Usefulness of the peak velocity difference by tissue Doppler imaging technique as an effective predictor of response to cardiac resynchronization therapy

被引:153
作者
Notabartolo, D
Merlino, JD
Smith, AL
DeLurgio, DB
Vera, FV
Easley, KA
Martin, RP
León, AR
机构
[1] Emory Univ, Sch Med, Carlyle Fraser Heart Ctr, Div Cardiol,MOT, Atlanta, GA 30308 USA
[2] Biostat Consulting Ctr, Rollins Sch Publ Hlth, Atlanta, GA USA
关键词
D O I
10.1016/j.amjcard.2004.05.072
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac resynchronization therapy (CRT) improves symptoms and functional status in heart failure patients; however, current selection criteria need improvement. A novel tissue Doppler imaging parameter, the peak velocity difference (PVD), defined as the greatest difference in time to peak velocity between any of 6 left ventricular regions, may better select responders to CRT. Subjects Were divided into 2 groups based on the PVD. Clinical and echocardiographic parameters significantly improved in subjects with dyssynchrony by the baseline PVD and had a better overall response to CRT. (C) 2004 by Excerpta Medica, Inc.
引用
收藏
页码:817 / 820
页数:4
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