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Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success

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 elect...

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Autores principales: Knebel, Fabian, Reibis, Rona Katharina, Bondke, Hans-Jürgen, Witte, Joachim, Walde, Torsten, Eddicks, Stephan, Baumann, Gert, Borges, Adrian Constantin
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2004
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC521694/
https://www.ncbi.nlm.nih.gov/pubmed/15369591
http://dx.doi.org/10.1186/1476-7120-2-17
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author Knebel, Fabian
Reibis, Rona Katharina
Bondke, Hans-Jürgen
Witte, Joachim
Walde, Torsten
Eddicks, Stephan
Baumann, Gert
Borges, Adrian Constantin
author_facet Knebel, Fabian
Reibis, Rona Katharina
Bondke, Hans-Jürgen
Witte, Joachim
Walde, Torsten
Eddicks, Stephan
Baumann, Gert
Borges, Adrian Constantin
author_sort Knebel, Fabian
collection PubMed
description 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.
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spelling pubmed-5216942004-10-12 Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success Knebel, Fabian Reibis, Rona Katharina Bondke, Hans-Jürgen Witte, Joachim Walde, Torsten Eddicks, Stephan Baumann, Gert Borges, Adrian Constantin Cardiovasc Ultrasound Review 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. BioMed Central 2004-09-15 /pmc/articles/PMC521694/ /pubmed/15369591 http://dx.doi.org/10.1186/1476-7120-2-17 Text en Copyright © 2004 Knebel et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Knebel, Fabian
Reibis, Rona Katharina
Bondke, Hans-Jürgen
Witte, Joachim
Walde, Torsten
Eddicks, Stephan
Baumann, Gert
Borges, Adrian Constantin
Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success
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 Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC521694/
https://www.ncbi.nlm.nih.gov/pubmed/15369591
http://dx.doi.org/10.1186/1476-7120-2-17
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