Table 1. Summary of QRS area, QRS duration and morphology in relation to echocardiographic response and delayed LV-activation.
| Study | Design | Patients (n) | Inclusion | Outcome | ECG/VCG
Parameters |
Results |
| *Adjusted for sex, age, iCMP, NYHA class, LBBB, kidney function, various ECG variables, and various mechanical dyssynchrony variables including variables from the CAVIAR score (see text). **Multivariabel model for QRS area, QRS duration and morphology. AHA: according to American Heart Association; AUC: area under the curve; ECG: electrocardiogram; ESC: according to European Society of Cardiology; iCMP: ischemic cardiomyopathy; LBBB: left bundle branch block; LVESV: left ventricular end-systolic volume; Ns: non-significant; NYHA: New York Heart Association; QRSd: QRS duration; Sens: sensitivity; Spec: specificity; VCG: vectorcardiogram. | ||||||
| Van Deursen, et al.[52] (2014) | Prospective | 81 | Class I
and II |
LVESV reduction
≥ 15% (echocardiographic response) |
1. QRS area > 98 µVs
2. QRSd > 156 ms 3. LBBB - conventional - AHA - Strauss et al. |
1. OR 10.2; 95% CI: 3.4 – 31.1)
2. OR 2.5; 95% CI: 0.9 – 6.6) 3. - OR 5.5; 95% CI: 0.9 – 32.4 - OR 4.5; 95% CI: 1.6 – 12.6) - OR 10.0; 95% CI: 3.2 – 31.1 |
| Mafi-Rad, et al. [9] (2016) | Prospective | 51 | Class I
and II |
LV activation time >75% of QRSd
(delayed LV-activation) |
1. QRS area QRS area > 69 µVs
2. QRS duration 3. LBBB (ESC) |
1. AUC 0.89; 95% CI: 0.79 – 0.99 Sens: 87%; spec: 92%
2. AUC 0.49; 95% CI: 0.33 – 0.65 (ns) 3. Sens 76%; spec 100% |
| Nguyen, et al.[53] (2018) | Prospective | 33 | Class I
and II |
LVESV reduction
≥ 15% |
1. QRS area
2. QRS duration |
1. AUC 0.74; 95% CI: 0.56 – 0.91
2. AUC 0.64; 95% CI: 0.44 – 0.83 (ns) |
| MARC[56]
(2018) |
Prospective | 213 | Class I
and II |
LVESVi reduction |
1. QRS area 2. QRS duration 3. LBBB |
*Adjusted effect estimate
1. -10.4% (P < 0.0001) 2. ns 3. ns |
| Van Stipdonk, et al.[57] (2018) | Retro-
spective |
1,491 | Class I
and II |
LVESV reduction
≥15% |
1. QRS area quartiles
2. LBBB + QRSd |
1. **OR 1.65; 95%CI: 1.43–1.90
2. **OR 1.29; 95%CI: 1.09 – 1.52 |