Time-dependent risk reduction of ventricular tachyarrhythmias in cardiac resynchronization therapy patients: a MADIT-RIT sub-study
Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Martin StockburgerValentina Kutyifa
Abstract
Data on the time-dependent benefit of cardiac resynchronization therapy with defibrillator (CRT-D) compared with a dual-chamber implantable cardioverter-defibrillator (ICD) to reduce death or ventricular tachycardia (VT) or ventricular fibrillation (VF) are limited. We aimed to evaluate the time-related risk of death or sustained VT or VF in patients receiving CRT-D vs. ICD in the MADIT-RIT trial. Kaplan-Meier survival analyses and multivariate Cox regression models were utilized to compare the incidence and the risk of death or sustained VT/VF in the CRT-D and ICD subgroups by the elapsed time after device implantation (6 months). Of the ICD (n = 742) and CRT-D (n = 757) patients enrolled, the risk of death was lower in CRT-D vs. in ICD early after device implantation [hazard ratio (HR) = 0.42, 95% confidence interval (CI): 0.17-1.03, P = 0.058] and beyond 6 months of follow-up (HR = 0.39, 95% CI: 0.21-0.73, P = 0.004), with the 6-month interaction P = 0.899. The overall risk of sustained VT/VF was reduced in CRT-D vs. ICD patients (HR = 0.73, 95% CI: 0.52-1.03, P = 0.07). However, the risk was similar in the first 6 months (HR = 1.00, 95% CI: 0.62-1.62, P = 0.988), and a lower risk emerged 6 months after CRT-D implantation (H...Continue Reading
References
Mar 1, 1982·Circulation·L E Hinkle, H T Thaler
Jul 1, 1993·Pacing and Clinical Electrophysiology : PACE·S G KimA J Moss
Sep 15, 2000·Journal of the American College of Cardiology·S L HigginsD B Meyer
Jan 11, 2000·Circulation·G S NelsonD A Kass
Mar 22, 2002·The New England Journal of Medicine·Arthur J MossUNKNOWN Multicenter Automatic Defibrillator Implantation Trial II Investigators
Jun 14, 2002·The New England Journal of Medicine·William T AbrahamUNKNOWN MIRACLE Study Group. Multicenter InSync Randomized Clinical Evaluation
May 7, 2003·Circulation·Martin St John SuttonMarc A Pfeffer
Mar 9, 2005·The New England Journal of Medicine·John G F ClelandUNKNOWN Cardiac Resynchronization-Heart Failure (CARE-HF) Study Investigators
May 24, 2008·Journal of the American College of Cardiology·Andrew E EpsteinUNKNOWN Society of Thoracic Surgeons
Sep 19, 2008·European Heart Journal·Kenneth DicksteinUNKNOWN ESC Committee for Practice Guidelines (CPG)
Aug 25, 2010·Circulation·Scott D SolomonUNKNOWN MADIT-CRT Investigators
Jun 11, 2011·Journal of the American College of Cardiology·Alon BarsheshetIlan Goldenberg
Sep 29, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Florian BlaschkeMartin Stockburger
Jul 24, 2012·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Claudio SchugerArthur J Moss
Oct 9, 2012·Journal of the American College of Cardiology·Gregory OuelletIlan Goldenberg
Oct 12, 2012·European Heart Journal·Valentina KutyifaHelmut Klein
Nov 8, 2012·The New England Journal of Medicine·Arthur J MossUNKNOWN MADIT-RIT Trial Investigators
Mar 14, 2013·Journal of Cardiac Failure·Dorit KnappeUNKNOWN MADIT-CRT Investigators
May 4, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Valentina KutyifaWojciech Zareba
Jun 6, 2013·European Journal of Heart Failure·Raffaele MarfellaMichele D'Amico
Citations
Nov 28, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Pietro PalmisanoFrancesco Magliari
Feb 24, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Marc StrikPierre Bordachar
Jun 14, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Nishaki K Mehta, William T Abraham
Feb 16, 2016·Pacing and Clinical Electrophysiology : PACE·Christopher R EllisArnold J Greenspon
Dec 1, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maria Lucia NarducciFilippo Crea
Jul 17, 2018·Cardiovascular Research·Bishoy DeifAnthony S Tang
Nov 8, 2015·Journal of the American Heart Association·Sérgio BarraSharad Agarwal
Dec 24, 2018·Journal of Cardiovascular Electrophysiology·Evan C AdelsteinSamir Saba
Oct 19, 2017·PloS One·Leonard BergauMarkus Zabel
Mar 6, 2021·Journal of Arrhythmia·Hisashi YokoshikiUNKNOWN Members of the Implantable Cardioverter‐Defibrillator (ICD) Committee of the Japanese Heart Rhythm Society
Aug 16, 2021·Journal of Cardiovascular Medicine·Maurizio LandolinaMaurizio Gasparini