Heart Failure -> Cardiac Resynchronization Therapy: -> Surgical & Other D-PO05 - Poster Session V (ID 39) Poster

D-PO05-115 - Multidisciplinary Cardiac Resynchronization Therapy Clinic- A Single Center Experience (ID 609)

Disclosure
 A.V. Srivastava: Nothing relevant to disclose.

Abstract

Background: Cardiac resynchronization therapy (CRT) has been shown to improve outcomes in patients with systolic heart failure and ventricular dysynchrony. Multidisciplinary care involving a heart failure cardiologist and electrophysiologist has been suggested as a method to comprehensively evaluate these patients and not only provide a roadmap for heart failure and arrhythmia management but also identify patients for additional therapies.
Objective: The goal of this prospectively conducted multidisciplinary CRT clinic was to assess patients’ clinical status post CRT and identify opportunities for interventions based on contemporary guidelines and evidence.
Methods: Between July through December 2019, 31 patients were seen at the Scripps Clinic Multi-Disciplinary CRT clinic. Patients underwent a blood test, CXR for LV lead position, echocardiogram for hemodynamics, mitral regurgitation and pulmonary arterial pressures. At the visit, patients completed a 6- minute walk & HF QOL questionnaire. Patients were seen by Advanced Heart Failure Cardiologist and Cardiac Electrophysiologist along with CRTD interrogation.Heart failure medications and device settings were personalized based on each patient and patients were assessed for other interventions.
Results: 21/31 patients had their CRT-D re-programmed and 23/31 patients had their medication regimens optimized.
Conclusion: Multidisciplinary CRT Clinic offers a unique opportunity to assess patients with the expertise of Heart Failure cardiology and Electrophysiology in one visit. A significant number of patients in our CRT clinic had medications and device settings optimized during the visit.
Relevant Clinical, Device and Heart Failure Findings
VariableN= 31 patients
Mean age (± years)75±8
Female Sex18%
Average NT-BNP (pg/ml)3013±4778
Average 6 MW distance (meters)350±163
Average EF (%)30±12
Average LVESV (ml)140±81
Average Bi-V pacing (%)94±4
CRTD Programming Change21/31 (67%)
Heart Failure Medication Changes23/31 (74%)
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