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Cardiac Pacing and Cardiac Resynchronization Therapy Guidelines

ESC Clinical Practice Guidelines

The guidelines have been redesigned to offer a more accessible format for users. Greater emphasis than ever before has been placed on a practical ‘how to’ approach targeted at generalists, including GPs and geriatricians, as well as expert cardiologists and electro physiologists. For more read the press release.

Device Therapy
Cardiac Resynchronization Therapy (CRT)
Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
Antibradycardia Pacing
Chronic Heart Failure
Implantable Cardioverter-Defibrillator (ICD)
Device Complications and Lead Extraction
Guidelines version available to download
Published in 2013
Reference Eur Heart J - 2013:34;2281–2329-doi:10.1093/eurheartj/eht150
Published in 2013
Reference CP
Published in 2013
Reference CP
Published in 2013
Reference CP
Published in 2013
Reference Cardiac Pacing Guidelines Presentation
Published in 2013
Reference CP
Published in 2013
Reference Addenda -Eur Heart J - doi:10.1093/eurheartj/eht180
Table of contents: Full Text (ESC Clinical Practice Guidelines)
  • Preamble
  • Indications for pacing
    • Epidemiology, natural histroy, pathophysiology, classification & diagnosis of bradyarrhythmias suitabe for permanent cardiac pacing therapy
    • Persitent bradycardia
    • Intermittent (documented) bradycardia
    • Suspected (undocumented) bradycardia
  • Indications for cardiac resynchronization
    • Epidemiology, prognosis & pathophysiology of heart failure suitable for cardiac resynchronization therapy
    • Patients in sinus rhythm
    • Patients in atrial fibrillation
    • Patients with heart failure & conventional pacemaker indications
    • Back-up ICD in patients indicated for CRT
  • Indications for pacing in specific conditions
    • Pacing in acute myocardial infarction
    • Pacing after cardiac surgery, TAVI & heart transplantation
    • Pacing & CRT in children & in congenital heart disease
    • Pacing in hydrotrophic cardiomyopathy
    • Pacing in rare diseases
    • Pacing in pregnancy
    • Pacing for first-degree atrioventricular block (haemodynamic)
    • Algorithms for prevention & termination of atrial arrhythmias by pacing
  • Complication of pacing & CRT implantation
  • Management considerations
    • Pacing for alternative right ventricular sites
    • Reimplantation of pacemaker/CRT after device explanation for infection
    • Magnetic resonance imaging in patients with implanted cardiac devices
    • Emergency (transvenous) temporary pacing
    • Remote management of arrhytmias & device