CRT 101: The Basics of Cardiac Re-Synchronization Therapy
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- Опубликовано: 28 июл 2024
- A brief description of Cardiac Re-synchronization Therapy (CRT) devices; what it is and how it works. If you have or are getting a CRT system you will have a 3-lead system. This video covers the basics about what CRT therapy is and how it works.
*****Please note: I am not a medical professional giving medical advice. For more information please consult with your health care professional team.
Got my CRT-D about 2 years ago and working great!! Thanks for sharing your insightful posts. God bless you Douglas and stay safe!!
Thank you. This is very helpful and understandable. I have had my CRT D for 3 weeks
Douglas, your videos are a Godsend! I’m having my CRT device implanted in two weeks & was very anxious about the whole process. Coming across all of your experiences and information has made me a more informed patient. Thanks so much and continue to be well!
Just got my CRT D two weeks ago. Still healing in. Pacing 100%.
Receving
9 months post heart attack I got upgraded to a two lead pacemaker with defibrillator. I have not had an echocardiogram since but I can tell that my heart is pumping much better! One weird thing - at first when I leaned forward my phrenic nerve was getting stimulated and my diaphragm would give a little kick. I went back to the lab and they adjusted the power settings for lack of a better term and it has been fine since.
CRT .D. Here on my second one yes paced 100 percent it did help my EF get a bit better medtronic is my device. Exactly why 2 lower cambers did not pump in unison
Interesting video, I am working on my 5th pacemaker, this one is a CRT-P that I've had for 7 years after having stage 3 heart failure, I got my first pacemaker when I was 2 months old
thanks
Pacemaker “dependence” is a relative term. What does it mean to be dependent? Is the symptomatic bradycardia patient who is paced 40% of the time when her intrinsic rate is below 55 “pacemaker dependent”? Is she dependent during the periods when her intrinsic rate is above her device threshold?
If my Amplia CRT-D for some reason malfunctions and my LV epicardium isn’t paced, the period of time which needs to pass before I begin to experience greater CHF symptoms is variable but can be a mere matter of minutes, depending upon fluid status, activity level and oxygen demand, and other factors influencing my intrinsic inotropic state and the remaining functionality of my native left bundle.
Hi John, thanks for watching. And, you’re absolutely right. Pacemaker “dependence” is relative. Only a very small percentage of patients are truly 100% dependent on their pacemaker to survive. Without it they would have no heartbeat. Most patients have some escape rhythm, no matter how low, that will keep them alive long enough to resolve a problem like the one you mention in your scenario. Most patients feel “dependent” on their device to maintain their active quality of life, though. My mention of pacemaker dependence in this video was for the patients who get a CRT device and equate the standard 100% CRT pacing with now being “pacemaker dependent”, which isn’t necessarily true. Most new patients don’t have enough knowledge to make that distinction.
I love meeting patients who have in-depth knowledge about their condition and implanted device, as you clearly do. I’m a firm believer that knowledge alleviates unnecessary anxiety and fear. Thanks for your comment, and thanks again for watching.
Merhabalar, ben bebeklikten beri konjenital av tam blok nedeniyle 21 yıldır ıcd dddr kalp pili ile yaşıyorum son 1 senede ef değerim %65 den 35 lere kadar geriledi pace sendromu yaşadığımı söylediler doktorlar crt pace veya ccm tedavisi önerdiler size sorum şu crt pace bana ef değerimde düzletme sağlarmı ef değerimi toparlarmı tekrardan 65 olurmu nefes alamıyorum uzandığım zaman bile nefesim kesiliyor lütfen cevap yazarmısınız