Value of precision management after cardiac resynchronization therapy
10.3969/j.issn.1009-0126.2024.03.008
- VernacularTitle:心脏再同步化治疗术后精准管理价值研究
- Author:
Jiashan CHEN
1
;
Xiang GU
;
Ye ZHU
Author Information
1. 116100 中国医科大学附属盛京医院大连医院心内科
- Keywords:
heart failure;
cardiac resynchronization therapy;
prognosis;
precise management
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2024;26(3):271-275
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of precision management on improving the symp-toms and response rate of patients after cardiac resynchronization therapy(CRT).Methods A to-tal of 97 patients with heart failure(HF)who received CRT for the first time in Department of Cardiology,Northern Jiangsu People's Hospital from January 1,2020 to December 31,2021 were enrolled in this study.They were divided into control group(53 cases)and precision management group(44 cases).CRT response rate and incidence of HF readmission or death were compared be-tween the two groups.Results The precision management group had significantly larger propor-tion of total response in 12 months after CRT than the control group(P＜0.05).Kaplan-Meier survival analysis showed that the survival rate without clinical concern was obviously higher in the precision management group than the control group(P=0.018).Multivariate Cox regression analysis indicated that no precision management after surgery(HR=0.21,95％CI:0.09-0.47,P=0.005)and hospitalization for HF within 1 year before surgery(HR=3.94,95％CI:1.70-9.14,P=0.005)were the main predictors of clinical events of concern after CRT.Conclusion Postoperative precision management of CRT can increase the CRT response rate,reduce the risk of readmission or death due to HF,and improve the prognosis effectively.
