Exercise Training and Cardiac Resynchronization Therapy in Heart Failure
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30.06.2009, 11:26
“Remix culture” is a term employed by Lawrence Lessig and other copyright activists to describe a society that allows and encourages derivative works. Lessig presents this as a desirable ideal and argues, among other things, that the health, progress, and wealth creation of a culture is fundamentally tied to this participatory remix process (1). The borrowing, adaptation, and extension of ideas are major forces that drive creativity and lead to improvement in health care, including treatment of cardiovascular disease. For example, exercise training (ExT), also known as “rehabilitation,” recently extended from the conventional indication, post-myocardial infarction, to the less-conventional indication, systolic dysfunction heart failure, as summarized by Rubin (2). Enter “remix”: ExT of heart failure patients who receive a cardiac resynchronization therapy (CRT) (biventricular pacing) device.