The Nuts and Bolts of Cardiac Resynchronization Therapy

by Kenny, Tom

• ISBN13: 9781405153720
• ISBN10: 1405153725
• Edition: 1st
• Format: Paperback
• Copyright: 2007-05-07
• Publisher: Wiley-Blackwell

Summary

The Nuts and Bolts of Cardiac Resynchronization Therapy By Tom Kenny, RN Vice President, Clinical Education and Training, St. Jude Medical, Austin, TX, USA Cardiac resynchronization therapy (CRT) is an exciting new option for a growing number of heart failure patients, but CRT systems present special challenges to clinicians, even those accustomed to working with pacemakers. Now, Tom Kenny demystifies the field in this timely, easy-to-understand paperback. The Nuts and Bolts of Cardiac Resynchronization Therapy concentrates on the practical aspects of how these devices work and how to follow the growing number of patients who are using them to fight heart failure. Designed specifically for the non-specialist, the book explains how the device works, how and why CRT-paced ECGs look different, and how to test for proper function of a CRT system. It also includes a systematic (numbered sequence) guide to follow-up that you can use in the clinic. This practical reference offers: clear, straightforward explanations that require no prior training in device therapy many CRT ECGs to familiarize you with what you will encounter in practice a generous illustration program that includes diagrams, charts, and anatomy pictures to reinforce the text sensible advice on daily issues and troubleshooting systems current references to the latest clinical studies and device technology accessible information, organized for ease of navigation a helpful glossary at the end of the book Both practicing and prospective clinicians will find CRT much less daunting when The Nuts and Bolts of Cardiac Resynchronization Therapy is close at hand.

Author Biography

Thomas P. Kenny, author of The Nuts & Bolts of Cardiac Pacing and The Nuts and Bolts of ICDs, is the author on this book. In fact, this book evolves from his many years teaching device therapy to clinicians. Tom was on the forefront of training and educational efforts for CRT devices as the systems were first pioneered. He is Vice President of Education for St. Jude Medical, a leader in cardiac rhythm management devices.

Table of Contents

Preface	p. V
Understanding Heart Failure	p. 1
Cardiovascular Anatomy of the Healthy Heart	p. 6
Cardiac Physiology and Heart Failure	p. 11
Causes of Heart Failure	p. 17
The Neurohormonal Model of Heart Failure	p. 23
An Overview of Heart Failure Drugs	p. 27
Ventricular Dyssynchrony	p. 34
Arrhythmias in Heart Failure Patients	p. 38
Indications for CRT	p. 54
Types of CRT Systems	p. 64
Implant Procedures	p. 72
Basic Programming	p. 79
Advanced Programming	p. 87
Basic ECG Interpretation for CRT Systems	p. 93
CRT System Optimization	p. 103
Troubleshooting the Non-Responder	p. 109
Defibrillation Basics	p. 116
Advanced Defibrillation Functions	p. 125
Advanced CRT ECG Analysis	p. 135
DFT Management in CRT-D Patients	p. 144
Atrial Fibrillation	p. 150
CRT in Post-AV Nodal Ablation Patients	p. 158
Special CRT Device Features	p. 163
Diagnostics	p. 169
A Systematic Guide to CRT Follow-Up	p. 177
Troubleshooting	p. 186
Glossary	p. 191
Index	p. 213
Table of Contents provided by Ingram. All Rights Reserved.