Indications for Cardiac Resynchronization Therapy: 2011 Update From the Heart Failure Society of America Guideline Committee

被引:81
作者
Stevenson, William G. [2 ]
Hernandez, Adrian F. [3 ]
Carson, Peter E. [4 ,5 ]
Fang, James C. [6 ]
Katz, Stuart D. [7 ]
Spertus, John A. [8 ]
Sweitzer, Nancy K. [9 ]
Tang, W. H. Wilson [1 ]
Albert, Nancy M. [10 ]
Butler, Javed [11 ]
Canary, Cheryl A. Westlake [12 ]
Collins, Sean P. [13 ]
Colvin-Adams, Monica [14 ]
Ezekowitz, Justin A. [15 ]
Givertz, Michael M. [2 ]
Hershberger, Ray E. [16 ]
Rogers, Joseph G. [3 ]
Teerlink, John R. [17 ]
Walsh, Mary N. [18 ]
Stough, Wendy Gattis [19 ]
Starling, Randall C. [1 ]
机构
[1] Cleveland Clin, Dept Cardiovasc Med, Cleveland, OH 44195 USA
[2] Brigham & Womens Hosp, Dept Med, Div Cardiol, Boston, MA USA
[3] Duke Univ, Med Ctr, Dept Med, Div Cardiol, Durham, NC 27710 USA
[4] Georgetown Univ, Washington, DC USA
[5] Washington DC Vet Affairs Med Ctr, Washington, DC USA
[6] Case Western Reserve Univ, Sch Med, Harrington McLaughlin Heart & Vasc Inst, Univ Hosp Case Med Ctr, Cleveland, OH USA
[7] NYU, Sch Med, Leon H Charney Div Cardiol, New York, NY USA
[8] St Lukes Hosp, Midamer Heart Inst, Kansas City, MO USA
[9] Univ Wisconsin, Dept Med, Madison, WI USA
[10] Cleveland Clin, Inst Heart & Vasc, Cleveland, OH 44195 USA
[11] Emory Univ, Dept Med, Div Cardiol, Atlanta, GA 30322 USA
[12] Azusa Pacific Univ, Sch Nursing, Azusa, CA USA
[13] Vanderbilt Univ, Dept Emergency Med, Nashville, TN USA
[14] Univ Minnesota, Minneapolis, MN USA
[15] Univ Alberta, Div Cardiol, Edmonton, AB, Canada
[16] Univ Miami, Dept Med, Div Cardiol, Miami, FL USA
[17] Univ Calif San Francisco, Dept Med, San Francisco, CA USA
[18] Care Grp, Indianapolis, IN USA
[19] Campbell Univ, Dept Clin Res, Coll Pharm & Hlth Sci, Buies Creek, NC 27506 USA
基金
美国国家卫生研究院;
关键词
Heart failure; cardiac resynchronization therapy; guidelines; DEFIBRILLATOR IMPLANTATION TRIAL; LEFT-VENTRICULAR DYSFUNCTION; IF QRS DURATION; COST-EFFECTIVENESS; MADIT-CRT; EUROPEAN COHORT; FOCUSED UPDATE; ESC GUIDELINES; HEALTH-STATUS; INSIGHTS;
D O I
10.1016/j.cardfail.2011.12.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac resynchronization therapy (CRT) improves survival, symptoms, quality of life, exercise capacity, and cardiac structure and function in patients with New York Heart Association (NYHA) functional class II or ambulatory class IV heart failure (HF) with wide QRS complex. The totality of evidence supports the use of CRT in patients with less severe HF symptoms. CRT is recommended for patients in sinus rhythm with a widened QRS interval (>= 150 ms) not due to right bundle branch block (RBBB) who have severe left ventricular (LV) systolic dysfunction and persistent NYHA functional class II-III symptoms despite optimal medical therapy (strength of evidence A). CRT may be considered for several other patient groups for whom evidence of benefit is clinically significant but less substantial, including patients with a QRS interval of >= 120 to <150 ms and severe LV systolic dysfunction who have persistent mild to severe HF despite optimal medical therapy (strength of evidence B), some patients with atrial fibrillation, and some with ambulatory class IV HF. Several evidence gaps remain that need to be addressed, including the ideal threshold for QRS duration, QRS morphology, lead placement, degree of myocardial scarring, and the modality for evaluating dyssynchrony. Recommendations will evolve over time as additional data emerge from completed and ongoing clinical trials. (J Cardiac Fail 2012;18:94-106)
引用
收藏
页码:94 / 106
页数:13
相关论文
共 62 条
[1]   Echocardiography Is Useful Before Cardiac Resynchronization Therapy if QRS Duration Is Available [J].
Abraham, Jacob ;
Abraham, Theodore P. .
CIRCULATION-CARDIOVASCULAR IMAGING, 2008, 1 (01) :79-84
[2]   Cardiac resynchronization in chronic heart failure [J].
Abraham, WT ;
Fisher, WG ;
Smith, AL ;
Delurgio, DB ;
Leon, AR ;
Loh, E ;
Kocovic, DZ ;
Packer, M ;
Clavell, AL ;
Hayes, DL ;
Ellestad, M ;
Messenger, J ;
Trupp, RJ ;
Underwood, J ;
Pickering, F ;
Truex, C ;
McAtee, P .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (24) :1845-1853
[3]   Outcome after device implantation in chronic heart failure is dependent on concomitant medical treatment [J].
Adlbrecht, C. ;
Huelsmann, M. ;
Gwechenberger, M. ;
Strunk, G. ;
Khazen, C. ;
Wiesbauer, F. ;
Elhenicky, M. ;
Neuhold, S. ;
Binder, T. ;
Maurer, G. ;
Lang, I. M. ;
Pacher, R. .
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION, 2009, 39 (12) :1073-1081
[4]   Meta-analysis: Cardiac Resynchronization Therapy for Patients With Less Symptomatic Heart Failure [J].
Al-Majed, Nawaf S. ;
McAlister, Finlay A. ;
Bakal, Jeffrey A. ;
Ezekowitz, Justin A. .
ANNALS OF INTERNAL MEDICINE, 2011, 154 (06) :401-+
[5]  
[Anonymous], ECH GUID CARD RES TH
[6]   Cardiac Resynchronization Therapy Is More Effective in Women Than in Men The MADIT-CRT (Multicenter Automatic Defibrillator Implantation Trial With Cardiac Resynchronization Therapy) Trial [J].
Arshad, Aysha ;
Moss, Arthur J. ;
Foster, Elyse ;
Padeletti, Luigi ;
Barsheshet, Alon ;
Goldenberg, Ilan ;
Greenberg, Henry ;
Hall, W. Jackson ;
McNitt, Scott ;
Zareba, Wojciech ;
Solomon, Scott ;
Steinberg, Jonathan S. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (07) :814-820
[7]   Long-term clinical effect of hemodynamically optimized cardiac resynchronization therapy in patients with heart failure and ventricular conduction delay [J].
Auricchio, A ;
Stellbrink, C ;
Sack, S ;
Block, M ;
Vogt, J ;
Bakker, P ;
Huth, C ;
Schöndube, F ;
Wolfhard, U ;
Böcker, D ;
Krahnefeld, O ;
Kirkels, H .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (12) :2026-2033
[8]   Validity and reliability of the NYHA classes for measuring research outcomes in patients with cardiac disease [J].
Bennett, JA ;
Riegel, B ;
Bittner, V ;
Nichols, J .
HEART & LUNG, 2002, 31 (04) :262-270
[9]   Cardiac-resynchronization therapy in heart failure with narrow QRS complexes [J].
Beshai, John F. ;
Grimm, Richard A. ;
Nagueh, Sherif F. ;
Baker, James H., II ;
Beau, Scott L. ;
Greenberg, Steven M. ;
Pires, Luis A. ;
Tchou, Patrick J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (24) :2461-2471
[10]   The European Cardiac Resynchronization Therapy Survey: comparison of outcomes between de novo cardiac resynchronization therapy implantations and upgrades [J].
Bogale, Nigussie ;
Witte, Klaus ;
Priori, Silvia ;
Cleland, John ;
Auricchio, Angelo ;
Gadler, Fredrik ;
Gitt, Anselm ;
Limbourg, Tobias ;
Linde, Cecilia ;
Dickstein, Kenneth .
EUROPEAN JOURNAL OF HEART FAILURE, 2011, 13 (09) :974-983