PO-03-080 OPTIMIZING POST-IMPLANT CRT MANAGEMENT

Implementing a post-implant cardiac resynchronization therapy (CRT) clinic using combined electrophysiology (EP) & heart failure (HF) advanced practice provider (APP) model may improve subspecialty collaboration prevent delays in device medical optimization. Some previously described models evaluate patients 6 months post-procedure. Early follow-up further response. To determine if 1 month interrogation provides actionable data to CRT response at dual-APP multidisciplinary model. We designed formally after implant. The team involves an HF APP, EP APP nurse. Standard follow up is maintained with the addition of function pacing. Interventions are made as necessary. Patients then seen following implant undergo interrogation, ECG, echocardiogram, 6-minute walk test. simultaneously by APPs unified plan care developed. electronic records were reviewed prospectively for clinical characteristics pre-implant post-implant, which summarized descriptive statistics, including correlation between responders defined having LVEF improvement ≥5% reduction LVESVi ≥10%. Ninety-six from September 2020 April 2022 evaluated. mean age was 70 years; 66 (69%) male; 40 (42%) had ischemic cardiomyopathy; 53 (56%) no documented arrhythmia history prior implant; 13 (13.5%) considered have permanent atrial fibrillation (AF). Of these patients, 52 (54%) months. One pacing >95% correlated (coefficient 0.11, std error 0.04, p= 0.01). PVC burden >5% negatively 0.15, p=.02). AF did not correlate 0.01, p=0.14). Multivariate analysis show variables be independently predictive An APP-led, early evaluation provide opportunity six-month