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Cardiac Resynchronization Therapy in Pediatric and Congenital Heart Disease
Author(s) -
JANOUŠEK JAN,
GEBAUER ROMAN A.
Publication year - 2008
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2008.00949.x
Subject(s) - medicine , cardiac resynchronization therapy , heart failure , cardiology , heart disease , ventricular dyssynchrony , cardiomyopathy , disease , dilated cardiomyopathy , ejection fraction
Cardiac resynchronization therapy (CRT) is an emerging option for treating dyssynchrony‐associated heart failure in patients with pediatric or congenital heart disease. CRT has proved beneficial for both the acute manipulation of cardiac output after surgery for congenital heart defects and for the management of chronic systemic ventricular failure. Although there are no prospective and randomized trial data, retrospective series show that CRT is similarly effective for managing dyssynchrony‐associated heart failure in this younger population as it is for treating adults with ischemic and idiopathic dilated cardiomyopathy. The heterogeneity of anatomical and functional substrates in which CRT shows efficacy calls for further studies defining the usefulness of CRT in specific subgroups of patients.