Cardiac-resynchronization therapy (CRT) received Food and DrugAdministration approval for use in selected patients with leftventricular systolic dysfunction in 2001. Since that time, CRThas been embraced as a recommended approach to achieve meaningfulclinical improvement in patients who have heart failure witha reduced left ventricular ejection fraction (LVEF) and whocontinue to have symptoms despite optimal medical therapy.1A number of pivotal randomized trials and scores of additionalsafety and effectiveness trials have consistently shown thatCRT improves the LVEF, quality of life, and functional statusin symptomatic patients with an LVEF of less than 35% and . . . [Full Text of this Article]
Source Information
From the Department of Medicine, Cardiovascular Division, University of Pennsylvania School of Medicine, Philadelphia.
This article (10.1056/NEJMe0907335) was published on September 1, 2009, at NEJM.org.
This article has been cited by other articles:
Francis, G. S., Wilson Tang, W.H.
(2009). Early Cardiac Resynchronization Therapy and Reverse Remodeling in Patients With Mild Heart Failure: Is It Time?. Circulation
120: 1845-1846
[Full Text]