An epidemic of dyssynchrony: but what does it mean?

Abstract:

:Cardiac resynchronization therapy (CRT) is used to treat a subset of heart failure patients with discoordinate wall motion. Defining appropriate patients is important, and, although electrical delay (wide QRS) is commonly used, recent data show that measures of mechanical dyssynchrony improve the sensitivity and specificity of predicting responders (including patients with narrow QRS complexes). This has stimulated studies of dyssynchrony per se, and the phenomenon now appears to be very common in virtually all forms of heart failure. However, what all this dyssynchrony means clinically, and how or whether it should be treated by CRT or other means, remains unclear.

journal_name

J Am Coll Cardiol

authors

Kass DA

doi

10.1016/j.jacc.2007.09.027

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

12-7

issue

1

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(07)03283-4

journal_volume

51

pub_type

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