Evidence map›Paper›PMID 30143910›Full record

ReviewHeart failure reviews2019

Understanding non-response to cardiac resynchronisation therapy: common problems and potential solutions.

Benjamin J Sieniewicz, Justin Gould, Bradley Porter, Baldeep S Sidhu, Thomas Teall, Jessica Webb, Gerarld Carr-White, Christopher A Rinaldi

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Heart failure reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07392749 narecruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility Study of Diaphragm Synchronized Pacing (DSP) Via the Left Inferior Phrenic Vein (LIPV) Approach

TypeinterventionalSponsorRenJi HospitalRan2025 to 2026Enrolled10ConditionsHeart FailureArmsDSP
NCT07664189 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Left Bundle Branch Pacing + Coronary Sinus Pacing Versus Left Bundle Branch Pacing Alone for Cardiac Resynchronization Therapy in Patients Eligible for CRT-P A Randomized Crossover Pilot Clinical Trial

TypeinterventionalSponsorClinica Cardio VIDRan2026 to 2027Enrolled10ConditionsHeart Failure Low OutputArmsLeft Bundle Branch Optimized CRT, Stimulation of the left bundle branch area (LBBAP)
3 · Its place in the literature

Who cites it

53 citing papers in PubMed.

  1. Trial
  2. Cardiac resynchronization therapy non-responder to responder conversion rate in the MORE-CRT MPP trial.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 · 2023
    Trial
  3. Efficacy of leadless left ventricular endocardial stimulation for non-responders to cardiac resynchronization therapy.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Observational
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Impact of SGLT2 inhibitor on clinical and echocardiographic outcomes in patients with CRT during long-term period.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  12. Learning Curve for Left Bundle Branch Area Pacing Lead Implantation.The Journal of innovations in cardiac rhythm management · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. From bits to bedside: entering the age of digital twins in cardiac electrophysiology.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 · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Benjamin J SieniewiczDivision of Imaging Sciences and Biomedical Engineering, King's College London, 4th Floor, North Wing, St Thomas' Hospital, London, SE1 7EH, UK. benjamin.sieniewicz@kcl.ac.uk.ORCID 0000-0002-9655-7465
Justin GouldDivision of Imaging Sciences and Biomedical Engineering, King's College London, 4th Floor, North Wing, St Thomas' Hospital, London, SE1 7EH, UK.
Bradley PorterDivision of Imaging Sciences and Biomedical Engineering, King's College London, 4th Floor, North Wing, St Thomas' Hospital, London, SE1 7EH, UK.
Baldeep S SidhuDivision of Imaging Sciences and Biomedical Engineering, King's College London, 4th Floor, North Wing, St Thomas' Hospital, London, SE1 7EH, UK.
Thomas TeallCardiology Department, Guys and St Thomas' NHS Foundation Trust, London, SE1 7EH, UK.
Jessica WebbDivision of Imaging Sciences and Biomedical Engineering, King's College London, 4th Floor, North Wing, St Thomas' Hospital, London, SE1 7EH, UK.
Gerarld Carr-WhiteDivision of Imaging Sciences and Biomedical Engineering, King's College London, 4th Floor, North Wing, St Thomas' Hospital, London, SE1 7EH, UK.
Christopher A RinaldiDivision of Imaging Sciences and Biomedical Engineering, King's College London, 4th Floor, North Wing, St Thomas' Hospital, London, SE1 7EH, UK.

Funding

British Heart Foundation PG/16/108/32593
6 · The paper itself

Abstract

Heart failure is a complex clinical syndrome associated with a significant morbidity and mortality burden. Reductions in left ventricular (LV) function trigger adaptive mechanisms, leading to structural changes within the LV and the potential development of dyssynchronous ventricular activation. This is the substrate targeted during cardiac resynchronisation therapy (CRT); however, around 30-50% of patients do not experience benefit from this treatment. Non-response occurs as a result of pre-implant, peri-implant and post implant factors but the technical constraints of traditional, transvenous epicardial CRT mean they can be challenging to overcome. In an effort to improve response, novel alternative methods of CRT delivery have been developed and of these endocardial pacing, where the LV is stimulated from inside the LV cavity, appears the most promising.

Indexed as

Cardiac Resynchronization TherapyEndocardiumFemaleHeart FailureHumansMalePericardiumSex FactorsTreatment OutcomeVentricular Dysfunction, LeftCRTEndocardial pacingHeart failureNon-responders

Identifiers

PMID30143910
PMCPMC6313376

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.