Resynchronizing Ventricular Contraction in Heart Failure
- 14 April 2005
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 352 (15), 1594-1597
- https://doi.org/10.1056/nejme058065
Abstract
One quarter to one third of patients with congestive heart failure have some form of intraventricular conduction abnormality that is manifested as an increased QRS duration on the electrocardiogram.1,2 The most common pattern is left bundle-branch block. In patients with left bundle-branch block, electrical activation of the lateral aspect of the left ventricle can be substantially delayed in relation to that of the right ventricle and interventricular septum. Dyssynchronous electrical activation results in dyssynchronous contraction, which is mechanically inefficient. Regional myocardial workload is distributed unequally, and regional myocardial blood flow and metabolism may be altered. As a result, the . . .Keywords
This publication has 14 references indexed in Scilit:
- Right and Left Ventricular Activation Sequence in Patients with Heart Failure and Right Bundle Branch Block: A Detailed Analysis Using Three‐Dimensional Non‐Fluoroscopic Electroanatomic Mapping SystemJournal of Cardiovascular Electrophysiology, 2005
- Systematic Review: Cardiac Resynchronization in Patients with Symptomatic Heart FailureAnnals of Internal Medicine, 2004
- Cardiac-Resynchronization Therapy with or without an Implantable Defibrillator in Advanced Chronic Heart FailureNew England Journal of Medicine, 2004
- Adverse Effect of Ventricular Pacing on Heart Failure and Atrial Fibrillation Among Patients With Normal Baseline QRS Duration in a Clinical Trial of Pacemaker Therapy for Sinus Node DysfunctionCirculation, 2003
- Cardiac Resynchronization in Chronic Heart FailureNew England Journal of Medicine, 2002
- Left bundle-branch block is associated with increased 1-year sudden and total mortality rate in 5517 outpatients with congestive heart failure: A report from the Italian network on congestive heart failureAmerican Heart Journal, 2002
- Retiming the failing heart: principles and current clinical status of cardiac resynchronizationJournal of the American College of Cardiology, 2002
- Effects of Multisite Biventricular Pacing in Patients with Heart Failure and Intraventricular Conduction DelayNew England Journal of Medicine, 2001
- How many people with heart failure are appropriate for biventricular resynchronization?European Heart Journal, 2000
- Intraventricular conduction delay: a prognostic marker in chronic heart failureInternational Journal of Cardiology, 1999