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Risk scores in cardiac resynchronization therapy–A review of the literature

Authors :
András Mihály Boros
Péter Perge
Béla Merkely
Gábor Széplaki
Source :
Frontiers in Cardiovascular Medicine, Vol 9 (2023)
Publication Year :
2023
Publisher :
Frontiers Media S.A., 2023.

Abstract

Cardiac resynchronization therapy (CRT) for selected heart failure (HF) patients improves symptoms and reduces morbidity and mortality; however, the prognosis of HF is still poor. There is an emerging need for tools that might help in optimal patient selection and provide prognostic information for patients and their families. Several risk scores have been created in recent years; although, no literature review is available that would list the possible scores for the clinicians. We identified forty-eight risk scores in CRT and provided the calculation methods and formulas in a ready-to-use format. The reviewed score systems can predict the prognosis of CRT patients; some of them have even provided an online calculation tool. Significant heterogeneity is present between the various risk scores in terms of the variables incorporated and some variables are not yet used in daily clinical practice. The lack of cross-validation of the risk scores limits their routine use and objective selection. As the number of prognostic markers of CRT is overwhelming, further studies might be required to analyze and cross-validate the data.

Details

Language :
English
ISSN :
2297055X
Volume :
9
Database :
Directory of Open Access Journals
Journal :
Frontiers in Cardiovascular Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.501bda2d45f0a3a2a80dd48cbcf1
Document Type :
article
Full Text :
https://doi.org/10.3389/fcvm.2022.1048673