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Europace 2009 11(Supplement 5):v32-v39; doi:10.1093/europace/eup278
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

This article appears in the following Europace issue: Spotlight Issue: Cardiac Resynchronization Therapy [View the issue table of contents]

The role of non-invasive imaging in patient selection

Nico R. Van de Veire*, Victoria Delgado, Joanne D. Schuijf, Ernst E. van der Wall, Martin J. Schalij and Jeroen J. Bax

Department of Cardiology, Leiden University Medical Center, PO BOX 9600, 2300 RC Leiden, The Netherlands

Cardiac resynchronization therapy (CRT) is an established therapy for patients with advanced heart failure, depressed left ventricular (LV) function and wide QRS complex. A substantial amount of patients do not respond to CRT. Recent studies suggest that assessment of mechanical dyssynchrony may allow identification of potential CRT responders. In addition, presence of scar tissue and venous anatomy may play a role in the selection of candidates. This article summarizes the role of non-invasive cardiac imaging modalities addressing these issues in the selection of CRT candidates.

Key Words: Cardiac resynchronization therapy, Echocardiography, Heart failure, Dyssynchrony, Computed tomography, Magnetic resonance imaging

* Corresponding author author. Tel: +31 71 526 20 20, Fax: +31 71 526 68 09, Email: n.r.l.van_de_veire{at}lumc.nl


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