New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure

Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Petrović Milan [verfasserIn] Vujisić-Tešić Bosiljka [verfasserIn] Milašinović Goran [verfasserIn] Zamaklar-Trifunović Danijela [verfasserIn] Nedeljković Ivana [verfasserIn] Jelić Vera [verfasserIn] Boričić Marija [verfasserIn] Ćalović Žarko [verfasserIn] Petrović Olga [verfasserIn] Banović Marko [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; srp

Erschienen:	2009

Schlagwörter:	cardiac resynchronization therapy heart failure echocardiography

Übergeordnetes Werk:	In: Srpski Arhiv za Celokupno Lekarstvo - Serbian Medical Society, 2010, 137(2009), 5-6, Seite 304-309
Übergeordnetes Werk:	volume:137 ; year:2009 ; number:5-6 ; pages:304-309

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.2298/SARH0906304P

Katalog-ID:	DOAJ04600940X

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spelling	10.2298/SARH0906304P doi (DE-627)DOAJ04600940X (DE-599)DOAJ7c1e1076c6d040c2a51189624a08a9aa DE-627 ger DE-627 rakwb eng srp Petrović Milan verfasserin aut New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient. cardiac resynchronization therapy heart failure echocardiography Medicine R Vujisić-Tešić Bosiljka verfasserin aut Milašinović Goran verfasserin aut Zamaklar-Trifunović Danijela verfasserin aut Nedeljković Ivana verfasserin aut Jelić Vera verfasserin aut Boričić Marija verfasserin aut Ćalović Žarko verfasserin aut Petrović Olga verfasserin aut Banović Marko verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 137(2009), 5-6, Seite 304-309 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:137 year:2009 number:5-6 pages:304-309 https://doi.org/10.2298/SARH0906304P kostenfrei https://doaj.org/article/7c1e1076c6d040c2a51189624a08a9aa kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790906304P.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 137 2009 5-6 304-309
allfields_unstemmed	10.2298/SARH0906304P doi (DE-627)DOAJ04600940X (DE-599)DOAJ7c1e1076c6d040c2a51189624a08a9aa DE-627 ger DE-627 rakwb eng srp Petrović Milan verfasserin aut New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient. cardiac resynchronization therapy heart failure echocardiography Medicine R Vujisić-Tešić Bosiljka verfasserin aut Milašinović Goran verfasserin aut Zamaklar-Trifunović Danijela verfasserin aut Nedeljković Ivana verfasserin aut Jelić Vera verfasserin aut Boričić Marija verfasserin aut Ćalović Žarko verfasserin aut Petrović Olga verfasserin aut Banović Marko verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 137(2009), 5-6, Seite 304-309 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:137 year:2009 number:5-6 pages:304-309 https://doi.org/10.2298/SARH0906304P kostenfrei https://doaj.org/article/7c1e1076c6d040c2a51189624a08a9aa kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790906304P.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 137 2009 5-6 304-309
allfieldsGer	10.2298/SARH0906304P doi (DE-627)DOAJ04600940X (DE-599)DOAJ7c1e1076c6d040c2a51189624a08a9aa DE-627 ger DE-627 rakwb eng srp Petrović Milan verfasserin aut New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient. cardiac resynchronization therapy heart failure echocardiography Medicine R Vujisić-Tešić Bosiljka verfasserin aut Milašinović Goran verfasserin aut Zamaklar-Trifunović Danijela verfasserin aut Nedeljković Ivana verfasserin aut Jelić Vera verfasserin aut Boričić Marija verfasserin aut Ćalović Žarko verfasserin aut Petrović Olga verfasserin aut Banović Marko verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 137(2009), 5-6, Seite 304-309 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:137 year:2009 number:5-6 pages:304-309 https://doi.org/10.2298/SARH0906304P kostenfrei https://doaj.org/article/7c1e1076c6d040c2a51189624a08a9aa kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790906304P.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 137 2009 5-6 304-309
allfieldsSound	10.2298/SARH0906304P doi (DE-627)DOAJ04600940X (DE-599)DOAJ7c1e1076c6d040c2a51189624a08a9aa DE-627 ger DE-627 rakwb eng srp Petrović Milan verfasserin aut New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient. cardiac resynchronization therapy heart failure echocardiography Medicine R Vujisić-Tešić Bosiljka verfasserin aut Milašinović Goran verfasserin aut Zamaklar-Trifunović Danijela verfasserin aut Nedeljković Ivana verfasserin aut Jelić Vera verfasserin aut Boričić Marija verfasserin aut Ćalović Žarko verfasserin aut Petrović Olga verfasserin aut Banović Marko verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 137(2009), 5-6, Seite 304-309 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:137 year:2009 number:5-6 pages:304-309 https://doi.org/10.2298/SARH0906304P kostenfrei https://doaj.org/article/7c1e1076c6d040c2a51189624a08a9aa kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2009/0370-81790906304P.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 137 2009 5-6 304-309
language	English
source	In Srpski Arhiv za Celokupno Lekarstvo 137(2009), 5-6, Seite 304-309 volume:137 year:2009 number:5-6 pages:304-309
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publishDateDaySort_date	2009-01-01T00:00:00Z
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author	Petrović Milan
spellingShingle	Petrović Milan misc cardiac resynchronization therapy misc heart failure misc echocardiography misc Medicine misc R New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure
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topic_title	New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure cardiac resynchronization therapy heart failure echocardiography
topic	misc cardiac resynchronization therapy misc heart failure misc echocardiography misc Medicine misc R
topic_unstemmed	misc cardiac resynchronization therapy misc heart failure misc echocardiography misc Medicine misc R
topic_browse	misc cardiac resynchronization therapy misc heart failure misc echocardiography misc Medicine misc R
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title	New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure
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title_full	New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure
author_sort	Petrović Milan
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author_browse	Petrović Milan Vujisić-Tešić Bosiljka Milašinović Goran Zamaklar-Trifunović Danijela Nedeljković Ivana Jelić Vera Boričić Marija Ćalović Žarko Petrović Olga Banović Marko
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title_sort	new echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure
title_auth	New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure
abstract	Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient.
abstractGer	Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient.
abstract_unstemmed	Cardiac resynchronization therapy (CRT) has important role in the contemporary treatment of heart failure, systolic dysfunction and mechanical disynchrony. Classical indications for CRT are severe heart failure (NYHA class III or IV), a broad QRS (more than 120 ms) and left ejection fraction less than 35% despite optimal medical therapy. Several have studies demonstrated the important role of echocardiography in patient selection for CRT, follow up and estimation of CRT effects, as well as the optimization of biventricular pacemaker. Basically, there are three types of cardiac asynchrony: interventricular asynchrony, between the right and left ventricle, intraventricular asynchrony, between the myocardial segments within the left ventricle and atrioventricular asynchrony, between the atria and ventricles. Although many echocardiographic techniques are used in patient selection for CRT, no ideal approach has yet been found. There are several techniques and parameters used in the assessment of myocardial asynchrony: two dimensional (2D) echocardiography, one dimensional echocardiography (M-mode), Doppler echocardiography, different modalities of tissue Doppler including Colour Coded Tissue Doppler Imaging - TDI, measurements of local tissue deformation indices (strain and strain rate), speckle tracking, 3D echocardiography, semiquantitative assessment of myocardial border, vector velocity imaging. Each of these techniques has advantages and limitations. A special accent in this revue is on the consensus report from the American Society of Echocardiography Dyssynchrony Writing group. According to this consensus report color coded tissue Doppler is the most appropriate technique for myocardial asynchrony estimation and patients selection for CRT. The same group recommended that definitive decision for CFT implantation should not be based only on echocardiographic analysis, but rather on the whole clinical aspect of the patient.
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title_short	New echocardiographic techniques in optimal patient selection for cardiac resynchronization therapy in the treatment of chronic heart failure
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author2	Vujisić-Tešić Bosiljka Milašinović Goran Zamaklar-Trifunović Danijela Nedeljković Ivana Jelić Vera Boričić Marija Ćalović Žarko Petrović Olga Banović Marko
author2Str	Vujisić-Tešić Bosiljka Milašinović Goran Zamaklar-Trifunović Danijela Nedeljković Ivana Jelić Vera Boričić Marija Ćalović Žarko Petrović Olga Banović Marko
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