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Cited by 257

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Cardiac resynchronisation therapy in paediatric and congenital heart disease: differential effects in various anatomical and functional substrates

Open access
Janoušek, J, Gebauer, R A, Abdul-Khaliq, H, Turner, M, Kornyei, L, Grollmuß, O, Rosenthal, E, Villain, E, Früh, A, Paul, T, Blom, N A, Happonen, J-M, Bauersfeld, U, Jacobsen, J R, van den Heuvel, F, Delhaas, T, Papagiannis, J, Trigo, C, for the Working Group for Cardiac Dysrhythmias and Electrophysiology of the Association for European Paediatric Cardiology·2009·Heart

Abstract

Background: Cardiac resynchronisation therapy (CRT) is increasingly used in children in a variety of anatomical and pathophysiological conditions, but published data are scarce. Objective: To record current practice and results of CRT in paediatric and congenital heart disease. Design: Retrospective multicentre European survey. Setting: Paediatric cardiology and cardiac surgery centres. Patients: One hundred and nine patients aged 0.24–73.8 (median 16.9) years with structural congenital heart disease (n = 87), congenital atrioventricular block (n = 12) and dilated cardiomyopathy (n = 10) with systemic left (n = 69), right (n = 36) or single (n = 4) ventricular dysfunction and ventricular dyssynchrony during sinus rhythm (n = 25) or associated with pacing (n = 84). Interventions: CRT for a median period of 7.5 months (concurrent cardiac surgery in 16/109). Main outcome measures: Functional improvement and echocardiographic change in systemic ventricular function. Results: The z score of the systemic ventricular end-diastolic dimension decreased by median 1.1 (p<0.001). Ejection fraction (EF) or fractional area of change increased by a mean (SD) of 11.5 (14.3)% (p<0.001) and New York Heart Association (NYHA) class improved by median 1.0 grade (p<0.001). Non-response to CRT (18.5%) was multivariably predicted by the presence of primary dilated cardiomyopathy (p = 0.002) and poor NYHA class (p = 0.003). Presence of a systemic left ventricle was the strongest multivariable predictor of improvement in EF/fractional area of change (p<0.001). Results were independent of the number of patients treated in each contributing centre. Conclusion: Heart failure associated with ventricular pacing is the largest indication for CRT in paediatric and congenital heart disease. CRT efficacy varies widely with the underlying anatomical and pathophysiological substrate.

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Metadata

Authors
Janoušek, J., Gebauer, R. A., Abdul-Khaliq, H., Turner, M., Kornyei, L., Grollmuß, O., Rosenthal, E., Villain, E., Früh, A., Paul, T., Blom, N. A., Happonen, J.-M., Bauersfeld, U., Jacobsen, J. R., van den Heuvel, F., Delhaas, T., Papagiannis, J., Trigo, C., & for the Working Group for Cardiac Dysrhythmias and Electrophysiology of the Association for European Paediatric Cardiology
Venue
Heart
Publisher
BMJ
Published
2009-03-22
Volume
95
Issue
14
Pages
1165-1171
ISSN
  • 1355-6037 (ISSN-L)
  • 1468-201X
OpenAlex
W2131533322
Cited by
257
References
21
FWCI
8.70
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Cardiac resynchronisation therapy in paediatric and congenital heart disease: differential effects in various anatomical and functional substrates. https://app.cochat.ai/papers/10.1136/hrt.2008.160465
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Janoušek, J., Gebauer, R. A., Abdul-Khaliq, H., Turner, M., Kornyei, L., Grollmuß, O., Rosenthal, E., Villain, E., Früh, A., Paul, T., Blom, N. A., Happonen, J.-M., Bauersfeld, U., Jacobsen, J. R., van den Heuvel, F., Delhaas, T., Papagiannis, J., Trigo, C., & for the Working Group for Cardiac Dysrhythmias and Electrophysiology of the Association for European Paediatric Cardiology. (2009). Cardiac resynchronisation therapy in paediatric and congenital heart disease: differential effects in various anatomical and functional substrates. Heart. https://doi.org/10.1136/hrt.2008.160465

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.