The association between left ventricular twisting motion and mechanical dyssynchrony: a three-dimensional speckle tracking study

被引：7

作者：

Fujiwara, Shohei ^{[1
]}

Komamura, Kazuo ^{[1
,2
]}

Nakabo, Ayumi ^{[1
]}

Masaki, Mitsuru ^{[1
,3
]}

Fukui, Miho ^{[1
]}

Sugahara, Masataka ^{[1
]}

Itohara, Kanako ^{[1
]}

Soyama, Yuko ^{[1
]}

Goda, Akiko ^{[1
]}

Hirotani, Shinichi ^{[1
]}

Mano, Toshiaki ^{[1
]}

Masuyama, Tohru ^{[1
]}

机构：

[1] Hyogo Coll Med, Dept Internal Med, Cardiovasc Div, 1-1 Mukogawa Cho, Nishinomiya, Hyogo 6638501, Japan

[2] Takeda Pharmaceut Co Ltd, Osaka Clin, Osaka, Japan

[3] Hyogo Coll Med, Div Clin Lab Med, Nishinomiya, Hyogo 6638501, Japan

来源：

HEART AND VESSELS | 2016年 / 31卷 / 02期

关键词：

Ventricular pacing; Three-dimensional speckle tracking; Dyssynchrony; Torsion; CARDIAC RESYNCHRONIZATION THERAPY; HEART-FAILURE; AREA TRACKING; PREDICTS RESPONSE; STRAIN-RATE; ECHOCARDIOGRAPHY; DEFORMATION; TOOL;

D O I：

10.1007/s00380-014-0586-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Left ventricular (LV) dyssynchrony is a causal factor in LV dysfunction and thought to be associated with LV twisting motion. We tested whether three-dimensional speckle tracking (3DT) can be used to evaluate the relationship between LV twisting motion and dyssynchrony. We examined 25 patients with sick sinus syndrome who had received dual chamber pacemakers. The acute effects of ventricular pacing on LV wall motion after the switch from atrial to ventricular pacing were assessed. LV twisting motion and dyssynchrony during each pacing mode were measured using 3DT. LV dyssynchrony was calculated from the time to the minimum peak systolic area strain of 16 LV imaging segments. Ventricular pacing increased LV dyssynchrony and decreased twist and torsion. A significant correlation was observed between changes in LV dyssynchrony and changes in torsion (r = -0.65, p < 0.01). Evaluation of LV twisting motion can potentially be used for diagnosing LV dyssynchrony.

引用

页码：158 / 164

页数：7

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