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Cardiac Resynchronization Therapy: Can Echocardiographic Parameters Predict Response?

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Background: Cardiac resynchronization therapy (CRT) has been shown to improve heart failure (HF) symptoms in adults. However, data showing improvement in various echocardiographic (ECHO) parameters following CRT is lacking in… Click to show full abstract

Background: Cardiac resynchronization therapy (CRT) has been shown to improve heart failure (HF) symptoms in adults. However, data showing improvement in various echocardiographic (ECHO) parameters following CRT is lacking in the younger population. We sought to evaluate ECHO markers of response in children and young adults undergoing CRT. Methods: This retrospective review included patients who underwent CRT at our institution. Patients with single ventricle physiology or poor images were excluded. CRT efficacy during placement was determined by ≥ 15% increase in directly measured dP/dt. ECHOs (prior, 1 month post …

Keywords: resynchronization therapy; cardiac resynchronization; response; therapy echocardiographic

Journal Title: Pediatrics
Year Published: 2020

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