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• W2484018857 abstract "Introduction; Heart failure (HF) is the major cause of mortality, morbidity, and hospitalization. Cardiac resynchronization therapy (CRT) significantly improves functional status, quality of life, reduces hospitalizations and decreased mortality in patients with congestive heart failure (CHF). Presence of intraventricular, left ventricular (LV) dyssynchrony, is an important factor determining response to CRT. Objective: To determine the Echocardiographic intra ventricular (Left Ventricle) dyssynchrony and its correlation with QRS width of surface ECG in patient with heart failure. Study Design: Cross-sectional study. Setting: The study was conducted at the National Institute of Cardiovascular Disease (NICVD). Duration Of Study: Six months, from March, 2007 to September, 2007. Patients And Methods: The patients presented to the Echo department through OPD or Ward at NICVD Karachi with severe HF. Informed consent was taken, ECG obtained and after performing the conventional transthoracic echocardiography, parasternal long axis 2D directed M-mode was obtain in left lateral position. Dyssynchrony between septum and posterior wall was measured in millisecond by identifying the peak posterior excursion (contraction) of intraventricular septum and anterior excursion (contraction) of Posterior wall. Result; The study included 100 patients, 85% were males. Among 45 patients of LV dyssynchrony, 80% were diagnosed to have Ischemic Cardiomyopathy (Group-1) and 20% were diagnosed as Non-Ischaemic Cardiomyopathy (Group-2). 68.08 % patients had LV dyssynchrony in Group-W QRS (120-160)ms and 24.52 % patients were in Group-N QRS (80-119) ms. Overall, 55% of our patients had no LV dyssynchrony. Out of these 55 patients, 75.47% were in group N while 31.91% were in group W. Conclusion; We did not find linear correlation between QRS width and dyssynchrony by septal-posterior wall delay (SPWMD) on M mode echocardiography. Patients with narrow QRS complex also have LV dyssynchrony and need echocardiographic criteria to confirm diagnosis." @default.
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• W2484018857 date "2013-07-19" @default.
• W2484018857 modified "2023-09-27" @default.
• W2484018857 title "Relation Of Echocardiographic Ventricular Dyssynchrony With QRS Width On Surface Electrocardiogram" @default.
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