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Background: There is a lack of data about assessing the prevalence of frailty among patients who underwent cardiac resynchronization (CRT) and the influence of frailty on the main endpoints during follow-up.
Methods: The study included 156 consecutive pts. (aged 74.3±6.7) with diagnosed heart failure that were hospitalized for the implantation of a CRT. The Tilburg Frailty Indicator questionnaire was used to evaluate frailty syndrome (above 4 points). Follow-up were performed periodically.
Results: Frailty syndrome was diagnosed in 75.64% of patients. The average value of frailty for the whole group was 6.21±1.94 (domains: physical: 4.29±1.32; psychological: 1.40±1.04; social: 0.51±0.57). The mean follow-up was 654±313 days (min. 30; max. 1,200). During the follow-up, 5.7% of the patients died; 6.78% and 2.63% patients with and without frailty syndrome respectively, p=0.5795. Both infective complications and “first” electrical storm episodes did not occur during follow-up in patients free from frailty syndrome. The survival free from cardiac decompensation and hospital readmission rates are presented using the Kaplan-Meier curves, left and right panel respectively.
Conclusions: Frailty syndrome is commonly recognized in patients with heart failure who undergo cardiac resynchronization and can be an important predictor of negative outcomes in these patients.
Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Heart Failure and Cardiomyopathies: Heart Failure Gadgets Galore
Abstract Category: 14. Heart Failure and Cardiomyopathies: Therapy
Presentation Number: 1199-245
- 2017 American College of Cardiology Foundation