAGNETIC RESONANCE TO GUIDE LEFT VENTRICULAR LEAD DEPLOYMENT IN CARDIAC RESYNCHRONIZATION THERAPY 37: ROLE OF SCAR BURDEN VERSUS DISTRIBUTION ASSESSMENT BY CMR IN ISCHEMIC PATIENTS 38: DIFFICULTIES IN THE PREDICTION OF RESPONSE TO CRT IN THE REAL WORLD 39: MANAGEMENT OF FREQUENT VES IN CRT PATIENTS   40: CARDIAC CONTRACTILITY MODULATION IN A CRT-NONRESPONDER 41: NON-RESPONDERS OF CARDIAC RESYNCHRONIZATION THERAPY: SWITCH -OFF IF WORSENING 42: RECOGNITION OF ANODAL STIMULATION 43: SIGNIFICANT RESIDUAL OR WORSENING MITRAL REGURGITATION (MITRACLIP) Section 9: Device-based Diagnostics for HF Monitoring and Remote Monitoring 44: INTRATHORACIC IMPEDANCE (DIETARY INCOMPLIANCE) 45: PULMONARY HYPERTENSION AND CARDIAC RESYNCHRONISATION THERAPY: EVALUATION PRIOR TO IMPLANTATION AND RESPONSE TO THERAPY 46: THE ROLE OF LEFT ATRIAL PRESSURE MONITORING IN THE MANAGEMENT OF HEART FAILURE 47: ROLE OF REMOTE MONITORING IN MANAGING A CRT PATIENT: MEDICAL THERAPY AND DEVICE OPTIMIZATION 48: ROLE OF REMOTE MONITORING IN MANAGING A CRT PATIENT: ATRIAL FIBRILLATION