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Cardiac resynchroni...
Cardiac resynchronization therapy pacemaker or cardiac resynchronization therapy defibrillator : what determines the choice?-findings from the ESC CRT Survey II
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- Normand, Camilla (author)
- Stavanger Univ Hosp, Div Cardiol, Stavanger, Norway;Univ Bergen, Inst Internal Med, Bergen, Norway
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- Linde, Cecilia (author)
- Karolinska Institutet
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- Bogale, Nigussie (author)
- Stavanger Univ Hosp, Div Cardiol, Stavanger, Norway
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- Blomström-Lundqvist, Carina (author)
- Uppsala universitet,Kardiologi-arrytmi,Kardiologi
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- Auricchio, Angelo (author)
- Fdn Cardioctr Ticino, Clin Electrophysiol Unit, Lugano, Switzerland
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- Stellbrink, Christoph (author)
- Klinikum Bielefeld, Dept Cardiol, Bielefeld, Germany
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- Witte, Klaus K (author)
- Univ Leeds, Leeds Inst Cardiovasc & Metab Med, Leeds, W Yorkshire, England
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- Mullens, Wilfried (author)
- Ziekenhuis Oost Limburg, Dept Cardiol, Genk, Belgium;Hasselt Univ, Biomed Res Inst, Fac Med & Life Sci, Diepenbeek, Belgium
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- Sticherling, Christian (author)
- Univ Basel, Univ Basel Hosp, Basel, Switzerland
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- Marinskis, Germanas (author)
- Vilnius Univ, Clin Heart Dis, Vilnius, Lithuania
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- Sciaraffia, Elena, 1977- (author)
- Uppsala universitet,Kardiologi-arrytmi
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- Papiashvili, Giorgi (author)
- Helsicore Israeli Georgian Med Res Clin, Arrhythmia Dept, Tbilisi, Georgia
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- Iovev, Svetoslav (author)
- St Ekaterina Univ Multiprofile Hosp Act Treatment, Cardiostimulat & Electrophysiol Sect, Sofia, Bulgaria
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- Dickstein, Kenneth (author)
- Stavanger Univ Hosp, Div Cardiol, Stavanger, Norway;Univ Bergen, Inst Internal Med, Bergen, Norway
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(creator_code:org_t)
- 2019-02-13
- 2019
- English.
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In: Europace. - : Oxford University Press (OUP). - 1099-5129 .- 1532-2092. ; 21:6, s. 918-927
- Related links:
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https://academic.oup...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- AIMS: The decision to implant a cardiac resynchronization therapy pacemaker (CRT-P) or a cardiac resynchronization therapy defibrillator (CRT-D) may be challenging. There are no clear guideline recommendations as no randomized study of cardiac resynchronization therapy (CRT) has been designed to compare the effects of CRT-P with those of CRT-D on patients' outcomes. In the CRT Survey II, we studied patient and implantation centre characteristics associated with the choice of CRT-P vs. CRT-D.METHODS AND RESULTS: Clinical practice data from 10 692 patients undergoing CRT implantation of whom 7467 (70%) patients received a CRT-D and 3225 (30%) received a CRT-P across 42 ESC countries were collected and analysed between October 2015 and January 2017. Factors favouring the selection of CRT-P implantation included age >75 years, female gender, non-ischaemic heart failure (HF) aetiology, New York Heart Association functional Class III/IV symptoms, left ventricular ejection fraction >25%, atrial fibrillation, atrioventricular (AV) block II/III, and implantation in a university hospital.CONCLUSION: In a large cohort from the CRT Survey II, we found that patients allocated to receive CRT-P exhibited particular phenotypes with more symptomatic HF, more frequent comorbidities, advanced age, female gender, non-ischaemic HF aetiology, atrial fibrillation, and evidence of AV block. There were substantial differences in the proportion of patients allocated to receive CRT-P vs. CRT-D between countries.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- TEKNIK OCH TEKNOLOGIER -- Medicinteknik -- Medicinsk material- och protesteknik (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Medical Engineering -- Medical Materials (hsv//eng)
Keyword
- Cardiac resynchronization therapy
- Cardiac resynchronization therapy defibrillator
- Cardiac resynchronization therapy pacemaker
- Heart failure
- Implantable cardioverter-defibrillator
- Cardiology
- Kardiologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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Europace
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- By the author/editor
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Normand, Camilla
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Linde, Cecilia
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Bogale, Nigussie
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Blomström-Lundqv ...
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Auricchio, Angel ...
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Stellbrink, Chri ...
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Witte, Klaus K
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Mullens, Wilfrie ...
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Sticherling, Chr ...
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Marinskis, Germa ...
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Sciaraffia, Elen ...
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Papiashvili, Gio ...
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Iovev, Svetoslav
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Dickstein, Kenne ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- ENGINEERING AND TECHNOLOGY
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ENGINEERING AND ...
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and Medical Engineer ...
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and Medical Material ...
- Articles in the publication
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Europace
- By the university
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Uppsala University
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Karolinska Institutet