Heart failure & cardiomyopathies

Impact of DCM-Causing Genetic Background on Long-Term Response to Cardiac Resynchronization Therapy

JACC Clin ElectrophysiolPublished Retrospective cohort study

Authors' conclusion

Genotyping contributes to the risk stratification of patients with DCM undergoing CRT implantation in terms of LV remodeling and outcomes.

Study context

Population
Patients with nonischemic dilated cardiomyopathy (DCM) undergoing cardiac resynchronization therapy (CRT) with available genetic testing
Participants
74 patients
Exposure
Genetically determined DCM vs idiopathic DCM in patients undergoing CRT
  • GEN+DCMn = 25
  • Idiopathic dilated cardiomyopathy (idDCM)n = 49reference
Outcome
Long-term LV remodeling and prevalence of super response to CRT
Follow-up
24-48 months after CRT
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Super response to CRT

P = 0.025

Observational data: associations, not effects.

Secondary outcomes

HF-related death/heart transplant/LV assist device · median follow-up 55 months

P = 0.028

Original publication

Impact of DCM-Causing Genetic Background on Long-Term Response to Cardiac Resynchronization Therapy. JACC Clin Electrophysiol. Published 22 May 2024. doi:10.1016/j.jacep.2024.03.019

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