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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
The European cardiac resynchronization therapy survey
Kenneth Dickstein1, Nigussie Bogale, Silvia Priori
1Stavanger University Hospital, Stavanger, Norway.
European Heart Journal
|September 3, 2009
Summary
The European Cardiac Resynchronization Therapy (CRT) survey describes current European practices for CRT implantation. Data from 2438 patients reveal key demographics, procedural details, and outcomes, offering insights for practice benchmarking.
Area of Science:
- Cardiology
- Electrophysiology
- Heart Failure Management
Background:
- Cardiac Resynchronization Therapy (CRT) is a key treatment for heart failure.
- European guidelines emphasize CRT for eligible patients.
- Understanding current European practice is crucial for optimizing CRT delivery.
Purpose of the Study:
- To delineate current European practices in Cardiac Resynchronization Therapy (CRT) implantation.
- To gather data on patient demographics, selection, and procedural aspects of CRT.
- To establish a benchmark for European CRT procedures.
Main Methods:
- A survey involving 140 centers across 13 European countries.
- Data collected from 2438 patients undergoing CRT implantation (with or without ICD) between Nov 2008 and June 2009.
- Analysis of patient characteristics, procedural details, and outcomes at discharge.
Main Results:
- The study included 2438 patients (median age 70, 78% NYHA III/IV, mean EF 27%, mean QRS 157ms).
- Most procedures (76%) were performed by electrophysiologists, with a median hospitalization of 3 days.
- CRT-D devices were common (73%), and QRS duration significantly reduced post-implantation (133ms).
Conclusions:
- The survey provides a comprehensive overview of European CRT practices.
- Findings detail patient demographics, selection criteria, and procedural routines.
- These data serve as a valuable resource for benchmarking national and individual patient management.
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