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Techniques for Identification of Left Ventricular Asynchrony for Cardiac Resynchronization Therapy in Heart Failure

Peter, Schuster and Svein, Faerestrand (2005) Techniques for Identification of Left Ventricular Asynchrony for Cardiac Resynchronization Therapy in Heart Failure. [Journal (Paginated)]

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Abstract

The most recent treatment option of medically refractory heart failure includes cardiac resynchronization therapy (CRT) by biventricular pacing in selected patients in NYHA functional class III or IV heart failure. The widely used marker to indicate left ventricular (LV) asynchrony has been the surface ECG, but seems not to be a sufficient marker of the mechanical events within the LV and prediction of clinical response. This review presents an overview of techniques for identification of left ventricular intra- and interventricular asynchrony. Both manuscripts for electrical and mechanical asynchrony are reviewed, partly predicting response to CRT. In summary there is still no gold standard for assessment of LV asynchrony for CRT, but both traditional and new echocardiographic methods have shown asynchronous LV contraction in heart failure patients, and resynchronized LV contraction during CRT and should be implemented as additional methods for selecting patients to CRT.

Item Type:Journal (Paginated)
Keywords:cardiac resynchronization pacemaker therapy; electrical and mechanical asynchrony; echocardiography
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4447
Deposited By: Indian Pacing and Electrophysiology, Journal
Deposited On:09 Jul 2005
Last Modified:11 Mar 2011 08:56

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