TY - JOUR
TI - 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?
AU - Dickstein, K.
AU - Normand, C.
AU - Auricchio, A.
AU - Bogale, N.
AU - Cleland, J.G.
AU - Gitt, A.K.
AU - Stellbrink, C.
AU - Anker, S.D.
AU - Filippatos, G.
AU - Gasparini, M.
AU - Hindricks, G.
AU - Blomström Lundqvist, C.
AU - Ponikowski, P.
AU - Ruschitzka, F.
AU - Botto, G.L.
AU - Bulava, A.
AU - Duray, G.
AU - Israel, C.
AU - Leclercq, C.
AU - Margitfalvi, P.
AU - Cano, Ó.
AU - Plummer, C.
AU - Sarigul, N.U.
AU - Sterlinski, M.
AU - Linde, C.
JO - European Journal of Heart Failure
PY - 2018
VL - 20
TODO - 6
SP - 1039-1051
PB - John Wiley and Sons Ltd
SN - null
TODO - 10.1002/ejhf.1142
TODO - adult;  aged;  Article;  atrial fibrillation;  cardiac patient;  cardiac resynchronization therapy;  cardiovascular mortality;  clinical evaluation;  clinical practice;  European;  female;  follow up;  health program;  health survey;  heart failure;  heart left bundle branch block;  human;  major clinical study;  male;  morbidity;  New York Heart Association class;  practice guideline;  protocol compliance;  QRS interval;  cardiac resynchronization therapy;  cardiology;  clinical trial;  Europe;  medical society;  middle aged;  multicenter study;  practice guideline;  procedures;  prognosis;  prospective study;  questionnaire;  survival rate;  trends, Aged;  Cardiac Resynchronization Therapy;  Cardiology;  Europe;  Female;  Heart Failure;  Humans;  Male;  Middle Aged;  Morbidity;  Practice Guidelines as Topic;  Prognosis;  Prospective Studies;  Societies, Medical;  Surveys and Questionnaires;  Survival Rate
TODO - 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. © 2018 The Authors. European Journal of Heart Failure © 2018 European Society of Cardiology
ER -