Comparison between 2D and 3D Echocardiography in the Evaluation of Reverse Remodeling after CRT

被引:4
作者
Hotta, Viviane Tiemi [1 ,2 ]
Martinelli Filho, Martino [1 ]
Mady, Charles [1 ]
Mathias, Wilson, Jr. [1 ]
Campos Vieira, Marcelo Luiz [1 ,3 ]
机构
[1] Univ Sao Paulo, Fac Med, Inst Coracao InCor, Sao Paulo, Brazil
[2] Fleury Med & Saude, Sao Paulo, Brazil
[3] Hosp Israelita Albert Einstein, Sao Paulo, Brazil
关键词
Echocardiography; echocardiography; three-dimensional; stroke volume; ventricular dysfunction; left; CARDIAC RESYNCHRONIZATION THERAPY; TIME 3-DIMENSIONAL ECHOCARDIOGRAPHY; VENTRICULAR MECHANICAL DYSSYNCHRONY; IDIOPATHIC DILATED CARDIOMYOPATHY; BLOOD-FLOW RESERVE; HEART-FAILURE; ECHO; QUANTIFICATION; IMPAIRMENT; SURVIVAL;
D O I
10.1590/S0066-782X2011005000073
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Echocardiography is a useful method for screening and assessing response to cardiac resynchronization therapy (CRT). 3D echocardiography has already established its role in the evaluation of ventricular volumes and ejection fraction (LVEF) with excellent correlation of results when compared with magnetic resonance imaging (MRI). Objective: To compare the evaluation of ventricular volumes (LVDV, LVSV), LVEF, and LV mass before and after CRT by 2D echocardiography and three-dimensional echocardiography. Methods: We evaluated 24 patients with heart failure (HF), functional class (FC) III or IV (NYHA), sinus rhythm QRS >= 120 ms, during an optimized therapy for HF undergoing CRT. We conducted electrocardiogram (ECG), clinical evaluation, 2D and 3D echocardiography before, three and six months after CRT. The comparison between the techniques was performed using Pearson's correlation (r). Results: At baseline, the correlation between methods was 0.96 for evaluation of LVDV, 0.95 for evaluation of LVSV, 0.87 for LVEF and 0.72 for LV mass. After three months of CRT, the correlation between methods for analysis of LVDV was 0.96, 0.95 for LVSV, 0.95 for LVEF, and 0.77 for LV mass. After six months of CRT, the correlation between 2D and 3D echocardiography for analysis of LVDV was 0.98, 0.91 for LVSV, 0.96 for LVEF, and 0.85 for LV mass. Conclusion: This study reported was a reduction of LVDV, LVSV, besides improvement in LVEF after CRT. There was an excellent correlation between the 2D and 3D echocardiography for evaluation of ventricular volumes and LVEF, and a good correlation between methods for evaluation of left ventricular mass before and after CRT. (Arq Bras Cardiol 2011; 97(2) : 111-121)
引用
收藏
页码:111 / 121
页数:11
相关论文
共 21 条
[1]   Identification of 'super-responders' to cardiac resynchronization therapy: the importance of symptom duration and left ventricular geometry [J].
Antonio, Natalia ;
Teixeira, Rogerio ;
Coelho, Lourenco ;
Lourenco, Carolina ;
Monteiro, Pedro ;
Ventura, Miguel ;
Cristovao, Joao ;
Elvas, Luis ;
Goncalves, Lino ;
Providencia, Luis A. .
EUROPACE, 2009, 11 (03) :343-349
[2]   Clinical versus echocardiographic parameters to assess response to cardiac resynchronization therapy [J].
Bleeker, GB ;
Bax, JJ ;
Fung, JWH ;
van der Wall, EE ;
Zhang, Q ;
Schalij, MJ ;
Chan, JYS ;
Yu, CM .
AMERICAN JOURNAL OF CARDIOLOGY, 2006, 97 (02) :260-263
[3]  
Bocchi EA, 2009, ARQ BRAS CARDIOL, V93, P1, DOI 10.1590/S0066-782X2009002000001
[4]   Cardiac resynchronization and death from progressive heart failure - A meta-analysis of randomized controlled trials [J].
Bradley, DJ ;
Bradley, EA ;
Baughman, KL ;
Berger, RD ;
Calkins, H ;
Goodman, SN ;
Kass, DA ;
Powe, NR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (06) :730-740
[5]   Validation of the Portuguese Version of the Minnesota Living with Heart Failure Questionnaire [J].
Carvalho, Vitor Oliveira ;
Guimaraes, Guilherme Veiga ;
Carrara, Dirceu ;
Bacal, Fernando ;
Bocchi, Edimar Alcides .
ARQUIVOS BRASILEIROS DE CARDIOLOGIA, 2009, 93 (01) :39-44
[6]   Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart - A statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association [J].
Cerqueira, MD ;
Weissman, NJ ;
Dilsizian, V ;
Jacobs, AK ;
Kaul, S ;
Laskey, WK ;
Pennell, DJ ;
Rumberger, JA ;
Ryan, T ;
Verani, MS .
CIRCULATION, 2002, 105 (04) :539-542
[7]   The effect of cardiac resynchronization on morbidity and mortality in heart failure [J].
Cleland, JGF ;
Daubert, J ;
Erdmann, E ;
Freemantle, N ;
Gras, D ;
Kappenberger, L ;
Tavazzi, L ;
Cleland, JGF ;
Daubert, JC ;
Erdmann, E ;
Gras, D ;
Kappenberger, L ;
Klein, W ;
Tavazzi, L ;
Poole-Wilson, PA ;
Rydén, L ;
Wedel, H ;
Wellens, HJJ ;
Uretsky, B ;
Thygesen, K ;
Böcker, D ;
Marijianowski, MMH ;
Freemantle, N ;
Calvert, MJ ;
Christ, G ;
Fruhwald, F ;
Hofmann, R ;
Krypta, A ;
Leisch, F ;
Pacher, R ;
Rauscha, F ;
Tavernier, R ;
Thomsen, PEB ;
Boesgaard, S ;
Eiskjær, H ;
Esperen, GT ;
Haarbo, J ;
Hagemann, A ;
Korup, E ;
Moller, M ;
Mortensen, P ;
Sogaard, P ;
Vesterlund, T ;
Huikuri, H ;
Niemelä, KI ;
Toivonen, L ;
Bauer, F ;
Cohen-Solal, A ;
Crocq, C ;
Djiane, P .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (15) :1539-1549
[8]   The magnitude of reverse remodelling irrespective of aetiology predicts outcome of heart failure patients treated with cardiac resynchronization therapy [J].
Di Biase, Luigi ;
Auricchio, Angelo ;
Sorgente, Antonio ;
Civello, Kenneth ;
Klersy, Catherine ;
Faletra, Francesco ;
Riedlbauchova, Lucie ;
Patel, Dimpi ;
Arruda, Mauricio ;
Schweikert, Robert A. ;
Martin, David O. ;
Saliba, Walid I. ;
Moccetti, Tiziano ;
Wilkoff, Bruce L. ;
Natale, Andrea .
EUROPEAN HEART JOURNAL, 2008, 29 (20) :2497-2505
[9]   Subvalvular Mitral Pseudoaneurysm Evaluated by Three-Dimensional Echo [J].
Hotta, Viviane T. ;
Cruz, Cecilia B. B. V. ;
Rassi, Daniela do C. ;
Vieira, Marcelo L. C. ;
Mathias, Wilson, Jr. ;
de Avila, Luiz Francisco R. ;
Pommerantzeff, Pablo M. A. .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2010, 27 (04) :473-475
[10]   2009 Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines [J].
Jessup, Mariell ;
Abraham, William T. ;
Casey, Donald E. ;
Feldman, Arthur M. ;
Francis, Gary S. ;
Ganiats, Theodore G. ;
Konstam, Marvin A. ;
Mancini, Donna M. ;
Rahko, Peter S. ;
Silver, Marc A. ;
Stevenson, Lynne Warner ;
Yancy, Clyde W. ;
Hunt, Sharon Ann ;
Chin, Marshall H. .
CIRCULATION, 2009, 119 (14) :1977-2016