A Comparative Analysis of Apical Rocking and Septal Flash: Two Views of the Same Systole?

Overview

Journal J Clin Med

Specialty General Medicine

Date 2024 Jun 19

PMID 38892820

Authors

Alexandra-Iulia Lazar-Hocher

Dragos Cozma

Liviu Cirin

Andreea Cozgarea

Adelina-Andreea Faur-Grigori

Rafael Catana

Danut George Tudose

Georgica Tartea

Simina Crisan

Dan Gaita

Constantin-Tudor Luca

Cristina Vacarescu

Affiliations

Soon will be listed here.

Abstract

Heart failure (HF) is a complex medical condition characterized by both electrical and mechanical dyssynchrony. Both dyssynchrony mechanisms are intricately linked together, but the current guidelines for cardiac resynchronization therapy (CRT) rely only on the electrical dyssynchrony criteria, such as the QRS complex duration. This possible inconsistency may result in undertreating eligible individuals who could benefit from CRT due to their mechanical dyssynchrony, even if they fail to fulfill the electrical criteria. The main objective of this literature review is to provide a comprehensive analysis of the practical value of echocardiography for the assessment of left ventricular (LV) dyssynchrony using parameters such as septal flash and apical rocking, which have proven their relevance in patient selection for CRT. The secondary objectives aim to offer an overview of the relationship between septal flash and apical rocking, to emphasize the primary drawbacks and benefits of using echocardiography for evaluation of septal flash and apical rocking, and to offer insights into potential clinical applications and future research directions in this area. Conclusion: there is an opportunity to render resynchronization therapy more effective for every individual; septal flash and apical rocking could be a very useful and straightforward echocardiography resource.

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