Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter Registry
Aims. The Cardiac Resynchronization Therapy (CRT) Survey II was conducted between October 2015 and December 2016 and included data from 11088 CRT implantations from 42 countries. The survey’s aim was to report on current European CRT practice. The aim of this study was to compare the Croatian nation...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2018/3479846 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554371112501248 |
|---|---|
| author | Sandro Brusich Ivan Zeljković Nikola Pavlovic Ante Anić Zrinka Jurišić David Židan Marina Klasan Zlatko Čubranić Kenneth Dickstein Cecilia Linde Camilla Normand Sime Manola |
| author_facet | Sandro Brusich Ivan Zeljković Nikola Pavlovic Ante Anić Zrinka Jurišić David Židan Marina Klasan Zlatko Čubranić Kenneth Dickstein Cecilia Linde Camilla Normand Sime Manola |
| author_sort | Sandro Brusich |
| collection | DOAJ |
| description | Aims. The Cardiac Resynchronization Therapy (CRT) Survey II was conducted between October 2015 and December 2016 and included data from 11088 CRT implantations from 42 countries. The survey’s aim was to report on current European CRT practice. The aim of this study was to compare the Croatian national CRT practice with the European data. Methods. Five centres from Croatia recruited consecutive patients, in a 15-month period, who underwent CRT implantation, primary or an upgrade. Data were collected prospectively by using online database. Results. A total of 115 patients were included in Croatia, which is 33.2% of all CRT implants in Croatia during the study period (total n=346). Median age of the study population was 67 (61–73) years, and 21.2% were women. Primary heart failure (HF) aetiology was nonischemic in 61.1% of patients, and HF with wide QRS was the most common indication for the implantation (73.5%). 80% of patients had complete left bundle branch block, and over two-third had QRS ≥150 ms. Device-related adverse events were recorded in 4.3% of patients. When compared with European countries, Croatian patients were significantly younger (67 vs. 70 years, p=0.012), had similar rate of comorbidities with the exception of higher prevalence of hypertension. Croatian patients significantly more often received CRT-pacemaker when compared with European population (58.3 vs. 29.9%, OR 3.27, 95%CI 2.25–4.74, p<0.001). Conclusion. Our data indicate strict selection of patients among HF population and adherence to guidelines with exception of higher proportion of CRT-pacemaker implantation. This is likely to be influenced by healthcare organization and reimbursement issues in Croatia. |
| format | Article |
| id | doaj-art-8636369a7c8b40beb217c7f82e7b450b |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-8636369a7c8b40beb217c7f82e7b450b2025-02-03T05:51:40ZengWileyCardiology Research and Practice2090-80162090-05972018-01-01201810.1155/2018/34798463479846Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter RegistrySandro Brusich0Ivan Zeljković1Nikola Pavlovic2Ante Anić3Zrinka Jurišić4David Židan5Marina Klasan6Zlatko Čubranić7Kenneth Dickstein8Cecilia Linde9Camilla Normand10Sime Manola11Rijeka University Hospital Centre, Rijeka, CroatiaSestre Milosrdnice University Hospital Centre, Zagreb, CroatiaSestre Milosrdnice University Hospital Centre, Zagreb, CroatiaCounty Hospital Zadar, Zadar, CroatiaSplit University Hospital Centre, Split, CroatiaRijeka University Hospital Centre, Rijeka, CroatiaRijeka University Hospital Centre, Rijeka, CroatiaRijeka University Hospital Centre, Rijeka, CroatiaStavanger Univeristy Hospital, Stavanger, NorwayKarolinska University Hospital, Stockholm, SwedenStavanger Univeristy Hospital, Stavanger, NorwaySestre Milosrdnice University Hospital Centre, Zagreb, CroatiaAims. The Cardiac Resynchronization Therapy (CRT) Survey II was conducted between October 2015 and December 2016 and included data from 11088 CRT implantations from 42 countries. The survey’s aim was to report on current European CRT practice. The aim of this study was to compare the Croatian national CRT practice with the European data. Methods. Five centres from Croatia recruited consecutive patients, in a 15-month period, who underwent CRT implantation, primary or an upgrade. Data were collected prospectively by using online database. Results. A total of 115 patients were included in Croatia, which is 33.2% of all CRT implants in Croatia during the study period (total n=346). Median age of the study population was 67 (61–73) years, and 21.2% were women. Primary heart failure (HF) aetiology was nonischemic in 61.1% of patients, and HF with wide QRS was the most common indication for the implantation (73.5%). 80% of patients had complete left bundle branch block, and over two-third had QRS ≥150 ms. Device-related adverse events were recorded in 4.3% of patients. When compared with European countries, Croatian patients were significantly younger (67 vs. 70 years, p=0.012), had similar rate of comorbidities with the exception of higher prevalence of hypertension. Croatian patients significantly more often received CRT-pacemaker when compared with European population (58.3 vs. 29.9%, OR 3.27, 95%CI 2.25–4.74, p<0.001). Conclusion. Our data indicate strict selection of patients among HF population and adherence to guidelines with exception of higher proportion of CRT-pacemaker implantation. This is likely to be influenced by healthcare organization and reimbursement issues in Croatia.http://dx.doi.org/10.1155/2018/3479846 |
| spellingShingle | Sandro Brusich Ivan Zeljković Nikola Pavlovic Ante Anić Zrinka Jurišić David Židan Marina Klasan Zlatko Čubranić Kenneth Dickstein Cecilia Linde Camilla Normand Sime Manola Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter Registry Cardiology Research and Practice |
| title | Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter Registry |
| title_full | Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter Registry |
| title_fullStr | Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter Registry |
| title_full_unstemmed | Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter Registry |
| title_short | Croatian National Data and Comparison with European Practice: Data from the Cardiac Resynchronization Therapy Survey II Multicenter Registry |
| title_sort | croatian national data and comparison with european practice data from the cardiac resynchronization therapy survey ii multicenter registry |
| url | http://dx.doi.org/10.1155/2018/3479846 |
| work_keys_str_mv | AT sandrobrusich croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT ivanzeljkovic croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT nikolapavlovic croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT anteanic croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT zrinkajurisic croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT davidzidan croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT marinaklasan croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT zlatkocubranic croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT kennethdickstein croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT cecilialinde croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT camillanormand croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry AT simemanola croatiannationaldataandcomparisonwitheuropeanpracticedatafromthecardiacresynchronizationtherapysurveyiimulticenterregistry |