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Author:

Hua Wei (Hua Wei.) | Wang Dong-mei (Wang Dong-mei.) | Cai Lin (Cai Lin.) | Sun Chao-feng (Sun Chao-feng.) | Fu Guo-sheng (Fu Guo-sheng.) | Wang Yu-tang (Wang Yu-tang.) | Yan Ji (Yan Ji.) | Luo Zhi-ling (Luo Zhi-ling.) | Xu Jing (Xu Jing.) | Wang Zhi-yong (Wang Zhi-yong.) | Xu Geng (Xu Geng.) | Shen Fa-rong (Shen Fa-rong.) | Xu Wei (Xu Wei.) | Wang Jing-feng (Wang Jing-feng.) | Ren Xue-jun (Ren Xue-jun.) | Jin Wei (Jin Wei.) | Zhang, Nan (Zhang, Nan.) | Lau, Elizabeth Oi-Yan (Lau, Elizabeth Oi-Yan.) | Zhang Shu (Zhang Shu.)

Indexed by:

SCIE CSCD

Abstract:

Background Cardiac resynchronization therapy (CRT) with biventricular pacing improves cardiac function, functional capacity and quality of life in selected patients with heart failure. The current study aimed to evaluate the efficacy of the intracardiac electrogram (IEGM)-based optimization method, QuickOpt (TM), in Chinese patients treated with CRT. Methods Aortic time velocity integrals (AVTI) achieved at the sensed atrioventricular (AV), paced AV and interventricular (VV) interval settings recommended by both QuickOpt (TM) and standard echocardiographic optimization were measured in 101 patients. Consistency and the strength of the relationship between the two timing cycle optimization methods were assessed by intra-class correlation coefficient (ICC). Results The ICC showed good agreement and correlation with what the AVTI achieved at the optimal sensed AV (ICC=0.9683 (0.9535-0.9785)), paced AV (ICC=0.9642 (0.9475-0.9757)) and VV (ICC=0.9730 (0.9602-0.9817)) interval settings determined by the two optimization methods. The average time required by echocardiographic optimization and by QuickOpt (TM) were (78.32 +/- 32.40) minutes and (1.98 +/- 1.64) minutes respectively (P<0.0001). Conclusion The QuickOpt (TM) algorithm provides a quicker, simpler and reliable alternative to the standard method for timing cycle optimization. (ClinicalTrial.gov Reference Number: NCT00918294) Chin Med J 2012;125(3):428-433

Keyword:

aortic velocity time integral atrioventricular interval cardiac resynchronization therapy echocardiography heart failure interventricular interval intracardiac electrogram QuickOpt (TM) timing cycle optimization

Author Community:

  • [ 1 ] [Hua Wei] Peking Union Med Coll, Dept Cardiol, Cardiovasc Inst, Beijing 100037, Peoples R China
  • [ 2 ] [Hua Wei; Zhang Shu] Chinese Acad Med Sci, Dept Cardiol, Cardiovasc Inst, Beijing 100037, Peoples R China
  • [ 3 ] [Hua Wei; Zhang Shu] Chinese Acad Med Sci, Fuwai Hosp, Beijing 100037, Peoples R China
  • [ 4 ] [Wang Dong-mei] Shenyang No Hosp, Dept Cardiol, Shenyang 110000, Liaoning, Peoples R China
  • [ 5 ] [Cai Lin] Chongqing Med Univ, Dept Cardiol, Peoples Hosp Chengdu 3, Med Coll Chengdu 2, Chengdu 610031, Sichuan, Peoples R China
  • [ 6 ] [Sun Chao-feng] Xi An Jiao Tong Univ, Coll Med, Dept Cardiol, Affiliated Hosp 1, Xian 710061, Shaanxi, Peoples R China
  • [ 7 ] [Fu Guo-sheng] Zhejiang Univ, Sch Med, Dept Cardiol, Sir Run Run Shaw Hosp, Hangzhou 310016, Zhejiang, Peoples R China
  • [ 8 ] [Wang Yu-tang] Chinese Peoples Liberat Army Gen Hosp, Dept Cardiol, Beijing 100853, Peoples R China
  • [ 9 ] [Yan Ji] Anhui Prov Hosp, Dept Cardiol, Hefei 230001, Anhui, Peoples R China
  • [ 10 ] [Luo Zhi-ling] Kunming Med Coll, Dept Cardiol, Affiliated Hosp 1, Kunming 650032, Yunnan, Peoples R China
  • [ 11 ] [Xu Jing] Tianjin Chest Hosp, Dept Cardiol, Tianjin 300051, Peoples R China
  • [ 12 ] [Wang Zhi-yong] Inner Mongolian Peoples Hosp, Dept Cardiol, Hohhot 010017, Inner Mongolia, Mongol Peo Rep
  • [ 13 ] [Xu Geng] Zhejiang Univ, Sch Med, Dept Cardiol, Affiliated Hosp 2, Hangzhou 310009, Zhejiang, Peoples R China
  • [ 14 ] [Shen Fa-rong] Zhejiang Hosp, Dept Cardiol, Hangzhou 310030, Zhejiang, Peoples R China
  • [ 15 ] [Xu Wei] Nanjing Univ, Sch Med, Dept Cardiol, Affiliated Drum Tower Hosp, Nanjing 210008, Jiangsu, Peoples R China
  • [ 16 ] [Wang Jing-feng] Sun Yat Sen Univ, Dept Cardiol, Sun Yat Sun Mem Hosp, Guangzhou 510120, Guangdong, Peoples R China
  • [ 17 ] [Ren Xue-jun] Capital Med Univ, Dept Cardiol, Beijing Anzhen Hosp, Beijing 100029, Peoples R China
  • [ 18 ] [Ren Xue-jun] Beijing Inst Heart Lung & Blood Vessel Dis, Beijing 100029, Peoples R China
  • [ 19 ] [Jin Wei] Shanghai Jiao Tong Univ, Sch Med, Dept Cardiol, Shanghai Peoples Hosp 1, Shanghai 200080, Peoples R China

Reprint Author's Address:

  • Peking Union Med Coll, Dept Cardiol, Cardiovasc Inst, 167 Beilishi Rd, Beijing 100037, Peoples R China.

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Source :

CHINESE MEDICAL JOURNAL

ISSN: 0366-6999

Year: 2012

Issue: 3

Volume: 125

Page: 428-433

0 . 9 0 1

JCR@2012

2 . 6 2 8

JCR@2020

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:222

JCR Journal Grade:3

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 5

SCOPUS Cited Count: 6

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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