Comparison of current German and European practice in cardiac resynchronization therapy: lessons from the ESC/EHRA/HFA CRT Survey II

Autor: Anselm K. Gitt, Christiane Lober, Carsten W. Israel, Cecilia Linde, Christoph Stellbrink, Gerhard Hindricks, Camilla Normand, Dennis Lawin, Hfa, Kenneth Dickstein
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
medicine.medical_treatment
Cardiac resynchronization therapy
030204 cardiovascular system & hematology
Perioperative Care
German
Cardiac Resynchronization Therapy
03 medical and health sciences
0302 clinical medicine
Cardiac Conduction System Disease
Internal medicine
Germany
Surveys and Questionnaires
Medicine
Humans
In patient
030212 general & internal medicine
Cardiac Resynchronization Therapy Devices
Practice Patterns
Physicians'
Aged
Aged
80 and over
Heart Failure
Medical treatment
business.industry
Guideline adherence
Patient Selection
Atrial fibrillation
Arrhythmias
Cardiac
General Medicine
Middle Aged
medicine.disease
language.human_language
Hospitalization
Baseline characteristics
Heart failure
Emergency medicine
language
Cardiology
Female
Guideline Adherence
Cardiology and Cardiovascular Medicine
business
Zdroj: Clinical research in cardiology : official journal of the German Cardiac Society. 109(7)
ISSN: 1861-0692
Popis: The European CRT Survey II was introduced to offer insights into CRT implantation practice in Europe. We compared the national data from the participating German centres with that of the other European countries with regard to differences in patient selection, implant results, and initial properties. 11,088 patients were enrolled in 288 centres from 42 countries between 2015 and 2017. Of these, 675 (6.1%) were included in 17 centres in Germany. Patients from Germany were older, had more comorbidities and more symptoms of heart failure (HF) than patients from other European countries. There were no differences with regard to HF aetiology and guideline-directed medical treatment was overall well implemented. There was a high use of CRT in patients with atrial fibrillation, even higher in German patients. CRT was most often applied due to HF with wide QRS complex (class I recommendation) but with relatively higher frequency in Germany due to HF with primary indication for an implantable cardioverter-defibrillator (class IIb) or a pacemaker with expected pacing dependency (class I). The overall implant success rate was high with some differences in the implant procedure. The use of remote monitoring was lower in Germany. This analysis from the European CRT Survey II overall shows good guideline adherence, high implantation success and a low rate of complications in daily practice. There are some regional differences in baseline characteristics, CRT indication, and procedural aspects. The use of remote monitoring in Germany lags behind other European countries.
Databáze: OpenAIRE
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