Safety and efficacy of baroreflex activation therapy for heart failure with reduced ejection fraction: a rapid systematic review
Autor: | Kelen Heinrich Schmidt, Rodrigo Schmidt, Clarissa Garcia Rodrigues, Maria Claudia Irigoyen |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system New York Heart Association Class Rapid review Electric Stimulation Therapy Heart failure Review Baroreflex activation therapy 030204 cardiovascular system & hematology Baroreflex law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law medicine Humans 030212 general & internal medicine Randomized Controlled Trials as Topic Ejection fraction business.industry Stroke Volume medicine.disease Data extraction lcsh:RC666-701 Physical therapy Quality of Life Cardiology and Cardiovascular Medicine business |
Zdroj: | ESC Heart Failure, Vol 7, Iss 1, Pp 3-14 (2020) ESC Heart Failure |
ISSN: | 2055-5822 |
Popis: | To retrieve and assess the available data in the literature about the safety and efficacy of baroreflex activation therapy (BAT) in heart failure with reduced ejection fraction (HFrEF) patients, through a rapid systematic review of clinical studies. Rapid systematic review of literature. Searched electronic databases included PubMed, EMBASE, CENTRAL, Scopus, and Web of Science using Mesh and free terms for heart failure and BAT. No language restriction was used for the searches. We included full peer reviewed publications of clinical studies (randomized or not), including patients with HFrEF undergoing BAT, with or without control group, assessing safety and efficacy outcomes. One reviewer conducted the analysis of the selected abstracts and the full‐text articles, performed data extraction, and evaluated the methodological quality of the selected articles. The methodological quality was assessed according to the Cochrane Collaboration instruments. A descriptive summary of the results is provided. Of the 441 citations screened, 10 publications were included (three were only conference abstracts), reporting data from three studies. Only one study was a randomized clinical trial. Two studies reported a 6 month following, and the other study analysed outcomes up to 41 months. The procedure seems to be safe when performed by a well‐trained multi‐professional team. An 86% rate of system and procedure‐related complication‐free was reported, with no cranial nerve injuries. Improvements in New York Heart Association class of heart failure, quality of life, 6 min walk test, and hospitalization rates, as well as in muscle sympathetic nerve activity. No meta‐analysis was conducted because of the lack of homogeneity across studies; the results from each study are reported individually. BAT procedure seems to be safe if appropriate training is provided. Improvements in clinical outcomes were described in all included studies. However, several limitations do not allow us to make conclusive statements on the efficacy of BAT for HFrEF. New well‐designed trials are still needed. |
Databáze: | OpenAIRE |
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