Department of Clinical Physics, Hagaziekenhuis, Postbus 40551, 2504 LN, Den Haag, the Netherlands,
Neth Heart J. 2011 Sep;19(9):386-91. doi: 10.1007/s12471-011-0136-y.
Recent literature indicates that torsion of the left ventricle (LV) is a promising predictor for response to cardiac resynchronisation therapy (CRT). Among patients with severe heart failure, 45 to 75% of patients show rigid body rotation, where the base and apex rotate in the same direction, instead of normal, opposite rotation. The occurrence of this phenomenon seems to be a good indicator for response to CRT. From this review, it can be concluded that LV torsion might be a welcome addition to current selection criteria.
近期文献表明,左心室(LV)扭转是预测心脏再同步治疗(CRT)反应的一个有前途的指标。在严重心力衰竭患者中,45%至 75%的患者出现刚体旋转,即基底和心尖朝同一方向旋转,而不是正常的反向旋转。这种现象的发生似乎是对 CRT 反应的一个很好的指标。从这篇综述可以得出结论,LV 扭转可能是当前选择标准的一个受欢迎的补充。