Consenso sobre la terapia de Resincronización Cardíaca

Cardiac resynchronization is an increasingly important therapeutic option for a subgroup of patients with heart failure. It has been shown that biventricular pacing produces significant hemodynamic and clinical improvements and results in left ventricular remodeling in patients with severe heart failure and left bundle branch block. Some studies also indicate that cardiovascular mortality is decreased. However, this form of treatment is expensive and complex, it is not free of complications, and there are a significant number of non-responders. Therefore, multidisciplinary collaboration is necessary if it is to be used correctly. The Spanish Society of Cardiology Cardiac Resynchronization Working Group has produced this consensus document with the aim of establishing current indications for therapy, and ensuring that device selection is appropriate and that implantation and follow-up are carried out correctly.