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Monteiro E, Madeira M, Antonio N, Marinho V, Milner J, Sousa P, Ventura M, Cristovao J, Elvas L, Goncalves L. Cardiac resynchronization therapy: long-term impact of echocardiographic non-progression. Europace 2022. [DOI: 10.1093/europace/euac053.476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
As heart failure (HF) is a progressive disease, there has been a raising idea that considering the absence of echocardiographic improvement as non-response to cardiac resynchronization therapy (CRT) may not be appropriate. In fact, in some classical echocardiographic non-responders, CRT might have prevented HF deterioration.
Purpose
Our aim was to compare the composite outcome of death and re-admissions due to HF according to a new classification of CRT response: responders, non-progressors and progressors.
Methods
We included 144 consecutive patients with HF, left ventricle (LV) ejection fraction < 40% and QRS duration > 120mseg submitted to CRT implantation. Patients were divided into 3 groups according to the variation of LV end-systolic volume (LVESV) at 6-month: ≥15% reduction in LVESV - responders (R); 0–15% reduction in LVESV – non-progressors (NPr); increase in LVESV – progressors (Pr). A long-term follow-up (4.9 ± 2.9 years) was performed targeting mortality and re-admissions due to HF.
Results
In our population, 78 patients (54.2%) were classified as R, 21 (14.5%) as NPr and 45 (31.3%) as Pr. Baseline comparison between groups is presented in table 1. Compared with R, N-Pr had ischemic aetiology more frequently. The prescription of digoxin was more common in Pr. The Kaplan-Meier curves (figure 1) demonstrate that the composite outcome of death and re-admission due to HF had a lower incidence in R, but was similar between N-Pr and Pr. After adjustment of possible confounders (ischemic aetiology and digoxin use), the type of response to CRT remained as the only predictor of outcomes (OR 0.61; CI 0.41-0.90). 144
Conclusion
In our population, patients without progression of HF had a similarly negative prognosis to the ones that deteriorated. Hence, positive LV remodelling, and not only stabilization seems to be necessary to improve long-term prognosis.
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Affiliation(s)
- E Monteiro
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - M Madeira
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - N Antonio
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - V Marinho
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - J Milner
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - P Sousa
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - M Ventura
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - J Cristovao
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - L Elvas
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
| | - L Goncalves
- Centro Hospitalar E Universitario De Coimbra, Coimbra, Portugal
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Marinho V, Milner J, Alves P, Domingues C, Ferreira J, Antonio N, Ventura M, Cristovao J, Elvas L, Goncalves F, Pego M. P3868Effectiveness of cardiac resynchronization therapy in heart failure patients with valvular heart disease: comparison with patients with dilated cardiomyopathy. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - N Antonio
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Ventura
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Cristovao
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Elvas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
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Milner J, Marinho V, Martins J, Antonio N, Ventura M, Cristovao J, Elvas L, Pego GM. P3809Ivabradine is not associated with higher risk of new onset atrial fibrillation among patients with cardiac resynchronization therapy. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J Milner
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - V Marinho
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - J Martins
- Hospital Infante D. Pedro, Cardiology Department, Aveiro, Portugal
| | - N Antonio
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - M Ventura
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - J Cristovao
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - L Elvas
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - G M Pego
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
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Milner J, Marinho V, Antonio N, Silva N, Ventura M, Cristovao J, Elvas L, Pego M. P403Cardiac pacing in familial amyloid polyneuropathy: when and for whom? Europace 2018. [DOI: 10.1093/europace/euy015.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Milner
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - V Marinho
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - N Antonio
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - N Silva
- University Hospitals of Coimbra, Liver Transplantation Department, Coimbra, Portugal
| | - M Ventura
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - J Cristovao
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - L Elvas
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology Department, Coimbra, Portugal
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Marinho V, Antonio N, Milner J, Alves P, Santos M, Domingues C, Ventura M, Cristovao J, Elvas L, Goncalves F, Pego M. P1784Long term outcome of different responses to cardiac resynchronization therapy. Europace 2017. [DOI: 10.1093/ehjci/eux161.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Madeira M, Antonio N, Costa M, Ventura M, Cristovao J, Nascimento J, Elvas L, Goncalves L, Pego M. P954Who does not need a cardioverter-defibrillator anymore? Lessons from a generator replacement cohort of patients with cardioverter-defibrillators implanted in primary prevention. Europace 2017. [DOI: 10.1093/ehjci/eux151.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Madeira M, Antonio N, Costa M, Ventura M, Cristovao J, Nascimento J, Elvas L, Goncalves L, Pego M. P1477Predictors of future implantable cardioverter-defibrillators appropriate therapies in patients undergoing generator replacement: who still benefiting from implantable cardioverter-defibrillators? Europace 2017. [DOI: 10.1093/ehjci/eux158.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Madeira M, Antonio N, Costa M, Ventura M, Cristovao J, Nascimento J, Elvas L, Goncalves L, Pego M. P1043Implantable cardioverter-defibrillator generator replacement: same benefit for all patients? Europace 2017. [DOI: 10.1093/ehjci/eux151.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Madeira M, Antonio N, Costa M, Ventura M, Cristovao J, Nascimento J, Elvas L, Goncalves L, Pego M. P1603Should heart failure etiology be considered to decide who needs a new implantable cardioverter-defibrillator at time of generator replacement? Europace 2017. [DOI: 10.1093/ehjci/eux158.229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Martins H, Soares FC, Moreira N, Ferreira R, Baptista R, Antonio N, Ventura M, Cristovao J, Monteiro P, Pego M. Predictors of mortality after cardiac resynchronization: a new look at the ejection fraction. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Leite L, Lazaro S, Ferreira R, Moura J, Martins H, Antonio N, Ventura M, Cristovao J, Elvas L, Pego M. Impact of chronic kidney disease in CRT effectiveness and long-term outcomes. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p3168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Brady PA, Erne P, Val-Mejias J, Schwab J, Schimpf R, Orlov M, Mattioni T, Amlie J, Itou H, Igarashi M, Iga A, Tubota T, Yamazaki J, Yoshihara K, Santos De Sousa CI, Carpinteiro L, Marques P, Almeida MR, Miltemberger G, Correia MJ, Sousa J, Lopes M, Teixeira R, Ferreira MJ, Donato P, Ventura M, Cristovao J, Elvas L, Providencia LA, Chang D, Zhang S, Gao L, Yang D, Lin Y, Chu Z, Yang Y, Pecini R, Pehrson S, Chen X, Thoegersen AM, Kjaer A, Hastrup-Svendsen J, Sanchez-Munoz JJ, Garcia-Alberola A, Martinez-Sanchez J, Penafiel-Verdu P, Giner-Caro JA, Pastor-Perez FJ, Valdes-Chavarri M, Sorrentino S, Forleo C, Iacoviello M, Guida P, D'andria V, Favale S, Pasceri E, Curcio A, Achille F, De Serio D, Zinzi S, Torella D, Mastroroberto P, Indolfi C, Ozcan Celebi O, Canbay A, Aydogdu S, Diker E, De Sisti A, Tonet J, Benkaci A, Frank R, Sanchez-Munoz JJ, Garcia-Alberola A, Martinez-Sanchez J, Penafiel Verdu P, Giner Caro JA, Pastor-Perez FJ, Valdes-Chavarri M, Maroz-Vadalazhskaya N, Denissevich T, Ostrovskiy I, Sharashidze N, Pagava Z, Saatashvili G, Agladze R, Noda M, Yoshikawa S, Fujinami T, Yamamoto Y, Tashiro H, Usui M, Ichikawa K, Isobe M, Meyer C, Saygili E, Rana O, Floege J, Hennersdorf M, Rassaf T, Kelm M, Schauerte P, Sredniawa B, Cebula S, Kowalczyk J, Musialik-Lydka A, Wozniak A, Zakliczynski M, Zembala M, Kalarus Z, Gumenyuk OI, Chernenkov YV, Kosenkova IV, Bolotova NV, Averyanov AP. Poster Session 4: Miscellaneous. Europace 2009. [DOI: 10.1093/europace/euq239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Vidal B, Tolosana JM, Sitges M, Delgado V, Silva E, Castel MA, Brugada J, Mont L, Khan FZ, Read PA, Salahshouri P, Bayrakdar MA, Matousova D, Virdee MS, Fynn SP, Dutka DP, Clemens M, Nagy-Balo E, Herczku C, Kun C, Toth Z, Edes I, Csanadi Z, Theilade J, Holmegard HN, Dunoe M, Olesen MS, Haunsoe S, Benn M, Svendsen JH, Digby G, Daubney ME, Baggs J, Campbell D, Simpson CS, Redfearn DP, Abdollah H, Baranchuk A, Seifert M, Schau T, Moeller V, Meyhoefer J, Fleck E, Butter C, Raffa S, Grosse A, Brunelli M, Regoli F, Schreiber M, Wauters K, Geller JC, Carmo P, Cavaco D, Adragao P, Parreira L, Santos K, Morgado F, Marcelino S, Silva A, Muto C, Celentano E, Canciello M, Carreras G, Calvanese R, Ascione L, Accadia M, Tuccillo B, Froehlig G, Sperzel J, Vogt J, Anselme F, Ducloux P, Ziglio F, Krumel F, Derval N, Steendijk P, Bordachar P, Deplagne A, Ritter P, Clementy J, Haissaguerre M, Jais P, Ismer B, Koerber T, Heinke M, Voss W, Trautwein U, Nienaber CA, Chang PC, Lin FC, Wang CC, Sargento L, Carpinteiro L, Marques P, Veiga A, Cortez-Dias N, Sousa J, Castellant P, Orhan E, Fatemi M, Etienne Y, Valls-Bertault V, Blanc JJ, Buck S, Maass AH, Schoonderwoerd BA, Van Veldhuisen DJ, Van Gelder IC, Vatasescu RG, Berruezo A, Mont L, Tamborero D, Tolosana JM, Brugada J, Tolosana JM, Mont L, Sitges M, Berruezo A, Delgado V, Tamborero D, Morales M, Brugada J, Teixeira R, Antonio N, Coelho L, Lourenco C, Ventura M, Cristovao J, Elvas L, Providencia LA, Matsushita K, Ishikawa T, Sumita S, Yamakawa Y, Matsumoto K, Hosoda J, Miki Y, Umemura S. Poster Session 4: CRT I. Europace 2009. [DOI: 10.1093/europace/euq240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Antonio N, Teixeira R, Coelho L, Lourenco C, Monteiro P, Ventura M, Cristovao J, Elvas L, Goncalves L, Providencia LA. Identification of 'super-responders' to cardiac resynchronization therapy: the importance of symptom duration and left ventricular geometry. Europace 2009; 11:343-9. [DOI: 10.1093/europace/eup038] [Citation(s) in RCA: 72] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ventura M, Elvas L, Cristovao J, Providencia L. P-079 Ablation of isthmus-dependent atrial flutter: Comparison of results with two types of 8mm tip catheters. Europace 2003. [DOI: 10.1016/eupace/4.supplement_2.b85-b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- M. Ventura
- Coimbra University Hospital Department of Cardiology Pacing Electrophysiology
Coimbra Portugal
| | - L. Elvas
- Coimbra University Hospital Department of Cardiology Pacing Electrophysiology
Coimbra Portugal
| | - J. Cristovao
- Coimbra University Hospital Department of Cardiology Pacing Electrophysiology
Coimbra Portugal
| | - L. Providencia
- Coimbra University Hospital Department of Cardiology Pacing Electrophysiology
Coimbra Portugal
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