Journal Article

Tissue Doppler imaging in patients with congestive heart failure and conduction disorders

Lothar Faber, Barbara Lamp, Juergen Vogt and Dieter Horstkotte

in European Heart Journal Supplements

Published on behalf of European Society of Cardiology

Volume 6, issue suppl_D, pages D10-D15
Published in print August 2004 | ISSN: 1520-765X
Published online August 2004 | e-ISSN: 1554-2815 | DOI: http://dx.doi.org/10.1016/j.ehjsup.2004.05.011
Tissue Doppler imaging in patients with congestive heart failure and conduction disorders

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Resynchronization of segmental left ventricular mechanics as well as re-coordination of both atrio-ventricular and inter-ventricular contraction are potential mechanisms responsible for the clinical benefit observed in patients with advanced congestive heart failure treated by cardiac resynchronization therapy (CRT). Initially electrical conduction problems, in the majority of cases a left bundle branch block (LBBB), were considered the target for CRT. However, growing experience with CRT in different patient populations including those with only a mild degree of conduction disturbance, and improved cardiac imaging utilizing the tissue Doppler approach have shown the complexity of CRT and the usefulness of sophisticated echocardiographic imaging techniques for therapeutic decision making.

Keywords: Cardiac resynchronization therapy; Tissue Doppler echocardiography; Heart failure; Left ventricular dysfunction

Journal Article.  2850 words.  Illustrated.

Subjects: Cardiovascular Medicine

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