PMID- 12103264 OWN - NLM STAT- MEDLINE DCOM- 20020726 LR - 20220330 IS - 0735-1097 (Print) IS - 0735-1097 (Linking) VI - 40 IP - 1 DP - 2002 Jul 3 TI - Long-term benefits of biventricular pacing in congestive heart failure: results from the MUltisite STimulation in cardiomyopathy (MUSTIC) study. PG - 111-8 AB - OBJECTIVES: The main objective of this study was to assess if the benefits of biventricular (BiV) pacing observed during the crossover phase were sustained over 12 months. BACKGROUND: MUltisite STimulation In Cardiomyopathies (MUSTIC) is a randomized controlled study intended to evaluate the effects of BiV pacing in patients with New York Heart Association (NYHA) class III heart failure and intraventricular conduction delay. METHODS: Of 131 patients included, 42/67 in sinus rhythm (SR) and 33/64 in atrial fibrillation (AF) were followed up longitudinally at 9 and 12 months by 6-min walked distance, peak oxygen uptake (peak VO(2)), quality of life by the Minnesota score, NYHA class, echocardiography, and left ventricular ejection fraction by radionuclide technique. RESULTS: At 12 months, all SR and 88% of AF patients were programmed to BiV pacing. Compared with baseline, the 6-min walked distance increased by 20% (SR) (p = 0.0001) and 17% (AF) (p = 0.004); the peak VO(2) by 11% (SR) and 9% (AF); quality of life improved by 36% (SR) (p = 0.0001) and 32% (AF) (p = 0.002); NYHA class improved by 25% (SR) (p = 0.0001) and 27% (AF) (p = 0.0001). The ejection fraction improved by 5% (SR) and 4% (AF). Mitral regurgitation decreased by 45% (SR) and 50% (AF). CONCLUSIONS: The clinical benefits of BiV pacing appeared to be significantly maintained over a 12-month follow-up period. FAU - Linde, Cecilia AU - Linde C AD - Department of Cardiology, Karolinska Hospital, Stockholm, Sweden. cecilia.linde@ks.se FAU - Leclercq, Christophe AU - Leclercq C FAU - Rex, Steve AU - Rex S FAU - Garrigue, Stephane AU - Garrigue S FAU - Lavergne, Thomas AU - Lavergne T FAU - Cazeau, Serge AU - Cazeau S FAU - McKenna, William AU - McKenna W FAU - Fitzgerald, Melissa AU - Fitzgerald M FAU - Deharo, Jean-Claude AU - Deharo JC FAU - Alonso, Christine AU - Alonso C FAU - Walker, Stuart AU - Walker S FAU - Braunschweig, Frieder AU - Braunschweig F FAU - Bailleul, Christophe AU - Bailleul C FAU - Daubert, Jean-Claude AU - Daubert JC LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - J Am Coll Cardiol JT - Journal of the American College of Cardiology JID - 8301365 SB - IM CIN - J Am Coll Cardiol. 2003 Feb 19;41(4):709; author reply 709-10. PMID: 12598087 MH - Aged MH - Atrial Fibrillation/therapy MH - Cardiac Pacing, Artificial/*methods MH - Case-Control Studies MH - Cross-Over Studies MH - Electrocardiography MH - Exercise Tolerance MH - Female MH - Follow-Up Studies MH - Heart Failure/*therapy MH - Hospitalization/statistics & numerical data MH - Humans MH - Male MH - Middle Aged MH - Pacemaker, Artificial MH - Quality of Life MH - Single-Blind Method MH - Time Factors EDAT- 2002/07/10 10:00 MHDA- 2002/07/27 10:01 CRDT- 2002/07/10 10:00 PHST- 2002/07/10 10:00 [pubmed] PHST- 2002/07/27 10:01 [medline] PHST- 2002/07/10 10:00 [entrez] AID - S0735109702019320 [pii] AID - 10.1016/s0735-1097(02)01932-0 [doi] PST - ppublish SO - J Am Coll Cardiol. 2002 Jul 3;40(1):111-8. doi: 10.1016/s0735-1097(02)01932-0.