Body composition in heart failure and the impact of cardiac resynchronisation therapy: a proof-of-concept study

Autor: Christopher J McAloon, Samantha Hyndman, Valerie Ansell, Harpal Randeva, Faizel Osman, Paul O'Hare
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Open Heart, Vol 7, Iss 1 (2020)
Druh dokumentu: article
ISSN: 2053-3624
DOI: 10.1136/openhrt-2019-001105
Popis: AimsBody composition (BC) is known to alter in heart failure. Cardiac resynchronisation therapy (CRT) improves left ventricular geometry but the impact on BC is unknown. Our aim was to evaluate BC in these patients before and after CRT implantation.MethodsProspective proof-of-concept pilot study of heart failure patients undergoing CRT between September 2014 and December 2015. Assessments performed pre-CRT and post-CRT (6 weeks and 6 months) were: BC parameters (using air-displacement plethysmography), New York Heart Failure classification for assessing symptom severity, echocardiography to assess left ventricular geometry, electrocardiography, Minnesota Heart Failure Questionnaire and N-terminal probrain natriuretic peptide (NT-pro-BNP). Repeated measures analysis of variance was performed to assess relative change over time and potential correlations.ResultsTwenty-five patients were recruited; mean-age (±SD) was 73.4±10.0 years, 23 males, 18 CRT defibrillators (remainder CRT pacemakers), 16 had ischaemic aetiology, 6 diabetics, 17 with left bundle-branch morphology on ECG and 10 had atrial fibrillation. Significant inverse correlations were observed in the first 6 weeks following CRT between fat mass and left ventricular end-diastolic volume (r=−0.69, p
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