Heart failure & cardiomyopathies

Predictors of the Efficacy of His Bundle Pacing in Patients with a Prolonged PR Interval: A Stratified Analysis of the HOPE-HF Randomized Controlled Trial

Eur J Heart FailPublished Secondary analysis of the HOPE-HF randomised trial

Authors' conclusion

In the HOPE-HF trial, the acute haemodynamic response to pacing reliably identified patients who obtained clinical benefit.

Study context

Population
Patients with LVEF ≤40%, PR interval ≥200 ms, and baseline QRS ≤140 ms or right bundle branch block
Participants
167 patients
Comparison
Atrio-ventricular (AV)-optimized His bundle pacing vs placebo, by baseline predictors
Methodological detailspre-specified secondary analysis, double-blind, placebo-controlled, Bayesian ordinal model
  • Pre-specified secondary analysis
  • Double-blind
  • Placebo-controlled
  • Bayesian ordinal model

Primary result

As reported in the abstract

Interaction of baseline predictors with blinded benefit of pacing
Beneficial interaction of baseline acute haemodynamic response with pacing benefit: VO2
Pr 99.9%
Beneficial interaction of baseline acute haemodynamic response with pacing benefit: Minnesota Living With Heart Failure (MLWHF)
Pr 99.8%
Beneficial interaction of baseline acute haemodynamic response with pacing benefit: MLWHF physical limitation score
Pr 98.9%
Beneficial interaction of baseline acute haemodynamic response with pacing benefit: EQ-5D visual analogue scale
Pr 99.6%
Beneficial interaction of baseline acute haemodynamic response with pacing benefit: exercise time
Pr 99.4%

Original publication

Predictors of the Efficacy of His Bundle Pacing in Patients with a Prolonged PR Interval: A Stratified Analysis of the HOPE-HF Randomized Controlled Trial. Eur J Heart Fail. Published 18 July 2024. doi:10.1002/ejhf.3367

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

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