Echocardiography- versus intracardiac electrocardiogram-based optimization of cardiac resynchronization therapy: A systematic review.

Echocardiography- versus intracardiac electrocardiogram-based optimization of cardiac resynchronization therapy: A systematic review.
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DOI:
10.1111/anec.13040
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发表时间:
2023-03
影响因子:
1.9
通讯作者:
Malik, Jahanzeb
Malik, Jahanzeb
中科院分区:
医学4区
文献类型:
--
作者:
Sami, Abdul;Mustafa, Bilal;Butt, Hamza Ahmed;Ashraf, Zainab;Ullah, Asif;Babar, Farheen;Asad, Muhammad;Awais, Muhammad;Zaidi, Syed Muhammad Jawad;Fakhar, Tehniat;Mehmoodi, Amin;Adnan, Nawal;Malik, Jahanzeb

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本系统综述旨在评估基于超声心动图的程序设计与基于心内心电图(IEGM)的优化心脏再同步化治疗(CRT)方法的性能。使用数字数据库进行文献回顾,系统地识别通过超声心动图报告CRT优化与IEGM比较的研究。详细的患者水平研究特征包括研究类型、样本量、治疗、纽约心脏分类(NYHA)状态、导联放置和其他参数被抽象。最后,提取每篇文章的编程后结果。在总共11项研究中,919名患者被纳入最终分析。总体而言,692名(75.29%)为男性。在我们的研究人群中,QRS复合体的平均持续时间为145.2±21.8 ms至183±19.9 ms。两种方法在NYHA分类中有相同的改善,而左心室射血分数(LVEF)显示出IEGM的改善。与超声心动图相比,许多研究支持IEGM增加6分钟步行测试和左心室流出道速度时间间隔(LVOT VTI)。超声心动图优化的平均时间为60.15 min,心电图优化的平均时间为6.65 min。IEGM是CRT优化的一种替代方法,可以改善NYHA分级、LVEF和LVOT VTI,与基于超声心动图的方法相比,它消耗的时间更少。在总共11项研究中,共招募了919名患者,IEGM被证明是CRT优化的一种替代方法,可以改善临床结果,与基于超声心动图的方法相比,它更节省时间。
This systematic review aimed to evaluate the performance of echocardiography‐based programming in comparison with the intracardiac electrocardiogram (IEGM)‐based method for the optimization of cardiac resynchronization therapy (CRT). A literature review was conducted using digital databases to systematically identify the studies reporting CRT optimization through echocardiography compared with IEGM. Detailed patient‐level study characteristics including the type of study, sample size, therapy, the New York Heart Classification (NYHA) status, lead placement, and other parameters were abstracted. Finally, postprogramming outcomes were extracted for each article. In a total of 11 studies, 919 patients were recruited for the final analysis. Overall, 692 (75.29%) were males. The mean duration of the QRS complex in our study population ranged from 145.2 ± 21.8 ms to 183 ± 19.9 ms. There was an equal improvement in the NYHA class between the two methods while the left ventricular ejection fraction (LVEF) demonstrated an improvement by IEGM. Many studies supported IEGM to increase the 6‐minute walk test and left ventricular outflow tract velocity time interval (LVOT VTI) when compared to echocardiography. The mean time for echocardiography‐based optimization was 60.15 min while that of IEGM‐based optimization was 6.65 min. IEGM is an alternative method for CRT optimization in improving the NYHA class, LVEF, and LVOT VTI, and is less time‐consuming when compared to the echocardiography‐based methods. In a total of 11 studies, recruiting 919 patients, IEGM is demonstrated as an alternative method for CRT optimization in improving clinical outcomes and is less time‐consuming when compared to the echocardiography‐based methods.
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