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Table 2 Effect of Tailored Echo Guided Biventricular Pacemaker Optimization

From: Pre-ejection period by radial artery tonometry supplements echo doppler findings during biventricular pacemaker optimization

Parameter

Baseline

Post Optimization

Percent Change

P value

SBP (mm Hg)

110 ± 22

   

DBP (mm Hg)

62 ± 10

   

HR (bpm)

66 ± 7

67 ± 7

1 ± 7%

0.6

Echocardiographic

MR (grade)

1.5 ± 1.1

1.1 ± 0.93

-16.1 ± 26%

0.001

PAP (mmHg)

46 ± 10.8

38 ± 10.4

-18.5 ± 11.8%

< 0.001

LV VTI (cm)

15.9 ± 4.8

18.4 ± 5

17.4 ± 16%

< 0.001

ET (ms)

286.9 ± 37.3

299 ± 34.6

4.5 ± 4%

< 0.001

FT (ms)

422.5 ± 96.2

435.2 ± 81.4

4.8 ± 13.2%

0.12

E/A ratio

1.8 ± 1.3

1.6 ± 1.3

4.8 ± 24.3%

0.094

MI VTI(cm)

19.3 ± 8.4

19.7 ± 8.8

1.97 ± 14.9%

0.473

MPI

0.57 ± 0.2

0.45 ± 0.13

-19.5 ± 10.8%

< 0.001

PEP(ms)

136 ± 36

131.6 ± 40

-2.6 ± 17.6

0.24

Radial Artery Tonometry

PEP (ms)

246.7 ± 36.1

234.7 ± 35.5

-4.5 ± 9.5%

0.003

Radial Artery Tonometry and Echocardiographic

PEP/ET

0.88 ± 0.21

0.79 ± 0.16

-8.5 ± 9.5%

< 0.001

PEP/VTI

17.3 ± 7

13.7 ± 4.7

-17.5 ± 13.5%

< 0.001

  1. MR = Mitral Regurgitation; PAP = Pulmonary Artery Pressure; LV VTI = Left Ventricular Outflow Velocity Time Integral; FT = LV Filling Time; ET = LV Ejection Time; PEP = Pre-ejection Period; MPI = Myocardial Performance Index; MR Grade: 0 = None; 0.5 = Trace; 1 = Mild; 1.5 = Mild to Moderate; 2 = Moderate; 3 = Moderate to Severe; 4 = Severe