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Wahbi K, Ben Yaou R, Gandjbakhch E, Anselme F, Gossios T, Lakdawala N, Stalens C, Sacher F, Babuty D, Charron P, Vigouroux C, Bonne G, Kumar S, Elliott P, Duboc D. 5164New risk prediction score for life-threatening ventricular tachyarrhythmias in laminopathies. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
An accurate estimation of the risk of life-threatening (LT) ventricular tachyarrhythmia (VTA) in patients with LMNA mutations is crucial to select candidates for implantable cardioverter defibrillator (ICD) implantation.
Methods
We included 839 adult patients with LMNA mutations, including 660 from a French nationwide registry in the development sample, and 179 from other countries, referred to 5 tertiary centers for cardiomyopathies, in the validation sample. LTVTA was defined as a) sudden cardiac death or b) ICD-treated or hemodynamically unstable VTA. The prognostic model was derived using Fine-Gray's regression model. The net reclassification was compared with current clinical practice guidelines. The results are presented as means (standard deviation) or medians [interquartile range].
Results
We included 444 patients 40.6 (14.1) years of age in the derivation sample and 145 patients 38.2 (15.0) years in the validation sample, of whom 86 (19.3%) and 34 (23.4%) suffered LTVTA over 3.6 [1.0–7.2] and 5.1 [2.0–9.3] years of follow-up, respectively. Predictors of LTVTA in the derivation sample were: male sex, non-missense LMNA mutation, 1st degree and higher atrioventricular block, non-sustained ventricular tachycardia, and left ventricular ejection fraction. In the derivation sample, C-index (95% CI) of the model was 0.776 (0.711–0.842). In the external validation sample, the C-index was 0.800 (0.642–0.959) and calibration slope 1.082 (95% CI, 0.643–1.522). A 5-year estimated risk threshold ≥7% predicted 96.2% of LTVTA and net reclassified 28.8% of patients with LTVTA compared with the guidelines-based approach.
Conclusions
Compared to the current standard of care, this risk prediction model for LTVTA in laminopathies facilitated significantly the choice of ICD candidates.
Acknowledgement/Funding
AFM Téléthon
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Mirolo A, Viart G, Savoure A, Godin B, Raitiere O, Eltchaninoff H, Anselme F. Are procedural parameters predictive of atrial fibrillation recurrence after pulmonary vein isolation using second generation cryoballoon? ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/j.acvdsp.2019.02.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mirolo A, Viart G, Savoure A, Godin B, Raitiere O, Eltchaninoff H, Anselme F. Reduction of QRS amplitude correlates with decrease in left-ventricular pre-ejection time after cardiac resynchronisation therapy. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/j.acvdsp.2019.02.172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Burdeau J, Viart G, Gandjbakhch E, Savouré A, Godin B, Maury P, Pasquié J, Wahbi K, Eltchaninoff H, Anselme F. Is resynchronization therapy really efficient in laminopathy? ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/j.acvdsp.2019.02.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Chaumont C, Popescu E, Auquier N, Viart G, Savoure A, Godin B, Mirolo A, Eltchaninoff H, Anselme F. Early experience of His bundle pacing as an alternative of chronic right ventricular pacing: Initial and short-term results. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/j.acvdsp.2019.02.171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Mirolo A, Viart G, Savoure A, Godin B, Raitiere O, Eltchaninoff H, Anselme F. Relationship between left ventricular pre-ejection time and ECG parameters after cardiac resynchronisation therapy. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/j.acvdsp.2018.10.193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Mirolo A, Viart G, Savoure A, Godin B, Raitiere O, Eltchaninoff H, Anselme F. P2876Epicardial fat thickness predicts atrial fibrillation recurrences after a first pulmonary vein isolation procedure using second generation cryoballoon. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2876] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Etienne P, Klug D, Babuty D, Jesel L, Dupuis JM, Defaye P, Maury P, Pasquie JL, Le Franc P, Milhem A, Anselme F, Mansourati J, Bordachar P, Mabo P, Probst V. P2865GENECHOC study: a study designed to identify the genetic variants involved in appropriate shock in primary prevention; clinical description of the patients. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Etienne P, Klug D, Babuty D, Jesel L, Dupuis J, Defaye P, Maury P, Pasquié J, Le Franc P, Bru P, Anselme F, Bodeva S, Sadoul N, Jean F, Chevalier P, Deharo J, Mansourati J, Bordachar P, Mabo P, Probst V. GENECHOC study: A study designed to identify the genetic variants involved in appropriate shock in primary prevention. Clinical description of the patients. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2018.02.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Vandevelde F, Viart G, Alarçon C, Auquier N, Godin B, Savoure A, Eltchaninoff H, Anselme F. Safety of uninterrupted direct oral anticoagulation strategy for pulmonary vein isolation using second generation cryoballoon. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2018.02.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Mirolo A, Viart G, Savoure A, Godin B, Caussin C, Vandevelde F, Eltchaninoff H, Anselme F. Epicardial fat thickness predicts atrial fibrillation recurrences after a first pulmonary vein isolation procedure using second generation cryoballoon. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2018.02.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Genain MA, Morlet A, Herrtage M, Muresian H, Anselme F, Latremouille C, Laborde F, Behr L, Borenstein N. Comparative anatomy and angiography of the cardiac coronary venous system in four species: human, ovine, porcine, and canine. J Vet Cardiol 2018; 20:33-44. [DOI: 10.1016/j.jvc.2017.10.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Revised: 09/28/2017] [Accepted: 10/18/2017] [Indexed: 10/18/2022]
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Mirolo A, Alarcon C, Viart G, Savoure A, Godin B, Raitiere O, Eltchaninoff H, Anselme F. Right carotid Doppler signal to optimize cardiac resynchronisation therapy implant procedure. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2017.11.254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Vandevelde F, Viart G, Alarçon C, Savouré A, Godin B, Auquier N, Eltchaninoff H, Anselme F. High incidence of focal and macro-reentrant arrythmias during repeat procedures after paroxysmal atrial fibrillation ablation using second-generation cryoballoon with no “bonus freeze” application. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2017.11.244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Burdeau J, Viart G, Gay A, Nafeh-Bizet C, Alarcon C, Bauer F, Savoure A, Godin B, Eltchaninoff H, Anselme F. Is resynchronization therapy really efficient in Emery Dreifuss muscular dystrophy patients? ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2017.11.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Bun S, Latcu D, Anselme F, Boveda S, Cebron J, Delaye P, Deharo J, Gandjbakhch E, Gras D, Klug D, Mansourati J, Marijon E, Maury P, Taghji P, Saoudi N, Taieb J. How is contact force implemented in routine clinical practice? Results from a French National Survey. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2017.11.249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Mirolo A, Viart G, Godin B, Savoure A, Auquier N, Vandevelde F, Eltchaninoff H, Anselme F. Epicardial fat thickness predicts redo procedures following paroxysmal atrial fibrillation ablation using second generation cryoballoon catheter. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2018. [DOI: 10.1016/j.acvdsp.2017.11.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bouzeman A, Sharifzadehgan A, Marquie C, Gandjbakhch E, Martins R, Fauchier L, Defaye P, Sellal J, Mondoly P, Labombarda F, Anselme F, Lellouche N, Thambo J, Combes N, Marijon E. 3874Implantable cardiac defibrillator in the setting of tetralogy of fallot: data from the DAI-T4F National Registry. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.3874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Viart G, Burdeau J, Gay A, Savoure A, Godin Gardea B, Bauer F, Nafeh Bizet C, Alarcon C, Eltchaninoff H, Anselme F. P5498Poor clinical outcome despite cardiac resynchronization therapy in Emery Dreifuss muscular dystrophy patients. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p5498] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Mirolo A, Durand E, Viart G, Savoure A, Godin-Gardea B, Auquier N, Eltchaninoff H, Anselme F. P1663Patients with new-onset persistent left bundle branch block associated with prolonged PR or HV interval in post TAVI benefit from permanent pacemaker implantation. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p1663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Bun SS, Latcu DG, Anselme F, Boveda S, Deharo JC, Defaye P, Fauchier L, Gras D, Klug D, Mansourati J, Marijon E, Maury P, Taghji P, Saoudi N, Taieb J. P1404Contact force implementation in routine clinical practice: results from a french national survey. Europace 2017. [DOI: 10.1093/ehjci/eux158.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Mirolo A, Savouré A, Godin-Gardea B, Auquier N, Viart G, Durand E, Tron C, Bouhzam N, Bauer F, Raitière O, Eltchaninoff H, Anselme F. Shall we implant a pacemaker only in case of complete atrioventricular block following TAVI ? Quantification of ventricular pacing rate according to pacemaker indication. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2017. [DOI: 10.1016/s1878-6480(17)30412-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Alarcon C, Auquier N, Godin B, Savoure A, Glinel B, Breil R, Eltchaninoff H, Anselme F. Paroxysmal atrial fibrillation ablation using the second-generation cryoballoon catheter without “bonus” application: one year follow-up. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2017. [DOI: 10.1016/s1878-6480(17)30250-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Viart G, Godin-Gardea B, Bauer F, Stepowski D, Glinel B, Eltchaninoff H, Durand E, Auquier N, Mirolo A, Savouré A, Anselme F. Effective mechanical resynchronization after device implantation rather than baseline dyssynchrony to predict positive outcome after cardiac resynchronisation therapy. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2017. [DOI: 10.1016/s1878-6480(17)30266-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mirolo A, Savouré A, Godin-Gardea B, Auquier N, Viart G, Durand E, Tron C, Bouhzam N, Bauer F, Raitière O, Eltchaninoff H, Anselme F. Shall we implant a pacemaker only in case of complete atrioventricular block following TAVI? Quantification of ventricular pacing percentage according to pacemaker indication. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2017. [DOI: 10.1016/s1878-6480(17)30247-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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