Efficacy of isolated left ventricular and biventricular pacing is differentially associated with baseline QRS duration in chronic heart failure: a meta-analysis of randomized controlled trials

Verfasser / Beitragende:
[Junyu Chen, Xiaodong Zhuang, Lizhen Liao, Xinxue Liao, Lichun Wang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/1(2015-01-01), 81-88
Format:
Artikel (online)
ID: 605478597
LEADER caa a22 4500
001 605478597
003 CHVBK
005 20210128100406.0
007 cr unu---uuuuu
008 210128e20150101xx s 000 0 eng
024 7 0 |a 10.1007/s10741-014-9448-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10741-014-9448-5 
245 0 0 |a Efficacy of isolated left ventricular and biventricular pacing is differentially associated with baseline QRS duration in chronic heart failure: a meta-analysis of randomized controlled trials  |h [Elektronische Daten]  |c [Junyu Chen, Xiaodong Zhuang, Lizhen Liao, Xinxue Liao, Lichun Wang] 
520 3 |a Cardiac resynchronization therapy can treat chronic heart failure through either biventricular pacing (BVP) or isolated left ventricular pacing (LVP), and the efficacy is depended on QRS duration. However, the optimal therapeutic choice of pacing or how the QRS influences the efficacy remains uncertain. To investigate this uncertainty, we searched available publications in PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials databases regarding differentials in efficacy parameters between BVP and LVP. A meta-analysis of eight randomized controlled trials found that BVP and LVP were comparable with regard to quality-of-life scores, left ventricular ejection fraction, left ventricular end-systolic volume, and mortality or heart transplant rates. However, there was a significant heterogeneity among the trials in 6-min walking distances. Subsequent meta-regression indicated that the baseline QRS duration significantly correlated with the standard mean difference between BVP and LVP. As QRS duration increased, the gain in 6-min walking distance with BVP became significantly greater than that of LVP. This suggests that it is necessary to consider the QRS duration when comparing the clinical effects of BVP and LVP. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Cardiac resynchronization therapy  |2 nationallicence 
690 7 |a Biventricular pacing  |2 nationallicence 
690 7 |a Left ventricular pacing  |2 nationallicence 
690 7 |a Chronic heart failure  |2 nationallicence 
690 7 |a QRS  |2 nationallicence 
700 1 |a Chen  |D Junyu  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
700 1 |a Zhuang  |D Xiaodong  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
700 1 |a Liao  |D Lizhen  |u Department of Health, Guangzhou Higher Education Mega Center, Guangdong Pharmaceutical University, 510006, Guangzhou, Guangdong, People's Republic of China  |4 aut 
700 1 |a Liao  |D Xinxue  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
700 1 |a Wang  |D Lichun  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/1(2015-01-01), 81-88  |x 1382-4147  |q 20:1<81  |1 2015  |2 20  |o 10741 
856 4 0 |u https://doi.org/10.1007/s10741-014-9448-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10741-014-9448-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Junyu  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhuang  |D Xiaodong  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liao  |D Lizhen  |u Department of Health, Guangzhou Higher Education Mega Center, Guangdong Pharmaceutical University, 510006, Guangzhou, Guangdong, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liao  |D Xinxue  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Lichun  |u Department of Cardiology, First Affiliated Hospital, Sun Yat-Sen University, 510080, Guangzhou, Guangdong, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/1(2015-01-01), 81-88  |x 1382-4147  |q 20:1<81  |1 2015  |2 20  |o 10741