62. Gap in the application of implantable defibrillator and cardiac resynchronization therapy guidelines in heart failure patients

Abstract

Background and objectives Literature review revealed no studies were done regarding the application of implantable defibrillator and cardiac resynchronization therapy guidelines in Saudi Arabia. Therefore, our aim was to identify the gap in the application of the guidelines for acute on chronic systolic heart failure patients in Saudi Arabia. Design and setting We used data from the heart function assessment registry trial in Saudi Arabia (HEARTS) to explore the rate of device implantation. In consecutive cohort admitted in 18 governmental hospitals with heart failure between October 2009 and December 2010. Results Of 1664 patients with acute on chronic systolic heart failure enrolled in the HEARTS registry, 227 (13.64%) have undergone a past ICD/CRT, 148 (8.9%) patients with ICD and 79 (4.7%) patients with CRT. 1437 (86.36%) patients did not go through an ICD or a CRT. From 71 VT/VF patients who are required to have an ICD only 10 (14%) patients received an ICD therapy. 223 patients have a left bundle branch block and 35 (15.6%) of those patients received an ICD/CRT device. From 831 patients with LVEF Conclusion Since a large number of whom required an ICD/CRT did not receive a device, a gap in the application of ICD/CRT devices had been identified, further studies are required to establish the reason behind this.