Table 1.
Parameter | Description | View | Cutt-off | Advantages | Disadvantages |
---|---|---|---|---|---|
Apical rocking |
Visual assessment of apical transverse motion | Apical 4-chamber view |
Yes/No |
Highly reproducible method, high specificity for response prediction | Affected by RV function |
Septal flash |
Visual assessment of short inward septal motion during beginning of systole | Apical 4-chamber view |
Yes/No |
Highly reproducible method, high specificity for response prediction |
Translation of continuous process to on/off phenomenon, observer differences |
IVMD |
Interventricular mechanical delay, difference in onset of outflow of LV (LVPEP) and RV (RVPEP) | PW Doppler of LVOT and RVOT |
40 msec |
Highly reproducible method |
Affected by both LV and RV function |
Septal strain patterns |
Strain pattern of the septum during systole | Apical 4-chamber view |
3 types (1,2 responder/ 3 non-responder) | Prediction of volumetric response and outcome | Technically demanding |
SD-TTP |
Standard deviation of time to peak shortening (strain) or velocity (TDI) of all myocardial segments | Apical 4-chamber view, 2-chamber view, PLAX view |
> 32 msec |
Offline analysis |
Requires high quality image, confounded by passive motion tethering |
SL delay |
Difference of time to peak velocity of septal and lateral view | Apical 4-chamber view |
> 65 msec |
Prediction of volumetric response and outcome | Confounded by passive motion tethering |
SDI |
Time to minimal systolic volume of 16 segments | 3D |
9.8% |
High value for response prediction | Limited spatial and temporal resolution |
SRSsept (Systolic rebound stretch of the septum) |
All positive deflections after initial shortening of the septum during systole | Apical 4-chamber view |
4.7% | Prediction of volumetric response and outcome |
Technically demanding, observer differences |