eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
4/2019
vol. 15
 
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abstract:
Original paper

Cardiac resynchronization in Poland – comparable procedural routines? Insights from CRT Survey II

Mateusz Tajstra
1
,
Damian Łasocha
2
,
Elżbieta Gadula-Gacek
1
,
Mateusz Ostręga
1
,
Lidia Michalak
3
,
Dariusz Wojciechowski
4
,
Marek Zieliński
5
,
Maciej Kempa
6
,
Zbigniew Orski
7
,
Anna Polewczyk
8
,
Jerzy Ozga
9
,
Camilla Normand
10
,
Kenneth Dickstein
10
,
Cecilia Linde
11
,
Jarosław Kaźmierczak
12
,
Łukasz Szumowski
2
,
Mariusz Gąsior
1
,
Maciej Sterliński
2

  1. 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland
  2. Department of Arrhythmia, Institute of Cardiology, Warsaw, Poland
  3. 1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland
  4. Department of Cardiology, Wolski Hospital, Warsaw, Poland
  5. Department of Cardiology, Ludwik Perzyna Provincial Polyclinical Hospital, Kalisz, Poland
  6. Department of Cardiology and Electrotherapy, Medical University of Gdansk, Poland
  7. Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland
  8. Department of Cardiology, Swietokrzyskie Cardiology Center, Kielce, Poland
  9. Cardiology Department II and Intensive Care Unit, Independent Public Complex Hospital, Stalowa Wola, Poland
  10. Cardiology Division, Stavanger University Hospital, Stavanger, Norway
  11. Heart and Vessels Theme, Karolinska University Hospital, Stockholm, and Karolinska Institute, Stockholm, Sweden
  12. Department of Cardiology, Pomeranian Medical University, Szczecin, Poland
Adv Interv Cardiol 2019; 15, 4 (58): 477–484
Online publish date: 2019/12/08
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Introduction
CRT Survey II was initiated by the European Heart Rhythm Association and the Heart Failure Association, to explore everyday implantation practice of cardiac resynchronization therapy (CRT) devices in a broad spectrum of hospitals in European Society of Cardiology (ESC) member countries.

Aim
To compare Polish and European procedural practice.

Material and methods
Procedural details of Polish patients collected in 37 Polish centres (n = 1241 – Poland group) were compared to the patients enrolled throughout Europe (n = 9847 – CRT II Survey group).

Results
There were significant differences in: successful implantation (96.1% vs. 97.4%), type of device implanted (for CRT-D: 87% vs. 67.6%), implanting physician subspecialty (for electrophysiologist: 69.2% vs. 79.8%), type of location of procedure (for operating room: 19.4% vs. 8.9%), duration of procedure (117.8 ±44 vs. 97.5 ±46.1 min), left ventricle lead type (for multipolar lead: 50% vs. 57.9%), coronary sinus venogram with occlusion rate (41.4% vs. 47.9%) and peri-procedural complication rate (7.5% vs. 5.3%) between Poland and CRT II Survey groups, respectively.

Conclusions
This study provides important information describing current differences in Polish procedural routines in relation to ESC member countries. Heterogeneous CRT implantation practices across European countries still exist. However, it may be related to different clinical profile of patients qualified for CRT implantation in Poland as well as organization of care.

keywords:

cardiac resynchronisation therapy, chronic heart failure, survey

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