Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 39(3): 144-152 (2023)


小児・先天性心疾患の心臓再同期療法CRTについてCardiac Resynchronization Therapy in Pediatrics

大阪市立総合医療センター小児不整脈科Department of Pediatric Electrophysiology, Osaka City General Hospital ◇ Osaka, Japan

発行日:2023年12月1日Published: December 1, 2023


Cardiac resynchronization therapy (CRT) is a method of treating heart failure using a device. It is an established treatment for heart failure in adults, most commonly in patients with dilated cardiomyopathy (DCM). However, its efficacy in children with DCM has not been established. Pacemaker-induced cardiomyopathy may occur during pacemaker therapy for complete atrioventricular block in children because the ventricular lead is placed in the right ventricular free wall or outflow tract. The efficacy of CRT for pacemaker-induced cardiomyopathy in children is well established. However, the uniqueness and diversity of pediatric and congenital heart diseases make it difficult to establish guidelines for CRT; thus, CRT indications should be carefully considered in each case.

Key words: cardiac resynchronization therapy; congenital heart disease; pediatric

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