Strategies for pacemaker programming in acute heart failure.
Heart Fail Rev
; 16(5): 441-8, 2011 Sep.
Article
de En
| MEDLINE
| ID: mdl-21400230
ABSTRACT
In the past decade, cardiac pacing devices (either permanent pacemakers or Implanted Cardioverter Defibrillators) have become increasingly common in patients with heart failure. The manner in which the device is programmed to pace the heart can have significant implications on cardiac hemodynamics, both positive and negative. As such, in patients hospitalized with acute heart failure who have cardiac pacing devices, the clinician should note whether the programming of the device could be contributing to the patient's symptoms, and whether further programming changes could be made to improve the patient's clinical status. As of this date, there are no consensus guidelines available for the management of pacemaker programming in acute heart failure. This review article will discuss the physiologic implications of several parameters of pacemaker programming on heart failure, including the degree of RV pacing, the programmed atrioventricular (AV) interval, and the programmed interventricular pacing delay in patients with cardiac resynchronization therapy (CRT) devices. Based on the available data on the above parameters, this article will then propose a general algorithmic approach to the evaluation and management of patients with pacing devices who are hospitalized with acute heart failure.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Pacemaker
/
Entraînement électrosystolique
/
Défibrillateurs implantables
/
Faisceau accessoire atrioventriculaire
/
Thérapie de resynchronisation cardiaque
/
Défaillance cardiaque
Type d'étude:
Diagnostic_studies
/
Guideline
Limites:
Humans
Langue:
En
Journal:
Heart Fail Rev
Sujet du journal:
CARDIOLOGIA
Année:
2011
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique