Cardiac Resynchronisation Therapy
OVERVIEW
- Cardiac Resynchronisation Therapy = the restoration of ventricular co-ordination by means of an implanted cardiac resynchronization device.
EQUIPMENT
- biventricular pace maker
- can pace both septal and lateral walls of the left ventricle -> can allow coordination of ventricular ejection.
- one lead – RV
- one lead – fed through coronary sinus to LV
- often have a lead in RA
- coordinated atrial and ventricular function possible
- can also be combined with a pacemaker and AICD
BENEFITS
- improved LVEF, Q and haemodynamics
- improved exercise tolerance
- decreased NYHA class
- decreased hospitalisation
- improved quality of life
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC