Selection and optimisation of biventricular pacing: the role of echocardiography

R E Lane¹, A W C Chow^1,*, D Chin² and J Mayet¹

¹ International Centre of Circulatory Health, St Mary’s Hospital, Imperial College School of Medicine, London, UK
² Glenfield University Hospitals of Leicester NHS Trust, Leicester, UK

Correspondence to:
Correspondence to:
Dr Jamil Mayet
International Centre of Circulatory Health, St. Mary’s Hospital, Paddington, London W2 1NY, UK; j.mayet{at}imperial.ac.uk

The quantification of ventricular dyssynchrony is a key factor in identifying patients with severe heart failure who may benefit from cardiac resynchronisation with biventricular pacing (BVP). Echocardiographic techniques appear to offer superior sensitivity and specificity than the ECG in selecting these patients. This paper reviews the scope of current echocardiographic techniques for guiding both patient selection and optimisation of device programming following implantation.

Abbreviations: BVP, biventricular pacing; CRT, cardiac resynchronisation therapy; IVPI, interventricular pacing interval; LBBB, left bundle branch block; LV, left ventricular; RV, right ventricular; TDI, tissue Doppler imaging; VTI, velocity time integral

Keywords: biventricular pacing; echocardiography; patient optimisation; patient selection; tissue Doppler imaging

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