Contemporary practice of CRT implantation in scandinavia compared to Europe
| Autor: | Kenneth Dickstein, Cecilia Linde, Camilla Normand, Nigussie Bogale, Elena Sciaraffia, Berit Thornvig Philbert, Torkel Steen |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Cardiac pacing Demographics Clinical Decision-Making Scandinavian and Nordic Countries 030204 cardiovascular system & hematology Cardiac Resynchronization Therapy 03 medical and health sciences 0302 clinical medicine medicine Humans Cardiac Resynchronization Therapy Devices Registries 030212 general & internal medicine Practice Patterns Physicians' Quality of care Intensive care medicine Aged Aged 80 and over Heart Failure business.industry Arrhythmias Cardiac Middle Aged medicine.disease Benchmarking Outcome and Process Assessment Health Care Treatment Outcome Health Care Surveys Heart failure Practice Guidelines as Topic Female Guideline Adherence Cardiology and Cardiovascular Medicine business |
| Zdroj: | Scandinavian Cardiovascular Journal. 53:9-13 |
| ISSN: | 1651-2006 1401-7431 |
| DOI: | 10.1080/14017431.2019.1583364 |
| Popis: | To compare the contemporary practice of CRT implantation in Scandinavia and Europe.We used data from The European CRT Survey II to highlight similarities and differences in the practice of CRT implantation between Europe (EUR) and Scandinavia (SCAND) and between the Scandinavian countries Denmark, Norway and Sweden. Implant data from the national pacemaker registries were used to calculate coverage.The coverage was 24% in SCAND and 11% in EUR. SCAND patients were more often referred from another centre and follow-up was less often to be performed at the operating centre. Telemonitoring was more commonly used. More patients had AV-block or pacemaker dependency/expected high RV pacing percentage as indication for CRT. A CRT-P was more commonly used, and ischaemic aetiology was slightly less common. Echocardiography was more often used to determine LVEF, as well as occlusive venography and placing the RV lead first. In DK implanters tended to choose a septal RV position. Quadripolar leads were more often and a test shock less often used. The paced QRS duration was slightly longer and the narrowing of QRS with CRT more limited. Procedure times and preoperative LVEF were similar.In Scandinavia AV-conduction disturbance and/or a ventricular pacing indication was a more common indication for CRT, suggesting adaptation of the most recent guidelines ahead of their publication. A test shock was almost never performed, in agreement with recent scientific evidence. CRT-P was more often used, the procedures seem more centralized and quadripolar leads were preferred. |
| Databáze: | OpenAIRE |
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