Reliability of QRS duration and morphology on surface electrocardiogram to identify ventricular dyssynchrony in patients with idiopathic dilated cardiomyopathy

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août 2003

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Ce document est lié à :
info:eu-repo/semantics/altIdentifier/doi/10.1016/s0002-9149(03)00644-1

Ce document est lié à :
info:eu-repo/semantics/altIdentifier/pmid/12888151

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Laurent Fauchier et al., « Reliability of QRS duration and morphology on surface electrocardiogram to identify ventricular dyssynchrony in patients with idiopathic dilated cardiomyopathy », HALSHS : archive ouverte en Sciences de l’Homme et de la Société, ID : 10.1016/s0002-9149(03


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Using Fourier phase analysis of equilibrium radionuclide angiography in both ventricles, inter- and intraventricular delays were correlated with QRS morphology and duration in 103 patients with idiopathic dilated cardiomyopathy. We found that left bundle branch block on the left axis may reflect a high intra-left ventricular dyssynchrony. A precise evaluation of the dyssynchrony appears useful because a high proportion of patients with incomplete bundle branch block, left anterior hemiblock, or "normal" QRS exhibit a marked intra-LV dyssynchrony and may respond to cardiac resynchronization therapy.

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