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Dubious effect of the high biventricular paced beats percentage itself on the cardiac resynchronization efficacy in patients with atrial fibrillation. The randomized Pilot-CRAfT Study results

Title: Dubious effect of the high biventricular paced beats percentage itself on the cardiac resynchronization efficacy in patients with atrial fibrillation. The randomized Pilot-CRAfT Study results
Authors: Ciszewski, JB; Tajstra, M; Kowalik, I; Maciag, A; Zajac, D; Pytkowski, M; Gasior, M; Sterlinski, M
Source: EP Europace ; volume 24, issue Supplement_1 ; ISSN 1099-5129 1532-2092
Publisher Information: Oxford University Press (OUP)
Publication Year: 2022
Description: Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): National Institute of Cardiology statutory grant Background The presence of atrial fibrillation (AF) in cardiac resynchronization therapy (CRT) recipients is common and AF is a marker of poorer CRT response. The negative influence of AF on CRT efficacy is belived to be mediated mainly by the drop of effectively captured biventricular paced beats percentage (BiVp%). According to observational trials, the minimal BiVp associated with better outcomes is 95-98%, however there is lack of randomized trials to confirm this findings. Purpose The purpose of the study was to assess the influence of BiVp% itself on the clinical outcomes in the population CRT patients with atrial fibrillation in a prospective, randomized cohort. Methods The study included the prospective Pilot-CRAfT study participants that is patients with CRT and permanent or persistent AF lasting for ≥6 months that were randomly assigned to rhythm or rate control strategy. We divided the whole study population according to their BiVp at the 12 month follow-up with two borderline BiVp values (BiVp >98% vs 95% vs 98% and 29 patients with BiVp >95% at the end of the study. The BiVp groups >98% vs 95% vs ...
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/europace/euac053.179
Availability: https://doi.org/10.1093/europace/euac053.179; https://academic.oup.com/europace/article-pdf/24/Supplement_1/euac053.179/43769913/euac053.179.pdf
Rights: https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model
Accession Number: edsbas.3E8E4FF6
Database: BASE