Three-dimensional echocardiography in acute heart failure: Can and should we do it in the emergency department?

2018 ◽  
Vol 35 (5) ◽  
pp. 692-694
Author(s):  
Sajith Matthews ◽  
Phillip D. Levy ◽  
Mark Favot ◽  
Laura Gowland ◽  
Aiden Abidov
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Acute Heart Failure ◽  
Three Dimensional ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

scholarly journals Three dimensional echocardiography documents haemodynamic improvement by biventricular pacing in patients with severe heart failure

Heart ◽  
2001 ◽  
Vol 85 (5) ◽  
pp. 514-520
Author(s):  
W Y Kim ◽  
P Søgaard ◽  
P T Mortensen ◽  
H Kjærulf Jensen ◽  
A Kirstein Pedersen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Biventricular Pacing ◽  
Three Dimensional ◽  
Left Ventricular ◽  
Walking Distance ◽  
Short Term ◽  
Bundle Branch Block ◽  
Patients With Heart Failure ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

OBJECTIVESTo quantify the short term haemodynamic effects of biventricular pacing in patients with heart failure and left bundle branch block by using three dimensional echocardiography.DESIGNThree dimensional echocardiography was performed in 15 consecutive heart failure patients (New York Heart Association functional class III or IV) with an implanted biventricular pacing system. Six minute walk tests were performed to investigate the effect of biventricular pacing on exercise capacity. Data were acquired at sinus rhythm and after short term (2–7 days) biventricular pacing.RESULTSCompared with baseline values, biventricular pacing significantly reduced left ventricular end diastolic volume (EDV) by mean (SD) 4.0 (5.1)% (p < 0.01) and end systolic volume (ESV) by 5.6 (6.4)% (p < 0.02). Mitral regurgitant fraction was significantly reduced by 11 (12.1)% (p < 0.003) and forward stroke volume (FSV) increased by 13.9 (18.6)% (p < 0.02). Exercise capacity was significantly improved with biventricular pacing by 48.4 (43.3)% (p < 0.00001). Regression analyses showed that the percentage increase in FSV independently predicted percentage improvement in walking distance (r2 = 0.73, p < 0.0002). Both basal QRS duration and QRS narrowing predicted pacing efficacy, showing a significant correlation with %ΔEDV, %ΔESV, and %ΔFSV.CONCLUSIONSIn five of 15 consecutive patients with heart failure and left bundle branch block, biventricular pacing induced a more than 15% increase in FSV, which predicted a more than 25% increase in walking distance and was accompanied by an immediate reduction in left ventricular chamber size and mitral regurgitation.

Real-Time Three-Dimensional Echocardiography To Quantify Remodeling after Infarction in Ovine Heart Failure Models

2006 ◽  
Vol 12 (6) ◽  
pp. S19
Author(s):  
Liam P. Ryan ◽  
Hirotsugu Hamamoto ◽  
Benjamin M. Jackson ◽  
Landi M. Parish ◽  
Martin G. St. John Sutton ◽  
...  
Keyword(s):  
Heart Failure ◽  
Real Time ◽  
Three Dimensional ◽  
Failure Models ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography
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