Speckle Tracking Echocardiography: Clinical Applications in Cardiac Resynchronization Therapy

Overview

Journal Int J Clin Exp Med

Specialty General Medicine

Date 2015 Jul 30

PMID 26221204

Citations 5

Authors

Xiaoshan Zhang

Si Ha

Xiaolei Wang

YiLu Shi

Shasha Duan

Zhian Li

Affiliations

Soon will be listed here.

Abstract

Cardiac resynchronization therapy (CRT) is a proven therapy for selected patients with heart failure, it has been shown to improve symptoms and left ventricular (LV) function and prolong survival. Despite proven benefit of CRT, a significant proportion of patients fail to respond to CRT. Multiple factors contribute to the non-response such as patient selection and device implantation including LV lead placement. Speckle tracking echocardiography (STE) derived strain imaging offers detailed characterization of LV function and provides indices of mechanical dyssynchrony, in addition, STE systolic strain could be used to identify area of scar, therefore applications of STE-derived strain imaging in CRT warrant a closer inspection. This review considers and summarizes different indices of mechanical dyssynchrony generated by STE-derived strain imaging and their relevance in patient selection for CRT and their prognostic values in predicting response to CRT. This review further examines applications of STE-derived strain imaging in optimizing LV lead position by detecting site of latest mechanical activation and presence or absence of transmural scar in a particular segment.

Citing Articles

Comparison of Speckle Tracking Echocardiography During Different Pacing Modalities for Cardiac Resynchronization Therapy Response Prediction.

Tejman-Yarden S, Hadida Barzilai D, Ertracht O, Bachner-Heinenzon N, Bogdan S, Katz U Heart Int. 2022; 16(1):64-70.

PMID: 36275354 PMC: 9524619. DOI: 10.17925/HI.2022.16.1.64.

Assessment of left ventricular dyssynchrony by speckle tracking echocardiography in children with duchenne muscular dystrophy.

Lanot N, Vincenti M, Abassi H, Bredy C, Agullo A, Gamon L Int J Cardiovasc Imaging. 2021; 38(1):79-89.

PMID: 34905152 DOI: 10.1007/s10554-021-02369-y.

Surface electrogram-guided left ventricular lead placement improves response to cardiac resynchronization therapy.

Sipal A, Bozyel S, Aktas M, Dervis E, Akbulut T, Argan O Anatol J Cardiol. 2018; 19(3):184-191.

PMID: 29521312 PMC: 5864768. DOI: 10.14744/AnatolJCardiol.2018.09216.

Strain Imaging Echocardiography: What Imaging Cardiologists Should Know.

Lopez-Candales A, Hernandez-Suarez D Curr Cardiol Rev. 2016; 13(2):118-129.

PMID: 27799029 PMC: 5452148. DOI: 10.2174/1573403X12666161028122649.

Emerging Concepts in Transesophageal Echocardiography.

Maxwell C, Konoske R, Mark J F1000Res. 2016; 5.

PMID: 26998250 PMC: 4792209. DOI: 10.12688/f1000research.7169.1.

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