Improved outcomes of conduction system pacing in heart failure with reduced ejection fraction: A systematic review and meta-analysis.

Humans Bundle of His Electrocardiography / methods Treatment Outcome Heart Conduction System Cardiac Conduction System Disease Cardiac Resynchronization Therapy / methods Ventricular Function, Left Stroke Volume Heart Failure / therapy
Biventricular pacing Cardiac resynchronization therapy Conduction system pacing Heart failure His bundle pacing Left bundle branch pacing

Journal

Heart rhythm
ISSN: 1556-3871
Titre abrégé: Heart Rhythm
Pays: United States
ID NLM: 101200317

Informations de publication

Date de publication:
08 2023
Historique:
received: 06 03 2023
revised: 25 04 2023
accepted: 04 05 2023
medline: 1 8 2023
pubmed: 13 5 2023
entrez: 12 5 2023
Statut: ppublish

Résumé

Conduction system pacing (CSP)-His bundle pacing (HBP) and left bundle branch area pacing (LBBAP)-are emerging alternatives to biventricular pacing (BVP) for cardiac resynchronization therapy (CRT) in heart failure. However, evidence is largely limited to small and observational studies. We conducted a meta-analysis including a total of 15 randomized controlled trials (RCTs) and non-RCTs that compare CSP (HBP and LBBAP) with BVP in patients with CRT indications. We assessed the mean differences in QRS duration (QRSd), pacing threshold, left ventricular ejection fraction (LVEF), and New York Heart Association (NYHA) class score. CSP resulted in a pooled mean QRSd improvement of -20.3 ms (95% confidence interval [CI] -26.1 to -14.5 ms; P < .05; I

Identifiants

DOI: 10.1016/j.hrthm.2023.05.010 PMID: 37172670
pubmed: 37172670
pii: S1547-5271(23)02226-9
doi: 10.1016/j.hrthm.2023.05.010
pii:
doi:

Types de publication

Meta-Analysis Systematic Review Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1178-1187

Informations de copyright

Copyright © 2023 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

Auteurs

Julian Gin (J)

Department of Cardiology, Austin Health, Melbourne, Victoria, Australia.

Chee Loong Chow (CL)

Department of Cardiology, Austin Health, Melbourne, Victoria, Australia; Department of Cardiology, Northern Health, Melbourne, Victoria, Australia; Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.

Alex Voskoboinik (A)

Department of Cardiology, Alfred Health, Melbourne, Victoria, Australia.

Chrishan Nalliah (C)

Department of Cardiology, Macquarie University Hospital, Sydney, New South Wales, Australia.

Chiew Wong (C)

Department of Cardiology, Northern Health, Melbourne, Victoria, Australia; Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.

William Van Gaal (W)

Department of Cardiology, Northern Health, Melbourne, Victoria, Australia; Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.

Omar Farouque (O)

Department of Cardiology, Austin Health, Melbourne, Victoria, Australia; Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.

Uwais Mohamed (U)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia; Department of Cardiology, St. Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

Han S Lim (HS)

Department of Cardiology, Austin Health, Melbourne, Victoria, Australia; Department of Cardiology, Northern Health, Melbourne, Victoria, Australia; Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.

Jonathan M Kalman (JM)

Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia; Department of Cardiac Electrophysiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Geoffrey R Wong (GR)

Department of Cardiology, Austin Health, Melbourne, Victoria, Australia; Department of Cardiology, Northern Health, Melbourne, Victoria, Australia; Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia. Electronic address: geoffrey.r.wong@nh.org.au.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Système cardiovasculaire › Coeur › Système de conduction du coeur › Faisceau de His › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Électrodiagnostic › Électrocardiographie › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Système cardiovasculaire › Coeur › Système de conduction du coeur › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Trouble de la conduction cardiaque › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Thérapeutique › Entraînement électrosystolique › Thérapie de resynchronisation cardiaque › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Fonction ventriculaire › Fonction ventriculaire gauche › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Débit cardiaque › Débit systolique › Improved outcomes of conduction system pacing...
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Défaillance cardiaque › Improved outcomes of conduction system pacing...