Cardiac resynchronization therapy for non-ischemic cardiomyopathy-immediate changes in QRS duration, with left bundle branch block pattern on electrocardiogram.

Saurav Chatterjee, Gunjan Guha, Joydeep Ghosh
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Abstract

Background: We evaluated mean QRS duration improvement immediately after cardiac resynchronization therapy (CRT) in patients with non-ischemic cardiomyopathy (NICM), with a left bundle branch block (LBBB) pattern on electrocardiogram (ECG), owing to obligatory right ventricular pacing or as a new finding; and to what extent.

Methods and results: We tabulated ECGs of 18 subjects, 24 hours before and after receiving CRT, for both groups. The percentage decreases of QRS duration in all groups were statistically similar (p<0.05). There was a significant negative correlation (p<0.05) between age and the percentage of the QRS decrease.

Conclusions: The study showed a greater reduction in QRS duration with CRT for younger subjects.

心脏再同步化治疗非缺血性心肌病- QRS持续时间即刻改变,心电图显示左束支阻滞模式。
背景:我们评估了非缺血性心肌病(NICM)患者在心脏再同步化治疗(CRT)后的平均QRS持续时间改善,这些患者在心电图(ECG)上有左束支传导阻滞(LBBB)模式,由于强制性右室起搏或作为一项新发现;到什么程度。方法与结果:将两组18例受试者接受CRT前后24小时的心电图制成表格。各组QRS持续时间减少的百分比在统计学上相似(结论:研究显示,年轻受试者使用CRT后QRS持续时间减少更大。
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