Heart failure & cardiomyopathies

Win ratio analysis of the REVERSE cardiac resynchronization trial

Heart RhythmPublished Secondary analysis of the REVERSE randomised trial

Authors' conclusion

Win ratio analysis confirms the benefits of CRT beyond a single primary end point and holds promise for analysis of combined end points in CRT and other arrhythmia studies.

Study context

Population
Patients with mild heart failure (HF) in the REVERSE cardiac resynchronization therapy (CRT) trial80,029 treatment/control pairs
Participants
610 patients
Comparison
CRT-ON vs CRT-OFF
  • CRT-ONn = 419
  • CRT-OFFn = 191reference
Methodological detailsmulticentre, win ratio analysis, individual patient data
  • Multicentre
  • Win ratio analysis
  • Individual patient data

Primary result

As reported in the abstract

Win ratio, hierarchical end point (all-cause death, HF hospitalization, crossover or exit because of HF, change in NYHA class, Patient Global Assessment) · 12 months

Wins (all 80,029 CRT/control pairs)

53.5%

Losses

36.9%

Ties

9.5%

Win ratio, CRT vs control (95% CI 1.17-1.80), showing CRT superiority

1.45

P = .0009

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Win ratio analysis of the REVERSE cardiac resynchronization trial. Heart Rhythm. Published 3 May 2025. doi:10.1016/j.hrthm.2025.04.059

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

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