Tissue Doppler imaging and left ventricular dyssynchrony in heart failure

Journal of Cardiac Failure
Alan J Bank, Aaron S Kelly

Abstract

Electrical dyssynchrony is one of the main criteria for determining eligibility for cardiac resynchronization therapy (CRT). However, recent data support the use of mechanical rather than electrical dyssynchrony as the major criterion for receiving CRT. Tissue Doppler imaging (TDI) is emerging as an indispensable tool for measuring and quantifying mechanical dyssynchrony in patients with advanced heart failure. TDI techniques for quantifying dyssynchrony include: tissue tracking, tissue velocity imaging, tissue synchronization imaging, and strain analysis. This review details the different techniques and discusses advantages and disadvantages of each. As TDI is incorporated into clinical practice, the ability to select patients who are most likely to improve after CRT should increase. TDI may also prove to be a useful tool for optimizing pacemaker settings in patients who do not improve after CRT. Ongoing research trials will further define the role of TDI in the clinical management of patients with heart failure.

References

May 30, 2002·European Journal of Heart Failure·Daniel GrasAnders Kirstein-Pedersen
Dec 19, 2003·Journal of the American College of Cardiology·Augusto AchilliFrancesco Serra
Jan 23, 2004·Journal of the American College of Cardiology·Hugues BaderRaymond Roudaut
May 20, 2004·Journal of Cardiovascular Electrophysiology·Gabe B BleekerJeroen J Bax
May 21, 2004·The New England Journal of Medicine·Michael R BristowUNKNOWN Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure (COMPANION) Investigators
Nov 3, 2004·Journal of the American College of Cardiology·Jeroen J BaxMartin J Schalij
Jan 5, 2005·Journal of the American College of Cardiology·Maria Vittoria PitzalisPaolo Rizzon
Mar 9, 2005·The New England Journal of Medicine·John G F ClelandUNKNOWN Cardiac Resynchronization-Heart Failure (CARE-HF) Study Investigators

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Citations

Dec 23, 2011·Journal of Cardiovascular Translational Research·Alan J BankKevin V Burns
Sep 8, 2006·Current Cardiology Reports·Alan J BankStuart W Adler
Apr 7, 2010·Current Cardiovascular Imaging Reports·Deepa MangalatJaved Butler
Feb 10, 2016·Journal of Cardiovascular Computed Tomography·Thananya BoonyasirinantScott D Flamm
Aug 17, 2011·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Jordi López-AlvarezJoanna Dukes-McEwan
Nov 3, 2009·Journal of Veterinary Cardiology : the Official Journal of the European Society of Veterinary Cardiology·Amara H EstradaJames M VanGilder
Apr 24, 2007·Journal of Cardiac Failure·Javed Butler
Jul 31, 2007·The American Journal of Cardiology·Nico R Van de VeireJeroen J Bax
Nov 7, 2006·Journal of the American College of Cardiology·Nico R Van de VeireJeroen J Bax

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