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

Eur Heart J Qual Care Clin OutcomesPublished Cohort study

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

OutcomeESC-HF-LTSwedeHF
CRT indication36%30%
CRT among indicated47%25%
Indication but no CRT53%75%
No indication and no CRT54%70%

Observational data: associations, not effects.

Further findings

OutcomeESC-HF-LTSwedeHFESC-CRT Survey II
Characteristics of patients with CRT indication, CRT present vs absent
Median age, CRT vs no CRT68 vs. 65 years76 vs. 74 years— not stated in the abstract
Women, CRT vs no CRT24% vs. 22%26% vs. 26%— not stated in the abstract
Median age (all CRT)— not stated in the abstract— not stated in the abstract70 years
Women— not stated in the abstract— not stated in the abstract24%

— 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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