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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
[Improved identification of suitable patients for cardiac resynchronization therapy by transthoracic
1I. Medizinische Klinik, Univ.-Klinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany. ole.breithardt@med.ma.uni-heidelberg.de
Insights
Transthoracic echocardiography offers multiple methods to assess cardiac asynchrony in advanced heart failure patients. Advanced techniques improve the quantification of asynchrony for better patient selection for cardiac resynchronization therapy.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Cardiac asynchrony is a significant factor in advanced heart failure.
- Accurate assessment is crucial for effective treatment.
Purpose of the Study:
- To outline echocardiographic methods for evaluating cardiac asynchrony.
- To identify patients suitable for cardiac resynchronization therapy (CRT).
Main Methods:
- Utilizing conventional transthoracic echocardiography (2D, M-mode, Doppler).
- Employing advanced techniques like tissue Doppler imaging and real-time 3D-echocardiography.
- Describing algorithms for asynchrony identification.
Main Results:
- Conventional echocardiography can detect the presence of asynchrony.
- Advanced echocardiographic techniques provide quantitative assessment of asynchrony.
- Specific echocardiographic features indicate suitability for CRT.
Conclusions:
- Transthoracic echocardiography is a versatile tool for assessing cardiac asynchrony in heart failure.
- Quantitative echocardiography aids in selecting patients for CRT.
- Echocardiography plays a key role in optimizing heart failure management.
Abstract:
Transthoracic echocardiography provides numerous options for the evaluation and quantification of contractile cardiac asynchrony in patients with advanced heart failure. Important information on the presence of asynchrony can be obtained already during a standard routine examination with conventional techniques (2D, M-mode and Doppler). Newer techniques such as tissue Doppler imaging and real-time 3D-echocardiography enable us to better quantify the degree of asynchrony. The following article describes the echocardiographic features of asynchrony and algorithms for the improved identification of suitable patients for cardiac resynchronization therapy.
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