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September 22, 2015Annals of Noninvasive ElectrocardiologyOpen Access

Different Methods to Measure QRS Duration in CRT Patients: Impact on the Predictive Value of QRS Duration Parameters

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Key result

Different methods to measure QRS duration yielded divergent nominal values and significantly influenced the predictive value for CRT response (AUC for ΔQRSD ranging from 0.540 to 0.858, P<0.05).

Why the study?

Does the method of measuring QRS duration impact its predictive value for CRT response in patients undergoing cardiac resynchronization therapy?

Population

52 patients undergoing cardiac resynchronization therapy (CRT), mean age 66 ± 12 years, 65% male.

Design

Cohort

Follow-up

6 months

Authors

JPJan De PooterMHMilad El HaddadLTLiesbeth Timmers

Discussion

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Overview

The method used to measure QRS duration significantly influences its nominal value and its ability to predict response to cardiac resynchronization therapy, highlighting the need for standardized global measurement methods.

Study Design

Type

Observational (n=52)

Structured PICO

Does the method of measuring QRS duration impact its predictive value for CRT response in patients undergoing cardiac resynchronization therapy?

P
Population
52 patients (mean age 66 years, 35% female) undergoing cardiac resynchronization therapy, evaluated retrospectively for QRS duration measurement methods and CRT response at 6 months.
E
Exposure
Measurement of QRS duration using custom-made software (global and lead-specific) and automatic measurement by a routinely used ECG device.
O
Outcome
Response to CRT at 6 months (defined as an improvement of ≥1 class in New York Heart Association classification and an increase by >7.5% in left ventricular ejection fraction).composite

Main Result

Effect estimate: AUC ΔQRSD 0.540-0.858

p-value: p=<0.05

The method used to measure QRS duration significantly influences its nominal value and its ability to predict response to cardiac resynchronization therapy, highlighting the need for standardized global measurement methods.

Cite This Study

Pooter et al. (2015) conducted an observational in Cardiac resynchronization therapy (CRT) patients (n=52). Different methods to measure QRS duration (global, lead-specific, automatic) was evaluated on Predictive value of QRS duration measurements for CRT response at 6 months (AUC ΔQRSD 0.540-0.858, p=<0.05). Different methods to measure QRS duration yielded divergent nominal values and significantly influenced the predictive value for CRT response (AUC for ΔQRSD ranging from 0.540 to 0.858, P<0.05).

synapsesocial.com/papers/6a6e1b6bfebe604dd707e270https://doi.org/10.1111/anec.12313
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Also Consider

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  1. 1Quantification of abnormal QRS peaks predicts response to cardiac resynchronization therapy and tracks structural remodeling2019 · 7 citations
  2. 2QRS Duration and Shortening to Predict Clinical Response to Cardiac Resynchronization Therapy in Patients with End‐Stage Heart Failure2004 · 186 citations
  3. 3How to predict response to cardiac resynchronization therapy?The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.2005 · 3 citations
  4. 4Clinical utility of QRS duration normalized to left ventricular volume for predicting cardiac resynchronization therapy efficacy in patients with “mid-range” QRS duration2024 · 8 citations
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