Antoine Deplagne, Pierre Bordachar, Patricia Reant, Michel Montaudon, Sylvain Reuter, Julien Laborderie, Pierre Dos Santos, Raymond Roudaut, Pierre Jais, Michel Haissaguerre, François Laurent, Jacques Clementy, Stéphane Lafitte
BACKGROUND: There is no gold standard technique for quantification of ventricular dyssynchrony. AIM: To investigate whether additional real-time three-dimensional morphologic assessment of ventricular dyssynchrony affects response after biventricular pacing. METHODS: Forty-one patients with severe heart failure were implanted with a biventricular pacing device and underwent two-dimensional (time dispersion of 12 left ventricular electromechanical delays) and three-dimensional echocardiographic assessment of ventricular dyssynchrony (dispersion of time to minimum regional volume for 16 left ventricular segments), before implantation, 2 days postimplantation with optimization of the pacing interventricular delay and 6 months postimplantation...
June 2009: Archives of Cardiovascular Diseases