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The International Journal of Cardiovascular Imaging

Erschienen in:

09.02.2022 | Original Paper

Left ventricular systolic motion pattern differs among patients with left bundle branch block patterns

verfasst von: Yan Chen, Yanjuan Zhang, Di Xu, Chun Chen, Changqing Miao, Huan Tang, Beibei Ge, Yan Shen, Jing Yao

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 6/2022

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Abstract

The study aimed to investigate left ventricular (LV) motion pattern in patients with LBBB patterns including patients with pacemaker rhythm (PM), type B Wolff-Parkinson-White syndrome (B-WPW), premature ventricular complexes originating from the right ventricular outflow tract (RVOT-PVC), and complete left bundle branch block (CLBBB). Two-dimensional speckle tracking was used to evaluate peak value and time to peak value of the LV twist, LV apex rotation, and LV base rotation in patients with PM, B-WPW, RVOT-PVC, and CLBBB with normal LV ejection fraction, and in age-matched control subjects. The LV motion patterns were altered in all patients compared to the control groups. Patients with PM and CLBBB had a similar LV motion pattern with a reduced peak value of LV apex rotation and LV twist. Patients with B-WPW demonstrated the opposite trend in the reduction of LV rotation peak value, which was more dominant in the basal layer. The most impairment in the LV twist/rotation peak value was identified in patients with RVOT-PVC. Compared to the control group, the apical-basal rotation delay was prolonged in patients with CLBBB, followed by those with B-WPW, PM, and RVOT-PVC. The LV motion patterns were different among patients with different patterns of LBBB. CLBBB and PM demonstrated a reduction in LV twist/rotation that was pronounced in the apical layer, B-WPW showed a reduction in the basal layer, and RVOT-PVC in both layers. CLBBB had the most pronounced LV apical-basal rotation dyssynchrony.

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Titel: Left ventricular systolic motion pattern differs among patients with left bundle branch block patterns
verfasst von: Yan Chen
Yanjuan Zhang
Di Xu
Chun Chen
Changqing Miao
Huan Tang
Beibei Ge
Yan Shen
Jing Yao
Publikationsdatum: 09.02.2022
Verlag: Springer Netherlands
Erschienen in: The International Journal of Cardiovascular Imaging / Ausgabe 6/2022
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI: https://doi.org/10.1007/s10554-022-02528-9

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