Pushing Boundaries in Cardiac Resynchronization Therapy: Clinical Innovations Transforming Heart Failure Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 31 January 2026 | Viewed by 18

Special Issue Editors


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Guest Editor
1. Heart Institute, Medical School, University of Pécs, 7624 Pécs, Hungary
2. Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
Interests: cardiac resynchronization therapy; transcatheter aortic valve surgery; heart failure; cardiac contractility; cardiokines; exerkines; exercise-induced adaptation in cardiac and skeletal muscles

E-Mail Website
Guest Editor
1. Heart Institute, Medical School, University of Pécs, 7624 Pécs, Hungary
2. Szentágothai Research Centre, University of Pécs, 7624 Pécs, Hungary
Interests: cardiac resynchronization therapy; heart failure; myocardial infarction; interventional cardiology; arrhythmia; device therapy

Special Issue Information

Dear Colleagues,

Cardiac resynchronization therapy (CRT) has revolutionized heart failure management, particularly in patients with dyssynchrony. Since its introduction, CRT has advanced significantly, improving survival rates and quality of life for millions worldwide. However, despite careful patient selection, nearly one-third of CRT recipients fail to respond to therapy. The reasons for CRT nonresponse are multifaceted, including left ventricular (LV) scar burden, suboptimal LV stimulation sites, and inadequate electrical or mechanical dyssynchrony. While patients with left bundle branch block (LBBB) generally experience favorable outcomes, those without LBBB consistently exhibit poor responses to resynchronization therapy. Furthermore, many individuals, especially those with advanced heart failure, present with mixed conduction disorders—complex abnormalities that standard CRT systems alone cannot fully correct. This Special Issue explores the latest advancements and innovations in resynchronization therapy, including novel preoperative and intraoperative decision-making algorithms aimed at optimizing treatment for a broader patient population with diverse conduction disorders. We invite you to contribute your latest research findings or review articles to this Special Issue and help shape the future of resynchronization therapy.

Prof. Dr. István Szokodi
Dr. Attila Kónyi
Guest Editors

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Keywords

  • cardiac resynchronization therapy
  • heart failure
  • pacing strategies
  • patient selection
  • multi-point pacing
  • clinical innovations
  • nonresponders

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