Source:http://linkedlifedata.com/resource/pubmed/id/15234396
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2004-7-5
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pubmed:abstractText |
Cardiac resynchronization therapy (CRT) has been proposed as an alternative treatment in patients with severe, drug-refractory heart failure. The clinical results are promising, and improvement in symptoms, exercise capacity, and systolic left ventricular (LV) function have been demonstrated after CRT, accompanied by a reduction in hospitalization and a superior survival as compared with optimized medical therapy alone. However, 20% to 30% of patients do not respond to CRT. Currently, patients are selected mainly on electrocardiogram criteria (wide QRS complex, left bundle branch block configuration). In view of the 20% to 30% of nonresponders, additional selection criteria are needed. Echocardiography (and, in particular, tissue Doppler imaging) may allow further identification of potential responders to CRT, based on assessment of inter- and intraventricular dyssynchrony. In addition, echocardiography may allow optimal LV lead positioning and follow-up after CRT. In the current review, the different echocardiographic approaches to predict response to CRT are discussed. In addition, the use of echocardiography to guide LV lead positioning and follow-up after CRT are addressed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0735-1097
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
7
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pubmed:volume |
44
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1-9
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:15234396-Clinical Trials as Topic,
pubmed-meshheading:15234396-Diagnostic Tests, Routine,
pubmed-meshheading:15234396-Echocardiography,
pubmed-meshheading:15234396-Heart Conduction System,
pubmed-meshheading:15234396-Heart Failure,
pubmed-meshheading:15234396-Heart Ventricles,
pubmed-meshheading:15234396-Humans,
pubmed-meshheading:15234396-Myocardial Contraction,
pubmed-meshheading:15234396-Stroke Volume,
pubmed-meshheading:15234396-Ventricular Function, Left
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pubmed:year |
2004
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pubmed:articleTitle |
Echocardiographic evaluation of cardiac resynchronization therapy: ready for routine clinical use? A critical appraisal.
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pubmed:affiliation |
Leiden University Medical Center, Leiden, The Netherlands. jbax@knoware.nl
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pubmed:publicationType |
Journal Article,
Review
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