Cardiac Resynchronisation Therapy and Heart Failure: Perspective from 5P Medicine

Journal
Article on Cardiac Resynchronisation Therapy and Heart Failure: Perspective from 5P Medicine

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Overview

Chronic heart failure is still a major challenge for healthcare. Currently, cardiac resynchronisation therapy (CRT) has been incorporated into the updated guideline for patients with heart failure, left ventricular ejection fraction ≤35 % and prolonged QRS duration. With 20 years of development, the concept of ‘from bench to bedside’ has been illustrated in the field of CRT. Given the fact that the indications of CRT keep evolving, the role of CRT is not limited to the curative method for heart failure. We therefore summarise with the perspective of 5P medicine – preventive, personalised, predictive, participatory, promotive, to review the benefit of CRT in the prevention of heart failure in those with conventional pacemaker indications, the individualised assessment of patient’s selection, the predictor of responders of CRT, and the obstacles hindering the more application of CRT and the future development of this device therapy.

Featuring

Fang Fang -  Organization: Institute of Vascular Medicine, Institute of Innovative Medicine, Heart Education and Research Training (HEART) Centre, Division of Cardiology, Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR; Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing

Zhou Yu Jie -  Organization: Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing

Luo Xiu Xia -  Organization: Institute of Vascular Medicine, Institute of Innovative Medicine, Heart Education and Research Training (HEART) Centre, Division of Cardiology, Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR

Liu Ming -  Organization: Institute of Vascular Medicine, Institute of Innovative Medicine, Heart Education and Research Training (HEART) Centre, Division of Cardiology, Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR

Ma Zhan -  Organization: Institute of Vascular Medicine, Institute of Innovative Medicine, Heart Education and Research Training (HEART) Centre, Division of Cardiology, Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR

Gan Shu Fen -  Organization: Institute of Vascular Medicine, Institute of Innovative Medicine, Heart Education and Research Training (HEART) Centre, Division of Cardiology, Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR

Yu Cheuk-man -  Organization: Institute of Vascular Medicine, Institute of Innovative Medicine, Heart Education and Research Training (HEART) Centre, Division of Cardiology, Department of Medicine and Therapeutics, Li Ka Shing Institute of Health Sciences, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SA

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