Pre-implant global longitudinal strain as an early sign of pacing-induced cardiomyopathy in patients with complete atrioventricular block
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Chin, Jung Yeon | - |
dc.contributor.author | Kang, Ki-Woon | - |
dc.contributor.author | Park, Sang Hyun | - |
dc.contributor.author | Choi, Yu Jeong | - |
dc.contributor.author | Jung, Kyung Tae | - |
dc.contributor.author | Lee, Soyoung | - |
dc.contributor.author | Youn, Ho-Joong | - |
dc.date.accessioned | 2024-02-26T04:30:27Z | - |
dc.date.available | 2024-02-26T04:30:27Z | - |
dc.date.issued | 2021-02 | - |
dc.identifier.issn | 0742-2822 | - |
dc.identifier.issn | 1540-8175 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/72440 | - |
dc.description.abstract | Introduction: Long-term right ventricular pacing is the only treatment for patients with a complete atrioventricular block (CAVB); however, it frequently triggers ventricular dys-synchrony with left ventricular (LV) dysfunction. Previous studies showed that an early decline of LV global longitudinal strain (GLS) predicts pacing-induced LV dysfunction. We aimed to investigate the potential ability of the initial LV strain to predict pacing-induced cardiomyopathy (PICM) through long-term follow-ups. Methods: We retrospectively enrolled 80 patients with CAVB with normal LV function who were implanted with dual-chamber pacemakers between 2008 and 2018. Echocardiographic data and parameters (including longitudinal, radial, and circumferential strain based on speckle-tracking) were analyzed for the pre-implant (<= 6 months) and post-implant periods. PICM was defined as a >= 10% reduction in the left ventricular ejection fraction (LVEF) resulting in an LVEF of Results: Patients who developed PICM were more likely to exhibit lower baseline LV GLS, as well as wider native and pacing QRS durations, than those who did not develop PICM (P = .016, P = .011, and P = .026, respectively). In the multivariate analysis, pre-implant LV GLS (hazard ratio: 1.27; 95% confidence interval 1.009-1.492; P = .004) was independently associated with the development of PICM. Conclusion: A lower baseline LV GLS predicts an increased risk of PICM. Patients with CAVB exhibiting low GLS are at increased risk of PICM. More frequent follow-up visits are warranted in these patients, who may also require de novo His-bundle pacing or an upgrade to biventricular pacing. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | WILEY | - |
dc.title | Pre-implant global longitudinal strain as an early sign of pacing-induced cardiomyopathy in patients with complete atrioventricular block | - |
dc.type | Article | - |
dc.identifier.doi | 10.1111/echo.14942 | - |
dc.identifier.bibliographicCitation | ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, v.38, no.2, pp 175 - 182 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 000605056400001 | - |
dc.identifier.scopusid | 2-s2.0-85099031072 | - |
dc.citation.endPage | 182 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 175 | - |
dc.citation.title | ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | - |
dc.citation.volume | 38 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | cardiomyopathy | - |
dc.subject.keywordAuthor | left ventricular function | - |
dc.subject.keywordAuthor | myocardial strain | - |
dc.subject.keywordPlus | CARDIAC RESYNCHRONIZATION THERAPY | - |
dc.subject.keywordPlus | VENTRICULAR DYSSYNCHRONY | - |
dc.subject.keywordPlus | HEART-FAILURE | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
84, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea (06974)02-820-6194
COPYRIGHT 2019 Chung-Ang University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.