Device therapy in the management of congestive heart failure

Asian T. Turer, Sunil V. Rao

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Despite significant advancements in the treatment of heart failure over the past 2 decades, this patient population is still subject to considerably high morbidity and mortality rates. In recent years, the field of device therapy as adjunctive treatment to the medical management of congestive heart failure has grown in the wake of the large number of randomized trials that have demonstrated the safety and efficacy of these devices. The implantable defibrillator currently represents the standard of care in certain segments of the heart failure population, even in those without a prior arrhythmic event. Biventricular pacing systems appear to have a role in heart failure patients with prolongation of their QRS duration in improving ventricular performance and symptoms, if not mortality. Last, the shortage of organs available for orthotopic transplant has heightened interest in using ventricular-assist devices as destination therapy, and although there is evidence for the feasibility for this approach at the current time, there is a next generation of devices that appear even more promising.

Original languageEnglish (US)
Pages (from-to)130-138
Number of pages9
JournalCardiology in Review
Volume13
Issue number3
DOIs
Publication statusPublished - May 2005

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Keywords

  • Cardiac resynchronization therapy
  • Congestive heart failure
  • Implantable cardioverter-defibrillator
  • Left ventricular assist device

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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