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Device Management in Heart Failure

  • Heart Failure (HJ Eisen, Section Editor)
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Abstract

Purpose of Review

Medical devices have become an integral part of comprehensive heart failure management. Not all heart failure patients, however, accrue benefit from every new device, and even with extensive practice guidelines, this remains an evolving field.

Recent Findings

The addition of implantable devices, like internal cardioverter defibrillators (ICDs), and novel pacing technologies, including cardiac resynchronization therapy (CRT), have helped to compliment goal-directed medical therapy and positively impact prognosis in multiple high-quality clinical trials. This review attempts to summarize the rapidly evolving literature with respect to existing device guidelines for routine implantable devices as well as some available and future technologies that are not yet a part of routine guidelines.

Summary

ICD, CRT, and other implantable devices continue to save lives, decrease hospitalizations, and evolve the management of patients with heart failure beyond the capabilities of optimal guideline-directed medical therapy alone.

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References

Papers of Particular Interest, Published Recently, Have Been Highlighted as:• Of Importance•• of Major Importance

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Correspondence to Brett G. Angel.

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Brett G. Angel, Heath Saltzman, and Luke S. Kusmirek declare that they have no conflict of interest.

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Angel, B.G., Saltzman, H. & Kusmirek, L.S. Device Management in Heart Failure. Curr Cardiol Rep 19, 114 (2017). https://doi.org/10.1007/s11886-017-0914-2

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