Left Ventricular Reverse Remodeling but Not Clinical Improvement Predicts Long-Term Survival After Cardiac Resynchronization Therapy
Author(s) -
CheukMan Yu,
Gabe B. Bleeker,
Jeffrey W.H. Fung,
Martin J. Schalij,
Qing Zhang,
Ernst E. van der Wall,
Yat-Sun Chan,
Shun-Ling Kong,
Jeroen J. Bax
Publication year - 2005
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.105.538272
Subject(s) - medicine , cardiology , heart failure , cardiac resynchronization therapy , ventricular remodeling , receiver operating characteristic , proportional hazards model , survival analysis , log rank test , dilated cardiomyopathy , cardiomyopathy , ejection fraction
In patients with severe heart failure and dilated cardiomyopathy, cardiac resynchronization therapy (CRT) improves left ventricular (LV) systolic function associated with LV reverse remodeling and favorable 1-year survival. However, it is unknown whether LV reverse remodeling translates into a better long-term prognosis and what extent of reverse remodeling is clinically relevant, which were investigated in this study.
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