Magnetic resonance imaging assessment of ventricular dyssynchrony: current and emerging concepts.

Abstract:

:Despite the numerous documented benefits of cardiac resynchronization therapy (CRT), a significant proportion of patients undergoing CRT do not demonstrate symptomatic or morphologic improvement, triggering the search to improve targeting of this therapy. Many studies now support direct assessment of mechanical dyssynchrony as a method to better identify CRT responders. Among the methods used, echo-Doppler imaging has taken center stage and is covered in other articles in this special issue; however, these methods have several inherent limitations, and other alternatives are also being explored such as magnetic resonance imaging (MRI). This review discusses the concepts and clinical use of MRI methods for quantitative assessment of mechanical dyssynchrony, highlighting newer acquisition and analysis methods and focusing on how the data can be synthesized into robust indexes of dyssynchronous heart failure.

journal_name

J Am Coll Cardiol

authors

Lardo AC,Abraham TP,Kass DA

doi

10.1016/j.jacc.2005.09.015

subject

Has Abstract

pub_date

2005-12-20 00:00:00

pages

2223-8

issue

12

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(05)02250-3

journal_volume

46

pub_type

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