Heart failure & cardiomyopathies

Implications of ventricular arrhythmia after cardiac resynchronization therapy

Heart RhythmPublished Cohort study

Authors' conclusion

VA occurrence within 1 year was related to paced electrical delay and poor response to CRT. VA could be associated with poor prognosis among CRT patients.

Study context

Population
Patients with cardiac resynchronization therapy (CRT) devices, within 1 year after implantation
Participants
330 patients
Exposure
Ventricular arrhythmia (VA) vs no VA within 1 year after CRT implantation
  • VAn = 43
Outcome
All-cause death or HF hospitalisation

Main finding

As reported in the abstract

VA associated with significantly higher risk of primary endpoint, even among CRT responders
P = .009

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Primary endpoint, fastvs slow VA2.14 (1.06–4.34)P = 0.035
Primary endpoint, shock therapyvs antitachycardia pacing1.49 (0.73–3.03)P = 0.269

Response to CRT

P = 0.031

LV paced conduction time

P = 0.003

Original publication

Implications of ventricular arrhythmia after cardiac resynchronization therapy. Heart Rhythm. Published 20 September 2023. doi:10.1016/j.hrthm.2023.09.014

Composed by AI from the published abstract and checked against it. How Briefs are made →

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