Source:http://linkedlifedata.com/resource/pubmed/id/17949256
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2008-10-31
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pubmed:abstractText |
The present study proposed procedure for predicting an optimal left and right ventricular pacing interval delay (V-V interval). In 16 patients (heart failure, left bundle branch block, biventricular pacing) two methods (A and B) identifying optimal V-V interval were tested. Method A: predicted optimal V-V interval A (POVV-A) = electromechanical delay of the segment paced by left ventricle lead minus electromechanical delay of the segment paced by right ventricle lead. Method B: predicted optimal V-V interval B (POVV-B) = difference in the onset of aortic and pulmonary flows. Both methods were validated using echocardiography and right-sided heart catheterization. Cardiac output during POVV-A (4.6 l.min(-1)) was significantly better than that during POVV-A minus 20 ms (4.3 l.min(-1), p<0.01) and POVV-A plus 20 ms (4.3 l.min(-1), p<0.01), and than that during POVV-B (4.4 l.min(-1), p<0.05). LV dP/dt during POVV-A (818 mm Hg.s(-1), exceeded that during POVV-A plus 20 ms (717 mm Hg.s(-1),, p<0.05) and POVV-A minus 20 ms (681 mm Hg.s(-1), p<0.05), and that during POVV-B (727 mm Hg.s(-1), p<0.01). The time difference in onsets of myocardial deformation of left ventricle segment paced by the left ventricle and right ventricle lead allows identifying the optimal V-V interval and improves left ventricle performance.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0862-8408
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
57
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
693-700
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pubmed:meshHeading |
pubmed-meshheading:17949256-Action Potentials,
pubmed-meshheading:17949256-Adult,
pubmed-meshheading:17949256-Aged,
pubmed-meshheading:17949256-Cardiac Output,
pubmed-meshheading:17949256-Cardiac Pacing, Artificial,
pubmed-meshheading:17949256-Echocardiography, Doppler, Pulsed,
pubmed-meshheading:17949256-Female,
pubmed-meshheading:17949256-Heart Catheterization,
pubmed-meshheading:17949256-Heart Conduction System,
pubmed-meshheading:17949256-Heart Failure,
pubmed-meshheading:17949256-Humans,
pubmed-meshheading:17949256-Male,
pubmed-meshheading:17949256-Middle Aged,
pubmed-meshheading:17949256-Reproducibility of Results,
pubmed-meshheading:17949256-Time Factors,
pubmed-meshheading:17949256-Ventricular Function, Left,
pubmed-meshheading:17949256-Ventricular Pressure
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pubmed:year |
2008
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pubmed:articleTitle |
Contribution to the V-V interval optimization in patients with cardiac resynchronization therapy.
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pubmed:affiliation |
First Clinic of Internal Medicine (Cardiology and Angiology), Faculty Hospital St. Ann, Brno, Czech Republic. miroslav.novak@fnusa.cz
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't,
Validation Studies
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