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Erschienen in: The International Journal of Cardiovascular Imaging 8/2010

01.12.2010 | Brief Communication

Mechanical left ventricular dyssynchrony detection by endocardium displacement analysis with 3D speckle tracking technology

verfasst von: Chi Hion Li, Francesc Carreras, Rubén Leta, Lidia Carballeira, Sandra Pujadas, Guillem Pons-Lladó

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 8/2010

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Abstract

Myocardium deformation and displacement analysis by echocardiography has proven useful to evaluate the synchrony of myocardial mechanics. The aim of our study was to evaluate the mean standard deviation of time to longitudinal peak displacement in 16 cardiac segments by 3D echo wall motion Speckle Tracking analysis. We studied 15 patients with ventricular dyssynchrony—defined by a QRS > 120 ms in the ECG. We obtained the differences between time peaks of endocardial longitudinal displacement for 16 segments of the heart by 3D echo Speckle Tracking. We compared the temporal dispersion of these peaks with results obtained in a control group of 13 healthy individuals without dyssynchrony. The results showed a significant difference (p < 0,001) between the dispersion of standard deviation in the 13 patients in the control group (34 ms ± 19) and the 15 patients in the dyssynchrony group (117 ms ± 57). We describe a new parameter obtained by 3D echo wall motion Speckle Tracking analysis for the detection of dyssynchrony. It can be useful to identify dyssynchrony of left ventricular myocardial mechanics, to indicate the resynchronization therapy, to optimize the parameters of the device and to achieve a less operator-dependent evaluation.
Literatur
1.
Zurück zum Zitat Miyazaki C, Powell BD, Bruce CJ, Espinosa RE, Redfield MM, Miller FA, Hayes DL, Cha YM, Oh JK (2008) Comparison of echocardiographic dyssynchrony assessment by tissue velocity and strain imaging in subjects with or without systolic dysfunction and with or without left bundle-branch block. Circulation 117:2617–2625CrossRefPubMed Miyazaki C, Powell BD, Bruce CJ, Espinosa RE, Redfield MM, Miller FA, Hayes DL, Cha YM, Oh JK (2008) Comparison of echocardiographic dyssynchrony assessment by tissue velocity and strain imaging in subjects with or without systolic dysfunction and with or without left bundle-branch block. Circulation 117:2617–2625CrossRefPubMed
2.
Zurück zum Zitat Knebel F, Schattke S, Bondke H, Richter C, Melzer C, Dreger H, Grohmann A, Baumann G, Borges AC (2008) Implementation of seven echocardiographic parameters of myocardial asynchrony to improve the long-term response rate of cardiac resynchronization therapy (CRT). Cardiovasc Ultrasound 6:58CrossRefPubMed Knebel F, Schattke S, Bondke H, Richter C, Melzer C, Dreger H, Grohmann A, Baumann G, Borges AC (2008) Implementation of seven echocardiographic parameters of myocardial asynchrony to improve the long-term response rate of cardiac resynchronization therapy (CRT). Cardiovasc Ultrasound 6:58CrossRefPubMed
3.
Zurück zum Zitat Galderisi M, Cattaneo F, Mondillo S (2007) Doppler echocardiography and myocardial dyssynchrony: a practical update of old and new ultrasound technologies. Cardiovasc Ultrasound 5:28CrossRefPubMed Galderisi M, Cattaneo F, Mondillo S (2007) Doppler echocardiography and myocardial dyssynchrony: a practical update of old and new ultrasound technologies. Cardiovasc Ultrasound 5:28CrossRefPubMed
4.
Zurück zum Zitat Abraham W, Hayes D (2003) Cardiac resynchronization therapy for heart failure. Circulation 108:2596–2603CrossRefPubMed Abraham W, Hayes D (2003) Cardiac resynchronization therapy for heart failure. Circulation 108:2596–2603CrossRefPubMed
5.
Zurück zum Zitat Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA et al (2008) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the task force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European society of cardiology. Eur Heart J 29:2388–2442CrossRefPubMed Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA et al (2008) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the task force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European society of cardiology. Eur Heart J 29:2388–2442CrossRefPubMed
6.
Zurück zum Zitat Cleland JG, Daubert JC, Erdmann E, Freemantle N, Gras D, Kappenberger L, Tavazzi L (2005) The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med 352:1539–1549CrossRefPubMed Cleland JG, Daubert JC, Erdmann E, Freemantle N, Gras D, Kappenberger L, Tavazzi L (2005) The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med 352:1539–1549CrossRefPubMed
7.
Zurück zum Zitat Abraham WT, Fisher WG, Smith AL, Delurgio DB, Leon AR, Loh E, MIRACLE Study Group et al (2002) Multicenter insync randomized clinical evaluation. cardiac resynchronization in chronic heart failure. N Engl J Med 346:1845–1853CrossRefPubMed Abraham WT, Fisher WG, Smith AL, Delurgio DB, Leon AR, Loh E, MIRACLE Study Group et al (2002) Multicenter insync randomized clinical evaluation. cardiac resynchronization in chronic heart failure. N Engl J Med 346:1845–1853CrossRefPubMed
8.
Zurück zum Zitat Ghio S, Freemantle N, Scelsi L, Serio A, Magrini G, Pasotti M, Shankar A, Cleland JG, Tavazzi L (2009) Long-term left ventricular reverse remodelling with cardiac resynchronization therapy: results from the CARE-HF trial. Eur J Heart Fail 11:480–488CrossRefPubMed Ghio S, Freemantle N, Scelsi L, Serio A, Magrini G, Pasotti M, Shankar A, Cleland JG, Tavazzi L (2009) Long-term left ventricular reverse remodelling with cardiac resynchronization therapy: results from the CARE-HF trial. Eur J Heart Fail 11:480–488CrossRefPubMed
9.
Zurück zum Zitat Kapetanakis S, Kearney MT, Siva A, Gall N, Cooklin M, Monaghan MJ (2005) Real-time three-dimensional echocardiography: a novel technique to quantify global left ventricular mechanical dyssynchrony. Circulation 112:992–1000CrossRefPubMed Kapetanakis S, Kearney MT, Siva A, Gall N, Cooklin M, Monaghan MJ (2005) Real-time three-dimensional echocardiography: a novel technique to quantify global left ventricular mechanical dyssynchrony. Circulation 112:992–1000CrossRefPubMed
10.
Zurück zum Zitat Marsan NA, Breithardt OA, Delgado V, Bertini M, Tops LF (2008) Predicting response to CRT. The value of two- and three-dimensional echocardiography. Europace 10 Suppl 3:iii73–iii79CrossRefPubMed Marsan NA, Breithardt OA, Delgado V, Bertini M, Tops LF (2008) Predicting response to CRT. The value of two- and three-dimensional echocardiography. Europace 10 Suppl 3:iii73–iii79CrossRefPubMed
11.
Zurück zum Zitat Marsan NA, Bleeker GB, Ypenburg C, Van Bommel RJ, Ghio S, Van de Veire NR, Delgado V, Holman ER, van der Wall EE, Schalij MJ, Bax JJ (2008) Real-time three-dimensional echocardiography as a novel approach to assess left ventricular and left atrium reverse remodeling and to predict response to cardiac resynchronization therapy. Heart Rhythm 5(9):1257–1264CrossRefPubMed Marsan NA, Bleeker GB, Ypenburg C, Van Bommel RJ, Ghio S, Van de Veire NR, Delgado V, Holman ER, van der Wall EE, Schalij MJ, Bax JJ (2008) Real-time three-dimensional echocardiography as a novel approach to assess left ventricular and left atrium reverse remodeling and to predict response to cardiac resynchronization therapy. Heart Rhythm 5(9):1257–1264CrossRefPubMed
12.
Zurück zum Zitat Lim P, Buakhamsri A, Popovic ZB, Greenberg NL, Patel D, Thomas JD, Grimm RA (2008) Longitudinal strain delay index by speckle tracking imaging; a new marker of response to cardiac resynchronization therapy. Circulation 118(11):1130–1137CrossRefPubMed Lim P, Buakhamsri A, Popovic ZB, Greenberg NL, Patel D, Thomas JD, Grimm RA (2008) Longitudinal strain delay index by speckle tracking imaging; a new marker of response to cardiac resynchronization therapy. Circulation 118(11):1130–1137CrossRefPubMed
13.
Zurück zum Zitat Rouleau F, Merheb M, Geffroy S, Berthelot J, Chaleil D, Dupuis JM, Victor J, Geslin P (2001) Echocardiographic assessment of the interventricular delay of activation and correlation to the QRS width in dilated cardiomyopathy. Pacing Clin Electrophysiol 24:1500–1506CrossRefPubMed Rouleau F, Merheb M, Geffroy S, Berthelot J, Chaleil D, Dupuis JM, Victor J, Geslin P (2001) Echocardiographic assessment of the interventricular delay of activation and correlation to the QRS width in dilated cardiomyopathy. Pacing Clin Electrophysiol 24:1500–1506CrossRefPubMed
14.
Zurück zum Zitat Bleeker GB, Schalij MJ, Molhoek SG, Verwey HF, Holman ER, Boersma E, Steendijk P, Van Der Wall EE, Bax JJ (2004) Relationship between QRS duration and left ventricular dyssynchrony in patients with end-stage heart failure. J Cardiovasc Electrophysiol 15:544–549CrossRefPubMed Bleeker GB, Schalij MJ, Molhoek SG, Verwey HF, Holman ER, Boersma E, Steendijk P, Van Der Wall EE, Bax JJ (2004) Relationship between QRS duration and left ventricular dyssynchrony in patients with end-stage heart failure. J Cardiovasc Electrophysiol 15:544–549CrossRefPubMed
15.
Zurück zum Zitat Ghio S, Cominesi IR (2009) Role of cardiac ultrasound in selecting patients who respond to cardiac resynchronization therapy in the light of the PROSPECT study. Rev Esp Cardiol 62:843–846PubMed Ghio S, Cominesi IR (2009) Role of cardiac ultrasound in selecting patients who respond to cardiac resynchronization therapy in the light of the PROSPECT study. Rev Esp Cardiol 62:843–846PubMed
16.
Zurück zum Zitat Bax JJ, Gorcsan J III (2009) Resynchronization therapy study in perspective therapy: results of the PROSPECT (Predictors of response to cardiac echocardiography and noninvasive imaging in cardiac resynchronization). J Am Coll Cardiol 53:1933–1943CrossRefPubMed Bax JJ, Gorcsan J III (2009) Resynchronization therapy study in perspective therapy: results of the PROSPECT (Predictors of response to cardiac echocardiography and noninvasive imaging in cardiac resynchronization). J Am Coll Cardiol 53:1933–1943CrossRefPubMed
17.
Zurück zum Zitat Chung ES, Leon AR, Tavazzi L, Sun JP, Nihoyannopoulos P, Merlino J, Abraham WT, Ghio S, Leclercq C, Bax JJ, Yu CM, Gorcsan J III, St John Sutton M, De Sutter J, Murillo J (2008) Results of the predictors of response to CRT (PROSPECT) trial. Circulation 117:2608–2616CrossRefPubMed Chung ES, Leon AR, Tavazzi L, Sun JP, Nihoyannopoulos P, Merlino J, Abraham WT, Ghio S, Leclercq C, Bax JJ, Yu CM, Gorcsan J III, St John Sutton M, De Sutter J, Murillo J (2008) Results of the predictors of response to CRT (PROSPECT) trial. Circulation 117:2608–2616CrossRefPubMed
18.
Zurück zum Zitat Kawagishi T (2008) Speckle tracking for assessment of cardiac motion and dyssynchrony. Echocardiography 25:1167–1171CrossRefPubMed Kawagishi T (2008) Speckle tracking for assessment of cardiac motion and dyssynchrony. Echocardiography 25:1167–1171CrossRefPubMed
19.
Zurück zum Zitat Soliman OI, van Dalen BM, Nemes A, Zwaan HB, Vletter WB, ten Cate FJ, Theuns DA, Jordaens LJ, Geleijnse ML (2009) Quantification of left ventricular systolic dyssynchrony by real-time three-dimensional echocardiography. J Am Soc Echocardiogr 22:232–239CrossRefPubMed Soliman OI, van Dalen BM, Nemes A, Zwaan HB, Vletter WB, ten Cate FJ, Theuns DA, Jordaens LJ, Geleijnse ML (2009) Quantification of left ventricular systolic dyssynchrony by real-time three-dimensional echocardiography. J Am Soc Echocardiogr 22:232–239CrossRefPubMed
20.
Zurück zum Zitat Sanderson John E (2009) Echocardiography for cardiac resynchronization therapy selection: fatally flawed or misjudged? J Am Coll Cardiol 53:1960–1964CrossRefPubMed Sanderson John E (2009) Echocardiography for cardiac resynchronization therapy selection: fatally flawed or misjudged? J Am Coll Cardiol 53:1960–1964CrossRefPubMed
Metadaten
Titel
Mechanical left ventricular dyssynchrony detection by endocardium displacement analysis with 3D speckle tracking technology
verfasst von
Chi Hion Li
Francesc Carreras
Rubén Leta
Lidia Carballeira
Sandra Pujadas
Guillem Pons-Lladó
Publikationsdatum
01.12.2010
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 8/2010
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-010-9644-x

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