Heart failure & cardiomyopathies

Left ventricular mass as a modulator of ventricular arrhythmia risk and sex differences after cardiac resynchronization therapy (CRT) for nonischemic cardiomyopathy and LBBB

Heart RhythmPublished Cohort study

Main findingResult — go to the resultHazard ratio 1.01 95% CI 1.001–1.009

Authors' conclusion

VA risk after CRT implantation in nonischemic cardiomyopathy was associated with baseline LV > 308.9 g and a decrease in LVM ≤ 20%, without sex differences.

Study context

Population
Patients with nonischemic cardiomyopathy and LBBB undergoing CRT implantation
Participants
118 patients
Exposure
Baseline left ventricular mass (LVM) and post-implant change in LVM, and sex, as predictors of VA after CRT
  • Malen = 47
  • Femalen = 71reference
Outcome
VA events (appropriate shocks or antitachycardia pacing) from device diagnostics and therapies
Follow-up
Median 90 months (IQR 44-158)

Main finding

As reported in the abstract

Hazard ratio

1.01

95% CI 1.001–1.009

P = 0.003

Events by group

Any VA (appropriate shocks or ATP), all patients
35 (29.6%)
Baseline LVM > 308.9 g separated patients with higher VA risk
P = 0.001
<20% decrease in LVM increased VA risk
P < 0.001

Observational data: associations, not effects.

Original publication

Left ventricular mass as a modulator of ventricular arrhythmia risk and sex differences after CRT for nonischemic cardiomyopathy and LBBB. Heart Rhythm. Published 29 July 2024. doi:10.1016/j.hrthm.2024.07.106

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

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