CRT Trials and indications Flashcards
The 3 early trials
PATH CHF
MUSTIC
MIRACLE
Which of the 3 early trials looked at NYHA III
Mustic
Which of the 3 early trials looked at epicardial leads
PATH CHF
The mid 2 trials looking at NHYA III - IV
CARE HF
COMPANION
What did companion show
ICD/PPM CRT is better than OPT MEDICAL by 40%
What were the 3 trials for mild HF NYHA II
REVERSE
MADIT CRT
RAFT
What did reverse show
CRT on is better than off in mild symptom patients
What did MADIT CRT show
CRT is better than ICD
LBBB patients do better than without LBBB patients
What did RAFT show
CRTD is better than ICD
Two studies looking at narrow QRS
ReTHINQ
Echo - CRT
Showed patients didn’t fare better / worse
NYHA III / VI indications
1 - Symptomatic 2 - Best medical therapy 3 - LVEF < 35% 4 - QRS > 120ms 5 - SR
1A level
NYHA II
1 - Symptomatic
2 - Best medical therapy
3 - QRS > 150ms
4 - SR
1A level
Males or females do better with CRT?
Females
What did Madit CRT show with regard to pacing percentages?
> 97% did best
Which Study accepted AF and SR
Mustic