{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:42:36Z","timestamp":1787236956947,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,3,23]],"date-time":"2017-03-23T00:00:00Z","timestamp":1490227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Backgrounds<\/jats:title>\n                    <jats:p>\n                      It's still unclear if different patterns of intraventricular flow dynamics may be detected in patients nonresponders to cardiac resynchronization therapy (\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      ) as compared to responders ones. Aim of this study was to evaluate the characteristics of left ventricular (\n                      <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content>\n                      ) flow dynamics 6\u2010months after\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      to identify Echo\u2010particle imaging velocity (\n                      <jats:styled-content style=\"fixed-case\">PIV<\/jats:styled-content>\n                      ) patterns were more frequently detected in nonresponders patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010two patients with dilated cardiomyopathy, undergoing\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      , were enrolled in this study. All patients underwent 2D and 3D echo and fluid dynamics assessment 6\u00a0months after\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      , during active\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">ON<\/jats:styled-content>\n                      ) and during a temporarily discontinued state (\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">OFF<\/jats:styled-content>\n                      ).\n                      <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content>\n                      volumes systolic and diastolic volumes (\n                      <jats:styled-content style=\"fixed-case\">LVESV<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">LVEDV<\/jats:styled-content>\n                      ), ejection fraction (\n                      <jats:styled-content style=\"fixed-case\">LVEF<\/jats:styled-content>\n                      ), global longitudinal strain (\n                      <jats:styled-content style=\"fixed-case\">GLS<\/jats:styled-content>\n                      ), systolic dyssynchrony index (\n                      <jats:styled-content style=\"fixed-case\">SDI<\/jats:styled-content>\n                      ), and several geometrical and functional Echo\u2010\n                      <jats:styled-content style=\"fixed-case\">PIV<\/jats:styled-content>\n                      \u2010derived parameters were calculated. Patients were divided in two groups: \u201cresponders\u201d to\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      (decrease in\n                      <jats:styled-content style=\"fixed-case\">LVESV<\/jats:styled-content>\n                      &gt;15% 6\u00a0months after\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      ) and \u201cnonresponders.\u201d\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">OFF<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">LVEF<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">GLS<\/jats:styled-content>\n                      were lower, while\n                      <jats:styled-content style=\"fixed-case\">SDI<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">LVESV<\/jats:styled-content>\n                      were higher in nonresponders group (\n                      <jats:italic>P<\/jats:italic>\n                      =.030,\n                      <jats:italic>P<\/jats:italic>\n                      =.051,\n                      <jats:italic>P<\/jats:italic>\n                      =.035, and\n                      <jats:italic>P<\/jats:italic>\n                      =.025, respectively). Energy dissipation, vortex area, and vorticity fluctuation were higher in \u201cnonresponders\u201d patients during\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">OFF<\/jats:styled-content>\n                      (\n                      <jats:italic>P<\/jats:italic>\n                      =.038,\n                      <jats:italic>P<\/jats:italic>\n                      =.054, and\n                      <jats:italic>P<\/jats:italic>\n                      =.035, respectively). During\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">ON<\/jats:styled-content>\n                      , energy dissipation, vortex area, and vorticity fluctuation further increase in nonresponders patients (\n                      <jats:italic>P<\/jats:italic>\n                      =.020,\n                      <jats:italic>P<\/jats:italic>\n                      =.038, and\n                      <jats:italic>P<\/jats:italic>\n                      =.030, respectively) with a concomitant worsening of\n                      <jats:styled-content style=\"fixed-case\">SDI<\/jats:styled-content>\n                      (\n                      <jats:italic>P<\/jats:italic>\n                      =.045).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Our data show a significant worsening in flow\u2010derived parameters in\n                      <jats:styled-content style=\"fixed-case\">CRT<\/jats:styled-content>\n                      \u201cnonresponders\u201d patients as compared with responders. Further larger longitudinal studies are necessary to assess whether these more chaotic intraventricular flow\u2010patterns may contribute to a persistent adverse remodeling observed in this subset of patients.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/echo.13518","type":"journal-article","created":{"date-parts":[[2017,3,24]],"date-time":"2017-03-24T00:26:00Z","timestamp":1490315160000},"page":"709-715","source":"Crossref","is-referenced-by-count":18,"title":["Significant increase of flow kinetic energy in \u201cnonresponders\u201d patients to cardiac resynchronization therapy"],"prefix":"10.1111","volume":"34","author":[{"given":"Sara","family":"Cimino","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Respiratory, Nephrology, Anestesiology and Geriatric Sciences Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dino","family":"Palombizio","sequence":"additional","affiliation":[{"name":"Department of 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