Author Interviews, Heart Disease, JACC / 04.09.2014
Increased Ectopic Heart Beats Linked to Less Effective Pacing with CRT Therapy
MedicalResearch.com Interview with:
Martin Huth Ruwald, MD, PhD
Post doctoral research fellow
Heart Research Follow-up Program
University of Rochester Medical Center
Rochester, NY, US
Medical Research: What are the main findings of the study?
Dr. Ruwald: A high percentage of biventricular pacing is required for optimal outcome in patients treated with cardiac resynchronization therapy (CRT), but the influence of ectopic beats on the success of biventricular pacing has not been well established.
We found that patients with increasing amount of ectopic beats (the ectopic burden) (≥0.1%) were more likely to achieve low biventricular pacing <97% and had higher risk of heart failure or death and ventricular arrhythmias. Similarly the study identified patients with a very low amount of ectopic beats, less than 1 in 1000, who are very likely to obtain high biventricular pacing and who have very low risk of adverse outcomes.
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