Left Atrial Reverse Remodeling and Cardiac Resynchronization Therapy for Chronic Heart Failure Patients in Sinus Rhythm

2009 ◽  
Vol 22 (10) ◽  
pp. 1152-1158 ◽  
Author(s):  
Erwan Donal ◽  
Kannika Tan ◽  
Christophe Leclercq ◽  
Romain Ollivier ◽  
Genevieve Derumeaux ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiac Resynchronization Therapy ◽  
Sinus Rhythm ◽  
Left Atrial ◽  
Cardiac Resynchronization ◽  
Reverse Remodeling ◽  
Resynchronization Therapy ◽  
Heart Failure Patients ◽  
Atrial Reverse Remodeling

scholarly journals Heart Failure Duration Combined with Left Atrial Dimension Predicts Super-Response and Long-Term Prognosis in Patients with Cardiac Resynchronization Therapy Implantation

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Zhinian Guo ◽  
Xiaoyan Liu ◽  
Chuan Liu ◽  
Jie Yang ◽  
Xiaofeng Cheng ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Resynchronization Therapy ◽  
Left Atrial ◽  
Cardiac Resynchronization ◽  
Reverse Remodeling ◽  
Resynchronization Therapy ◽  
End Point ◽  
Long Term Prognosis ◽  
Robust Prediction

Background. Response to cardiac resynchronization therapy (CRT) varies significantly among patients. This study aimed to identify baseline characteristics that could predict super-response to CRT and to evaluate the long-term prognosis in super-responders. Methods. We retrospectively reviewed the data of 73 consecutive patients who received CRT. Patients were considered as super-responders after 6-month follow-up when NYHA class reduction to I or II combined with left ventricular ejection fraction (LVEF) ≥ 50% was observed. Patients were divided into super-responders group and non-super-responders group. All-cause mortality or hospitalization for heart failure (HF) was referred to the combined end point. Results. 17 (23.3%) patients were super-responders. HF duration, left atrial dimension (LAD), and left bundle branch block (LBBB) were independent predictors of super-response to CRT. The combination of HF duration and LAD could provide more robust prediction of super-response than standalone HF duration (0.899 versus 0.789, Z = 2.207, P = 0.027) or standalone LAD (0.899 versus 0.775, Z = 2.487, P = 0.013). super-responders had excellent LV reverse remodeling. The cumulative incidences of combined end point were significantly lower in the super-responders group, LAD ≤ 42mm group, and combination of HF duration ≤ 48 months and LAD ≤ 42mm group. LBBB remained associated with a lowered risk of the combined end point (HR: 0.19, 95% CI: 0.07-0.57, P = 0.003), whereas LAD was associated with a raised risk of the combined end point (HR: 1.09, 95% CI: 1.02-1.17, P = 0.014). Conclusions. HF duration, LAD, and LBBB independently predicted super-response. The combination of HF duration and LAD makes more robust prediction of CRT super-response. Super-responders had excellent LV reverse remodeling and decreased the incidences of the combined end point. LBBB and LAD were independently associated with the combined end point.

Left atrial reverse remodeling predicts long-term survival after cardiac resynchronization therapy

2021 ◽  
Author(s):  
Sjoerd Bouwmeester ◽  
Thomas P. Mast ◽  
Daniëlle C. J. Keulards ◽  
Anouk G. W. de Lepper ◽  
Ingeborg H. F. Herold ◽  
...  
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Left Atrial ◽  
Cardiac Resynchronization ◽  
Reverse Remodeling ◽  
Resynchronization Therapy ◽  
Term Survival ◽  
Long Term Survival ◽  
Atrial Reverse Remodeling

076 Long term effects of cardiac resynchronization therapy in chronic heart failure patients

2010 ◽  
Vol 2 (1) ◽  
pp. 26
Author(s):  
Isabella Kardasz ◽  
Paola Bendinelli ◽  
Gabriele Borelli ◽  
Maria Luisa De Perna ◽  
Giulio Zucchelli ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiac Resynchronization Therapy ◽  
Cardiac Resynchronization ◽  
Resynchronization Therapy ◽  
Long Term Effects ◽  
Heart Failure Patients
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