The saga of dyssynchrony imaging: Are we getting to the point

Galli, Elena; Galand, Vincent; Rolle, Virginie Le; Taconne, Marion; Wazzan, A Al; Hernández, Alfredo; Leclercq, Christophe; Donal, Erwan

doi:10.3389/fcvm.2023.1111538

Cited by 6 publications

(1 citation statement)

References 94 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the last three decades, extensive research efforts have focused on identifying imaging-based parameters that can uncover the electromechanical factors influencing the effectiveness of cardiac resynchronization therapy (CRT) [ 17 ]. Echocardiographic assessment of ventricular or mechanical dyssynchrony before CRT, irrespective of left ventricular ejection fraction (LVEF) or QRS duration [ 18 , 19 , 20 ] may enhance patient selection and identify patients who may benefit from CRT [ 9 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

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

Lazăr-Höcher,

Cozma,

Cirin

et al. 2024

JCM

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

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

Lazăr-Höcher,

Cozma,

Cirin

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

Moving forwards from clinical trials to a more individualized management of treatments in heart failure? Great value of Doppler echocardiography data

Donal

Cosyns

2023

European J of Heart Fail

Self Cite

View full text Add to dashboard Cite

This article refers to'A machine learning derived echocardiographic algorithm identifies people at risk of heart failure with distinct cardiac structure, function, and response to spironolactone: Findings from the HOMAGE trial' by M. Kobayashi et al., published in this issue on pages 1284-1289.The management of heart failure (HF) has increasingly improved these recent years. 1 New therapeutic options have emerged. Nevertheless, the prescription of these treatments is not systematic and perhaps should not be systematic but adapted to individual specificities. 2 In these past years, the relevance of the 'heart team decision-making process' has been emphasized and even recommended by guidelines. 1,3 Heart teams are gathering colleagues, experts, that are supposed to decide based on the clinical files of a patient what should be the optimal management. It is much more efficient than a decision-making process based on a single view. However, it could be biased by many factors or parameters considered by the heart team or not. The decisions made are most often appropriate but the same patient discussed in different heart teams or at different heart team meetings may end up with different medical managements.Therefore, risk stratification and management of complex diseases like HF could take advantage of new approaches. Recently, a 'decision support tool' has been demonstrated to improve the appropriateness of mineralocorticoid receptor antagonist (MRA) prescription. 4 An automated, patient-specific, electronic health record-embedded alert was found to increase MRA prescription. It has been validated in a study including 2211 patients using a cluster randomized methodology. 4

show abstract

Echocardiographic Follow-Up the Patients with Implanted Devices

Toader

2024

Echocardiographic Evaluation of Patients With Implanted Devices

View full text Add to dashboard Cite

The saga of dyssynchrony imaging: Are we getting to the point

Cited by 6 publications

References 94 publications

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

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

Moving forwards from clinical trials to a more individualized management of treatments in heart failure? Great value of Doppler echocardiography data

Echocardiographic Follow-Up the Patients with Implanted Devices

Contact Info

Product

Resources

About