Título : |
Left Bundle Branch Pacing vs Left Ventricular Septal Pacing vs Biventricular Pacing for Cardiac Resynchronization Therapy |
Tipo de documento : |
documento electrónico |
Autores : |
Oriana Cristina Bastidas Ayala, Autor ; Diaz, Juan Carlos, Autor ; Tedrow, Usha B., Autor ; Mauricio Duque, Autor ; Aristizábal, Julian, Autor ; Braunstein, Eric D., Autor ; Marín, Jorge, Autor ; Niño, Cesar, Autor ; López Cabanillas, Nestor, Autor ; Koplan, Bruce A., Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Hincapié, Daniela, Autor ; Velasco, Alejandro, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sauer, William H., Autor ; Romero, Jorge E, Autor |
Fecha de publicación : |
2024 |
Títulos uniformes : |
JACC: Clinical Electrophysiology
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Idioma : |
Inglés (eng) |
Palabras clave : |
cardiac resynchronization therapyconduction system pacingleft bundle branch area pacingheart failure |
Resumen : |
Background Left bundle branch pacing (LBBP) and left ventricular septal pacing (LVSP) are considered to be acceptable as LBBAP strategies. Differences in clinical outcomes between LBBP and LVSP are yet to be determined. Objectives The purpose of this study was to compare the outcomes of LBBP vs LVSP vs BIVP for CRT. Methods In this prospective multicenter observational study, LBBP was compared with LVSP and BIVP in patients undergoing CRT. The primary composite outcome was freedom from heart failure (HF)–related hospitalization and all-cause mortality. Secondary outcomes included individual components of the primary outcome, postprocedural NYHA functional class, and electrocardiographic and echocardiographic parameters. Results A total of 415 patients were included (LBBP: n = 141; LVSP: n = 31; BIVP: n = 243), with a median follow-up of 399 days (Q1-Q3: 249.5-554.8 days). Freedom from the primary composite outcomes was 76.6% in the LBBP group and 48.4% in the LVSP group (HR: 1.37; 95% CI: 1.143-1.649; P = 0.001), driven by a 31.4% absolute increase in freedom from HF-related hospitalizations (83% vs 51.6%; HR: 3.55; 95% CI: 1.856-6.791; P |
Mención de responsabilidad : |
Juan C. Diaz, Usha B. Tedrow, Mauricio Duque, Julian Aristizabal, Eric D. Braunstein, Jorge Marin, Cesar Niño, Oriana Bastidas, Nestor Lopez Cabanillas, Bruce A. Koplan, Carolina Hoyos, Carlos D. Matos, Daniela Hincapie, Alejandro Velasco, Nathaniel A. Steiger, Sunil Kapur, Thomas M. Tadros, Paul C. Zei, William H. Sauer, and Jorge E. Romero |
Referencia : |
JACC: Clinical EP › Archives › Vol. 10 No. 2 |
DOI (Digital Object Identifier) : |
10.1016/j.jacep.2023.10.016 |
Derechos de uso : |
CC BY-NC-ND |
En línea : |
https://www.jacc.org/doi/abs/10.1016/j.jacep.2023.10.016 |
Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis |
Left Bundle Branch Pacing vs Left Ventricular Septal Pacing vs Biventricular Pacing for Cardiac Resynchronization Therapy [documento electrónico] / Oriana Cristina Bastidas Ayala, Autor ; Diaz, Juan Carlos, Autor ; Tedrow, Usha B., Autor ; Mauricio Duque, Autor ; Aristizábal, Julian, Autor ; Braunstein, Eric D., Autor ; Marín, Jorge, Autor ; Niño, Cesar, Autor ; López Cabanillas, Nestor, Autor ; Koplan, Bruce A., Autor ; Hoyos, Carolina, Autor ; Matos, Carlos D, Autor ; Hincapié, Daniela, Autor ; Velasco, Alejandro, Autor ; Steiger, Nathaniel A, Autor ; Kapur, Sunil, Autor ; Sauer, William H., Autor ; Romero, Jorge E, Autor . - 2024. Obra : JACC: Clinical ElectrophysiologyIdioma : Inglés ( eng)
Palabras clave : |
cardiac resynchronization therapyconduction system pacingleft bundle branch area pacingheart failure |
Resumen : |
Background Left bundle branch pacing (LBBP) and left ventricular septal pacing (LVSP) are considered to be acceptable as LBBAP strategies. Differences in clinical outcomes between LBBP and LVSP are yet to be determined. Objectives The purpose of this study was to compare the outcomes of LBBP vs LVSP vs BIVP for CRT. Methods In this prospective multicenter observational study, LBBP was compared with LVSP and BIVP in patients undergoing CRT. The primary composite outcome was freedom from heart failure (HF)–related hospitalization and all-cause mortality. Secondary outcomes included individual components of the primary outcome, postprocedural NYHA functional class, and electrocardiographic and echocardiographic parameters. Results A total of 415 patients were included (LBBP: n = 141; LVSP: n = 31; BIVP: n = 243), with a median follow-up of 399 days (Q1-Q3: 249.5-554.8 days). Freedom from the primary composite outcomes was 76.6% in the LBBP group and 48.4% in the LVSP group (HR: 1.37; 95% CI: 1.143-1.649; P = 0.001), driven by a 31.4% absolute increase in freedom from HF-related hospitalizations (83% vs 51.6%; HR: 3.55; 95% CI: 1.856-6.791; P |
Mención de responsabilidad : |
Juan C. Diaz, Usha B. Tedrow, Mauricio Duque, Julian Aristizabal, Eric D. Braunstein, Jorge Marin, Cesar Niño, Oriana Bastidas, Nestor Lopez Cabanillas, Bruce A. Koplan, Carolina Hoyos, Carlos D. Matos, Daniela Hincapie, Alejandro Velasco, Nathaniel A. Steiger, Sunil Kapur, Thomas M. Tadros, Paul C. Zei, William H. Sauer, and Jorge E. Romero |
Referencia : |
JACC: Clinical EP › Archives › Vol. 10 No. 2 |
DOI (Digital Object Identifier) : |
10.1016/j.jacep.2023.10.016 |
Derechos de uso : |
CC BY-NC-ND |
En línea : |
https://www.jacc.org/doi/abs/10.1016/j.jacep.2023.10.016 |
Enlace permanente : |
https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis |
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