Methods Employed to Assess Left Ventricular Ejection Fraction in Patients Referred for Cardiac Resynchronization Therapy in Poland as Compared to other European Countries. Results from the European Cardiac Resynchronization Therapy Survey II.

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Cardiac Resynchronization Therapy. Intervention: Polish healthcare setting (PL) vs. Other European countries (OEC). Primary outcome: Use of echocardiography for LVEF measurement (p=p).

Q: What does this research mean for the field?

Echocardiography is the predominant imaging modality used to evaluate LVEF for cardiac resynchronization therapy candidates across Europe, but alternative and multi-modality imaging tools are utilized significantly less frequently in Poland than in other European countries. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Damian Łasocha; Mateusz Tajstra; Krystian Josiak; Dariusz Zając; Kenneth Dickstein; Cecilia Linde; Camilla Normand; Łukasz Szumowski; Maciej Sterliński

doi:10.24255/hbj/115991

December 30, 2019Heart Beat JournalOpen Access

Methods Employed to Assess Left Ventricular Ejection Fraction in Patients Referred for Cardiac Resynchronization Therapy in Poland as Compared to other European Countries. Results from the European Cardiac Resynchronization Therapy Survey II.

View Full Paper

Ask AI

Bookmark

Share

Key result

Polish practices use non-echocardiographic imaging for LVEF assessment ~87% less frequently than other European countries.

Key Points

To compare imaging modalities used to evaluate left ventricular ejection fraction and evaluate guideline adherence for cardiac resynchronization therapy indications between Poland and other European countries.
Analyzed diagnostic imaging practices and clinical indications among candidates referred for cardiac resynchronization therapy using data from the European Cardiac Resynchronization Therapy Survey II.
Compared usage rates of echocardiography, cardiac MRI, CT, and scintigraphy, as well as multi-modality imaging, between Polish centers and other European centers.
Echocardiography was used to assess ejection fraction in 99.2% of Polish patients and 97.5% of patients in other European countries.
Alternative imaging methods (cardiac MRI, CT, or scintigraphy) were utilized in 2.2% of Polish patients compared with 16.7% in other European countries, and multimodality imaging was performed in 1.4% versus 14.2%, respectively.
Left ventricular ejection fraction exceeded standard guideline thresholds (>35%) in 15.9% of Polish patients versus 24.2% of other European patients, including 0.8% and 1.9% having an ejection fraction above 50%.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

P

Population

Patients referred for Cardiac Resynchronization Therapy in Poland and other European countries.

E

Exposure

LVEF assessment practices in Poland

C

Comparator

LVEF assessment practices in other European countries (OEC)

O

Outcome

Methods used to assess LVEF and proportion of patients with LVEF > 35%

Main Result

Absolute Event Rate: 99.2% vs 97.5%

p-value: p

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Echocardiography remains the dominant method for LVEF assessment prior to CRT in Europe, though a significant proportion of patients receive CRT despite having LVEF > 35%, which is outside current guidelines.

Abstract

BackgroundPrecise evaluation of left ventricular ejection fraction (LVEF) 35%, i.e. an indication outside of the guidelines, was found in 15.9% of PL (Polish) patients vs. 24.2% of OEC (other European countries) patients (p*).LVEF > 50% was found in 0.8% and 1.9% of patients respectively (p*).Concerning methodology, echocardiography was used in 99.2% of PL and 97.5% of OEC patients (p*).Other imaging tools such as cardiac MRI, CT and scintigraphy were used in 2.2% vs 16.7% (p*), and in 1.4% and 14.2% respectively (p*) more than one method was used. ConclusionsEchocardiographic LVEF measurement is the most frequent diagnostic tool both in Poland and OEC.Other methods such as cardiac MRI, CT and scintigraphy or multiple methods were more common in OEC than in Poland.CRT implantations, both in PL and OEC, are performed in a significant proportion of patients with LVEF > 35%.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Łasocha et al. (2019) conducted an observational in Cardiac Resynchronization Therapy. Polish healthcare setting (PL) vs. Other European countries (OEC) was evaluated on Use of echocardiography for LVEF measurement (p=p). Echocardiography was used for LVEF measurement in 99.2% of Polish patients versus 97.5% in other European countries, while other imaging tools were used in respectively.

synapsesocial.com/papers/6aabc173a4b3622201f7869a https://doi.org/10.24255/hbj/115991

View Full Paper

Ask AI

Bookmark

Share

Methods Employed to Assess Left Ventricular Ejection Fraction in Patients Referred for Cardiac Resynchronization Therapy in Poland as Compared to other European Countries. Results from the European Cardiac Resynchronization Therapy Survey II.

Key Points

Study Design

Structured PICO

Main Result

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Methods Employed to Assess Left Ventricular Ejection Fraction in Patients Referred for Cardiac Resynchronization Therapy in Poland as Compared to other European Countries. Results from the European Cardiac Resynchronization Therapy Survey II.

Key Points

Study Design

Structured PICO

Main Result

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading