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Article Dans Une Revue European Journal of Heart Failure Année : 2020

Optimized Implementation of cardiac resynchronization therapy - a call for action for referral and optimization of care

Wilfried Mullens
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Angelo Auricchio
Pieter Martens
K K Witte
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Cecilia Linde
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Francisco Leyva
Carsten W Israel
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Antonio Berruezo
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Jan Steffel
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Panos Vardas
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Frank Ruschitzka
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Résumé

Cardiac resynchronization therapy (CRT) is one of the most effective therapies for heart failure with reduced ejection fraction and leads to improved quality of life, reductions in heart failure hospitalization rates and all-cause mortality. Nevertheless, up to two-thirds of eligible patients are not referred for CRT. Furthermore, post-implantation follow-up is often fragmented and suboptimal, hampering the potential maximal treatment effect. This joint position statement from three European Society of Cardiology Associations, Heart Failure Association (HFA), European Heart Rhythm Association (EHRA) and European Association of Cardiovascular Imaging (EACVI), focuses on optimized implementation of CRT. We offer theoretical and practical strategies to achieve more comprehensive CRT referral and post-procedural care by focusing on four actionable domains: (i) overcoming CRT under-utilization, (ii) better understanding of pre-implant characteristics, (iii) abandoning the term 'non-response' and replacing this by the concept of disease modification, and (iv) implementing a dedicated post-implant CRT care pathway.
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Dates et versions

hal-03037391 , version 1 (15-12-2020)

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Wilfried Mullens, Angelo Auricchio, Pieter Martens, K K Witte, Martin R Cowie, et al.. Optimized Implementation of cardiac resynchronization therapy - a call for action for referral and optimization of care. European Journal of Heart Failure, 2020, 22 (12), pp.2349-2369. ⟨10.1002/ejhf.2046⟩. ⟨hal-03037391⟩
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