Abstract

Background Magnetic Resonance Imaging (MRI) can be used to create maps of left ventricular (LV) mechanical activation delay by analyzing time-dependent radial motion of the myocardium. Local electrograms (EGM) can be obtained during the CRT procedure to measure local electrical activation delay in the LV myocardium. Preoperative MRI assessment of regional dyssynchrony would be useful to guide CRT lead placement. However, the relationship between electrical and mechanical dyssynchrony has not been studied in humans. We hypothesized that intraoperative electrical delay times will correlate with MR-based mechanical delay times.

Highlights

  • Magnetic Resonance Imaging (MRI) can be used to create maps of left ventricular (LV) mechanical activation delay by analyzing time-dependent radial motion of the myocardium

  • We hypothesized that intraoperative electrical delay times will correlate with MR-based mechanical delay times

  • During the CRT implantation procedure, the right ventricular (RV) pacing lead was positioned in the RV apex

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Summary

Background

Magnetic Resonance Imaging (MRI) can be used to create maps of left ventricular (LV) mechanical activation delay by analyzing time-dependent radial motion of the myocardium. Local electrograms (EGM) can be obtained during the CRT procedure to measure local electrical activation delay in the LV myocardium. Preoperative MRI assessment of regional dyssynchrony would be useful to guide CRT lead placement. The relationship between electrical and mechanical dyssynchrony has not been studied in humans. We hypothesized that intraoperative electrical delay times will correlate with MR-based mechanical delay times

Methods
Results
Conclusions

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