TY - JOUR
T1 - Simplified Selvester Score
T2 - A practical electrocardiographic instrument to predict response to CRT
AU - Bani, Rossella
AU - Checchi, Luca
AU - Cartei, Stella
AU - Pieragnoli, Paolo
AU - Ricciardi, Giuseppe
AU - Paoletti Perini, Alessandro
AU - Padeletti, Margherita
AU - Michelotti, Federica
AU - Michelucci, Antonio
AU - Mascioli, Giosuè
AU - Padeletti, Luigi
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Aims To investigate the LBBB Selvester Scoring System (LBBB-SSc) and the Simplified-SSc prognostic impact in predicting response to CRT, all cause and cardiac mortality, heart failure (HF) hospitalizations and onset of arrhythmias in HF patients undergoing CRT. Methods We retrospectively evaluated LBBB-SSc and Simplified-SSc of 172 consecutive HF patients with true-LBBB who underwent CRT. Response to CRT was defined as the improvement of LVEF of at least 10% or as the reduction of LVESV of at least 15% at 6-month follow-up. Logistic regression analysis and Cox proportional hazard analysis were performed to evaluate each endpoint related risk according to LBBB-SSc and Simplified-SSc. Results The LBBB-SSc and the Simplified-SSc were inversely correlated with response to CRT. Myocardial scar at both scores was independently associated to non-response to CRT. No correlation was observed between LBBB-SSc or Simplified-SSc and other endpoints. Conclusions In HF patients with true-LBBB, Simplified-SSc is able to predict response to CRT.
AB - Aims To investigate the LBBB Selvester Scoring System (LBBB-SSc) and the Simplified-SSc prognostic impact in predicting response to CRT, all cause and cardiac mortality, heart failure (HF) hospitalizations and onset of arrhythmias in HF patients undergoing CRT. Methods We retrospectively evaluated LBBB-SSc and Simplified-SSc of 172 consecutive HF patients with true-LBBB who underwent CRT. Response to CRT was defined as the improvement of LVEF of at least 10% or as the reduction of LVESV of at least 15% at 6-month follow-up. Logistic regression analysis and Cox proportional hazard analysis were performed to evaluate each endpoint related risk according to LBBB-SSc and Simplified-SSc. Results The LBBB-SSc and the Simplified-SSc were inversely correlated with response to CRT. Myocardial scar at both scores was independently associated to non-response to CRT. No correlation was observed between LBBB-SSc or Simplified-SSc and other endpoints. Conclusions In HF patients with true-LBBB, Simplified-SSc is able to predict response to CRT.
KW - Cardiac Resynchronization Therapy
KW - Heart failure
KW - Myocardial fibrosis
KW - Reverse remodeling
KW - Selvester QRS Score
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U2 - 10.1016/j.jelectrocard.2014.10.014
DO - 10.1016/j.jelectrocard.2014.10.014
M3 - Article
C2 - 25465866
AN - SCOPUS:84920520589
VL - 48
SP - 62
EP - 68
JO - Journal of Electrocardiology
JF - Journal of Electrocardiology
SN - 0022-0736
IS - 1
ER -