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Article: Echocardiography and non-invasive imaging in cardiac resynchronization therapy
Title | Echocardiography and non-invasive imaging in cardiac resynchronization therapy |
---|---|
Authors | |
Keywords | Cardiac resynchronization therapy Diagnostic imaging Echocardiography |
Issue Date | 2010 |
Publisher | Edizioni Minerva Medica |
Citation | Minerva Cardioangiologica, 2010, v. 58 n. 3, p. 313-332 How to Cite? |
Abstract | The beneficial effects of cardiac resynchronization therapy (CRT) on morbidity and mortality in advanced heart failure patients have been extensively demonstrated. However, previous single- and multicenter studies demonstrated that approximately 30-40% of CRT patients do not show significant clinical improvement or LV reverse remodeling despite fulfilling current inclusion criteria. In search of novel indices that may help to improve the selection of responders to CRT, non-invasive multimodality imaging has provided further insight into the mechanisms underlying CRT response. LV dyssynchrony, extent and location of myocardial scar and LV lead position have shown to be independent determinants of CRT response. An integrated evaluation of these three pathophysiological mechanisms may provide a more accurate selection of heart failure patients who will benefit from CRT and may maximize the cost-effectiveness of this therapy. The present review article provides a critical appraisal of the role of multimodality imaging in the selection of heart failure patients who are candidates for CRT with special focus on the assessment of LV mechanical dyssynchrony, LV myocardial scar tissue extent and LV lead position. |
Persistent Identifier | http://hdl.handle.net/10722/134132 |
ISSN | 2020 Impact Factor: 1.347 2020 SCImago Journal Rankings: 0.259 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Delgado, V | en_HK |
dc.contributor.author | Mooyaart, EAQ | en_HK |
dc.contributor.author | Ng, ACT | en_HK |
dc.contributor.author | Auger, D | en_HK |
dc.contributor.author | Bertini, M | en_HK |
dc.contributor.author | Van Bommel, RJ | en_HK |
dc.contributor.author | Yiu, KH | en_HK |
dc.contributor.author | Ewe, SH | en_HK |
dc.contributor.author | Witkowski, TG | en_HK |
dc.contributor.author | Ajmone Marsan, N | en_HK |
dc.contributor.author | Schuijf, JD | en_HK |
dc.contributor.author | Van Der Wall, EE | en_HK |
dc.contributor.author | Schalij, MJ | en_HK |
dc.contributor.author | Bax, JJ | en_HK |
dc.date.accessioned | 2011-06-13T07:19:58Z | - |
dc.date.available | 2011-06-13T07:19:58Z | - |
dc.date.issued | 2010 | en_HK |
dc.identifier.citation | Minerva Cardioangiologica, 2010, v. 58 n. 3, p. 313-332 | en_HK |
dc.identifier.issn | 0026-4725 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/134132 | - |
dc.description.abstract | The beneficial effects of cardiac resynchronization therapy (CRT) on morbidity and mortality in advanced heart failure patients have been extensively demonstrated. However, previous single- and multicenter studies demonstrated that approximately 30-40% of CRT patients do not show significant clinical improvement or LV reverse remodeling despite fulfilling current inclusion criteria. In search of novel indices that may help to improve the selection of responders to CRT, non-invasive multimodality imaging has provided further insight into the mechanisms underlying CRT response. LV dyssynchrony, extent and location of myocardial scar and LV lead position have shown to be independent determinants of CRT response. An integrated evaluation of these three pathophysiological mechanisms may provide a more accurate selection of heart failure patients who will benefit from CRT and may maximize the cost-effectiveness of this therapy. The present review article provides a critical appraisal of the role of multimodality imaging in the selection of heart failure patients who are candidates for CRT with special focus on the assessment of LV mechanical dyssynchrony, LV myocardial scar tissue extent and LV lead position. | en_HK |
dc.language | eng | en_US |
dc.publisher | Edizioni Minerva Medica | en_US |
dc.relation.ispartof | Minerva Cardioangiologica | en_HK |
dc.subject | Cardiac resynchronization therapy | - |
dc.subject | Diagnostic imaging | - |
dc.subject | Echocardiography | - |
dc.subject.mesh | Arrhythmias, Cardiac - diagnosis - etiology - therapy - ultrasonography | en_HK |
dc.subject.mesh | Cardiac Resynchronization Therapy - methods | en_HK |
dc.subject.mesh | Cardiac-Gated Single-Photon Emission Computer-Assisted Tomography | en_HK |
dc.subject.mesh | Cardiomyopathies - diagnosis | en_HK |
dc.subject.mesh | Cicatrix - diagnosis | en_HK |
dc.subject.mesh | Heart Failure - complications | en_HK |
dc.subject.mesh | Humans | en_HK |
dc.title | Echocardiography and non-invasive imaging in cardiac resynchronization therapy | en_HK |
dc.type | Article | en_HK |
dc.identifier.email | Yiu, KH:khkyiu@hku.hk | en_HK |
dc.identifier.authority | Yiu, KH=rp01490 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.pmid | 20485238 | - |
dc.identifier.scopus | eid_2-s2.0-77957743642 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-77957743642&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 58 | en_HK |
dc.identifier.issue | 3 | en_HK |
dc.identifier.spage | 313 | en_HK |
dc.identifier.epage | 332 | en_HK |
dc.identifier.isi | WOS:000208659600004 | - |
dc.publisher.place | Italy | en_HK |
dc.identifier.scopusauthorid | Delgado, V=24172709900 | en_HK |
dc.identifier.scopusauthorid | Mooyaart, EAQ=15020989800 | en_HK |
dc.identifier.scopusauthorid | Ng, ACT=15726084000 | en_HK |
dc.identifier.scopusauthorid | Auger, D=35723808000 | en_HK |
dc.identifier.scopusauthorid | Bertini, M=22033600300 | en_HK |
dc.identifier.scopusauthorid | Van Bommel, RJ=24172817900 | en_HK |
dc.identifier.scopusauthorid | Yiu, KH=35172267800 | en_HK |
dc.identifier.scopusauthorid | Ewe, SH=23993827400 | en_HK |
dc.identifier.scopusauthorid | Witkowski, TG=7003737196 | en_HK |
dc.identifier.scopusauthorid | Ajmone Marsan, N=17343204700 | en_HK |
dc.identifier.scopusauthorid | Schuijf, JD=6602555819 | en_HK |
dc.identifier.scopusauthorid | Van Der Wall, EE=7101764510 | en_HK |
dc.identifier.scopusauthorid | Schalij, MJ=7007083597 | en_HK |
dc.identifier.scopusauthorid | Bax, JJ=35379683700 | en_HK |
dc.identifier.issnl | 0026-4725 | - |