Journal of Electrocardiology
Volume 43, Issue 1 , Pages 48-53 , January 2010

Filtered QRS duration on signal-averaged electrocardiography correlates with ventricular dyssynchrony assessed by tissue Doppler imaging in patients with reduced ventricular ejection fraction

  • Tatsuya Tahara, MD

      Affiliations

    • Division of Cardiology, Takamatsu Red Cross Hospital, Takamatsu, Japan
  • ,
  • Taiji Sogou, MD

      Affiliations

    • Division of Cardiology, Takamatsu Red Cross Hospital, Takamatsu, Japan
  • ,
  • Chisato Suezawa, MD

      Affiliations

    • Division of Cardiology, Takamatsu Red Cross Hospital, Takamatsu, Japan
  • ,
  • Hitoshi Matsubara, MD

      Affiliations

    • Division of Cardiology, Takamatsu Red Cross Hospital, Takamatsu, Japan
  • ,
  • Norihiro Tada, MD

      Affiliations

    • Division of Cardiology, Takamatsu Red Cross Hospital, Takamatsu, Japan
  • ,
  • Sho Tsushima, MD

      Affiliations

    • Division of Cardiology, Takamatsu Red Cross Hospital, Takamatsu, Japan
  • ,
  • Tomoki Kitawaki, DEng

      Affiliations

    • Department of Medical Technology, Okayama University Graduate School of Health Sciences, Okayama, Japan
  • ,
  • Ryoko Shinohata, PhD

      Affiliations

    • Department of Medical Technology, Okayama University Graduate School of Health Sciences, Okayama, Japan
  • ,
  • Shozo Kusachi, MD

      Affiliations

    • Department of Medical Technology, Okayama University Graduate School of Health Sciences, Okayama, Japan
    • Corresponding Author InformationCorresponding author. Department of Medical Technology, Okayama University Graduate School of Health Sciences, 2-5-1 Shikata-cho, Okayama 700-8558, Japan.

Received 30 January 2009

References 

  1. Bleeker GB, Holman ER, Steendijk P, et al. Cardiac resynchronization therapy in patients with a narrow QRS complex. J Am Coll Cardiol. 2006;48:2243
  2. Yu CM, Fung WH, Lin H, Zhang Q, Sanderson JE, Lau CP. Predictors of left ventricular reverse remodeling after cardiac resynchronization therapy for heart failure secondary to idiopathic dilated or ischemic cardiomyopathy. Am J Cardiol. 2003;91:684
  3. St John Sutton MG, Plappert T, Abraham WT, et al. Effect of cardiac resynchronization therapy on left ventricular size and function in chronic heart failure. Circulation. 2003;107:1985
  4. Bax JJ, Ansalone G, Breithardt OA, et al. Echocardiographic evaluation of cardiac resynchronization therapy: ready for routine clinical use? A critical appraisal. J Am Coll Cardiol. 2004;44:1
  5. Yu CM, Fung JW, Zhang Q, et al. Tissue Doppler imaging is superior to strain rate imaging and postsystolic shortening on the prediction of reverse remodeling in both ischemic and nonischemic heart failure after cardiac resynchronization therapy. Circulation. 2004;110:66
  6. Niu H, Hua W, Zhang S, et al. Prevalence of dyssynchrony derived from echocardiographic criteria in heart failure patients with normal or prolonged QRS duration. Echocardiography. 2007;24:348
  7. Mullens W, Tang WH, Grimm RA. Using echocardiography in cardiac resynchronization therapy. Am Heart J. 2007;154:1011
  8. Emkanjoo Z, Esmaeilzadeh M, Mohammad Hadi N, Alizadeh A, Tayyebi M, Sadr-Ameli MA. Frequency of inter- and intraventricular dyssynchrony in patients with heart failure according to QRS width. Europace. 2007;9:1171
  9. Ghio S, Constantin C, Klersy C, et al. Interventricular and intraventricular dyssynchrony are common in heart failure patients, regardless of QRS duration. Eur Heart J. 2004;25:571
  10. Haghjoo M, Bagherzadeh A, Fazelifar AF, et al. Prevalence of mechanical dyssynchrony in heart failure patients with different QRS durations. Pacing Clin Electrophysiol. 2007;30:616
  11. Bleeker GB, Schalij MJ, Nihoyannopoulos P, et al. Left ventricular dyssynchrony predicts right ventricular remodeling after cardiac resynchronization therapy. J Am Coll Cardiol. 2005;46:2264
  12. Perry R, De Pasquale CG, Chew DP, Aylward PE, Joseph MX. QRS duration alone misses cardiac dyssynchrony in a substantial proportion of patients with chronic heart failure. J Am Soc Echocardiogr. 2006;19:1257
  13. Buckingham TA, Thessen CM, Hertweck D, Janosik DL, Kennedy HL. Signal-averaged electrocardiography in the time and frequency domains. Am J Cardiol. 1989;63:820
  14. Nasir K, Tandri H, Rutberg J, et al. Filtered QRS duration on signal-averaged electrocardiography predicts inducibility of ventricular tachycardia in arrhythmogenic right ventricle dysplasia. Pacing Clin Electrophysiol. 2003;26:1955
  15. Simson MB, Untereker WJ, Spielman SR, et al. Relation between late potentials on the body surface and directly recorded fragmented electrograms in patients with ventricular tachycardia. Am J Cardiol. 1983;51:105
  16. World Medical Association Declaration of Helsinki . Recommendations guiding physicians in biomedical research involving human subjects. Cardiovasc Res. 1997;35:2
  17. Christenson DW, Reddy BR, Rowlandson GI. Evaluation of Fourier transform filter for high-resolution ECG. J Electrocardiol. 1989;22(Suppl):33
  18. Reddy BRS, Christenson DW, Rowelandson GL, HAmmill SG. High resolution ECG. MEdical Electronics. 1992;23:60
  19. Abboud S, Strasberg B. Fourier transform versus bidirectional digital filters for late potentials recording in the electrocardiogram. J Biomed Eng. 1991;13:133
  20. Denes P, Santarelli P, Hauser RG, Uretz EF. Quantitative analysis of the high-frequency components of the terminal portion of the body surface QRS in normal subjects and in patients with ventricular tachycardia. Circulation. 1983;67:1129
  21. Hammill SC, Tchou PJ, Kienzle MG, Haisty WK, Ozawa Y, Underwood DA. Establishment of signal-averaged electrocardiographic criteria with Frank XYZ leads and spectral filter used alone and in combination with ejection fraction to predict inducible ventricular tachycardia in coronary artery disease. Am J Cardiol. 1992;70:316
  22. Folino AF, Bauce B, Frigo G, Nava A. Long-term follow-up of the signal-averaged ECG in arrhythmogenic right ventricular cardiomyopathy: correlation with arrhythmic events and echocardiographic findings. Europace. 2006;8:423
  23. Cheitlin MD, Armstrong WF, Aurigemma GP, et al. ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography). J Am Soc Echocardiogr. 2003;16:1091
  24. Bader H, Garrigue S, Lafitte S, et al. Intra-left ventricular electromechanical asynchrony. A new independent predictor of severe cardiac events in heart failure patients. J Am Coll Cardiol. 2004;43:248
  25. Lusted LB. Decision-making studies in patient management. N Engl J Med. 1971;284:416
  26. Brown L, Cai T, DasGupta A. Interval estimation for a binomial proportion (with discussion). Stat Sci. 2001;16:101
  27. Fauchier L, Marie O, Casset-Senon D, Babuty D, Cosnay P, Fauchier JP. Reliability of QRS duration and morphology on surface electrocardiogram to identify ventricular dyssynchrony in patients with idiopathic dilated cardiomyopathy. Am J Cardiol. 2003;92:341
  28. Bleeker GB, Schalij MJ, Molhoek SG, et al. Relationship between QRS duration and left ventricular dyssynchrony in patients with end-stage heart failure. J Cardiovasc Electrophysiol. 2004;15:544

PII: S0022-0736(09)00249-0

doi: 10.1016/j.jelectrocard.2009.06.005

Journal of Electrocardiology
Volume 43, Issue 1 , Pages 48-53 , January 2010