Академический Документы
Профессиональный Документы
Культура Документы
Committee
for Practice
Guidelines
(CPG)
1Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Committee
for Practice
Guidelines
(CPG)
2Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Committee
for Practice
Guidelines
(CPG)
3Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Introduction
The guidelines for the appropriate use of pacemaker
devices presented in this document, a joint ESC and
EHRA initiative, aim to provide for the first time in
Europe an up to date specialists' view of the field.
The guidelines cover two main areas: the first
includes permanent pacing in bradyarrhythmias,
syncope, and other specific conditions, while the
second refers to ventricular resynchronisation as an
adjunct therapy in patients with heart failure.
Committee
for Practice
Guidelines
(CPG)
4Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Classes of Recommendations
Committee
for Practice
Guidelines
(CPG)
5Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Levels of Evidence
Committee
for Practice
Guidelines
(CPG)
6Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Committee
for Practice
Guidelines
(CPG)
7Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Committee
for Practice
Guidelines
(CPG)
8Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
Committee
for Practice
Guidelines
(CPG)
9Cardiology
for
Cardiac
Pacing
and CRT
Slide-Set
CardiacGuidelines
Pacing and
CRT
Guidelines
Slide-set
European
Society
of
for Practice
Guidelines
10
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
10
for Practice
Guidelines
11
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
11
for Practice
Guidelines
12
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
12
for Practice
Guidelines
13
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
13
for Practice
Guidelines
14
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
14
for Practice
Guidelines
15
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
15
for Practice
Guidelines
16
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
16
for Practice
Guidelines
17
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
17
for Practice
Guidelines
18
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
18
for Practice
Guidelines
19
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
19
for Practice
Guidelines
20
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
20
for Practice
Guidelines
21
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
21
for Practice
Guidelines
22
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
22
The clinical effects of long-term CRT were firstly evaluated in noncontrolled studies, in which a sustained benefit conferred by biventricular
pacing was measured. Randomized multi-centre trials with crossover or
parallel treatment assignments were subsequently conducted to ascertain
the clinical value of CRT in patients with advanced CHF and in sinus
rhythm, with or without indications for an implantable cardioverterdefibrillator (ICD). Meta-analyses were also published.
The usual study enrolment criteria were: 1) CHF in New York Heart
Association (NYHA) functional Class III or IV despite optimal
pharmacological treatment; 2) LV ejection fraction (EF) < 35%, LV enddiastolic diameter > 55 mm, and QRS duration 120 or 150 ms.
for Practice
Guidelines
23
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
23
Pacing for heart failure can be applied either by biventricular pacing or,
in selected cases, by left ventricular pacing alone. The following
recommendations consider cardiac pacing for heart failure delivered
through biventricular pacing, since this mode is supported by the
greatest body of evidence. This, however, does not preclude other
pacing modes, such as LV pacing, to correct ventricular dyssynchrony.
for Practice
Guidelines
24
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
24
for Practice
Guidelines
25
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
25
for Practice
Guidelines
26
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
26
for Practice
Guidelines
27
for
Cardiac
Pacing
and (CPG)
CRT
Slide-Set
CardiacGuidelines
PacingCommittee
and CRT
Guidelines
Slide-set
European
Society
of Cardiology
27