Device-evaluated autonomic nervous function for predicting ventricular arrhythmias and all-cause mortality in patients who underwent cardiac resynchronization therapy-defibrillator
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作者:
Cheng, Chendi
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Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Cheng, Chendi
[1
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Jiang, Jiang
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Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Jiang, Jiang
[1
]
Chen, Keping
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Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Chen, Keping
[1
]
Hua, Wei
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Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Hua, Wei
[1
]
Su, Yangang
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Fudan Univ, Zhongshan Hosp, Shanghai Inst Cardiovasc Dis, Cardiol, Shanghai, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Su, Yangang
[2
]
Xu, Wei
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Nanjing Drum Tower Hosp, Dept Cardiol, Nanjing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Xu, Wei
[3
]
Fan, Xiaohan
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Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Fan, Xiaohan
[1
]
Dai, Yan
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Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Dai, Yan
[1
]
Zhang, Shu
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Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R ChinaFuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
Zhang, Shu
[1
]
机构:
[1] Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, State Key Lab Cardiovasc Dis, Arrhythmia Ctr,Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
[2] Fudan Univ, Zhongshan Hosp, Shanghai Inst Cardiovasc Dis, Cardiol, Shanghai, Peoples R China
[3] Nanjing Drum Tower Hosp, Dept Cardiol, Nanjing, Peoples R China
Introduction:Autonomic nervous system (ANS) function quantified by heart rate variability (HRV) was associated with long-term prognosis, but it was rarely used in the evaluation of patients with heart failure, especially those with cardiac resynchronization therapy-defibrillator (CRT-D) implantation. This study aimed to describe the changes in ANS function among patients who underwent CRT-D with remote home monitoring function, and explore predictive value of HRV for ventricular tachyarrhythmias (VTAs) and all-cause mortality. Method:Patients who underwent CRT-D implantation were included. Device-measured all-day HR, night-time HR, and HRV (measured by the standard deviation of the atrial-atrial sensed intervals) were used to quantify ANS function. Multivariate Cox proportional hazards models were fitted to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) of VTAs or all-cause mortality in relation to ANS function at baseline and 6 months post-implantation. The cutoff value was determined using restrictive cubic splines. Multivariable logistic regression was further established to determine factors influencing postoperative HRV. Results:A total of 170 patients treated with CRT-D were eligible for analysis. During a median follow-up period of 50.8 months, 61 patients died and 69 patients experienced at least one spontaneous episode of VTAs. At 6 months after CRT implantation, 114 patients showed improvement in HRV, increasing from 66.4 +/- 19.4 ms to 76.7 +/- 21.2 ms. The postoperative HRV was associated with both all-cause mortality (HRs: 0.983; 95% CI: 0.968 to 0.998, p = 0.012) and VTAs (HRs: 0.973; 95% CI: 0.954 to 0.993, p = 0.008), and the relative risk would significantly increase when the postoperative HRV lower than 75 ms. After adjusting for basic ANS function and possible influencing factors, patients without diabetes (p = 0.018) and with higher daily physical activity (p = 0.041) could maintain higher postoperative HRV after CRT implantation. Conclusion:More than two-thirds of heart failure patients showed improvement in ANS function following CRT treatment. However, patients with diabetes and low daily physical activity levels have difficulty maintaining a higher postoperative HRV, which is associated with a worse clinical outcome.
机构:
Jefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Wattanachayakul, Phuuwadith
Yanpiset, Panat
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Texas Tech Univ, Dept Med, Hlth Sci Ctr, Lubbock, TX USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Yanpiset, Panat
Wannaphut, Chalothorn
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Univ Hawaii, John A Burns Sch Med, Dept Med, Honolulu, HI USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Wannaphut, Chalothorn
Suenghataiphorn, Thanathip
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Mahidol Univ, Siriraj Hosp, Fac Med, Bangkok, ThailandJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Suenghataiphorn, Thanathip
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Rujirachun, Pongprueth
Danpanichkul, Pojsakorn
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Texas Tech Univ, Dept Med, Hlth Sci Ctr, Lubbock, TX USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Danpanichkul, Pojsakorn
Polpichai, Natchaya
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Weiss Mem Hosp, Dept Med, Chicago, IL USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Polpichai, Natchaya
Saowapa, Sakditad
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Texas Tech Univ, Dept Med, Hlth Sci Ctr, Lubbock, TX USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Saowapa, Sakditad
Kewcharoen, Jakrin
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Univ Calif San Francisco, Div Cardiol, San Francisco, CA USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Kewcharoen, Jakrin
Charoenngam, Nipith
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Harvard Med Sch, Massachusetts Gen Hosp, Endocrine Unit, Boston, MA USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Charoenngam, Nipith
Ungprasert, Patompong
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Cleveland Clin, Dept Rheumat & Immunol Dis, Cleveland, OH USAJefferson Einstein Hosp, Dept Med, Philadelphia, PA 19141 USA
Ungprasert, Patompong
[J].
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY,
2024,
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Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Lab Instrumental Diagnost, Tomsk, RussiaRussian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Lab Instrumental Diagnost, Tomsk, Russia
Pushkarev, G. S.
Kuznetsov, V. A.
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Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Tomsk, RussiaRussian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Lab Instrumental Diagnost, Tomsk, Russia
Kuznetsov, V. A.
Fisher, Y. A.
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Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Tomsk, RussiaRussian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Lab Instrumental Diagnost, Tomsk, Russia
Fisher, Y. A.
Soldatova, A. M.
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Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Tomsk, RussiaRussian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Lab Instrumental Diagnost, Tomsk, Russia
Soldatova, A. M.
Sapozhnikova, A. D.
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Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Tomsk, RussiaRussian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Lab Instrumental Diagnost, Tomsk, Russia
Sapozhnikova, A. D.
Enina, T. N.
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Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Tomsk, RussiaRussian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Lab Instrumental Diagnost, Tomsk, Russia
机构:
Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
Peking Union Med Coll, Beijing 100021, Peoples R ChinaChinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
Zhao, Shuang
Chen, Keping
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Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
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Chen, Keping
Su, Yangang
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Fudan Univ, Zhongshan Hosp, Shanghai Inst Cardiovasc Dis, Dept Cardiol, Shanghai 200433, Peoples R ChinaChinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
Su, Yangang
Hua, Wei
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Hua, Wei
Pu, Jielin
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Pu, Jielin
Li, Hui
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Beijing Hui Kang Xin Technol Co Ltd, Beijing, Peoples R ChinaChinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
Li, Hui
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Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
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Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
Peking Union Med Coll, Beijing 100021, Peoples R ChinaChinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
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Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
Peking Union Med Coll, Beijing 100021, Peoples R ChinaChinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
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Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China
Peking Union Med Coll, Beijing 100021, Peoples R ChinaChinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Arrhythmia Ctr, Beijing 100730, Peoples R China