CRT指南PPT课件.ppt

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1、ACC/AHA/NASPE2002IndicationsforCardiacResynchronizationTherapyACC/AHA/NASPE2002UpdatedGuidelinesforImplantationofCardiacPacemakersandAntiarrhythmiaDevicesACC/AHA/NASPEGuidelinesforImplantationofCardiacPacemakersandAntiarrhythmiaDevicesTaskForceonPracticeGuidelines(Co

2、mmitteeonPacemakerImplantation)1984–originalpacemakerguidelinespublished1991–guidelinesrevisedandimplantablecardioverterdefibrillators(ICDs)added1998–guidelinesrevised2002–guidelinesrevisedACC/AHA/NASPE2002UpdatedGuidelinesforImplantationofCardiacPacemakersandAntiarrhyth

3、miaDevicesDocumentapprovedbyACCFoundationBoardoftrusteesinSeptember2002AHAScienceAdvisoryandCoordinatingCommitteeinAugust2002NASPEinAugust2002SummaryispublishedinCirculationonOct.15,2002andJAmCollCardiolonNov.6,2002FulltextoftheguidelinesispostedonACC,AHA,andNASPEwebsite

4、sACC/AHATaskForceonPracticeGuidelinesRole:DevelopandreviseimportantcardiovascularpracticeguidelinesIncludes:ExpertsfromACCandAHARepresentativesfrom:NASPE,ACP,STSUniversity-affiliatedandpracticingphysiciansProcess:AformalliteraturereviewandevaluationofevidenceProceduresan

5、dtreatmentsareclassifiedbyusefulnessandefficacyACC/AHA/NASPE2002GuidelinesRevisionGuidingPrinciplesChangesreflectnewclinicalevidence,resultsfromrandomizedclinicaltrialsandclinicalconsensus.Healthcare,logistic,andfinancialimplicationsofnewevidencewereconsideredinclassifyi

6、ngindications.Madepriorwordingmoreprecisewhenneeded.Recommendationsapplyto“most”patients,butthetreatingphysicianmaymodifybasedonanindividualpatient’ssituation.Recommendationspresumeabsenceofincitingcausesthatmaybeeliminatedwithoutdetrimenttothepatient.Effortsweremadetoma

7、intainconsistencywithotherrelatedguidelines.ACC/AHAClassificationClinicalEvidenceLevelofEvidenceClassification:LevelA:DataderivedfrommultiplerandomizedclinicaltrialsinvolvingalargenumberofindividualsLevelB:Dataderivedfromalimitednumberoftrialsinvolvingcomparativelysmalln

8、umbersofpatientsorfromwell-designeddataanalysisofnonrandomizedstudiesorobservationaldataregistriesLevel