PMID- 16221256 OWN - NLM STAT- MEDLINE DCOM- 20060330 LR - 20071115 IS - 0147-8389 (Print) IS - 0147-8389 (Linking) VI - 28 IP - 10 DP - 2005 Oct TI - Three year outcome of cardiac resynchronization therapy: a single center evaluation. PG - 1013-7 AB - AIMS: To evaluate the long-term clinical outcome and device performance of cardiac resynchronization therapy in a consecutive sample of patients with moderate to severe heart failure. METHODS AND RESULTS: Between 1998 and 2000, forty consecutive patients with drug-refractory heart failure due to ischemic or idiopathic dilated cardiomyopathy were selected for cardiac resynchronization therapy (CRT). After successful implantation of the coronary sinus lead (n = 35, 88%), patients were followed every sixth month by New York Heart Association (NYHA) functional class, the 6-minute walking test (6 walk), quality of life (QoL, Minnesota), and pacemaker control. NYHA-class and 6 walk were significantly improved after 6 months and continued to improve gradually until 36 months of follow-up. The QoL improvement at 6 months was sustained over 3 years. After 3 years, the beta-blocker dose could be increased in 10/23 patients as compared to baseline. Nine patients had to be re-operated. Coronary sinus lead thresholds were stable over time. CONCLUSION: The clinical improvements by CRT are sustained over 3 years of follow-up. In the setting of a University Medical Center, CRT can be applied in clinical routine with excellent clinical outcome, acceptable implantation success, and stable device performance over time. FAU - Stahlberg, Marcus AU - Stahlberg M AD - Department of Cardiology, Karolinska Hospital, Stockholm, Sweden. FAU - Braunschweig, Frieder AU - Braunschweig F FAU - Gadler, Fredrik AU - Gadler F FAU - Karlsson, Helena AU - Karlsson H FAU - Linde, Cecilia AU - Linde C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Pacing Clin Electrophysiol JT - Pacing and clinical electrophysiology : PACE JID - 7803944 SB - IM MH - Aged MH - Female MH - Heart Failure/*therapy MH - Humans MH - Male MH - *Pacemaker, Artificial MH - Time Factors MH - Treatment Outcome EDAT- 2005/10/14 09:00 MHDA- 2006/03/31 09:00 CRDT- 2005/10/14 09:00 PHST- 2005/10/14 09:00 [pubmed] PHST- 2006/03/31 09:00 [medline] PHST- 2005/10/14 09:00 [entrez] AID - PACE217 [pii] AID - 10.1111/j.1540-8159.2005.00217.x [doi] PST - ppublish SO - Pacing Clin Electrophysiol. 2005 Oct;28(10):1013-7. doi: 10.1111/j.1540-8159.2005.00217.x.