Heart rate score in remote monitoring: An additional tool for predicting outcomes in heart failure with reduced ejection fraction.
Pacing Clin Electrophysiol
; 47(4): 490-495, 2024 04.
Article
em En
| MEDLINE
| ID: mdl-38462714
ABSTRACT
BACKGROUND:
Heart rate score (HRS) ≥ 70% has been associated with arrhythmic events and mortality but these studies were not specific for heart failure (HF) patients. We hypothesized that HRS ≥ 70% obtained from remote monitoring (RM) is associated with HF hospitalizations and arrhythmic events in HF with reduced ejection fraction (HFrEF).METHODS:
HRS was calculated from RM in patients with HFrEF and ICD or CRT-D. Two groups were defined HRS ≥ 70% (G1, n = 55) and HRS < 70% (G2, n = 48)RESULTS:
A total of 103 patients were included (64.4 ± 13.04 years, 69.9% male, mean left ventricular ejection fraction (LVEF) 33.62 ± 11.97% and FUP 61.7 ± 38.87 months). The device was CRT-D in 59.2% and ICD in 40.8% and the majority (90.3%) had the device implanted in primary prevention. G1 patients were more frequently male (p = .017) and had more coronary disease (p = .035). HRS ≥70% was an independent predictor for unplanned HF hospitalizations (OR 1.905 (95% CI 1.328-3.649), p < .001)). The indication for device implantation (primary vs. secondary prevention), type of device, NYHA class, age, gender and LVEF were not independent predictors of the outcome. VF (4.9 ± 20.0 G1 vs. 1.1 ± 5.47 G2, p = .046) and VT episodes were more prevalent in G1 (3.1 ± 8.93 G1 vs. 0.3 ± 1.59 G2, p = .026), as well as appropriate device shocks (4.3 ± 12.06 G1 vs. 0.3 ± 1.49 G2, p = .023). There was no difference in inappropriate shocks or mortality outcomes between groups.CONCLUSION:
HRS ≥70% obtained from RM was an independent predictor of HF hospitalizations and was associated with arrhythmic events with VT and VF episodes and appropriate device shocks in HFrEF patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
Problema de saúde:
2_muertes_prematuras_enfermedades_notrasmisibles
/
6_cardiovascular_diseases
/
6_other_circulatory_diseases
Assunto principal:
Disfunção Ventricular Esquerda
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Insuficiência Cardíaca
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Pacing Clin Electrophysiol
/
Pacing and clinical electrophysiology
/
Pacing clin. electrophysiol
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Portugal