Skip to main content
. 2017 Dec 19;11:133–145. doi: 10.2174/1874192401711010133

Table 1.

Summary of the echocardiographic parameters for patient selection and response prediction. RV: right ventricle, IVMD: interventricular mechanical delay, LV: left ventricle, LVPEP: left ventricular pre-ejection period, RVPEP: right ventricular pre-ejection period, PW: pulsed wave, LVOT: left ventricular outflow tract, RVOT: right ventricular outflow tract, TDI: tissue doppler imaging, PLAX: parasternal long-axis view.

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