The new ACC and AHA criteria for cardiac devices emphasize more risk stratification, reflecting advances in the field in recent years.
for implantable cardioverter-defibrillators and cardiac resynchronization therapy , and pacing have been releasedThis year’s guideline is broader than the 2013 version and incorporates new technologies and personalized care approaches, said Milind Y. Desai, MD, MBA, cochair of the writing group.
“There’s an expanded role for devices like leadless pacemakers and subcutaneous ICDs, which weren’t as prominent in the 2013 guidelines,” said Desai., explains that the ICD lead has been known as “the weakest link” of the ICD system, with failure rates increasing over time. The most contentious topic in the document will likely be the section on CRT in left ventricular assist devices , said Monika M. Do, DNP, vice-chair of the committee.“Patients who derive benefit from CRT typically do not require an LVAD, and those who are sufficiently hemodynamically compromised to necessitate an LVAD are often either nonresponders or already at an advanced stage,” she explained.
Biventricular Pacing BIV Cardiac Resynchronization Therapy CRT Cardiac Resynchronization Therapy Biventricular Pacemaker Electrophysiology Heart Failure Heart Failure (HF) Clinical Guidelines Guidelines Heart
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