Spanish results of the Second European Cardiac Resynchronization Therapy Survey (CRT-Survey II)

• Published in: Revista española de cardiología (English ed.) Vol. 72; no. 12; pp. 1020 - 1030
• Main Authors: Cano, Óscar, Bellver, Alejandro, Fontenla, Adolfo, Villuendas, Roger, Peñafiel, Pablo, Francisco-Pascual, Jaume, Ibáñez, José Luis, Bertomeu-González, Vicente, García-Riesco, Lorena, García-Seara, Javier, Martínez-Brotons, Ángel, Calvo, David, Campos, Bieito, Enero, José, Peláez, Antonio, Martínez-Ferrer, José, Mazuelos, Francisco, Moriñigo, José Luis, Expósito, Carmen, Arenal, Ángel, Pombo, Marta, Segura, Federico, Pastor, Agustín, Pérez, Fernando, Fernández-Lozano, Ignacio, González-Ferrer, Juan José, Moreno, Sara, Martín-Fernández, Julia, Ormaetxe, José, Pavón, Ricardo, Tolosana, José María, Mercé, Jordi, García-Almagro, Francisco-José, Álvarez, Miguel, Macías, Alfonso, Peinado, Rafael, Linde, Cecilia, Normand, Camilla, Dickstein, Kenneth
• Format: Journal Article
• Language: English
• Published: Spain Elsevier España, S.L.U 01.12.2019
• Subjects: Aged; Arrhythmias, Cardiac - epidemiology; Arrhythmias, Cardiac - therapy; Cardiac resynchronization therapy; Cardiac Resynchronization Therapy - statistics & numerical data; Cardiovascular; Electrocardiography; Europe - epidemiology; Female; Heart failure; Humans; Insuficiencia cardiaca; Internal Medicine; Male; Medicin och hälsovetenskap; Middle Aged; Morbidity - trends; Retrospective Studies; Spain - epidemiology; Surveys and Questionnaires; Terapia de resincronización cardiaca; Europe; Spain; Heart failure; CRT; left ventricle; LV; complete left bundle branch block; Cardiac resynchronization therapy; EHRA; European Society of Cardiology; ESC; Terapia de resincronización cardiaca; LBBB; Insuficiencia cardiaca; European Heart Rhythm Association
• ISSN: 1885-5857; 1885-5857
• DOI: 10.1016/j.rec.2019.02.003

Abstract Introduction and objectives We describe the results for Spain of the Second European Cardiac Resynchronization Therapy Survey (CRT-Survey II) and compare them with those of the other participating countries. Methods We included patients undergoing CRT device implantation between October 2015 and December 2016 in 36 participating Spanish centers. We registered the patients’ baseline characteristics, implant procedure data, and short-term follow-up information until hospital discharge. Results Implant success was achieved in 95.9%. The median [interquartile range] annual implantation rate by center was significantly lower in Spain than in the other participating countries: 30 implants/y [21-50] vs 55 implants/y [33-100]; P = .00003. In Spanish centers, there was a lower proportion of patients ≥ 75 years (27.9% vs 32.4%; P = .0071), a higher proportion in New York Heart Association functional class II (46.9% vs 36.9%; P < .00001), and a higher percentage with electrocardiographic criteria of left bundle branch block (82.9% vs 74.6%; P < .00001). The mean length of hospital stay was significantly lower in Spanish centers (5.8 ± 8.5 days vs 6.4 ± 11.6; P < .00001). Spanish patients were more likely to receive a quadripolar LV lead (74% vs 56%; P < .00001) and to be followed up by remote monitoring (55.8% vs 27.7%; P < .00001). Conclusions The CRT-Survey II shows that, compared with other participating countries, fewer patients in Spain aged ≥ 75 years received a CRT device, while more patients were in New York Heart Association functional class II and had left bundle branch block. In addition, the length of hospital stay was shorter, and there was greater use of quadripolar LV leads and remote CRT monitoring.