Heart failure & cardiomyopathies

Predictive Value of Right Ventricular Sensing During Cardiac Device Implantation to Diagnose Cardiac Amyloidosis

JACC Clin ElectrophysiolPublished Diagnostic accuracy study

Authors' conclusion

In patients with ILVWT, a relatively low RVSens (≤11 mV) during device implantation was independently associated with CA diagnosis

Study context

Population
Patients with increased left ventricular (LV) wall thickness (≥12 mm), preserved LV function and no significant AS undergoing CIED implantation150 with cardiac amyloidosis (CA)
Participants
218 patients
Comparison
RVSens ≤11 mV during CIED implantation for diagnosis of cardiac amyloidosis
Outcome
Diagnosis of cardiac amyloidosis
Methodological detailsretrospective, 2 French referral centres, consecutive patients
  • Retrospective
  • 2 French referral centres
  • Consecutive patients

Performance

As reported in the abstract

Cardiac amyloidosis diagnosis
Test or modelSensitivitySpecificityAUC
RVSens ≤11 mV84%79.4%0.878

RVSens ≤11 mV

Sensitivity84%
Specificity79.4%
AUC0.878

Further findings

Timing of device implantation

Implanted before ILVWT diagnosis
10 (4.6%)
Implanted during same hospitalization
131 (60.1%)
Implanted in subsequent hospitalization
77 (35.3%)

Original publication

Predictive Value of Right Ventricular Sensing During Cardiac Device Implantation to Diagnose Cardiac Amyloidosis. JACC Clin Electrophysiol. Published 4 December 2024. doi:10.1016/j.jacep.2024.09.041

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