Correlations of age and gender with the effects of cardiac resynchronization therapy in chronic heart failure patients
10.16571/j.cnki.1008-8199.2016.05.014
- VernacularTitle:慢性心力衰竭患者年龄及性别与心脏再同步化疗效的关系
- Author:
Quanpeng WANG
;
Peibing GE
;
Ningchao TAO
;
Yao WANG
;
Xiaofeng HOU
;
Jiangang ZOU
- Publication Type:Journal Article
- Keywords:
Heart failure;
Cardiac resynchronization therapy;
Age;
Gender
- From:
Journal of Medical Postgraduates
2016;29(5):514-517
- CountryChina
- Language:Chinese
-
Abstract:
Objective Various factors may affect the effects of cardiac resynchronization therapy or cardiac resynchronization and implantable cardioverter-defibrilator ( CRT/CRTD) in chronic heart failure patients ( CHF) .The aim of our study was to explore the correlation of age and gender with the effects of CRT/CRTD in chronic heart failure patients. Methods This study included 136 CHF patients, 92 males and 44 females, treated by CRT/CRTD from January 2005 to March 2015.We divided the patients into three age groups:≥70 yr (n=29), 50-70 yr (n=77), and <50 yr (n=30), and compared the baseline characteristics, CRT respon-ding rate and all-cause mortality among different groups.The CRT response was defined as the decrease of NYHA cardiac function≥1 grade and left ventricular ejection fraction ( LVEF) improvement ≥5%. Results In the 136 CHF patients, there were 72 CRT responders (53%), 52%in the≥70 yr group, 55%in the 50-70 yr group, and 50%in the <50 yr group, with no statistically sig-nificant differences among the three groups (P>0.05).However, the CRT responding rate was remarkably higher in the female than in the male patients (66%vs 47%, P=0.027).Cox multivariate and Kaplan-Meier analyses revealed no significant differences in all-cause mortality between different genders or age groups.Multivariate logistic regression analysis showed that the left ventricular diastolic diameter and base QRS duration were independent factors of the CRT response. Conclusion Age does not affect the CRT response in chronic heart failure patients, while female patients have a higher CRT respon-ding rate than male patients.
