background: several competing geometric and hemodynamic factors are suggested as contributing mechanisms for functional mitral regurgitation (mr) in heart failure patients. we aimed to study the relationships between the severity of mr and the qrs duration and dyssynchrony markers in patients with ischemic or dilated cardiomyopathy. methods: w e prospectively evaluated 251 heart failure patient...

BACKGROUND Left ventricular (LV) dyssynchrony caused by premature ventricular contractions (PVCs) has been proposed as a mechanism of PVC-induced cardiomyopathy. We sought to understand the impact of different PVC locations and coupling intervals (prematurity) on LV regional mechanics and global function of the PVC beat itself. METHODS AND RESULTS Using our premature pacing algorithm, pentage...

Interventricular dyssynchrony evaluated with cardiac magnetic resonance is an independent predictor of systolic dysfunction and left ventricular remodeling while intraventricular dyssynchrony is an independent predictor of LV diastolic dysfunction in patients with isolated LBBB. Comprehensive evaluation of both these parameters of dyssynchrony would be useful in selecting patients for cardiac r...

BACKGROUND/AIMS Few studies have assessed left ventricular (LV) dyssynchrony in cases of diastolic dysfunction that do not include overt symptoms of heart failure. We hypothesized that systolic or diastolic dyssynchrony involves unique features with respect to the degree of diastolic impairment in isolated diastolic dysfunction. METHODS We examined 105 subjects with no history of overt sympto...

BACKGROUND QRS duration and morphology are known established predictors of cardiac resynchronisation therapy (CRT) response, whereas mechanical dyssynchrony is not. Our aim was to determine if mechanical dyssynchrony provides independent prognostic information on CRT response. METHODS We studied 369 consecutive patients with heart failure (HF) with low ejection fraction (EF) and widened QRS r...

Mechanical dyssynchrony is an important codeterminant of cardiac dysfunction in heart failure. Treatment, either medical, surgical, or by pacing, may improve cardiac function partly by improving mechanical synchrony. Consequently, the quantification of ventricular mechanical (dys)synchrony may have important diagnostic and prognostic value and may help to determine optimal therapy. Therefore, w...

Background: Left ventricular dyssynchrony plays an important role in predicting response to Cardiac Resynchronization Therapy (CRT). Methods: Thirty patients underwent CRT implantation. Assessment of Left Ventricular (LV) dyssynchrony was done through Gated Spect LV phase analysis. Results: Thirty patients received CRT (mean age 58.7 ±9.0, 24 males). CRT implantation had a favorable prognosis o...