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Simplified Selvester Score: a practical electrocardiographic instrument to predict response to CRT.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Bani Rossella, Checchi Luca, Cartei Stella, Pieragnoli Paolo, Ricciardi Giuseppe, Paoletti Perini Alessandro, Padeletti Margherita, Michelotti Federica, Michelucci Antonio, Mascioli Giosuè, Padeletti Luigi
Аннотация
AIMS: To investigate the LBBB Selvester Scoring System (LBBB-SSc) and the Simplified-SSc prognostic impact in predicting response to CRT, all cause and cardiac mortality, heart failure (HF) hospitalizations and onset of arrhythmias in HF patients undergoing CRT.
METHODS: We retrospectively evaluated LBBB-SSc and Simplified-SSc of 172 consecutive HF patients with true-LBBB who underwent CRT. Response to CRT was defined as the improvement of LVEF of at least 10% or as the reduction of LVESV of at least 15% at 6-month follow-up. Logistic regression analysis and Cox proportional hazard analysis were performed to evaluate each endpoint related risk according to LBBB-SSc and Simplified-SSc.
RESULTS: The LBBB-SSc and the Simplified-SSc were inversely correlated with response to CRT. Myocardial scar at both scores was independently associated to non-response to CRT. No correlation was observed between LBBB-SSc or Simplified-SSc and other endpoints.
CONCLUSIONS: In HF patients with true-LBBB, Simplified-SSc is able to predict response to CRT.
METHODS: We retrospectively evaluated LBBB-SSc and Simplified-SSc of 172 consecutive HF patients with true-LBBB who underwent CRT. Response to CRT was defined as the improvement of LVEF of at least 10% or as the reduction of LVESV of at least 15% at 6-month follow-up. Logistic regression analysis and Cox proportional hazard analysis were performed to evaluate each endpoint related risk according to LBBB-SSc and Simplified-SSc.
RESULTS: The LBBB-SSc and the Simplified-SSc were inversely correlated with response to CRT. Myocardial scar at both scores was independently associated to non-response to CRT. No correlation was observed between LBBB-SSc or Simplified-SSc and other endpoints.
CONCLUSIONS: In HF patients with true-LBBB, Simplified-SSc is able to predict response to CRT.