[SCD-FORUM] EXPERTS ASK, EXPERTS ANSWER

[SCD Symposium]

Dr. Victor Moga from Romania asks

- Since heart failure is a major cause of mortality, morbity and  
hospitalization, which is the best approach for clinical application  
of the cardiac resynchronisation therapy?

Dr. Arthur Moss from U.S.A. answers
  The approved AHA/ACC/ESC criteria for cardiac resynchronization  
therapy (CRT) are NYHA III or IV, EF<0.30, and QRS>0.12s in ischemic  
or non-ischemic heart disease. In patients in sinus rhythm, dual  
chamber biventricular pacing should be used with the AV interval  
setting in the physiologic range. Optimization of the device  
programming usually requires concurrent echo/doppler evaluation. Left  
cephalic or left subclavian vein approach usually provides the  
easiest access to the coronary veins. In general the LV pacing  
electrodes should be placed in the lateral coronary vein and not in  
the anterior vein

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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