Heart failure & cardiomyopathies

Significance of effective cardiac resynchronization therapy pacing for clinical responses: An analysis based on the effective cardiac resynchronization therapy algorithm

Heart RhythmPublished Retrospective cohort study

Main finding · HF hospitalizationResult — go to the resultHazard ratio 0.12 95% CI 0.01–0.95

Authors' conclusion

High %e-CRT is associated with high CRT responder prevalence and low HF hospitalization risk.

Study context

Population
Consecutive cardiac resynchronization therapy (CRT) patients using the adaptive and effective CRT algorithm with ventricular pacing > 90%of 136 consecutive CRT patients
Participants
49 patients
Exposure
High vs low percent effective CRT pacing
  • Effectiven = 25
  • Less effectiven = 24reference
Outcome
Heart failure (HF) hospitalization
Follow-up
Median 507 days (IQR 335-730 days)

Main finding

As reported in the abstract

Hazard ratio

0.12

95% CI 0.01–0.95

P = 0.045

Effectivevs Less effective
HR 0.12 (95% CI 0.01–0.95); P = 0.045

Observational data: associations, not effects.

Secondary outcomes

CRT responders (LVEF improvement ≥10% or LV end-systolic volume reduction ≥15%)

P < 0.001

OutcomeOR (95% CI)P value
CRT responders (LVEF improvement ≥10% or LV end-systolic volume reduction ≥15%)Univariate; %e-CRT ≥ 97.4%19.20 (3.63–101.00)P < 0.001

Original publication

Significance of effective cardiac resynchronization therapy pacing for clinical responses: An analysis based on the effective cardiac resynchronization therapy algorithm. Heart Rhythm. Published 10 June 2023. doi:10.1016/j.hrthm.2023.06.005

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