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Table 2 Summary of the trial results currently reported

From: Biventricular pacing in heart failure: update on results from clinical trials

Trial

Number of patients

Randomised comparison

Increase in 6 min walk

Increase in VO2 max/ejection fraction

Improved quality of life

Decreased hospital admissions

Bordeaux series [13]

47

No

Not done

No significant change

Functional class improvement

Not stated

InSync [12]

103

No

50 m (P = 0.01)

Not stated

45%

Not done

PATH-CHF [30]

42

Yes

60 m

VO2 max increased 23%

Increased

Not stated

MUSTIC (SR) [14]

58

Yes

23% (P < 0.001)

8% (P < 0.03)

32% (P < 0.001)

3 admitted during biventricular pacing versus 9 during no pacing

MIRACLE [15]

370

Yes (patients and physicians)

35 m (P = 0.04)

Awaited

Small but significant (P < 0.002)

233 days (biventricular) versus 621 days (control) over 6 months

CONTAC CD

460 (33% NYHA class II)

Yes

No significant change

VO2 max 9% increase; LV diameter 4 mm decrease (P = 0.001)

No significant change

Not stated

  1. CONTAC CD, information from oral presentations at the North American Society of Pacing and Electrophysiology 2001 meeting; MIRACLE, Multicenter InSync Randomized Clinical Evaluation; MUSTIC, Multisite Stimulation in Cardiomyopathies; PATH-CHF, Pacing Therapies for Congestive Heart Failure; NYHA, New York Heart Association; LV, left ventricular.