CRT Survey II: a European Society of Cardiology survey of cardiac resynchronisation therapy in 11 088 patients-who is doing what to whom and how?

Fecha de publicación: 01/06/2018

Autores de IIS La Fe

Óscar Cano Pérez

Autor

Participantes ajenos a IIS La Fe

Dickstein, K
Normand, C
Auricchio, A
Bogale, N
Cleland, JG
Gitt, AK
Stellbrink, C
Anker, SD
Filippatos, G
Gasparini, M
Hindricks, G
Lundqvist, CB
Ponikowski, P
Ruschitzka, F
Botto, GL
Bulava, A
Duray, G
Israel, C
Leclercq, C
Margitfalvi, P
Plummer, C
Sarigul, NU
Sterlinski, M
Linde, C

Grupos

Regeneración y Trasplante Cardíaco

Leader

Pilar Sepúlveda Sanchis

Abstract

Background Cardiac resynchronisation therapy (CRT) reduces morbidity and mortality in appropriately selected patients with heart failure and is strongly recommended for such patients by guidelines. A European Society of Cardiology (ESC) CRT survey conducted in 2008-2009 showed considerable variation in guideline adherence and large individual, national and regional differences in patient selection, implantation practice and follow-up. Accordingly, two ESC associations, the European Heart Rhythm Association and the Heart Failure Association, designed a second prospective survey to describe contemporary clinical practice regarding CRT. Methods and results A survey of the clinical practice of CRT-P and CRT-D implantation was conducted from October 2015 to December 2016 in 42 ESC member countries. Implanting centres provided information about their hospital and CRT service and were asked to complete a web-based case report form collecting information on patient characteristics, investigations, implantation procedures and complications during the index hospitalisation. The 11 088 patients enrolled represented 11% of the total number of expected implantations in participating countries during the survey period; 32% of patients were aged >= 75 years, 28% of procedures were upgrades from a permanent pacemaker or implantable cardioverter-defibrillator and 30% were CRT-P rather than CRT-D. Most patients (88%) had a QRS duration >= 130 ms, 73% had left bundle branch block and 26% were in atrial fibrillation at the time of implantation. Large geographical variations in clinical practice were observed. Conclusion CRT Survey II provides a valuable source of information on contemporary clinical practice with respect to CRT implantation in a large sample of ESC member states. The survey permits assessment of guideline adherence and demonstrates variations in patient selection, management, implantation procedure and follow-up strategy.

Datos de la publicación

ISSN/ISSNe:: 1388-9842, 1879-0844
Tipo:: Article
Páginas:: 1039-1051
DOI:: 10.1002/ejhf.1142
Factor de Impacto:: 5,537 SCImago ℠
Cuartil:: Q1 SCImago ℠

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Métricas

Filiaciones

Dickstein, K:: Stavanger Univ Hosp, Cardiol Div, Gerd Ragna Block Thorsensgate 8, N-4003 Stavanger, Norway

Univ Bergen, Inst Internal Med, Bergen, Norway
Normand, C:: Stavanger Univ Hosp, Cardiol Div, Gerd Ragna Block Thorsensgate 8, N-4003 Stavanger, Norway

Univ Bergen, Inst Internal Med, Bergen, Norway
Auricchio, A:: Fdn Cardioctr Ticino, Div Cardiol, Lugano, Switzerland
Bogale, N:: Stavanger Univ Hosp, Cardiol Div, Gerd Ragna Block Thorsensgate 8, N-4003 Stavanger, Norway
Cleland, JG:: Univ Glasgow, Robertson Ctr Biostat & Clin Trails, Glasgow, Lanark, Scotland

Imperial Coll London, Natl Heart & Lung Inst, London, England
Gitt, AK:: Stiftung Inst Herzinfarktforsch Ludwigshafen, Ludwigshafen, Germany

Klinikum Stadt Ludwigshafen, Med Klin B, Ludwigshafen, Germany

Univ Cyprus, Sch Med, Nicosia, Cyprus
Stellbrink, C:: Klinikum Bielefeld, Dept Cardiol, Bielefeld, Germany
Anker, SD:: Charite, Div Cardiol & Metab, Berlin, Germany

Charite, Dept Cardiol CVK, Berlin, Germany

Charite, Berlin Brandenburg Ctr Regenerat Therapies BCRT, Berlin, Germany

Charite, German Ctr Cardiovasc Res DZHK, Partner Site Berlin, Berlin, Germany

Univ Med Gottingen, Dept Cardiol & Pneumol, Gottingen, Germany

German Ctr Cardiovasc Res DZHK, Gottingen, Germany
Filippatos, G:: Univ Athens, Athens Univ Hosp Attikon, Sch Med, Dept Cardiol, Athens, Greece
Gasparini, M:: Humanitas Res Hosp IRCCS, Rozzano, Italy
Hindricks, G:: HELIOS Heart Ctr Leipzig, Dept Cardiac Surg, Leipzig, Germany
Lundqvist, CB:: Uppsala Univ, Inst Med Sci, Dept Cardiol, Uppsala, Sweden
Ponikowski, P:: Med Acad Wroclaw, Dept Heart Dis, Wroclaw, Poland

Med Univ Wroclaw, Dept Heart Dis, Wroclaw, Poland
Ruschitzka, F:: Univ Zurich Hosp, Dept Cardiol, Zurich, Switzerland
Botto, GL:: St Anna Hosp, Como, Italy
Bulava, A:: Ceske Budejovice Hosp, Dept Cardiol, Ceske Budejovice, Czech Republic

Univ South Bohemia, Fac Hlth & Social Sci, Ceske Budejovice, Czech Republic

Palacky Univ, Fac Med & Dent, Olomouc, Czech Republic
Duray, G:: Hungarian Def Forces, Med Ctr, Dept Cardiol, Clin Electrophysiol, Budapest, Hungary
Israel, C:: Evangel Krankenhaus Bielefeld, Klin Innere Med Kardiol Diabetol & Nephrol, Bielefeld, Germany
Leclercq, C:: Univ Rennes, Rennes Univ Hosp, Rennes, France
Margitfalvi, P:: Natl Inst Cardiovasc Dis, Bratislava, Slovakia
Cano, O:: Hosp Univ & Politecn La Fe, Unidad Arritmias, Valencia, Spain
Plummer, C:: Freeman Rd Hosp, Dept Cardiol, Freeman Rd, Newcastle Upon Tyne, Tyne & Wear, England
Sarigul, NU:: Med Pk Goztepe Hosp, Dept Cardiol, Istanbul, Turkey

Kardio Bremen, Bremen, Germany
Sterlinski, M:: Inst Cardiol, Heart Rhythm Dept, Warsaw, Poland
Linde, C:: Karolinska Univ Hosp, Heart & Vessels Theme, Stockholm, Sweden

Karolinska Inst, Stockholm, Sweden