Cardiac Pacing and Cardiac Resynchronization Therapy

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.

Topic(s):

Treatment

Device Therapy

Cardiac Resynchronization Therapy

Ventricular Arrhythmias and Sudden Cardiac Death (SCD)

Antibradycardia Pacing

Chronic Heart Failure

Implantable Cardioverter \ Defibrillator

Device Complications and Lead Extraction

Treatment

Guidelines version available to download

Full text

Published in 2013

Reference Eur Heart J - 2013:34;2281–2329-doi:10.1093/eurheartj/eht150

Essential messages

Published in 2013

Reference CP

Summary card

Published in 2013

Reference CP

Pocket guidelines

Published in 2013

Reference CP

Slide-set

Published in 2013

Reference Cardiac Pacing Guidelines Presentation

CME questions

Published in 2013

Reference CP

Related materials

Published in 2013

Reference Addenda -Eur Heart J - doi:10.1093/eurheartj/eht180

Declarations of interest

Endorsed by cardiac societies

Albanian Society of Cardiology , Association of Cardiologists of Bosnia & Herzegovina , Association of Cardiologists of Kazakhstan , Austrian Society of Cardiology , Belgian Society of Cardiology , British Cardiovascular Society , Bulgarian Society of Cardiology , Croatian Cardiac Society , Czech Society of Cardiology , Danish Society of Cardiology , Estonian Society of Cardiology , Finnish Cardiac Society , German Cardiac Society , Hellenic Society of Cardiology , Hungarian Society of Cardiology , Israel Heart Society , Latvian Society of Cardiology , Lebanese Society of Cardiology , Lithuanian Society of Cardiology , Maltese Cardiac Society , Norwegian Society of Cardiology , Portuguese Society of Cardiology , Polish Cardiac Society , Russian Society of Cardiology , San Marino Society of Cardiology , Slovak Society of Cardiology , Slovenian Society of Cardiology , Tunisian Society of Cardiology and Cardiovascular Surgery , Turkish Society of Cardiology

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

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Cardiac Pacing and Cardiac Resynchronization Therapy

ESC Clinical Practice Guidelines