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Sex-Related Procedu...
Sex-Related Procedural Aspects and Complications in CRT Survey II : A Multicenter European Experience in 11,088 Patients
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- Auricchio, Angelo (author)
- ivision of Cardiology, Fondazione Cardiocentro Ticino, Lugano, Switzerland
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- Gasparini, Maurizio (author)
- Department of Cardiology, Humanitas Research Hospital IRCCS, Rozzano, Italy
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- Linde, Cecilia (author)
- Karolinska Institutet
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- Dobreanu, Dan (author)
- Institute of Cardiovascular Disease and Transplant, University of Medicine and Pharmacy, Tîrgu Mureș, Romania
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- Cano, Óscar (author)
- Electrophysiology Section, Cardiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain
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- Sterlinski, Maciej (author)
- Heart Rhythm Department, Institute of Cardiology, Warsaw, Poland
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- Bogale, Nigussie (author)
- Department of Cardiology, Stavanger University Hospital, Stavanger, Norway
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- Stellbrink, Christoph (author)
- Department of Cardiology, Klinikum Bielefeld, Bielefeld, Germany
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- Refaat, Marwan M (author)
- Division of Cardiology, Department of Internal Medicine, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon
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- Blomström-Lundqvist, Carina (author)
- Uppsala universitet,Kardiologi-arrytmi
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- Lober, Christiane (author)
- Department of Statistics, IHF GmbH, Ludwigshafen, Germany
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- Dickstein, Kenneth (author)
- Department of Cardiology, Stavanger University Hospital, Stavanger, Norway; Institute of Internal Medicine, University of Bergen, Bergen, Norway
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- Normand, Camilla (author)
- Department of Cardiology, Stavanger University Hospital, Stavanger, Norway; Institute of Internal Medicine, University of Bergen, Bergen, Norway
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(creator_code:org_t)
- Elsevier BV, 2019
- 2019
- English.
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In: JACC. - : Elsevier BV. - 2405-500X .- 2405-5018. ; 5:9, s. 1048-1058
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- OBJECTIVES: This study sought to compare sex difference for procedural aspects and complications in the European Society of Cardiology CRT Survey II, exploring whether adverse events were related to the type of CRT device implanted.BACKGROUND: Sex-related differences in procedural aspects and complications in patients undergoing cardiac resynchronization therapy (CRT) implantation has not been explored in a real-life population.METHODS: A post-hoc analysis of procedural data and complications in different sexes and factors associated with events was performed from data collected in the European Society of Cardiology CRT Survey II.RESULTS: Of all patients (n = 11,088) included, 24.3% were women. The mean age (70 years of age) of male and female recipients was similar. Female patients more frequently had an idiopathic cardiomyopathy (67.4% vs. 44.1%) and fewer comorbidities, including atrial fibrillation (34.8% vs. 42.8%), diabetes (29.1% vs. 32.1%), chronic obstructive lung disease (10.3% vs. 12.6%), and renal failure (28.7% vs. 31.9%), compared with men. More women compared with men had a pacemaker (56.6% vs. 46.3%) and much less often an implantable cardioverter-defibrillator (CRT-D) (19.0% vs. 34.7%) implant. Periprocedural event rate was the highest in women with CRT with defibrillator (7.1% vs. 4.8% in men), followed by women with a CRT with pacing (5.5% vs. 4.4% in men). The higher periprocedural event rate in CRT-D women was attributable primarily to the occurrence of pneumothorax (1.4%), coronary sinus dissection (2.1%), and pericardial tamponade (0.3%). The rate of in-hospital major adverse events (6.0%) and complications necessitating reoperation (4.0%) was not different among sex and device type.CONCLUSIONS: Women are more likely to experience adverse procedure-related events during CRT implantation. Thus, preventive strategies should be employed to minimize complication rate.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- European practice
- cardiac devices
- cardiac resynchronization therapy
- complications
- female
- heart failure
- survey
- Cardiology
- Kardiologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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JACC
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To the university's database
- By the author/editor
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Auricchio, Angel ...
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Gasparini, Mauri ...
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Linde, Cecilia
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Dobreanu, Dan
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Cano, Óscar
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Sterlinski, Maci ...
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show more...
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Bogale, Nigussie
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Stellbrink, Chri ...
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Refaat, Marwan M
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Blomström-Lundqv ...
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Lober, Christian ...
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Dickstein, Kenne ...
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Normand, Camilla
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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 ...
- Articles in the publication
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JACC
- By the university
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Uppsala University
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Karolinska Institutet