#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The role of echocardiography in biventricular pacing


Authors: J. Meluzín;  M. Novák;  J. Lipoldová
Authors‘ workplace: LF MU a FN U sv. Anny, Brno ;  I. interní kardioangiologická klinika
Published in: Kardiol Rev Int Med 2007, 9(2): 74-80
Category: Editorial

Overview

The aim of this paper is to provide the summary of the role of echocardiography in the evaluation of left ventricular asynchrony (intra-ventricular asynchrony) and asynchrony between left and right ventricular contraction (inter-ventricular asynchrony) in patients with congestive heart failure referred for biventricular pacing. There is a general agreement that the diagnostics and quantification of mechanical asynchrony allow the prediction of patients with reverse remodeling and with the improvement in the functional status after biventricular pacing. The problem is the absence of a readily available and precise parameter verified by large studies. There is a strong supposition that the identification of such a parameter and its inclusion into the guidelines for the indication of biventricular pacing can significantly decrease the number of nonresponders to this treatment that is still relatively high.

Keywords:
biventricular pacing – asynchrony – echocardiography – heart failure


Sources

1. Abraham WT, Fisher WG, Smith AL et al. Cardiac resynchronization in chronic heart failure. N Engl J Med 2002; 346: 1845–1853.

2. Bordachar P, Lafitte S, Reuter S et al. Echocardiographic parameters of ventricular dyssynchrony validation in patients with heart failure using sequential biventricular pacing. J Am Coll Cardiol 2004; 44: 2157–2165.

3. Linde C, Leclercq Ch, Rex S et al. Long-term benefit of biventricular pacing in congestive heart failure: Results from the Multisite Stimulation In Cardiomyopathy (MUSTIC) Study. J Am Coll Cardiol 2002; 40: 111–118.

4. Achilli A, Sassara M, Ficili S et al. Long-term effectiveness of cardiac resynchronization therapy in patients with refractory heart failure and “narrow” QRS. J Am Coll Cardiol 2003; 42: 2117–2124.

5. Díaz-Infante E, Mont L, Leal J et al. Predictors of lack of response to resynchronization therapy. Am J Cardiol 2005; 95: 1436–1440.

6. Duncan A, Wait D, Gibson D et al. Left ventricular remodelling and haemodynamic effects of multisite biventricular pacing in patients with left ventricular systolic dysfunction and activation disturbances in sinus rhythm: sub-study of the MUSTIC (Multisite Stimulation in Cardiomyopathies) trial. Eur Heart J 2003; 24: 430–441.

7. Bristow MR, Saxon LA, Boehmer J et al. Cardiac-resynchronization therapy with or without implantable defibrillator in advanced chronic heart failure. N Engl J Med 2004; 350: 2140–2150.

8. Cleland JGF, Daubert JC, Erdmann E et al. The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med 2005; 352: 1539–1549.

9. Cleland JGF, Daubert JC, Erdmann E et al. Long-term effects of cardiac resynchronization therapy on mortality in heart failure (the Cardiac REsynchronization-Heart Failure /CARE-HF/ trial extension phase). Eur Heart J 2006; 27: 1928–1932.

10. Swedberg K, Cleland JGF, Dargie H et al. Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005): The task force for the diagnosis and treatment of chronic heart failure of the ESC. Eur Heart J 2005; 26: 1115–1140.

11. Gregoratos G, Abrahams J, Epstein AE et al. ACC/AHA/NASPE guidelines for implantation of cardiac pacemakers and antiarrhythmia devices. Circulation 2002; 106: 2145–2161.

12. Táborský M, Kautzner J, Bytešník J et al. Zásady pro implantace kardiostimulátorů, implantabilních kardioverterů- defibrilátorů a srdeční resynchronizační léčbu (2005). Cor Vasa 2005; 47: 59–68.

13. Bax JJ, Molhoek SG, Marwick TH et al. Usefulness of myocardial tissue Doppler echocardiography to evaluate left ventricular dyssynchrony before and after biventricular pacing in patients with idiopathic dilated cardiomyopathy. Am J Cardiol 2003; 91: 94–97.

14. Bax JJ, Bleeker GB, Marwick TH et al. Left ventricular dyssynchrony predicts response and prognosis after cardiac resynchronization therapy. J Am Coll Cardiol 2004; 44: 1834–1840.

15. Bax JJ, Marwick TH, Molhoek SG et al. Left ventricular dyssynchrony predicts benefit of cardiac resynchronization therapy in patients with end-stage heart failure before pacemaker implantation. Am J Cardiol 2003; 92: 1238–1240.

16. Penicka M, Bartunek J, De Bruyne B et al. Improvement of left ventricular function after cardiac resynchronization therapy is predicted by tissue Doppler imaging echocardiography. Circulation 2004; 109: 978–983.

17. Bader H, Garrique S, Lafitte S et al. Intra-left ventricular electromechanical asynchrony. A new independent predictor of severe cardiac events in heart failure patients. J Am Coll Cardiol 2004; 43: 248–256.

18. Leclercq Ch, Faris O, Tunin R et al. Systolic improvement and mechanical resynchronization does not require electrical synchrony in the dilated failing heart with left bundle-branch block. Circulation 2002; 106: 1760–1763.

19. Fauchier L, Marie O, Casset-Senon D et al. Interventricular and intraventricular dyssynchrony in idiopathic dilated cardiomyopathy. J Am Coll Cardiol 2002; 40: 2022–2030. 20. Ghio S, Constantin C, Klersy C et al. Interventricular and intraventricular dyssynchrony are common in heart failure patients, regardless of QRS duration. Eur Heart J 2004; 25: 571–578.

21. Hawkins NM, Petrie MC, MacDonald MR et al. Selecting patients for cardiac resynchronization therapy: electrical or mechanical dyssynchrony? Eur Heart J 2006; 27: 1270–1281.

22. Verbeek XAA, Vernooy K, Peschar M et al. Intra-ventricular resynchronization for optimal left ventricular function during pacing in experimental left bundle branch block. J Am Coll Cardiol 2003; 42: 558–567.

23. Yu ChM, Fung JWH, Zhang Q et al. Tissue Doppler imaging is superior to strain rate imaging and postsystolic shortening on the prediction of reverse remodeling in both ischemic and nonischemic heart failure after cardiac resynchronization therapy. Circulation 2004; 110: 66–73.

24. Pitzalis MV, Iacoviello M, Romito R et al. Cardiac resynchronization therapy tailored by echocardiographic evaluation of ventricular asynchrony. J Am Coll Cardiol 2002; 40: 1615–1622.

25. Marcus GM, Rose E, Viloria EM et al. Septal to posterior wall motion delay fails to predict reverse remodeling or clinical improvement in patients undergoing cardiac resynchronization therapy. J Am Coll Cardiol 2005; 46: 2208–2214.

26. Charles RG. Cardiac resynchronization therapy: when and for whom? Eur Heart J 2002; 4(Suppl D): 117–121.

27. Notabartolo D, Merlino JD, Smith AL et al. Usefulness of the peak velocity difference by tissue Doppler imaging technique as an effective predictor of response to cardiac resynchronization therapy. Am J Cardiol 2004; 94: 817–820.

28. Jansen AHM, Bracke F, Van Dantzig JM et al. Optimization of pulsed wave tissue Doppler to predict left ventricular reverse remodeling after cardiac resynchronization therapy. J Am Soc Echocardiogr 2006; 19: 185–191.

29. Dohi K, Suffoletto MS, Schwartzman D et al. Utility of echocardiographic radial strain imaging to quantify left ventricular dysynchrony and predict acute response to cardiac resynchronization therapy. Am J Cardiol 2005; 96: 112–116.

30. Breithardt OA, Stellbrink Ch, Herbots L et al. Cardiac resynchronization therapy can reverse abnormal myocardial strain distribution in patients with heart failure and left bundle branch block. J Am Coll Cardiol 2003; 42: 486–494.

31. Sogaard P, Egeblad H, Pedersen AK et al. Sequential versus simultaneous biventricular resynchronization for severe heart failure. Evaluation by tissue Doppler imaging. Circulation 2002; 106: 2078–2084.

32. Sogaard P, Egeblad H, Kim WY et al. Tissue Doppler imaging predicts improved systolic performance and reversed left ventricular remodeling during long-term cardiac resynchronization therapy. J Am Coll Cardiol 2002; 40: 723–730.

33. Gorcsan III J, Kanzaki H, Bazaz R et al. Usefulness of echocardiographic tissue synchronization imaging to predict

acute response to cardiac resynchronization therapy. Am J Cardiol 2004; 93: 1178–1181.

34. Yu ChM, Zhang Q, Fung JWH et al. A novel tool to assess systolic asynchrony and identify responders of cardiac resynchronization therapy by tissue synchronization imaging. J Am Coll Cardiol 2005; 45: 677–684.

35. Kapetanakis S, Kearney MT, Siva A et al. Real-time three-dimensional echocardiography. A novel technique to quantify global left ventricular mechanical dysynchrony. Circulation 2005; 112: 992–1000.

Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#