Intraventricular Dyssynchrony among patients with left bundle branch block
Abdul Sami1, Malik Faisal Iftekhar2, Imran Khan3
1Dr. Abdul Sami, FCPS. Department of Cardiology, Hayatabad Medical Complex, Peshawar, Pakistan.
Insights
Intraventricular dyssynchrony is common in patients with left bundle branch block (LBBB), particularly those with heart failure. This condition affects a significant majority of LBBB patients, highlighting its clinical importance.
Area of Science:
- Cardiology
- Medical Imaging
- Electrophysiology
Background:
- Left bundle branch block (LBBB) can lead to cardiac dyssynchrony.
- Intraventricular dyssynchrony may impact heart failure outcomes.
- Understanding the prevalence of dyssynchrony in LBBB is crucial for patient management.
Purpose of the Study:
- To determine the frequency of intraventricular dyssynchrony in patients diagnosed with left bundle branch block.
- To assess the association between intraventricular dyssynchrony and heart failure in LBBB patients.
Main Methods:
- The study included 159 adult patients with LBBB on ECG.
- Exclusion criteria included valvular heart disease, recent coronary events, and atrial fibrillation.
- Tissue Doppler Imaging (TDI) was used to measure dyssynchrony parameters.
Main Results:
- A high prevalence of intraventricular dyssynchrony was observed in 78% of LBBB patients.
- 65% of the study population had co-existing heart failure.
- Dyssynchrony was more prevalent in patients with heart failure.
Conclusions:
- The incidence of intraventricular dyssynchrony is notably high in patients with left bundle branch block and heart failure.
- These findings underscore the importance of evaluating for dyssynchrony in this patient group.
Objective:
To determine the frequency of intraventricular dyssynchrony among patients with left bundle branch block.
Methods:
The study was conducted at Hayatabad Medical Complex, Peshawar, from January, 2017 to July, 2017. All patients aged 18 years and above with Left Bundle Branch Block (LBBB) on ECG with or without heart failure were included in the study. Patients with valvular heart disease, predominant diastolic heart failure, acute coronary syndromes or coronary revascularization in last three months and atrial fibrillation were excluded. Tissue Doppler Imaging (TDI) parameters were measured from 2-D images in apical 4-chamber and 2-chamber views. Consecutive non-probability sampling technique was used for sample collection.
Results:
Our study included 159 patients. Mean age was 52 years with SD ± 2.74. Ninety-nine (62%) patients were male and 60 (38%) patients were female. One hundred and three (65%) patients had heart failure while 56 (35%) patients didn't have heart failure. More over in our study 124 (78%) patients had Intraventricular dyssynchrony while 35(22%) patients didn't have Intraventricular dyssynchrony.
Conclusion:
The incidence of Intraventricular dyssynchrony is high among patients with heart failure and left bundle branch block.
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