EP 101 2020: A Virtual Program for Incoming EP Fellows-CRT-D: State of the Art

Video Transcription

Video Summary

The video transcript discusses the use of cardiac resynchronization therapy (CRT) in patients with heart failure. CRT involves the implantation of a biventricular defibrillator device to improve the synchronization of the heart's contraction and alleviate heart failure symptoms. The video emphasizes the importance of patient selection, optimal lead positioning, and device programming in achieving a positive response to CRT. It highlights the use of imaging techniques such as CT venograms to assess the venous anatomy and guide lead placement. The video also mentions the role of remote monitoring in improving healthcare outcomes for CRT patients. It explains that patient response to CRT can vary and that not all patients will benefit from the therapy. The transcript concludes by discussing the impact of CRT on mortality and heart failure hospitalization rates, and it presents guidelines for patient selection based on factors such as QRS duration, heart failure classification, and left bundle branch block presence.

Asset Subtitle

Suneet Mittal, MD

Keywords

cardiac resynchronization therapy

heart failure

biventricular defibrillator device

patient selection

lead positioning

device programming

imaging techniques

CT venograms

remote monitoring