Feasibility of a novel atrioventricular delay optimization method using transmitral and pulmonary venous flow in XXXX with sequential ventricular pacing or cardiac resynchronization therapy.

@entity1 @entity64 @entity450
BACKGROUND: Although several echo-Doppler methods were proposed to optimize atrioventricular (AV) delay in @entity1 with sequential ventricular pacing, "echo-guided" AV optimization has not been widely adopted clinically. A combination of @entity450 ( @entity450 ) and pulmonary venous flow (PVF) measurements may be beneficial to further optimize AV delay to achieve better cardiac function. The aim of this study was to assess the feasibility and usefulness of AV delay optimization by combined use of @entity450 and PVF. METHODS: A total of 32 @entity1 after sequential ventricular pacemaker implantation were enrolled and studied. The optimal AV delay was defined as the timing to minimize the duration between PVF reversal (a) wave and the duration of the "A" wave of @entity450 . @entity64 volume was measured at the "optimized" AV delay (AVDOPT) and was compared with that obtained at shorter (AVDOPT  -  50  ms) and longer (AVDOPT  +  50  ms) AV delays. RESULTS: AV optimization was feasible in 27 of 32 @entity1 (87  %). @entity64 volume at AVDOPT was significantly higher than that at shorter or longer AV delay (63      18  ml vs. 57      15  ml vs. 56      16  ml, P  =  0.001). CONCLUSIONS: AV delay optimization using @entity450 and PV flow was feasible. Usefulness of this method requires further investigation with a larger study population.
