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Europace 2009 11(Supplement 5):v66-v71; doi:10.1093/europace/eup276
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

This article appears in the following Europace issue: Spotlight Issue: Cardiac Resynchronization Therapy [View the issue table of contents]

Problems and troubleshooting in regular follow-up of patients with cardiac resynchronization therapy

Christophe Leclercq*

Service de Cardiologie et Maladies Vasculaires, CHU Rennes, INSERM, CIC-IT, 35000 Rennes, France

Biventricular pacing is an efficient treatment to improve symptoms and clinical outcome in patients with drug-refractory heart failure, low left ventricular ejection fraction and wide QRS. The basis of the treatment is the permanent delivery of biventricular pacing. During the follow-up of biventricular devices the assessment of permanent biventricular capture is fundamental. This requires a tailored programming with respect to the patient's activity and age, and thus also careful evaluations during an exercise test as well as adequate programming in case of cardiac arrhythmias.

Key Words: Cardiac resynchronization therapy, Heart failure, Exercise test

* Corresponding author. Service de Cardiologie et Maladies Vasculaires, Centre Cardio-Pneumologique, Hôpital Pontchaillou, 2 rue Henri Le Guilloux, 35033 Rennes, Cedex 09, France. Tel: +33 2 99 28 25 17, Fax: +33 2 99 28 25 18, Email: christophe.leclercq{at}chu-rennes.fr


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