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The Nuts and Bolts of Cardiac Resynchronization Therapy

ISBN: 978-1-4051-5372-0
226 pages
May 2007, Wiley-Blackwell
The Nuts and Bolts of Cardiac Resynchronization Therapy (1405153725) cover image
The Nuts and Bolts of Cardiac Resynchronization Therapy


By Tom Kenny, RN
Vice President, Clinical Education and Training, St. Jude Medical, Austin, TX, USA


Cardiac resynchronization therapy (CRT) is an exciting new option for a growing number of heart failure patients, but CRT systems present special challenges to clinicians, even those accustomed to working with pacemakers. Now, Tom Kenny demystifies the field in this timely, easy-to-understand paperback.


The Nuts and Bolts of Cardiac Resynchronization Therapy concentrates on the practical aspects of how these devices work and how to follow the growing number of patients who are using them to fight heart failure. Designed specifically for the non-specialist, the book explains how the device works, how and why CRT-paced ECGs look different, and how to test for proper function of a CRT system. It also includes a systematic (numbered sequence) guide to follow-up that you can use in the clinic.


This practical reference offers:


  • clear, straightforward explanations that require no prior training in device therapy
  • many CRT ECGs to familiarize you with what you will encounter in practice
  • a generous illustration program that includes diagrams, charts, and anatomy pictures to reinforce the text
  • sensible advice on daily issues and troubleshooting systems
  • current references to the latest clinical studies and device technology
  • accessible information, organized for ease of navigation
  • a helpful glossary at the end of the book


Both practicing and prospective clinicians will find CRT much less daunting when The Nuts and Bolts of Cardiac Resynchronization Therapy is close at hand.

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Preface.

1 Understanding Heart Failure.

2 Cardiovascular Anatomy of the Healthy Heart.

3 Cardiac Physiology and Heart Failure.

4 Causes of Heart Failure.

5 The Neurohormonal Model of Heart Failure.

6 An Overview of Heart Failure Drugs.

7 Ventricular Dyssynchrony.

8 Arrhythmias in Heart Failure Patients.

9 Indications for CRT.

10 Types of CRT Systems.

11 Implant Procedures.

12 Basic Programming.

13 Advanced Programming.

14 Basic ECG Interpretation for CRT Systems.

15 CRT System Optimization.

16 Troubleshooting the Non-Responder.

17 Defibrillation Basics.

18 Advanced Defibrillation Functions.

19 Advanced CRT ECG Analysis.

20 DFT Management in CRT-D Patients.

21 Atrial Fibrillation.

22 CRT in Post-AV Nodal Ablation Patients.

23 Special CRT Device Features.

24 Diagnostics.

25 A Systematic Guide to CRT Follow-Up.

26 Troubleshooting.

Glossary.

Index

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Thomas P. Kenny, author of The Nuts & Bolts of Cardiac Pacing and The Nuts and Bolts of ICDs, is the author on this book. In fact, this book evolves from his many years teaching device therapy to clinicians. Tom was on the forefront of training and educational efforts for CRT devices as the systems were first pioneered. He is Vice President of Education for St. Jude Medical, a leader in cardiac rhythm management devices.
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A practical, reliable and systematic approach to CRT for non-cardiologists

  • Builds on Tom Kenny’s previous two books, The Nuts and Bolts of Cardiac Pacing (June 2005) and The Nuts and Bolts of ICD Therapy (November 2005)
  • Emphasizes real-life clinical practice and practical tips
  • Each chapter ends with a checklist of "Nuts and Bolts" (key points on each subject)
  • A lively, intelligent and accessible style
  • Clear and practical illustrations from real clinical settings
  • Starting with the basics, this book builds on fundamental principles and concludes with advanced concepts
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“Written by an acknowledged authority in this field, the book meets its goal of serving as a reference for cardiac resynchronization therapy.”
Doodys Reviews
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