The European Society of Cardiology Cardiac Resynchronization Therapy Survey II A comparison of cardiac resynchronization therapy implantation practice in Europe and France - Archive ouverte HAL Access content directly
Journal Articles Archives of cardiovascular diseases Year : 2019

The European Society of Cardiology Cardiac Resynchronization Therapy Survey II A comparison of cardiac resynchronization therapy implantation practice in Europe and France

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Nicolas Lellouche
  • Function : Author
  • PersonId : 764872
  • IdRef : 075154625
Jean-Claude Deharo
Antoine da Costa
Jerome Horvilleur
  • Function : Author
Pascal Defaye
Serge Boveda
Mathieu Steinbach
  • Function : Author
Paul Bru
  • Function : Author
Philippe Rumeau
  • Function : Author
Thierry Beard
  • Function : Author
Salem Younsi
  • Function : Author
Christophe Leclercq
  • Function : Correspondent author

Abstract

Background - The first European Cardiac Resynchronization Therapy (CRT) Survey, conducted in 2008-2009, showed considerable variations in guideline adherence and implantation practice. A second prospective survey (CRT Survey II) was then performed to describe contemporary clinical practice regarding CRT among 42 European countries. Aim - To compare the characteristics of French CRT recipients with the overall European population of CRT Survey II. Methods - Demographic and procedural data from French centres recruiting all consecutive patients undergoing either de novo CRT implantation or an upgrade to a CRT system were collected and compared with data from the European population. Results - A total of 11,088 patients were enrolled in CRT Survey II, 754 of whom were recruited in France. French patients were older (44.7% aged≥75 years vs 31.1% in the European group), had less severe heart failure symptoms, a higher baseline left ventricular ejection fraction and fewer co-morbidities. Additionally, French patients had a shorter intrinsic QRS duration (19.1% had a QRS<130ms vs 12.3% in the European cohort). Successful implantation rates were similar, but procedural and fluoroscopy times were shorter in France. French patients were more likely to receive a CRT pacemaker than European patients overall. Of note, antibiotic prophylaxis was reported to be administered less frequently in France, and a higher rate of early device-related infection was observed. Importantly, French patients were less likely to receive optimal drugs for treating heart failure at hospital discharge. Conclusion - This study highlights contemporary clinical practice in France, and describes substantial differences in patient selection, implantation procedure and outcomes compared with the other European countries participating in CRT Survey II.
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Dates and versions

hal-02364098 , version 1 (21-07-2022)

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Attribution - NonCommercial - CC BY 4.0

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Vincent Galand, Cecilia Linde, Nicolas Lellouche, Jacques Mansourati, Jean-Claude Deharo, et al.. The European Society of Cardiology Cardiac Resynchronization Therapy Survey II A comparison of cardiac resynchronization therapy implantation practice in Europe and France. Archives of cardiovascular diseases, 2019, 112 (11), pp.713-722. ⟨10.1016/j.acvd.2019.09.005⟩. ⟨hal-02364098⟩
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