PMID- 25552672 OWN - NLM STAT- MEDLINE DCOM- 20150908 LR - 20220317 IS - 1532-2092 (Electronic) IS - 1099-5129 (Linking) VI - 17 IP - 1 DP - 2015 Jan TI - Do cardiologists follow the European guidelines for cardiac pacing and resynchronization therapy? Results of the European Heart Rhythm Association survey. PG - 148-51 LID - 10.1093/europace/euu395 [doi] AB - The purpose of this European Heart Rhythm Association (EHRA) EP wire survey was to evaluate the implementation of the current guidelines for cardiac pacing and cardiac resynchronization therapy (CRT) in Europe. A total of 48 centres replied to the survey, 34 of them (71%) were university hospitals. All responding centres implement CRT in patients with classical indications, i.e. sinus rhythm, New York Heart Association (NYHA) functional class II, III, or ambulatory IV, left ventricular ejection fraction (LVEF) 35%, and left bundle-branch block (LBBB) with QRS duration >150 ms, while 31 centres (67%) would implant a CRT device in patients with the same characteristics but with a non-LBBB pattern. Forty-one centres (89%) would also implant CRT in patients with sinus rhythm, NYHA Class II, III, or ambulatory IV, LVEF <35%, and LBBB with QRS duration between 120 and 150 ms, while only eight centres (17%) would implant the device in patients with the same characteristics but with a non-LBBB pattern. In patients with LVEF <35% and QRS duration below 120 ms, the majority of the centres (80%) would implant a single- or dual-chamber implantable cardioverter-defibrillator, but in nine cases (20%) no device was considered to be indicated. The results of this survey showed a good adherence to some of the current recommendations. Still some reluctance exists when offering the device therapy to patients with QRS duration in the lower range. CI - Published on behalf of the European Society of Cardiology. All rights reserved. (c) The Author 2014. For permissions please email: journals.permissions@oup.com. FAU - Sciaraffia, Elena AU - Sciaraffia E AD - Department of Cardiology, Institution of Medical Science, Uppsala University, Uppsala 75185, Sweden elenasciaraffia@mail.com. FAU - Dagres, Nikolaus AU - Dagres N AD - Second Cardiology Department, Attikon University Hospital, University of Athens, Rimini 1, Haidari Athens 12462, Greece. FAU - Hernandez-Madrid, Antonio AU - Hernandez-Madrid A AD - Cardiology Department, Ramon y Cajal Hospital, Carretera Colmenar Viejo, km 9, 100, Madrid 28034, Spain. FAU - Proclemer, Alessandro AU - Proclemer A AD - Division of Cardiology, Department of Cardiothoracic Science, University Hospital S. Maria Della Misericordia, Udine, Italy. FAU - Todd, Derick AU - Todd D AD - Institute of Cardiovascular Medicine and Science, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK. FAU - Blomstrom-Lundqvist, Carina AU - Blomstrom-Lundqvist C AD - Department of Cardiology, Institution of Medical Science, Uppsala University, Uppsala 75185, Sweden. LA - eng PT - Journal Article PT - Multicenter Study PL - England TA - Europace JT - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology JID - 100883649 SB - IM MH - Cardiac Pacing, Artificial/*standards/*statistics & numerical data MH - Cardiac Resynchronization Therapy/*standards/*statistics & numerical data MH - Cardiology/standards MH - Europe/epidemiology MH - Guideline Adherence/*statistics & numerical data MH - Health Care Surveys MH - Heart Failure/epidemiology/*prevention & control MH - Humans MH - Practice Patterns, Physicians'/standards/statistics & numerical data MH - Prevalence OTO - NOTNLM OT - Adherence OT - Cardiac pacing OT - Cardiac resynchronization therapy OT - EHRA survey OT - EP wire OT - ESC guidelines EDAT- 2015/01/02 06:00 MHDA- 2015/09/09 06:00 CRDT- 2015/01/02 06:00 PHST- 2015/01/02 06:00 [entrez] PHST- 2015/01/02 06:00 [pubmed] PHST- 2015/09/09 06:00 [medline] AID - euu395 [pii] AID - 10.1093/europace/euu395 [doi] PST - ppublish SO - Europace. 2015 Jan;17(1):148-51. doi: 10.1093/europace/euu395.