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January 10, 2006Circulation363 citationsOpen Access

Sustained Reverse Left Ventricular Structural Remodeling With Cardiac Resynchronization at One Year Is a Function of Etiology

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MSMartin G. St. John SuttonTPTed PlappertKHKathryn Hilpisch

Structured PICO

Does ischemic versus nonischemic etiology affect reverse LV remodeling and symptom benefit with CRT in patients with NYHA class III/IV heart failure?

P
Population
Patients with New York Heart Association class III/IV heart failure
I
Intervention
Cardiac Resynchronization Therapy (CRT)
C
Comparator
Ischemic versus nonischemic etiology
O
Outcome
Reverse LV remodeling and symptom benefitsurrogate

Patients with nonischemic heart failure experience greater reverse LV remodeling and symptom benefit from CRT at 1 year compared to those with ischemic etiology.

Abstract

Reverse LV remodeling and symptom benefit with CRT are sustained at 12 months in patients with New York Heart Association class III/IV heart failure but occur to a lesser degree in patients with an ischemic versus a nonischemic etiology, most likely owing to the inexorable progression of ischemic disease.

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Cite This Study

Sutton et al. (2006) studied this question.

synapsesocial.com/papers/69d808af5c3030ff03d18c0chttps://doi.org/10.1161/circulationaha.104.520817
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