Key result
Epicardial left ventricular pacing by mini-thoracotomy significantly increased mean left ventricular ejection fraction from 28.4% to 44.5% (p=0.024) over a mean follow-up of 45 months.
Why the study?
Does epicardial LV pacing by mini-thoracotomy improve haemodynamic and clinical outcomes in heart failure patients with failed transvenous CRT?
Population
4 male patients with congestive heart failure and indications for cardiac resynchronisation therapy who…
Design
Case_series
Follow-up
mean 45 ± 3.5 months
Authors
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Should not yet change practice in failed transvenous CRT; leaves open need for controlled trials to confirm benefit.
Case Report (n=4)
No
Does epicardial LV pacing by mini-thoracotomy improve haemodynamic and clinical outcomes in heart failure patients with failed transvenous CRT?
Absolute Event Rate: 44.5% vs 28.4%
p-value: p=0.024
Epicardial LV pacing via mini-thoracotomy is a feasible, safe, and effective alternative for delivering CRT in heart failure patients when transvenous lead implantation fails.
Fang et al. (2015) conducted a case report in Congestive heart failure (n=4). Epicardial left ventricular pacing by mini-thoracotomy vs. Baseline was evaluated on Mean left ventricular ejection fraction (p=0.024). Epicardial left ventricular pacing by mini-thoracotomy significantly increased mean left ventricular ejection fraction from 28.4% to 44.5% (p=0.024) over a mean follow-up of 45 months.
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