Research Article

Dyssynchrony Assessment with Tissue Doppler Imaging and Regional Volumetric Analysis by 3D Echocardiography Do Not Predict Long-Term Response to Cardiac Resynchronization Therapy

Table 5

Correlation between left ventricular dyssynchrony indices by QRS duration, TDI, and 3D volumetric analysis in patients undergoing CRT.

Pearson’s
correlation
coefficient
QRS duration (ms)TDI: septal-to-
lateral delay
TDI: Tf-Ts
6 basal
segments (ms)
TDI: Tf-Ts
12 basal
segments (ms)
3D: SD of Tmsv
in 12 segments
as % of R-R interval
3D: SD of Tmsv
in 16 segments
as % of R-R interval

QRS duration (ms)Cor. coeff. 10.3 0.6 0.7 0.050.1
P-value0.07 <0.05<0.05 0.80.5
TDI: Septal-to-lateral delayCor. coeff.0.3 1 0.60.6 0.060.03
P-value0.07 <0.05<0.05 0.70.8
TDI: Tf-Ts 6 basal segments (ms)Cor. coeff.0.60.6 10.8 0.050.2
P-value<0.05<0.05<0.05 0.70.2
TDI: Tf-Ts 12 basal segments (ms)Cor. coeff.0.70.6 0.8 1 0.030.1
P-value<0.05<0.05 <0.05 0.80.5
3D: SD of Tmsv in 12 segments as % of R-R intervalCor. coeff.0.050.060.050.03 10.8
P-value0.80.7 0.70.8<0.05
3D: SD of Tmsv in 16 segments as % of R-R intervalCor. coeff. 0.1 0.03 0.20.1 0.8 1
P-value 0.50.8 0.20.5<0.05

CRT: cardiac resynchronization therapy, TDI: tissue Doppler imaging, Tf-Ts: difference in time to peak systolic velocity between the fastest and slowest LV segments, Tmsv: difference in longest and shortest time to minimal systolic volume in LV segments, SD: standard deviation, Cor. Coeff.: correlation coefficient.