Abstract:Greater three-dimensional separation of LV-to-RV leads is associated with improved response to CRT. A prospective multicenter trial is needed to assess lead separation as a predictor for response.
“…25,53,54,57,64,71 There were no differences between sexes on improvement in NYHA class. Regarding LVESV, women did, however, have an overall higher proportion of LVESV reduction (risk ratio = 1.12 [95% CI: 0.99-1.26]) (Fig.…”
Our review confirms women are markedly underrepresented in CRT trials, and when a CRT device is implanted, women have a therapeutic response that is equivalent to or better than in men, while there is no difference in adverse events reported by sex.
“…25,53,54,57,64,71 There were no differences between sexes on improvement in NYHA class. Regarding LVESV, women did, however, have an overall higher proportion of LVESV reduction (risk ratio = 1.12 [95% CI: 0.99-1.26]) (Fig.…”
Our review confirms women are markedly underrepresented in CRT trials, and when a CRT device is implanted, women have a therapeutic response that is equivalent to or better than in men, while there is no difference in adverse events reported by sex.
“…For example, wider LVright ventricular lead separation has been shown to provide better results. 50 A subanalysis of MADIT-CRT (Multicenter Automatic Defibrillator Implantation Trial with Cardiac Resynchronization Therapy) 20 showed that an apical LV lead position, as compared with a basal or midventricular position, resulted in a significant increased risk for HF or death. 51 Clinical trials of resynchronization included mainly patients in sinus rhythm.…”
“…For example, wider LV-right ventricular lead separation has been shown to provide better results. 577 A subanalysis of MADIT-CRT (Multicenter Automatic Defibrillator Implantation Trial with Cardiac Resynchronization Therapy) 546 showed that an apical LV lead position, as compared with a basal or midventricular position, resulted in a significant increased risk for HF or death. 578 Clinical trials of resynchronization included mainly patients in sinus rhythm.…”
*The 2012 writing group members were required to recuse themselves from voting on sections to which their specific relationships with industry and other entities may apply; see Appendix 4 for recusal information.
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