Advances in Heart Electrotherapy

• Other Authors: Lewicka, Ewa (Editor), Dąbrowska-Kugacka, Alicja (Editor), Liżewska-Springer, Aleksandra (Editor)
• Format: Electronic Book Chapter
• Language: English
• Published: Basel MDPI - Multidisciplinary Digital Publishing Institute 2023
• Subjects: Medicine; Cardiovascular medicine; cardiac resynchronization therapy; dyssynchrony; strain pattern; heart failure; RSPI; transesophageal echocardiography; vegetations; tricuspid valve dysfunction; transvenous lead extraction; long-term survival; sudden cardiac death; ventricular arrhythmia; implantable cardioverter-defibrillator; subcutaneous implantable cardioverter-defibrillator; lead extraction-related major complications; cardiac/vascular wall tear; worsening tricuspid regurgitation; ventricular fibrillation; R on T phenomenon; catheter ablation; mapping; lead-related venous obstruction; lead extraction complications; lead extraction complexity; minor and major complications; cardiac laceration/vascular tear; epicardial fluid; tricuspid valve damage; cardiac amyloidosis; electrophysiological study mapping; His bundle pacing; ventricular synchrony; 2D speckle-tracking echocardiography; global longitudinal strain; left atrial volume; cardiac implantable electronic devices; clinical cases
• Online Access: DOAB: download the publication; DOAB: description of the publication

The introduction of permanent cardiac pacing in the late 1950s began the era of cardiac electrotherapy. In the 1980s, implantable cardioverter defibrillators (ICDs) were introduced. These advances created new challenges for cardiac implantable electronic devices (CIEDs). Right ventricular pacing was the primary breakthrough; however, over the years, it has become apparent that it can induce cardiac contraction dyssynchrony. Biventricular pacing allowed for the alleviation of dyssynchrony and improved the survival of patients with heart failure and bundle branch block. In recent decades, His bundle pacing has become a new strategy for physiological ventricular activation. However, the use of CIEDs carries several risks, e.g., complications related to transvenous leads. This led to the development of percutaneous lead extraction techniques as well as the introduction of a subcutaneous ICD (S-ICD) and leadless pacing. Technological evolution promises an exciting future in the development of cardiac electrotherapy.In this Special Issue, readers can find out about the clinical and hemodynamic aspects of right ventricular, His bundle, and biventricular pacing; ICD therapy; treatment of complications and technological advances in cardiac electrotherapy.