Heart failure & cardiomyopathies

Baroreflex Activation Therapy in Advanced Heart Failure Therapy: Insights from a Real-World Scenario

ESC Heart FailPublished Prospective cohort study

Authors' conclusion

Although BAT has generated considerable interest, acceptance appears to be ambivalent. BAT improves outcome with regard to LVEF, NYHA class, QoL, NT-proBNP levels, and HF hospitalization rates. BAT + ARNI resulted in more pronounced effects than ARNI alone.

Study context

Population
Patients with advanced HFrEF (71 ± 3 years, 20% female)10 opted for baroreflex activation therapy (BAT) implantation
Participants
40 patients
Exposure
BAT vs guideline-directed medical therapy (GDMT) alone
Outcome
Improvement in QoL, NYHA class, LVEF, HF hospitalization, NT-proBNP levels and 6MHWD
Follow-up
At 3, 6 and 12 months

Main finding

As reported in the abstract

OutcomeBATBAT + ARNIControlP value
LVEF+10%, P = 0.005*+9%, P = 0.049*— not stated in the abstract
NYHA class−88%, P = 0.014*−90%, P = 0.037*— not stated in the abstract
QoL+21%, P = 0.020*+22%, P = 0.012*— not stated in the abstract
NT-proBNP−24%, P = 0.297−37%, P = 0.297— not stated in the abstract
HF hospitalization50%— not stated in the abstract83%P = 0.020*

— not stated in the abstract

Observational data: associations, not effects.

Further findings

Acceptance of BAT (questionnaire)

Showed interest in BAT
29 (73%)
Opted for implantation
10 (25%)

Original publication

Baroreflex Activation Therapy in Advanced Heart Failure Therapy: Insights from a Real-World Scenario. ESC Heart Fail. Published 8 October 2022. doi:10.1002/ehf2.14190

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