Skip to main content

Is Echocardiography Useful for Selecting Patients with Heart Failure as Candidates for Ventricular Resynchronization Therapy?

  • Conference paper
Cardiac Arrhythmias 2001

Zusammenfassung

In recent years cardiac resynchronization by biventricular pacing (Bi-Ve) has been proposed as an adjunctive therapy for patients with chronic heart failure and conduction delays [1, 2]. Clinical studies concluded that the new tool improves symptoms and exercise capacity. Furthermore, acute hemodynamic investigations [3,4] demostrated that it increases the cardiac index and lowers the wedge pressure, with an overall improvement of left ventricular function.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cazeau S, Ritter P, Bakdach S et al (1994) Four chamber pacing in dilated cardiomyopathy. Pacing Clin Electrophysiol 17:1974–1979

    Article  CAS  PubMed  Google Scholar 

  2. Leclercq C, Cazeau S, Ritter P et al (2000) A pilot experience with permanent biventricular pacing to treat advanced heart failure. Am Heart J 140:862–870

    Article  CAS  PubMed  Google Scholar 

  3. Blanc J-J, Etienne Y, Guard M et al (1997) Evaluation of different ventricular pacing sites in patients with severe heart failure: results of an acute hemodynamic study. Circulation 96:3273–3277

    Article  CAS  PubMed  Google Scholar 

  4. Kass DA, Chen C-H, Curry C et al (1999) Improved left ventricular mechanics from acute VDD pacing in patients with dilated cardiomyopathy and ventricular conduction delay. Circulation 99:1567–1573

    Article  CAS  PubMed  Google Scholar 

  5. Bordachar P, Garrigue S, Reuter S et al (2000) Hemodynamic assessment of right, left, and biventricular pacing by peak endocardial acceleration and echocardiography in patients with end-stage heart failure. Pacing Clin Electrophysiol 23 (2):1726–1730

    Article  CAS  PubMed  Google Scholar 

  6. Nishimura RA, Hayes DL, Holmes DR, Tajik J (1995) Mechanism of hemodynamic improvement by dual-chamber pacing for severe left ventricular disfunction: an acute Doppler and catheterization hemodynamic study. J Am Coll Cardiol 25:281–288

    Article  CAS  PubMed  Google Scholar 

  7. Guardigli G, Ansani L, Percoco GF et al (1994) AV delay optimization and management of DDD paced patients with dilated cardiomyopathy. Pacing Clin Electrophysiol 17(2):1984–1988

    Article  CAS  PubMed  Google Scholar 

  8. Breithardt OA, Stellbrink C, Franke A et al (2000) Echocardiographic evidence of hemodynamic and clinical improvement in patients paced for heart failure. Am J Cardiol 86[Suppl]:133K-137K

    Article  Google Scholar 

  9. Lau C-P, Yu C-M, Chau E et al (2000) Reversal of left ventricular remodeling by synchronous biventricular pacing in heart failure. Pacing Clin Electrophysiol 23(2):1722–1725

    Article  CAS  PubMed  Google Scholar 

  10. Verlato R, Turrini P, Baccillieri MS et al (2000) Biventricular pacing and atrioventricular junction ablation as treatment of low output syndrome due to refractory congestive heart failure and chronic atrial fibrillation. Ital Heart J 12:844–847

    Google Scholar 

  11. Appleton CP, Galloway JM, Gonzales MS et al (1993) Estimation of left ventricular filling pressures using two-dimensional and Doppler echocardiography in adult cardiac patients: additional value of analyzing left atrial size, left atrial ejection fraction and the difference in the duration of pulmonary venous and mitral flow velocity at atrial contraction. J Am Coll Cardiol 22:1972–1982

    Article  CAS  PubMed  Google Scholar 

  12. Alonso C, Leclercq C, Victor F et al (1999) Electrocardiographic predictive factors of long-term clinical improvement with multisite biventricular pacing in advanced heart failure. Am J Cardiol 84:1417–1421

    Article  CAS  PubMed  Google Scholar 

  13. Auricchio A, Stellbrink C, Sack S et al (1999) The pacing therapies for congestive heart failure (PATH-CHF) study: rationale, design, and endpoints of a prospective randomized multicenter study. Am J Cardiol 83[Suppl 5B]:130D-135D

    Article  Google Scholar 

  14. Levine TB, Levine AB, Bolenbaugh J, Stomel RJ (1999) Impact of left ventricular size on pharmacological reverse remodeling in heart failure. Circulation 100:1–678 (abstr)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer-Verlag Italia

About this paper

Cite this paper

De Piccoli, B., Zanella, C., Valentina, P.D. (2002). Is Echocardiography Useful for Selecting Patients with Heart Failure as Candidates for Ventricular Resynchronization Therapy?. In: Raviele, A. (eds) Cardiac Arrhythmias 2001. Springer, Milano. https://doi.org/10.1007/978-88-470-2103-7_18

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2103-7_18

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2165-5

  • Online ISBN: 978-88-470-2103-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics