Key result
Short AV delay pacing yields similar long-term survival to surgical myectomy with fewer reinterventions.
Why the study?
Does short atrioventricular delay pacing improve survival and reduce outflow gradients in patients with hypertrophic obstructive cardiomyopathy compared to myectomy or conservative management?
Cohort (n=251)
Yes
Does short atrioventricular delay pacing improve survival and reduce outflow gradients in patients with hypertrophic obstructive cardiomyopathy compared to myectomy or conservative management?
Absolute Event Rate: 56% vs 57%
p-value: p=0.43
Short AV delay pacing provides lasting relief of symptoms and outflow obstruction in HOCM with long-term survival comparable to myectomy and a lower reintervention rate.
May support short AV delay pacing in HOCM; hypothesis-generating and should not yet change practice pending randomized data.
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Javidgonbadi et al. (2017) conducted a cohort in Hypertrophic obstructive cardiomyopathy (HOCM) (n=251). Short atrioventricular delay pacing vs. Surgical myectomy or conservative medical management was evaluated on Freedom from disease-related death (cardiac mortality) at 20 years (p=0.43). Short atrioventricular delay pacing resulted in similar long-term freedom from disease-related death compared to surgical myectomy (log-rank P=0.43), with a significantly lower rate of reintervention.
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