Electrical therapies in heart failure: Evolving technologies and indications

• Published in: La Presse médicale (1983) Vol. 53; no. 1; p. 104192
• Main Author: Linde, Cecilia
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01-03-2024
• Subjects: Atrial Fibrillation - therapy; Bradycardia; Bundle of His; Cardiac resynchronization therapy; Cardiac Resynchronization Therapy - methods; Electrocardiography - methods; Heart failure; Heart Failure - therapy; Humans; Left bundle branch block; Medicin och hälsovetenskap; Treatment Outcome; Heart failure; Bradycardia; Left bundle branch block; Cardiac resynchronization therapy
• ISSN: 0755-4982; 2213-0276; 2213-0276
• DOI: 10.1016/j.lpm.2023.104192

Device therapy for heart failure has rapidly evolved over 2 decades. The knowledge of indications, assessment lead and device technology has expanded to include CRT, leadless pacing and conduction system pacing such as His bundle and left bundle branch area pacing. But there is still a lack of evidence for these new technologies as well as for common indications such as atrial fibrillation and upgrading from a previous device. The role of personalized medicine will become increasingly important when selecting candidates for CRT, primary preventive ICD ablation procedures and emerging new devices such as cardiac contractility modulation (CCM). Rapidity of therapy is associated with outcome which will be a challenge. If properly implemented devices and drugs will have a large positive affect of HF outcomes.