Heart failure & cardiomyopathies

Multipoint pacing is associated with reduction of heart failure hospitalizations or death in patients who do not respond to cardiac resynchronization therapy: results of the MORE-CRT multipoint pacing (MPP) randomized trial

EuropacePublished Secondary analysis of the MORE-CRT MPP randomised trial

Authors' conclusion

In the MORE-CRT MPP randomized trial, MPP was associated with a significant reduction of all-cause mortality and HF hospitalizations in prior non-responders to conventional biventricular pacing.

Study context

Population
Cardiac resynchronization therapy (CRT) non-responders (LV end-systolic volume relative reduction ≤15% after 6 months of biventricular pacing (BIVP))1,421 with complete data
Participants
1,677 participants
Comparison
MPP vs BIVP in CRT non-responders
  • MPPn = 722
  • BIVPn = 699reference
Primary endpoint
HF hospitalizations or all-cause mortality
Follow-up
Mean 5 ± 1 months after randomization

Primary result

As reported in the abstract

RRR

36%

95% CI ±4%P = 0.0107

MPP

Odds ratio

0.60

P = 0.0124

multivariable analysis

Further findings

Heart failure (HF) hospitalizations or all-cause death, subgroups (e.g. ischaemic; interventricular electrical delay >105 ms)

Lower with MPP vs BIVP in the whole population and in many subgroups

Original publication

Multipoint pacing is associated with reduction of heart failure hospitalizations or death in patients who do not respond to cardiac resynchronization therapy: results of the MORE-CRT MPP randomized trial. Europace. Published 30 March 2025. doi:10.1093/europace/euaf070

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