Heart failure & cardiomyopathies

Long-Term Nonprogression Is a Form of Response to Cardiac Resynchronization Therapy

JACC AdvPublished Retrospective single-center cohort analysis

Main finding · Composite of all-cause death, implantation of a ventricular assist device, or heart transplantationResult — go to the resultAdjusted hazard ratio 2.26 95% CI 1.35–3.78

Authors' conclusion

Nonprogressors form a relevant, to date poorly characterized group of CRT patients, whose long-term survival is significantly better compared to progressors or negative responders.

Study context

Population
Heart failure patients after cardiac resynchronization therapy (CRT) implantation23% female, mean age 65 years, mean baseline LVEF 27%
Participants
391 patients
Exposure
Progressors compared to nonprogressors
  • Nonprogressorsn = 134reference
Outcome
Composite of:
  • All-cause death
  • Implantation of a ventricular assist device
  • Heart transplantation
Follow-up
Mean another 57 months

Main finding

As reported in the abstract

Adjusted hazard ratio

2.26

95% CI 1.35–3.78

P = 0.002

Progressorsvs nonprogressors
adjusted HR 2.26 (95% CI 1.35–3.78); P = 0.002

Observational data: associations, not effects.

Further findings

Timing of postimplantation echocardiography

Postimplantation echocardiograms performed after a mean of
37 months

Original publication

Long-Term Nonprogression Is a Form of Response to Cardiac Resynchronization Therapy. JACC Adv. Published 26 July 2025. doi:10.1016/j.jacadv.2025.101909

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