In this meta-analysis of randomized controlled trials of CRT in patients with any degree of symptoms and EF<40%, CRT was beneficial in patients in with Class I-II CHF symptoms, with lower all cause mortality and CHF hospitalizations, but no improvement in functional status or quality of life. There is evidence that CRT improved outcomes in patients not only with CHF Class III-IV, but also with Class I-II. However, CRT is associated with the risks of infection (1.4%) leasd problems (6.2%) mechanical complications (3.2%) and procedure-related deaths (0.3%) (abstract)
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February 15, 2011 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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