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Minerva Cardioangiologica 2018 October;66(5):631-45

DOI: 10.23736/S0026-4725.17.04476-0


lingua: Inglese

A handbook for the clinical cardiologist about CRT/ICD. A practical guide about how to survive during an on call shift

Fabiana LUCÀ 1, 2 , Emilia BISCOTTINI 2, 3, Laura CIPOLLETTA 4, Marco MARINI 2, 4, Giorgio CARETTA 2, 5, Alberto LAVORGNA 2, 6, Fabio VAGNARELLI 2, 4, Stefania A. DI FUSCO 7, Vincenza PROCACCINI 2, 8, Letizia RIVA 2, 9, Gabriele VIANELLO 2, 10, Renata DE MARIA 2, 11, Achille GIARDINA 12, 13, Michele M. GULIZIA 14, 15

1 Unit of Cardiac Intensive Therapy and Interventional Cardiology, “Bianchi Melacrino Morelli” Hospital, Reggio Calabria, Italy; 2 Area Giovani ANMCO, Florence, Italy; 3 Unit of Cardiac Intensive Therapy, Department of Cardiology-Hemodynamics, “S. Giovanni Battista” Hospital, ASL Umbria 2, Foligno, Perugia, Italy; 4 Department of Cardiovascular Sciences, Clinic of Cardiology, “Ospedali Riuniti” University Hospital, Ancona, Italy; 5 Unit of Emergency and Admission, Department of Cardiology-Hemodynamics and Cardiac Intensive Therapy, “S. Andrea” Hospital, ASL 5, La Spezia, Italy; 6 Unit of Cardiology and Cardiac Intensive Therapy, Cardiovascular Department, “G. Mazzini” Hospital, Teramo, Italy; 7 Unit of Cardiology and Cardiac Intensive Therapy, “San Filippo Neri” Hospital, ASL Roma 1, Rome, Italy; 8 Unit of Cardiac Intensive Therapy and Interventional Cardiology, “G. Rummo” Hospital, Benevento, Italy; 9 Unit of Cardiology, Ospedale Maggiore, USL Bologna, Bologna, Italy; 10 Unit of Cardiology and Cardiac Intensive Therapy, “Madonna della Navicella” Hospital, ASL 14 Chioggia, Venice, Italy; 11 Department of Cardiology, “De Gasperis” Istituto di Fisiologia Clinica del C.N.R., Niguarda Ca’ Granda Hospital, Milan, Italy; 12 Unit of Cardiology, “Giuseppe Brotzu” Hospital, Cagliari, Italy; 13 Area Aritmie ANMCO, Florence, Italy; 14 Unit of Cardiology, “Garibaldi-Nesima” Hospital, Catania, Italy; 15 Consiglio Direttivo ANMCO, Past President, Catania, Italy


Cardiac resynchronization therapies (CRTs) have been demonstrated to improve the clinical management and prognosis of selected patients with heart failure. CRT devices include both CRT pacemakers (CRT-P) and CRT defibrillators (CRT-D), with the latter being used to treat life-threatening ventricular arrhythmias. A significant advantage of CRTs is the ability to monitor several vital parameters which, thanks to advanced technology, may be remotely assessed. Personalized programming options allow patients to receive the maximum benefit from these treatments. In this review we report the main diagnostic and therapeutic algorithms used in clinical practice.

KEY WORDS: Heart failure - Arrhythmias, cardiac - Monitoring, physiologic - Cardiac resynchronization therapy - Defibrillators, implantable

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