Chapter 4. Mechanical Assessment of the Failing Heart

  1. Kenneth A. Ellenbogen MD2 and
  2. Angelo Auricchio MD, PhD Director3
  1. Przemyslaw P. Borek MD and
  2. Richard A. Grimm DO

Published Online: 26 FEB 2009

DOI: 10.1002/9781444303452.ch4

Pacing to Support the Failing Heart

Pacing to Support the Failing Heart

How to Cite

Borek, P. P. and Grimm, R. A. (2008) Mechanical Assessment of the Failing Heart, in Pacing to Support the Failing Heart (eds K. A. Ellenbogen and A. Auricchio), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303452.ch4

Editor Information

  1. 2

    Kontos Professor of Cardiology, Medical College of Virginia, Richmond, VA, USA

  2. 3

    Heart Failure Service, Fondazione Cardiocentro Ticino, Lugano, Switzerland

Author Information

  1. Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA

Publication History

  1. Published Online: 26 FEB 2009
  2. Published Print: 5 DEC 2008

Book Series:

  1. The AHA Clinical Series

Book Series Editors:

  1. Elliott Antman

Series Editor Information

  1. Samuel A. Levine Cardiac Unit, Brigham and Women's Hospital, USA

ISBN Information

Print ISBN: 9781405175340

Online ISBN: 9781444303452



  • mechanical assessment of failing heart;
  • echocardiographic evidence of reverse left ventricular remodeling;
  • cardiac systolic dysfunction - most common etiology of heart failure;
  • tissue Doppler imaging (TDI) and speckle tracking (STI);
  • systolic myocardial dysfunction;
  • pacing to support failing heart;
  • diastolic myocardial dysfunction;
  • Speckle tracking imaging (STI) - novel non-Doppler two-dimensional strain technique


This chapter contains sections titled:

  • Key Points

  • Introduction

  • Systolic myocardial dysfunction

  • Diastolic myocardial dysfunction

  • Measurement of mechanical dyssynchrony

  • Ventricular remodeling

  • Conclusion

  • References