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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?
Stavanger Univ Hosp, Cardiol Div, Gerd Ragna Block Thorsensgate 8, N-4003 Stavanger, Norway;Univ Bergen, Inst Internal Med, Bergen, Norway.
Stavanger Univ Hosp, Cardiol Div, Gerd Ragna Block Thorsensgate 8, N-4003 Stavanger, Norway;Univ Bergen, Inst Internal Med, Bergen, Norway.
Fdn Cardioctr Ticino, Div Cardiol, Lugano, Switzerland.
Stavanger Univ Hosp, Cardiol Div, Gerd Ragna Block Thorsensgate 8, N-4003 Stavanger, Norway.
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2018 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 20, no 6, p. 1039-1051Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
WILEY , 2018. Vol. 20, no 6, p. 1039-1051
Keywords [en]
Heart failure, Cardiac resynchronisation therapy, Demographics, Cardiac devices, Health care utilisation
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:uu:diva-360541DOI: 10.1002/ejhf.1142ISI: 000434273000013PubMedID: 29431254OAI: oai:DiVA.org:uu-360541DiVA, id: diva2:1249881
Available from: 2018-09-20 Created: 2018-09-20 Last updated: 2018-09-20Bibliographically approved

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