机构:[1]Department of Cardiology, Anhui Provincial Hospital, No. 17 Lujiang Road, Hefei, 230001, China.[2]CardiacArrhythmia center, Fuwai Hospital, Chinese Academy of medical Sciences, No. 167 North Lishi Road, Beijing,100037, China.[3]Department of Cardiology, West China Hospital, Sichuan University, No. 37 Guoxue lane, Chengdu,610041, China.四川大学华西医院[4]Department of Cardiology, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 YantaWest Road, Xi’an, 710061, China.[5]Department of Cardiology, Tianjin chest hospital, No. 93 Xi’an Road, Tianjin,300051, China.[6]Department of Cardiology, The First Affiliated Hospital, Zhejiang University, No. 79 Qingchun Road,Hangzhou, 310003, China.内科系统心血管内科浙江大学医学院附属第一医院[7]Department of Cardiology, The General Hospital of Lanzhou Military, No. 98 XiaoxihuWest Street, Lanzhou, 730050, China.[8]Department of Cardiology, The First Hospital of Lanzhou University, No.1 Donggang West Road, Lanzhou, 730000, China.[9]Department of Cardiology, The General Hospital of ShenyangMilitary, No. 83 Wenhua Road, Shenyang, 110840, China.[10]Department of Cardiology, The First Affiliated Hospitalof Xinjiang Medical University, No. 137 Liyushan South Road, Urumqi, 830054, China.[11]Department of Cardiology,Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, No. 321 ZhongshanRoad, Nanjing, 210008, China.[12]Department of Cardiology, The Second Affiliated Hospital of Zhejiang UniversitySchool of Medicine, No. 88 Jiefang Road, Hangzhou, 310009, China.[13]Department of Cardiology, Beijing AnzhenHospital, Capital Medical University, No. 2 Anzhen Road, Beijing, 100029, China.临床科室心脏内科中心首都医科大学附属安贞医院[14]Department of Cardiology, SunYat-sen Memorial Hospital of Sun Yat-sen University, No. 107 Yanjiang West Road, Guangzhou, 510120, China.[15]Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, No. 295 Xichang Road,Kunming, 650032, China.内科科室心脏内科昆明医科大学附属第一医院[16]Department of Cardiology, General Hospital of Ningxia Medical University, No. 804Shengli South Street, Yinchuan, 750004, China.[17]Department of Cardiology, The First Affiliated Hospital of SunYat-sen University, No. 58 Zhongshan Er Road, Guangzhou, 510080, China.心血管医学部中山大学附属第一医院[18]Department of Cardiology, RenminHospital of Wuhan University, No. 99 Zhangzhidong Road, Wuhan, 430060, China.[19]Department of Cardiology, SirRun Run Shaw Hospital of Medicine, Zhejiang University, No. 3 Qingchun East Road, Hangzhou, 310020, China.[20]Department of Cardiology, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road,Nanjing, 530021, China.[21]Department of Cardiology, Fujian Provincial Hospital, No. 134 East Street, Fuzhou,350001, China.[22]The First Department of Cardiology, The 251ST Hospital of PLA, No. 13 Jianguo Road, Zhangjiakou,075000, China.[23]Department of Cardiology, Hangzhou First People’s Hospital, No. 261 HuanSha Road, Hangzhou,310006, China.[24]Department of Cardiology, The second people’s Hospital of Yunnan Province, No. 176 QingnianRoad, Kunming, 650021, China.[25]Department of Cardiology, Hebei General Hospital, No. 348 Heping West Road,Shijiazhuang, 050051, China.[26]Department of Cardiology, People’s Hospital of Yuxi City, No. 21 Nieer Road, Yuxi,653100, China.[27]Department of Cardiology, Chinese PLA General Hospital, No. 28 Fuxing Road, Beijing, 100853,China.[28]Department of Cardiology, Xiangya Hospital Central South University, No. 87 xiangya Road, Changsha,410008, China.[29]Department of Cardiology, Zhejiang Greentown Hospital, No. 409 Gudun Road, Hangzhou,310000, China.[30]Department of Cardiology, The Second Hospital of Tianjin Medical University, No. 23 PingjiangRoad, Tianjin, 300211, China.[31]Department of Cardiology, Daqing Oilfield General Hospital, No. 9 ZhongkangStreet, Daqing, 163000, China.[32]Department of Cardiology, Shaoxing People’s Hospital, No. 568 Zhongxing NorthRoad, Shaoxing, 312000, China.
In this trial, long-term therapeutic effects and clinical improvements in Chinese chronic heart failure patients optimized by QuickOpt or echocardiography were compared for atrioventricular (AV) and interventricular (VV) delay optimizations after cardiac resynchronization therapy (CRT) with pacing (CRT-P) or with pacing and defibrillator (CRT-D) therapy. One hundred and ninety-six subjects (50%) had dilated cardiomyopathy, 108 (27.6%) had ischemic heart disease and 112 (28.6%) were hypertensive and were randomized into QuickOpt (198) or echocardiographic optimization (control) (194) groups at <= 2-weeks post-implantation. Programmed AV/VV delay was optimized at baseline and at 3 and 6 months. Left ventricular end-systolic volume (LVESV), New York Heart Association (NYHA) class, specific activity scale (SAS), and the six-minute walk tests (6MWT) were evaluated by blinded researchers at 12 months. Of the QuickOpt group, LVESV decreased significantly by 24.7% +/- 33.9% compared with baseline, while LVESV of Controls decreased by 25.1% +/- 36.1% (P = 0.924). NYHA class, SAS and 6MWT also improved similarly in both groups at 12 months. Mortality in both groups was not significantly different (11.0% vs 7.6%, P = 0.289). However, there was a significant difference in the time required for optimization by QuickOpt compared with echocardiography (3.33 +/- 3.11 vs 58.79 +/- 27.03 minutes, P < 0.000).
基金:
funding from St. Jude Medical. We sincerely thank Jihong Qu and Yanhong Li from
St. Jude Medical for text revision.
Ji Yan,Shu Zhang,Dejia Huang,et al.Evaluation of the therapeutic effects of QuickOpt optimization in Chinese patients with chronic heart failure treated by cardiac resynchronization[J].SCIENTIFIC REPORTS.2018,8(1):4259.doi:10.1038/s41598-018-22525-0.
APA:
Ji Yan,Shu Zhang,Dejia Huang,Xiaolin Xue,Jing Xu...&Fang Peng.(2018).Evaluation of the therapeutic effects of QuickOpt optimization in Chinese patients with chronic heart failure treated by cardiac resynchronization.SCIENTIFIC REPORTS,8,(1)
MLA:
Ji Yan,et al."Evaluation of the therapeutic effects of QuickOpt optimization in Chinese patients with chronic heart failure treated by cardiac resynchronization".SCIENTIFIC REPORTS 8..1(2018):4259