[Cardiac pacing and cardiac resynchronization therapy].

نویسندگان

  • O-A Breithardt
  • S Richter
چکیده

In this issue of iJACC (JACC: Cardiovascular Imaging), Botvinick et al. (1) perform a complex study involving the performance of equilibrium radionuclide myocardiography with phase analysis during ventricular tachycardia. The authors identify specific characteristics that define tolerability of the arrhythmia in individual patients. Most of these discriminating factors in the 2 patient groups involve changes in classic hemodynamic measurements such as ejection fraction, stroke volume, cardiac output, and end-diastolic volume during the arrhythmia when compared with the basal state. Heterogeneity in regional contraction, as defined by phase analysis, was discriminating between groups only in the resting state. The exit site of the ventricular tachycardia could be defined in approximately 80% of arrhythmias. The authors conclude that this type of image analysis offers substantial physiologic information concerning the ability of a patient to tolerate a rhythm disturbance.

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عنوان ژورنال:
  • Deutsche medizinische Wochenschrift

دوره 139 6  شماره 

صفحات  -

تاریخ انتشار 2014