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
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