Does the Age Affect the Outcomes of Cardiac Resynchronization Therapy in Elderly Patients?

cardiac resynchronization therapy clinical response elderly heart failure outcomes

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
01 Apr 2021
Historique:
received: 13 02 2021
revised: 23 03 2021
accepted: 29 03 2021
entrez: 30 4 2021
pubmed: 1 5 2021
medline: 1 5 2021
Statut: epublish

Résumé

More and more heart failure (HF) patients aged ≥ 75 years undergo cardiac resynchronization therapy (CRT) device implantation, however the data regarding the outcomes and their predictors are scant. We investigated the mid- to long-term outcomes and their predictors in CRT patients aged ≥ 75 years. Patients in the Cardiac Resynchronization Therapy Modular (CRT MORE) Registry were divided into three age-groups: <65 (group A), 65-74 (group B) and ≥75 years (group C). Mortality, hospitalization, and composite event rate were evaluated at 1 year and during long-term follow-up. Patients ( Positive clinical response and hospitalization rates do not differ between CRT recipients ≥ 75 years and those aged 65-74. However, age > 80 years, COPD and CKD are predictors of worse outcomes.

Sections du résumé

BACKGROUND BACKGROUND
More and more heart failure (HF) patients aged ≥ 75 years undergo cardiac resynchronization therapy (CRT) device implantation, however the data regarding the outcomes and their predictors are scant. We investigated the mid- to long-term outcomes and their predictors in CRT patients aged ≥ 75 years.
METHODS METHODS
Patients in the Cardiac Resynchronization Therapy Modular (CRT MORE) Registry were divided into three age-groups: <65 (group A), 65-74 (group B) and ≥75 years (group C). Mortality, hospitalization, and composite event rate were evaluated at 1 year and during long-term follow-up.
RESULTS RESULTS
Patients (
CONCLUSION CONCLUSIONS
Positive clinical response and hospitalization rates do not differ between CRT recipients ≥ 75 years and those aged 65-74. However, age > 80 years, COPD and CKD are predictors of worse outcomes.

Identifiants

pubmed: 33916276
pii: jcm10071451
doi: 10.3390/jcm10071451
pmc: PMC8036418
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Teresa Strisciuglio (T)

Department of Advanced Biomedical Sciences, Federico II University of Naples, 80138 Naples, Italy.

Giuseppe Stabile (G)

Montevergine Clinic, 83013 Mercogliano, Italy.

Domenico Pecora (D)

Fondazione Poliambulanza, 25124 Brescia, Italy.

Giuseppe Arena (G)

Department of Cardiology, Apuane Hospital, 54100 Massa, Italy.

Salvatore Ivan Caico (SI)

Department of Cardiology, ASST Valle Olona, Gallarate Hospital, 21013 Gallarate, Italy.

Massimiliano Marini (M)

Department of Cardiology, Santa Chiara Hospital, 38122 Trento, Italy.

Patrizia Pepi (P)

Ospedale Carlo Poma, 46100 Mantua, Italy.

Antonio D'Onofrio (A)

Ospedale Monaldi, 80131 Naples, Italy.

Antonio De Simone (A)

Clinica San Michele, 81024 Maddaloni, Italy.

Giuseppe Ricciardi (G)

Heart and Vessels Department, University of Florence, 50121 Firenze, Italy.

Sandra Badolati (S)

Ospedale Sant'Andrea, 19121 La Spezia, Italy.

Alfredo Spotti (A)

Istituti Ospitalieri, 26100 Cremona, Italy.

Gavino Casu (G)

Department of Cardiology, Ospedale San Francesco, 08100 Nuoro, Italy.

Francesco Solimene (F)

Montevergine Clinic, 83013 Mercogliano, Italy.

Carmelo La Greca (C)

Fondazione Poliambulanza, 25124 Brescia, Italy.

Giuseppe Ammirati (G)

Department of Advanced Biomedical Sciences, Federico II University of Naples, 80138 Naples, Italy.

Valerio Pergola (V)

Department of Advanced Biomedical Sciences, Federico II University of Naples, 80138 Naples, Italy.

Lucio Addeo (L)

Department of Advanced Biomedical Sciences, Federico II University of Naples, 80138 Naples, Italy.

Maurizio Malacrida (M)

Boston Scientific Italia, 20134 Milan, Italy.

Emanuele Bertaglia (E)

Department of Cardiac, Thoracic, and Vascular Sciences, University of Padova, 35122 Padova, Italy.

Antonio Rapacciuolo (A)

Department of Advanced Biomedical Sciences, Federico II University of Naples, 80138 Naples, Italy.

Classifications MeSH