PhD Scientific Days 2017

Oral Presentations: Cardiovascular

Use of remote monitoring systems improves survival among chronic systolic heart failure patients after CRT-D implantation

Előadó neve

Bogyi, Péter

Előadó munkahelye

Hungarian Defence Forces Medical Centre, Department of Cardiology

Előadó telefonszáma

+36307890079

Előadó e-mail címe

bogyipeter@gmail.com

Az előadás címe

Use of remote monitoring systems improves survival among chronic systolic heart failure patients after CRT-D implantation

Szerző(k) neve és munkahelye

Peter Bogyi2, Mate Vamos1, Zsolt Bari2, Denes Vagany2, Balazs Polgar2, Balazs Muk2, Noemi Nyolczas2, Robert Gabor Kiss2, Gabor Zoltan Duray2
1 J.W. Goethe University, Department of Cardiology, Frankfurt am Main, Germany
2 Hungarian Defence Forces Medical Centre, Department of Cardiology

Szekció

Oral Presentations: Cardiovascular

Data of the presenter

Doctoral School: Basic Medicine
Program: Cardiovascular Disorders: Physiology and Medicine of Ischaemic Circulatory Diseases
Supervisor: Bela Merkely, M.D., Ph.D., D.Sc.
merkely.bela@gmail.com

Text of the abstract

Introduction: Remote monitoring of cardiac implantable electronic devices (CIED) proved to be beneficial on several clinical endpoints, however the impact on survival is controversial.
Aim of our study was to investigate the effect of available remote monitoring services in Hungarian Defence Forces Medical Centre (Medtronic Carelink™ and Biotronik Home Monitoring™) on mortality among HFrEF patients after CRT-D implantation.
Methods: We analyzed retrospectivly the data of 231 consecutive HFrEF patients (184 male, mean age: 65.2±10.6 years, NYHA: 2.5±0.8, EF: 26.6±6.0%, ischaemic etiology: 55.4%) who received CRT-D according to current guidelines, between 2011 and 2016. The possibility of remote monitoring - beside regular ambulatory controll - was offered for every patient recieving Medtronic or Biotronik device. 62 of them accepted it. We compared the mortality of remote monitored patients and just orderly controlled patients using Kaplan-Meier method and log-rank test.
Results: During follow-up period (mean: 28.4±18.1 months) 63 patients died. Survival of remote monitored patients proved to be significantly better than regularly controlled patients. (HR:0.368 95% CI:0.186-0.727 p= 0.004) The survival benefit remained statistically significant (corrigated HR: 0.420 95% CI:0.209-0.842 p=0. 014), after adjustment with relevant baseline parameters.
Conclusion: Heart failure patients with CRT-D have survival benefit from use of remote monitoring systems.

Kind

Szabad

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

1329

Authors (legacy)

Peter Bogyi2, Mate Vamos1, Zsolt Bari2, Denes Vagany2, Balazs Polgar2, Balazs Muk2, Noemi Nyolczas2, Robert Gabor Kiss2, Gabor Zoltan Duray2
1 J.W. Goethe University, Department of Cardiology, Frankfurt am Main, Germany
2 Hungarian Defence Forces Medical Centre, Department of Cardiology