Evidence map›Paper›PMID 39354607›Full record

ArticleJournal of cardiothoracic surgery2024

Evaluating the predictive efficacy of real-time 3D echocardiography in cardiac resynchronization therapy.

Zhong-Yin Zhou, Jian-Xiang Zhu, Dong-Sheng Zhao, Bing-Qian Ding, Jia-Ling Wang, Gang Lin

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Zhong-Yin Zhou *Department of Echocardiography, Affiliated Hospital 2 of Nantong University, First People's Hospital of Nantong City, Nantong, 226006, China.
Jian-Xiang Zhu *Department of Echocardiography, Affiliated Hospital 2 of Nantong University, First People's Hospital of Nantong City, Nantong, 226006, China.
Dong-Sheng ZhaoDepartment of Cardiology, Affiliated Hospital 2 of Nantong University, First People's Hospital of Nantong City, No. 666 Shengli Road, Chongchuan District, Nantong, 226006, China.
Bing-Qian DingDepartment of Echocardiography, Affiliated Hospital 2 of Nantong University, First People's Hospital of Nantong City, Nantong, 226006, China.
Jia-Ling WangDepartment of Echocardiography, Affiliated Hospital 2 of Nantong University, First People's Hospital of Nantong City, Nantong, 226006, China.
Gang LinDepartment of Cardiology, Affiliated Hospital 2 of Nantong University, First People's Hospital of Nantong City, No. 666 Shengli Road, Chongchuan District, Nantong, 226006, China. LGLGLG@139.com.

Funding

Nantong Science and Technology Bureau Fund in 2018 Nos. MSZ18199
6 · The paper itself

Abstract

backgroundThe aim of this study is to assess the predictive efficacy of real-time three-dimensional echocardiography (RT-3DE) and QRS wave duration in determining the response to cardiac resynchronization therapy (CRT) and assessing left ventricular systolic function pre- and post-CRT device implantation.

methodA total of 51 patients with heart failure undergoing CRT at the Second Affiliated Hospital of Nantong University between January 1, 2013, and October 31, 2020, were enrolled in this study. Traditional two-dimensional echocardiography and RT-3DE were performed pre and post-CRT, with QRS wave width data from electrocardiograms and additional clinical information collected. Patients were categorized into CRT responder (n = 36) and CRT non-responder (n = 15) groups based on their response to CRT device implantation. Comparative analyses were conducted on the general characteristics of both groups, as well as the predictive efficacy of RT-3DE and QRS wave width for CRT responsiveness and left ventricular systolic function. Data on the standard deviation (Tmsv16-SD, Tmsv12-SD, Tmsv6-SD) and maximum difference (Tmsv16-Dif, Tmsv12-Dif, Tmsv6-Dif) of left ventricular end-systolic volume (LVESV) at segments 16, 12, and 6, as well as QRS wave width, were collected and analyzed.

resultsThe indicators Tmsv6-Dif, Tmsv12-Dif, Tmsv16-Dif, Tmsv6-SD, Tmsv12-SD, Tmsv16-SD, and QRS wave width exhibited significantly higher values in the CRT responder group when compared to the CRT non-responder group (P < 0.05). Among these, Tmsv16-SD demonstrated superior predictive performance for post-CRT response, with a sensitivity of 88.9%, specificity of 80.0%, and a diagnostic cut-off value of 6.19%. This predictive capability exceeded that of the conventional indicator, QRS wave width.

conclusionRT-3DE enables accurate prediction of post-CRT patient response and significantly facilitates quantitative assessment of CRT therapy efficacy.

Indexed as

Cardiac Resynchronization TherapyEchocardiography, Three-DimensionalHeart FailureAgedElectrocardiographyFemaleHumansMaleMiddle AgedPredictive Value of TestsTreatment OutcomeVentricular Function, LeftCardiac resynchronization therapyLeft ventricular segmental systolic functionReal-time three-dimensional echocardiography

Identifiers

PMID39354607
PMCPMC11445956

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.