Technology Assessment Unit of the McGill University Health Centre (MUHC)

OBJECTIVES The objectives of this report are to assess: any changes in guidelines for CRT in heart failure and AV heart block the cost and budget impact of CRT use at the MUHC local evidence on the use of CRT at the MUHC METHODS We carried out a search for relevant health technology assessment (HTA) reports and clinical guidelines for CRT in heart failure patients published between 2015 and. [...] OBJECTIVES The objectives of this report are to assess: any changes in guidelines for CRT in heart failure and AV heart block the cost and budget impact of CRT use at the MUHC local evidence on the use of CRT at the MUHC 3. [...] The 2021 ESC guidelines are very similar to the 2013 Canadian Cardiovascular Society (CCS) guidelines(6), except for a more conservative recommendation in the ESC guidelines for heart failure patients with LBBB and QRS interval 130-149 msec: the Canadian guidelines continue to recommend CRT, but the new ESC guidelines have downgraded the strength of their previous recommendation to ‘should be cons. [...] Summary of the clinical guidelines for the use of CRT in heart failure Clinical Characteristics Guidelines NYHA class QRS morphology QRS duration Canadian Guidelines 2013 ESC 2012 ESC 2021 I LBBB 120-129 msec No CRT No CRT 130-149 msec No CRT No CRT ≥ 150 msec No CRT No CRT Non-LBBB 120-129 msec No CRT No CRT 130-149 msec No CRT No CRT ≥ 150 msec No CRT No CRT II LBBB 120-129 msec No CRT No CRT 13. [...] 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC).