Application of echocardiography in resynchronization treatment of heart failure patients

作者:Dai Hai long; Guang Xue feng*; Xiao Zhi cheng; Zhang Ming
来源:Chinese Medical Journal, 2012, 125(19): 3548-3555.
DOI:10.3760/cma.j.issn.0366-6999.2012.19.034

摘要

Objective To review the updated research progress about the application of echocardiography in resynchronization treatment of chronic heart failure patients. %26lt;br%26gt;Data sources The data used in this review were from PubMed, published in English and using the key terms %26quot;heart failure%26quot;, %26quot;echocardiography%26quot; and %26quot;cardiac resynchronization therapy%26quot;. %26lt;br%26gt;Study selection Relevant articles were reviewed and selected to address the stated purpose. %26lt;br%26gt;Results Increasing numbers of studies have suggested the importance of echocardiography in resynchronization treatment of chronic heart failure patients. Echocardiography can evaluate atrioventricular, inter- and intra-ventricular mechanical dyssynchrony before cardiac resynchronization therapy (CRT), as a guidance to assess the optimal left ventricular (LV) pacing location, optimize the atrioventricular and interventricular delays and predict response to CRT. %26lt;br%26gt;Conclusions Echocardiography is both non invasive and easily repeatable, and plays a crucial role in appraisal of heart synchronism, instruction of actuator placement, optimization of the device procedure, and prediction of the response to CRT. Chin Med J 2012;125(19):3548-3555