Role of cardiovascular imaging in cardiac resynchronization therapy: A literature review

Biagio Sassone, Gaetano Nucifora, Donato Mele, Cinzia Valzania, Giovanni Bisignani, Giuseppe Boriani

Research output: Contribution to journalReview articlepeer-review

7 Citations (Scopus)

Abstract

Cardiac resynchronization therapy (CRT) is an established treatment in patients with symptomatic drug-refractory heart failure and broad QRS complex on the surface ECG. Despite the presence of either mechanical dyssynchrony or viable myocardium at the site where delivering left ventricular pacing being necessary conditions for a successfulCRT, their direct assessment by techniques of cardiovascular imaging, though feasible, is not recommended in clinical practice by the current guidelines. Indeed, even though there is growing body of data providing evidence of the additional value of an image-based approach as compared with routine approach in improving response to CRT, these results should be confirmed in prospective and large multicentre trials before their impact on CRT guidelines is considered.

Original languageEnglish
Pages (from-to)211-222
Number of pages12
JournalJournal of Cardiovascular Medicine
Volume19
Issue number5
DOIs
Publication statusPublished or Issued - 1 May 2018

Keywords

  • Cardiac resynchronization therapy
  • Echocardiography
  • Magnetic resonance
  • Nuclear medicine

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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