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. 2022 Jan 28;19(1):9–20. doi: 10.11909/j.issn.1671-5411.2022.01.003

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