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A Comparative Analysis of Apical Rocking and Septal Flash: Two Views of the Same Systole?
Lazar-Höcher, Alexandra-Iulia; Cozma, Dragoș; Cirin, Liviu; Cozgarea, Andreea; Faur-Grigori, Adelina-Andreea; Catana, Rafael; Tudose, Danuț George; Târtea, Georgica; Crișan, Simina; Gaița, Dan; Luca, Constantin-Tudor; Vacarescu, Cristina.
Afiliación
  • Lazar-Höcher AI; Doctoral School, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Cozma D; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.
  • Cirin L; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.
  • Cozgarea A; Department of Cardiology, "Victor Babes" University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania.
  • Faur-Grigori AA; Research Center of the Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.
  • Catana R; Doctoral School, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Tudose DG; Doctoral School, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
  • Târtea G; County Clinical Emergency Hospital of Sibiu, 550245 Sibiu, Romania.
  • Crișan S; Institute of Cardiovascular Diseases Timisoara, 13A Gheorghe Adam Street, 300310 Timisoara, Romania.
  • Gaița D; Department of Cardiology, "Victor Babes" University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timisoara, Romania.
  • Luca CT; Institute of Cardiovascular Diseases C.C. Iliescu, Fundeni Clinical Institute, 258 Fundeni Street, 022328 Bucharest, Romania.
  • Vacarescu C; Department of Physiology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
J Clin Med ; 13(11)2024 May 25.
Article en En | MEDLINE | ID: mdl-38892820
ABSTRACT
Heart failure (HF) is a complex medical condition characterized by both electrical and mechanical dyssynchrony. Both dyssynchrony mechanisms are intricately linked together, but the current guidelines for cardiac resynchronization therapy (CRT) rely only on the electrical dyssynchrony criteria, such as the QRS complex duration. This possible inconsistency may result in undertreating eligible individuals who could benefit from CRT due to their mechanical dyssynchrony, even if they fail to fulfill the electrical criteria. The main objective of this literature review is to provide a comprehensive analysis of the practical value of echocardiography for the assessment of left ventricular (LV) dyssynchrony using parameters such as septal flash and apical rocking, which have proven their relevance in patient selection for CRT. The secondary objectives aim to offer an overview of the relationship between septal flash and apical rocking, to emphasize the primary drawbacks and benefits of using echocardiography for evaluation of septal flash and apical rocking, and to offer insights into potential clinical applications and future research directions in this area.

Conclusion:

there is an opportunity to render resynchronization therapy more effective for every individual; septal flash and apical rocking could be a very useful and straightforward echocardiography resource.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza