Spanish Results of the Second European Cardiac Resynchronization Therapy Survey (CRT-Survey II).
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Cano Óscar, Bellver Alejandro, Fontenla Adolfo, Villuendas Roger, Peñafiel Pablo, Francisco-Pascual Jaume, Ibáñez José Luis, Bertomeu-González Vicente, García-Riesco Lorena, García-Seara Javier, Martínez-Brotons Ángel, Calvo David, Campos Bieito, Enero José, Peláez Antonio, Martínez-Ferrer José, Mazuelos Francisco, Moriñigo José Luis, Expósito Carmen, Arenal Ángel, Pombo Marta, Segura Federico, Pastor Agustín, Pérez Fernando, Fernández-Lozano Ignacio, González-Ferrer Juan José, Moreno Sara, Martín-Fernández Julia, Ormaetxe José, Pavón Ricardo, Tolosana José María, Mercé Jordi, García-Almagro Francisco-José, Álvarez Miguel, Macías Alfonso, Peinado Rafael, Linde Cecilia, Normand Camilla, Dickstein Kenneth
Аннотация
METHODS: We included patients undergoing CRT device implantation between October 2015 and December 2016 in 36 participating Spanish centers. We registered the patients' baseline characteristics, implant procedure data, and short-term follow-up information until hospital discharge.
RESULTS: Implant success was achieved in 95.9%. The median [interquartile range] annual implantation rate by center was significantly lower in Spain than in the other participating countries: 30 implants/y [21-50] vs 55 implants/y [33-100]; P=.00003. In Spanish centers, there was a lower proportion of patients ≥ 75 years (27.9% vs 32.4%; P=.0071), a higher proportion in New York Heart Association functional class II (46.9% vs 36.9%; P <.00001), and a higher percentage with electrocardiographic criteria of left bundle branch block (82.9% vs 74.6%; P <.00001). The mean length of hospital stay was significantly lower in Spanish centers (5.8±8.5 days vs 6.4±11.6; P <.00001). Spanish patients were more likely to receive a quadripolar LV lead (74% vs 56%; P <.00001) and to be followed up by remote monitoring (55.8% vs 27.7%; P <.00001).
CONCLUSIONS: The CRT-Survey II shows that, compared with other participating countries, fewer patients in Spain aged ≥ 75 years received a CRT device, while more patients were in New York Heart Association functional class II and had left bundle branch block. In addition, the length of hospital stay was shorter, and there was greater use of quadripolar LV leads and remote CRT monitoring.