Evaluation of cardiac synchrony in patients with permanent left bundle branch area pacing by tissue Doppler imaging
10.3760/cma.j.issn.1004‐4477.2019.04.003
- VernacularTitle:组织多普勒技术评价左束支区域起搏对心脏收缩同步性的影响
- Author:
Xinyi HUANG
1
;
Binni CAI
;
Linlin LI
;
Maolong SU
Author Information
1. 厦门大学附属心血管病医院超声医学部 361004
- Keywords:
Echocardiography;
Cardiac mechanical synchronization;
Left bundle branch area pacing;
Physiological pacing
- From:
Chinese Journal of Ultrasonography
2019;28(4):289-294
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the synchrony of cardiac contraction when left bundle branch area pacing ( LBBP ) using tissue Doppler imaging ( TDI ) . Methods T wenty‐four patients with LBBP and 20 patients with right ventricular pacing ( RVP ) were enrolled in the study . Among them , 35 cases were diagnosed as sick sinus syndrome ( SSS ) and 9 cases were diagnosed as Ⅱ or Ⅲ degree atrioventricular block ( AVB) before operation . Echocardiographic images were collected with ventricular pacemaker‐on ,and patients with SSS in LBBP group under the condition of pacemaker program control also collected the image of self‐conduction . TDI was used to measure time of the peak velocity ( T s ) of myocardial contraction in the left ventricular 12 segments ,right ventricle 2 segments ,and atrial 3 walls .The difference between the basal segment of left ventricular lateral wall and right ventricular free wall ( T s‐LV‐RV ) ,the mean value of the right ventricular 2 segments ( T s‐2‐RV ) ,the average( T s‐12‐LV ) and standard deviation ( T sd‐12‐LV ) of the left ventricular 12 segments ,and the difference in peak systolic time among 3 walls T AL‐R ,T AI‐R ,T AL‐I were calculated . Results Compared with the RVP pacing state ,the parameters of left ventricular systolic synchrony in LBBP pacing were shortened ,and the difference was statistically significant ( P ＜ 0 .05 ) . T here was no significant difference in parameters of left ventricular/right ventricular systolic synchrony and cardiac function between the LBBP group and the self‐conduction status ( P＞0 .05) . Conclusions Left ventricular systolic synchrony is superior to RVP in LBBP pacing ,and left/right ventricular systolic synchrony and cardiac function are not different from self‐conduction . LBBP is a new physiological pacing . TDI is able to quantitatively assess cardiac systolic synchrony .
