Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success
<p>Abstract</p> <p>Asynchronous myocardial contraction in heart failure is associated with poor prognosis. Resynchronization can be achieved by biventricular pacing (BVP), which leads to clinical improvement and reverse remodeling. However, there is a substantial subset of patients...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2004-09-01
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| Series: | Cardiovascular Ultrasound |
| Subjects: | |
| Online Access: | http://www.cardiovascularultrasound.com/content/2/1/17 |
| _version_ | 1818859332582768640 |
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| author | Baumann Gert Eddicks Stephan Walde Torsten Witte Joachim Bondke Hans-Jürgen Reibis Rona Katharina Knebel Fabian Borges Adrian |
| author_facet | Baumann Gert Eddicks Stephan Walde Torsten Witte Joachim Bondke Hans-Jürgen Reibis Rona Katharina Knebel Fabian Borges Adrian |
| author_sort | Baumann Gert |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Asynchronous myocardial contraction in heart failure is associated with poor prognosis. Resynchronization can be achieved by biventricular pacing (BVP), which leads to clinical improvement and reverse remodeling. However, there is a substantial subset of patients with wide QRS complexes in the electrocardiogram that does not improve despite BVP. QRS width does not predict benefit of BVP and only correlates weakly with echocardiographically determined myocardial asynchrony. Determination of asynchrony by Tissue Doppler echocardiography seems to be the best predictor for improvement after BVP, although no consensus on the optimal method to assess asynchrony has been achieved yet. Our own preliminary results show the usefulness of Tissue Doppler Imaging and Tissue Synchronization Imaging to document acute and sustained improvement after BVP. To date, all studies evaluating Tissue Doppler in BVP were performed retrospectively and no prospective studies with patient selection for BVP according to echocardiographic criteria of asynchrony were published yet. We believe that these new echocardiographic tools will help to prospectively select patients for BVP, help to guide implantation and to optimize device programming.</p> |
| first_indexed | 2024-12-19T09:10:30Z |
| format | Article |
| id | doaj.art-4e566861d21245549a98d6fac20b9ac3 |
| institution | Directory Open Access Journal |
| issn | 1476-7120 |
| language | English |
| last_indexed | 2024-12-19T09:10:30Z |
| publishDate | 2004-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardiovascular Ultrasound |
| spelling | doaj.art-4e566861d21245549a98d6fac20b9ac32022-12-21T20:28:12ZengBMCCardiovascular Ultrasound1476-71202004-09-01211710.1186/1476-7120-2-17Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of successBaumann GertEddicks StephanWalde TorstenWitte JoachimBondke Hans-JürgenReibis Rona KatharinaKnebel FabianBorges Adrian<p>Abstract</p> <p>Asynchronous myocardial contraction in heart failure is associated with poor prognosis. Resynchronization can be achieved by biventricular pacing (BVP), which leads to clinical improvement and reverse remodeling. However, there is a substantial subset of patients with wide QRS complexes in the electrocardiogram that does not improve despite BVP. QRS width does not predict benefit of BVP and only correlates weakly with echocardiographically determined myocardial asynchrony. Determination of asynchrony by Tissue Doppler echocardiography seems to be the best predictor for improvement after BVP, although no consensus on the optimal method to assess asynchrony has been achieved yet. Our own preliminary results show the usefulness of Tissue Doppler Imaging and Tissue Synchronization Imaging to document acute and sustained improvement after BVP. To date, all studies evaluating Tissue Doppler in BVP were performed retrospectively and no prospective studies with patient selection for BVP according to echocardiographic criteria of asynchrony were published yet. We believe that these new echocardiographic tools will help to prospectively select patients for BVP, help to guide implantation and to optimize device programming.</p>http://www.cardiovascularultrasound.com/content/2/1/17EchocardiographyBiventricular pacingpacemaker programmingpatient selection |
| spellingShingle | Baumann Gert Eddicks Stephan Walde Torsten Witte Joachim Bondke Hans-Jürgen Reibis Rona Katharina Knebel Fabian Borges Adrian Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success Cardiovascular Ultrasound Echocardiography Biventricular pacing pacemaker programming patient selection |
| title | Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success |
| title_full | Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success |
| title_fullStr | Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success |
| title_full_unstemmed | Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success |
| title_short | Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success |
| title_sort | tissue doppler echocardiography and biventricular pacing in heart failure patient selection procedural guidance follow up quantification of success |
| topic | Echocardiography Biventricular pacing pacemaker programming patient selection |
| url | http://www.cardiovascularultrasound.com/content/2/1/17 |
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