04-邹建刚-CRT患者都需要ICD吗.ppt

文档介绍：Do All CRT Patients Need ICD?
Jiangang Zou . & .
Nanjing Medical University, Nanjing,

VAS 2011
CRT-P/CRT-D
CRT: Effective for selected patients with heart failure and associated ventricular dyssynchrony
CRT-P: CRT without defibrillation capabilities
CRT-D: CRT with defibrillation back-up
Indication from guideline
Class IIb
Class IIa
CRT-ESC Guidelines 2010
mendation in patients with heart failure in New York Heart Association function class III/IV
mendation in patients with heart failure in New York Heart Association function class II
Eur Heart J. 2010
CRT-ESC Guidelines 2010
mendations in patients with heart failure and permanent atrial fibrillation
mendations in patients with heart failure and a itant class I pacemaker indication
Eur Heart J. 2010
Current state in Practice
How about in China?
Primary prevention: %
What can we learn from CRTs
Secondary prevention:
AVID CASH CIDS
Primary prevention:
CAT MADIT I SCD-HeFT
AMIOVIRT MADIT PANION
DEFINITE MUSTT