Key result
Higher baseline GGT linked to CRT non-response and increased AF hospitalizations in older patients.
Why the study?
The relationship between serum γ-glutamyltranferase and albumin levels with the response to cardiac resynchronization therapy in elderly patients has not been reliably determined.
Do baseline serum γ-glutamyltranferase and albumin levels predict response to cardiac resynchronization therapy in elderly patients (>70 years)?
Observational
Do baseline serum γ-glutamyltranferase and albumin levels predict response to cardiac resynchronization therapy in elderly patients (>70 years)?
Elevated baseline GGT predicts non-response to CRT and higher risk of AF hospitalization in elderly patients, though it does not impact mortality.
BACKGROUND: Several liver function tests have been identified as predictors of hospitalization for heart failure (HF) and death in patients with chronic HF. The relationship between serum γ-glutamyltranferase (GGT) and albumin (SA) levels with the response to cardiac resynchronization therapy (CRT) has not been reliably determined. The aim of the study was to evaluate the impact of liver function tests on the results of CRT in the elderly. METHODS: Baseline GGT and SA were assessed before CRT device implantation in the elderly (> 70-year-old) patients. The endpoints were: (1) CRT response defined as > 5% left ventricular ejection fraction improvement and no hospitalization for HF or cardiovascular death; (2) hospitalizations; and (3) mortality. CONCLUSIONS: Higher level of GGT is an independent predictor of non-response to CRT in patients over age 70 years and is associated with higher risk of hospitalization for AF. Baseline serum levels of albumin and GGT and have no impact on mortality in elderly patients undergoing CRT.
No takes yet. Share an insight, caveat, or question.
Kubala et al. (2020) conducted an observational in Heart failure. Serum γ-glutamyltranferase (GGT) and albumin (SA) levels was evaluated on CRT response defined as > 5% left ventricular ejection fraction improvement and no hospitalization for HF or cardiovascular death. Higher baseline serum GGT levels independently predicted non-response to CRT and higher risk of hospitalization for AF in patients over 70 years old, with no impact on mortality.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: