51. Prevalence and incidence of intra-ventricular conduction delays and outcomes in patients with heart failure and reduced ejection fraction:insights from PARADIGM-HF and ATMOSPHERE
- Author
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Kenneth Dickstein, Davide Castagno, Rasmus Rørth, Lars Køber, Karl Swedberg, Milton Packer, Akshay S. Desai, John J.V. McMurray, Jean L. Rouleau, Scott D. Solomon, Søren Lund Kristensen, William T. Abraham, Kieran F. Docherty, Michael R. Zile, Li Shen, and Pardeep S. Jhund
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Bundle-Branch Block ,Cardiac resynchronization therapy ,Heart failure ,030204 cardiovascular system & hematology ,Cardiac Resynchronization Therapy ,03 medical and health sciences ,QRS complex ,Electrocardiography ,0302 clinical medicine ,Heart Conduction System ,Internal medicine ,Prevalence ,Medicine ,Humans ,Aged ,Randomized Controlled Trials as Topic ,Heart Failure ,Ejection fraction ,medicine.diagnostic_test ,business.industry ,Left bundle branch block ,Incidence ,Hazard ratio ,Stroke Volume ,Right bundle branch block ,Middle Aged ,medicine.disease ,Prognosis ,Hospitalization ,Treatment Outcome ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
Aims: The importance of intra-ventricular conduction delay (IVCD), the incidence of new IVCD and its relationship to outcomes in heart failure and reduced ejection fraction (HFrEF) are not well studied. We addressed these questions in the PARADIGM-HF and ATMOSPHERE trials. Methods and results: The risk of the primary composite outcome of cardiovascular death or heart failure hospitalization and all-cause mortality were estimated by use of Cox regression according to baseline QRS duration and morphology in 11 861 patients without an intracardiac device. At baseline, 1789 (15.1%) patients had left bundle branch block (LBBB), 524 (4.4%) right bundle branch block (RBBB), 454 (3.8%) non-specific IVCD, 2588 (21.8%) ‘mildly abnormal’ QRS (110–129 ms) and 6506 (54.9%) QRS
- Published
- 2020