Heart Failure With Reduced Ejection Fraction Clinical Trial
Official title:
Cardiopulmonary Exercise Test Predicts Long-term Survival and Positive Response to Cardiac Resynchronization Therapy.
The study tested the usefulness of cardiopulmonary exercise test (CPET) in selection of potential responders to CRT.
Cardiac resynchronization therapy (CRT) is an acknowledged therapy of selected patients with
heart failure (HF). One of the unresolved problems is high percentage of non-responders to
CRT, reaching 40%. No single parameter, helpful in identifying non-responders prior to CRT
implantation, was found.
The study included patients with HF of ischemic or non-ischemic etiology, in NYHA class
II-IV, EF≤35% and QRS≥120ms. All the patients had CRT implanted. Clinical evaluation, CPET
and NT-proBNP levels measurement were performed before CRT implantation and after 3-6 months.
Improvement in HF symptoms of one or more NYHA class correlated with two-years survival. It
was used as the criterion of positive response to CRT.
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