Gierula, J orcid.org/0000-0001-9588-191X, Kearney, MT and Witte, KK orcid.org/0000-0002-7146-7105 (2018) Devices in heart failure; diagnosis, detection and disease modification. British Medical Bulletin, 125 (1). pp. 91-102. ISSN 0007-1420
Abstract
Introduction/background
Implantable cardiac devices are widely used in chronic heart failure (CHF) therapy. This review covers current CHF treatment with electronic cardiac devices, areas of discussion and emerging technologies.
Sources of data
A comprehensive search of available literature resources including Pubmed, MEDLINE and EMBASE was performed. National and international guidelines were accessed.
Areas of agreement
Excessive right ventricular pacing is detrimental to cardiac function. Cardiac resynchronization therapy is beneficial in specific individuals with CHF.
Areas of controversy
Implantable cardioverter defibrillators might not benefit all. Optimizing CRT delivery. Remote monitoring seems not to be of benefit in CHF.
Growing points
Device-based optimization.
Areas timely for developing research
Personalization of device therapy. Focussing implantable cardioverter defibrillator therapy. What to do at implantable cardioverter defibrillator box change?
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2018. Published by Oxford University Press. This is an author produced version of a paper published in British Medical Bulletin. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Chronic heart failure, pacemaker, CRT, ICD, optimization |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM) > Clinical & Population Science Dept (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research NIHR-CS--012-032 |
Depositing User: | Symplectic Publications |
Date Deposited: | 27 Nov 2018 12:34 |
Last Modified: | 12 Jan 2019 01:38 |
Status: | Published |
Publisher: | Oxford University Press |
Identification Number: | 10.1093/bmb/ldx051 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:139159 |