Heart failure & cardiomyopathies
What determines who gets cardiac resynchronization therapy in Europe? A comparison between ESC-HF-LT registry, SwedeHF registry, and ESC-CRT Survey II
Authors' conclusion
CRT was used in a minority of eligible patients and more used in ESC-HF-LT than in SwedeHF.
Study context
- Population
- Heart failure with reduced ejection fraction (HFrEF) patients fulfilling study criteria in European registriesESC-HF-LT, SwedeHF, cardiac resynchronization therapy (CRT) Survey II
- Participants
- 1,031 / 5,008 / 11,088
- Exposure
- CRT vs no CRT among patients with CRT indication
- ESC-HF-LTn = 1,031
- SwedeHFn = 5,008
- ESC-CRT Survey IIn = 11,088
- Outcome
- CRT use and clinical, organizational and level-of-care factors linked to CRT implantation
Methodological detailscomparison of ESC-HF-LT registry, SwedeHF registry and ESC-CRT Survey II
- Comparison of ESC-HF-LT registry, SwedeHF registry and ESC-CRT Survey II
Main finding
As reported in the abstract
| Outcome | ESC-HF-LT | SwedeHF |
|---|---|---|
| CRT indication | 36% | 30% |
| CRT among indicated | 47% | 25% |
| Indication but no CRT | 53% | 75% |
| No indication and no CRT | 54% | 70% |
Observational data: associations, not effects.
Further findings
| Outcome | ESC-HF-LT | SwedeHF | ESC-CRT Survey II |
|---|---|---|---|
| Characteristics of patients with CRT indication, CRT present vs absent | |||
| Median age, CRT vs no CRT | 68 vs. 65 years | 76 vs. 74 years | — not stated in the abstract |
| Women, CRT vs no CRT | 24% vs. 22% | 26% vs. 26% | — not stated in the abstract |
| Median age (all CRT) | — not stated in the abstract | — not stated in the abstract | 70 years |
| Women | — not stated in the abstract | — not stated in the abstract | 24% |
— not stated in the abstract
Characteristics of patients with CRT indication, CRT present vs absent
- ESC-CRT Survey II: clinical characteristics differed between countries
Original publication
What determines who gets cardiac resynchronization therapy in Europe? A comparison between ESC-HF-LT registry, SwedeHF registry, and ESC-CRT Survey II. Eur Heart J Qual Care Clin Outcomes. Published 19 April 2023. doi:10. 1093/ ehjqcco/ qcad024
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