How to Increase the CRT Benefit

You need to ensure that your heart rate and blood pressure are controlled in order for CRT to work. The heart rate of a healthy person usually increases by about one beat per minute, and the same happens with CRT. To ensure that the device works properly, you should speak to your doctor before purchasing a CRT device. To get the best out of your CRT device, it is essential that you have a wider range in heart beat.

Dual site LV pace may be a good option if you’re looking to maximize the benefits of CRT. Because it allows you to monitor the patient remotely, this type of CRT is more efficient for some patients. It is very convenient and provides important data about the therapy, such as heartbeats, blood pressure, and ejection fraction. The device can send measurements directly to your doctor. Using this technology allows you to monitor your CRT device daily and notify him or her of any problems.

New research suggests that dual-site LV pacing could be used to increase the response of CRT. The results showed that the LV ejection fraction was higher in the dual site group, and the end-systolic volume was lower. The study showed that patients who received LV pacing experienced fewer ventricular tachycardias, and a lower death rate.

Despite the cost of the CRT-D, it can be extended. Researchers suggest that electrode stimulation should be performed with care. The LBBB remains the most important substrate for CRT and yields the highest benefit, but mechanical dyssynchrony and QRS morphology can also affect CRT outcome. Consequently, it is critical to follow strict guidelines to ensure that CRT-D is used to maximize the heart’s function.

Dual site LV Pacing may also improve the response to CRT. This study compared conventional and LV pacing in 40 patients. These patients had a lower ejection fraction, and lower LV end-systolic volume. It was also associated with higher mortality rates and greater heart transplantation needs. It was difficult to determine which of these strategies could enhance the CRT outcome.

There are several new ways to increase the effectiveness of CRT. The optimal timing, careful positioning of electrodes, and a more rigid approach to patient selection all contribute to better outcomes. In a recent study, Vernooij and colleagues reported that there was no difference between CRT-D and CRT-P for patients with LV morphology. In addition, there is some evidence that mechanical dyssynchrony and QRS morphology may improve the response.