Comparison of three-dimensional echocardiography and speckle tracking echocardiography in quantification and mapping of intraventricular mechanical dyssynchrony

Autor: Anupam Bhambhani, Amalu Mathew
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Indian Heart Journal, Vol 71, Iss 3, Pp 256-262 (2019)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2019.04.006
Popis: Objectives: The aim of the study is to compare two advanced methods of evaluation of left ventricular mechanical dyssynchrony (LVMD), the speckle tracking echocardiography (STE) and the three-dimensional echocardiography (3DE). Methods: One hundred thirty-six subjects, with or without LV dysfunction and with or without bundle branch block (BBB), were included in this study, designed to investigate agreement between magnitude and spatial pattern of LVMD as assessed by 3DE and STE. The frequency and severity of LVMD and localization of most asynchronous segments were compared. Results: Both 3DE and STE revealed progressive rise in frequency and magnitude of LVMD with increasing disease severity. Dyssynchrony was dependent on left ventricle ejection fraction rather than the QRS duration. The frequency and magnitude of dyssynchrony were maximum in patients having LV dysfunction with left BBB. Compared with STE, 3DE diagnosed LVMD more frequently in patients having LV dysfunction with narrow QRS (17.6% vs 60.3%, respectively; P
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