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Cardiovascular Ultrasound
Published in: Cardiovascular Ultrasound 1/2004

Open Access 01-09-2004 | Review

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

Authors: Fabian Knebel, Rona Katharina Reibis, Hans-Jürgen Bondke, Joachim Witte, Torsten Walde, Stephan Eddicks, Gert Baumann, Adrian Constantin Borges

Published in: Cardiovascular Ultrasound | Issue 1/2004

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Abstract

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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Metadata
Title
Tissue Doppler echocardiography and biventricular pacing in heart failure: Patient selection, procedural guidance, follow-up, quantification of success
Authors
Fabian Knebel
Rona Katharina Reibis
Hans-Jürgen Bondke
Joachim Witte
Torsten Walde
Stephan Eddicks
Gert Baumann
Adrian Constantin Borges
Publication date
01-09-2004
Publisher
BioMed Central
Published in
Cardiovascular Ultrasound / Issue 1/2004
Electronic ISSN: 1476-7120
DOI
https://doi.org/10.1186/1476-7120-2-17

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