EuroEcho-Imaging 2014: highlights

Magné, Julien; Habib, Gilbert; Cosyns, Bernard; Donal, Erwan; Miller, Owen; Neglia, Danilo; Petersen, Steffen E.; Lancellotti, Patrizio

doi:10.1093/ehjci/jev084

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Longitudinal strain dyssynchrony is also an independent predictor of response to CRT ( 44 , 45 ). Longitudinal strain is able to distinguish ischaemic from non-ischaemic LBBB ( 46 ). On bull’s eye mapping, the peak systolic strain shows a basal septal ‘horseshoe’ pattern of reduced regional strain in patients with non-ischaemic LBBB.…”

Section: Evidence For 2dste In Predicting Response To Crtmentioning

confidence: 99%

Clinical utility of speckle-tracking echocardiography in cardiac resynchronisation therapy

et al. 2016

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Cardiac resynchronisation therapy (CRT) can profoundly improve outcome in selected patients with heart failure; however, response is difficult to predict and can be absent in up to one in three patients. There has been a substantial amount of interest in the echocardiographic assessment of left ventricular dyssynchrony, with the ultimate aim of reliably identifying patients who will respond to CRT. The measurement of myocardial deformation (strain) has conventionally been assessed using tissue Doppler imaging (TDI), which is limited by its angle dependence and ability to measure in a single plane. Two-dimensional speckle-tracking echocardiography is a technique that provides measurements of strain in three planes, by tracking patterns of ultrasound interference (‘speckles’) in the myocardial wall throughout the cardiac cycle. Since its initial use over 15 years ago, it has emerged as a tool that provides more robust, reproducible and sensitive markers of dyssynchrony than TDI. This article reviews the use of two-dimensional and three-dimensional speckle-tracking echocardiography in the assessment of dyssynchrony, including the identification of echocardiographic parameters that may hold predictive potential for the response to CRT. It also reviews the application of these techniques in guiding optimal LV lead placement pre-implant, with promising results in clinical improvement post-CRT.

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Section: Evidence For 2dste In Predicting Response To Crtmentioning

confidence: 99%

Clinical utility of speckle-tracking echocardiography in cardiac resynchronisation therapy

et al. 2016

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Treatment of Heart Failure With Reduced Ejection Fraction—Recent Developments

Travessa

Falcão

2016

American Journal of Therapeutics

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Heart failure with reduced ejection fraction (HFrEF) represents at least half of the cases of heart failure, which is a syndrome defined as the inability of the heart to supply the body's tissues with an adequate amount of blood under conditions of normal cardiac filling pressure. HFrEF is responsible for high costs and rates of mortality, morbidity, and hospital admissions, mainly in developed countries. Thus, the need for better diagnostic methods and therapeutic approaches and consequently better outcomes is clear. In this article, we review the principal aspects of pathophysiology and diagnosis of HFrEF, with focus on emerging biomarkers and on recent echocardiographic methods for the assessment of left ventricular function. Furthermore, we discuss several major developments in pharmacological and nonpharmacological treatment of HFrEF in the last years, including cardiac resynchronization therapy, implantable cardioverter defibrillators, and the recent and promising drug LCZ696, focusing on current indications, unanswered questions, and other relevant aspects.

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EuroEcho-Imaging 2014: highlights

Abstract: The annual meeting of the European Association of Echocardiography (EuroEcho-Imaging) was held in Vienna, Austria. In the present paper, we present a summary of the 'Highlights' session.

Cited by 2 publications

References 21 publications

Clinical utility of speckle-tracking echocardiography in cardiac resynchronisation therapy

Clinical utility of speckle-tracking echocardiography in cardiac resynchronisation therapy

Treatment of Heart Failure With Reduced Ejection Fraction—Recent Developments

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