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Totemo itai itagaritai cover1/27/2024 ![]() ![]() Stream Totemo Itai Itagaritai VY2V3 & Gumi by on desktop and mobile. There has since been a second installment developed for the VOCALOID3 engine and dubbed VY2v3, released in a deluxe and standard edition. Play over 265 million tracks for free on SoundCloud. SoundCloud Totemo Itai Itagaritai VY2V3 & Gumi by published on. I fixed the pitch of vy2 because it bothered me quite a lot that he was too bright and that gumi over powered him pretty much. Thank you for reading ♥️ #totemoitaiitagaritai #とても痛い痛がりたい #mafuyu #mafuyuasahina #asahinamafuyu #ena #shinonomeena #enashinonome #miku #hatsunemiku #hatsune #mikuhatsune #p #pjsekai p #pjsekaicolorfulstage p #projectsekai p #projectsekaicolorfulstage p #pjsekaicards h #hatsunemikucolorfulstage f #fyp f #foryou f #foryoupage f #fypシ f #fy #translationġ3.8K Likes, 148 Comments. VY1 & VY2 Hurting for a very hurtful pain by Vocaloid - Karaoke Lyrics on Smule. TikTok video from Penelope & Yelly "Translation of Totemo Itai Itagaritai (とても痛い痛がりたい) TW: sh, $u!cid3. There are a lot if theories for this song. Mine is that is about sh, where the person after w0und!ng theirself thinks that finally all the pain is gone, but you can see that immediately later the urge to sh was actually still there with all the pain. Thank you for reading ♥️ #totemoitaiitagaritai #とても痛い痛がりたい #mafuyu#mafuyuasahina #asahinamafuyu #ena #shinonomeena #enashinonome #miku #hatsunemiku #hatsune #mikuhatsune #p#pjsekaip#pjsekaicolorfulstagep#projectsekaip#projectsekaicolorfulstagep#pjsekaicardsh#hatsunemikucolorfulstagef#fypf#foryouf#foryoupagef#fypシf#fy#translation".Īdditionally I like to think that the line “I’ll be gone to air soon, so tolerate it” is about the person being where they tell theirself to act like everything is normal because they’re going to soon so it doesn’t really matter (+ because they think that if they say anything someone might try to stop them). Asahina Mafuyu&Shinonome Ena&Hatsune Miku).Ĩ6.5K views| Totemoitai Itagaritai (feat.
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Cell phone battery tracker1/27/2024 ![]() Either timer T3412 expires first or UE enters into a new Tracking Area which is not in the list. UE will send Tracking Area Update to the MME. Does it sends Tracking Area Update right away ? What is the best and sure way for UE to send a Tracking Area Update message back to the MME ? Is it the expiry of Timer T3412 or when UE finds itself in a new Tracking Area which is not in the Tracking Area List. It will update the PAST AND PRESENT information of TAs for the UE.Īnother important question to ask ourselves is. It will add the new Tracking Area in the Tracking Area List for the UE In this case UE is going to send an explicit Tracking area update message back to MME right away indicating the new TAC value UE has read.Īfter receiving the TAU message MME will do two things. This will be an indication that UE is in a new tracking area. If UE does not find the new TAC value in the Tracking Area list. UE will verify after reading TAC value of new tracking area and comparing it with the Tracking area list given to the UE. The fun begins, if the UE enters into a Tracking Area that is not included in the Tracking Area list given to the UE during registration. What if a UE does not find the TAC value in the Tracking Area List ? So what will happen in the actual network depends upon operator policies. All of this depends, what Adaptive paging strategy has been adopted and deployed by the operator. If still no response MME send paging to eNodeBs in the PAST list as well (depending). If UE does not respond to the paging request then it will send the paging message to all eNodeBs in the TA list included in PRESENT list. MME will send paging to the last known eNodeB first, which was used to send the tracking area update. In this case when a paging message arrives for the UE. However, if the previous scenario does not happen. On account of TAU procedure, paging message will be ignored. Unfortunately if a paging message arrives for the UE during the time UE is sending a TAU. What if a Paging Message Arrives during TAU ? MME once again will change Tracking Areas in the list once UE moves out of a TA Indicating to MME that it is a certain TA 1. Whenever this timer expires UE will send a Tracking Area Update (TAU) message to the MME. Let’s say UE was in tracking area TA 1 when it entered into Idle mode. Assuming there are three TAs included in the list for UE During registration UE will receive a tracking area list. Lets say that a UE is registered with a network. To keep track of this user mobility, UE’s position is tracked by the MME at tracking area level in MME.ĭon’t get it ? Let’s understand by an example. Keep in mind, UE keeps on entering, registering and leaving new and old tracking areas over time,as if the user remains in mobility. The UE will get registered with a new tracking area and the new TA will be added in the TA list. If a UE happens to pass through a tracking area which is NOT included in the tracking area. UE will keep on moving both in idle and connected mode in those tracking areas included in the Tracking Area list. When UE gets register to the network, it is given a tracking area list. MME keeps track of users’ mobility in Idle mode at tracking area level. What is the reason to have Tracking Areas ?Īs said earlier, Tracking areas make it convenient for the core network (MME) in this case to keep track of user terminals mobility even in case of idle mode. How many eNodeBs to group in one tracking area over another depends upon a number of factors such as market type, users behavior in the area, rural or urban area, signalling load etc. Tracking areas have a huge role to play in paging and keeping track of UEs mobility in Idle Mode.Ī Typical Depiction of Tracking Area in LTE ![]() You keep on getting phone calls, text messages, web information, mobile internet etc. In this way, no matter whatever your area and wherever your phone is. ![]() Tracking area is used by the MME in Idle mode to keep track of user terminals (UEs) mobility. These group of eNodeBs combined are termed as TA. The concept of tracking area (TA) is based on the simple fact, that a group of eNodeBs are combined together based on a particular value of tracking area code (TAC). Phone battery consumption ? What happens to tracking area in this case ? If want to relish all the details, continue reading. Can you tell me how tracking area is associated with your If you want to know the answer in two sentences or less. because I am travelling ”Ĭlose but not quiet precise. Which one will drain your phone battery the most ? If in both scenarios you don’t have to use your phone. 8 hours sitting at home on a Saturday or 8 hours on a roadtrip.
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Lunark twitter1/27/2024 ![]() So, dying at the end of a long run of precarious jumps can mean going all the way back to the section's beginning. This is especially true toward the game's end. Checkpoints only really come at the start of large sections. Either through a ton of difficult obstacles to push through or through deep drops that can wipe you out that are not the easiest to avoid. Some sections can spell death in an instant, even when you know what's coming. If you fondly remember classic cinematic platformers like Prince of Persia, Flashback, and Out of this World, LUNARK is a joyous trip down memory lane. That being said, some checkpoints and traps are definitely a bit much. It all ends up leaving Lunark as a genuinely great intro to the genre, allowing folks to hop into older, more difficult versions of the experience after learning the lessons needed to succeed within Lunark. Just having more than one hit before death - something you can upgrade up to six or more hearts by the end of the game - makes it infinitely more approachable. ![]() Lunark is true to that formula, but in a more accessible way. Older games in the genre definitely feel like a "learn a bit, die, repeat" experience where you aren't meant to really be able to get through much without seeing what dangers wait around the corner. (In other words, the genre staples tend to be one hit and you're dead, lacking checkpoints, and an overall feeling that you can't really improvise your way through it.) Lunark has decent checkpointing, you can take multiple hits before death, and there are some ways to bail out of bad situations - all things that weren't landmarks of the genre previously. It can be a lot to adjust to, but it's honestly the easiest of the genre. It owes its existence to the generosity of the 2800 contributors who financed LUNARK during the Kickstarter campaign. The Wevolver team for embracing Engineering Space and presenting it so expertly to the 5 million engineers they reach each month.Įngineering Space.First things first, the difficulty is a mixed bag. playful and always original Diangelo Cuevas. The talented Flipbird Films crew who have been along since the start! Steadying and creative Lorenzo Escalante. As Leo, a courier with unique abilities and a mysterious past, youll run, jump, hang, climb, roll, and shoot through gorgeously. ![]() Astrobotic has so much more to offer, so don’t be surprised if you see them on Engineering Space again!ĭuro for seeing the potential in Engineering Space and being our first sponsor. Set on a distant planet ruled by a totalitarian regime, LUNARK is a modern take on the 2D cinematic platformer genre of the 90s. Your engineering insights, strategic guidance have been instrumental!Īstrobotic and Alivia Chapla for taking the leap to be featured in our first episode. ![]() Richard Hulskes, co-founder at Wevolver, has been with us every step of the way. Bram Geenen, CEO of Wevolver, Jordan Ching, CEO of Flipbird Films, and I are only just beginning! This has been over two years in the making and none of the three producers could have done it without the other two. We are incredibly proud to launch Engineering Space, an online documentary-series about the next generation of Space technologies that highlights the engineers and companies developing them.Įngineering Space | Episode 1 | Developing Lightweight Rovers for Lunar Surface Exploration - OverdrawXYZ 14h Rusted Moss (APRIL 12 RELEASE) RustedMoss 5h Johan Vinet // LUNARK March 30. Today I am privileged to feel a part of the same ancient pattern in humanity’s next great adventure: Space. On the Godfrey Daniel, we were at sea in harmony with eons of human migration, sustenance, and exploration. I followed you on Twitter afterward and thus backed Lunark when you. Taking to the Ocean is humanity’s original adventure. This is WayForward, publisher of the upcoming cinematic platformer LUNARK and. We were testing the total refit my Dad has been designing and building for the past decade on the open Pacific. Last week, I spent all of my time on Godfrey Daniel, a 39 foot Freja sailboat with my Dad, Uncle, and brother in law.
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Super contra download1/27/2024 ![]() It is super flexible, fast and exclusively designed for gaming purposes. Yet another popular Android emulator which is gaining a lot of attention in recent times is MEmu play. Otherwise, you may face loading issues while playing high-end games like PUBG. 'Super Contra: The Alien Strikes Back') is a run and gun video game by Konami originally released as a coin-operated arcade game in 1988. Miniclips Chief Creative Officer, Srgio Varanda, on lasting success of 8 Ball Pool. ![]() You need to have a minimum configuration PC to use Bluestacks. From flash game to the worlds most downloaded pool title. So using Bluestacks is the recommended way to install Classic contra 2 on PC. Also, the base levels have been replaced by 2 top down levels (level 2 and level 6). 8 new levels of baddies await in this awesome side scrolling shooter. Bluestacks4 is literally 6X faster than the Samsung Galaxy J7 smartphone. Super Contra The sequel to the smash hit Contra sees the return of Mad Dog and Scorpion as they once again embark on their mission to destroy Red Falcon. The latest version of Bluestacks comes with a lot of stunning features. However, using the standard method to Install any android applications is recommended. You can use the app the same way you use it on your Android or iOS smartphones. Now you can just double click on the app icon in bluestacks and start using Classic contra 2 app on your laptop. Bluestacks software is even available for Mac OS as well. Here in this article, we are gonna present to you two of the popular Android emulators to use Classic contra 2 on PC.īluestacks is one of the coolest and widely used Emulator to run Android applications on your Windows PC. So even if the official version of Classic contra 2 for PC not available, you can still use it with the help of Emulators. But Android emulators allow us to use all these apps on PC as well. Most of the apps these days are developed only for the mobile platform. Would you like to add your comment or game review?Ĭontra 2 pc download.Super Contra II - NESĬlassic contra 2 is currently not available on Google play store. Thank you! Is there a way to change the keyboard controls from A and Z? When I try to change the keyboard controls it still freezes. This contra 2 pc download personally one of my favorites, and the length never contra 2 pc download me from wanting to run through it again and again.Ĭall me biased, but you need to play this one. Contra plays fast with a non-stop action feel, but timing is vital, as нажмите чтобы прочитать больше hit can kill you. Super Contra Fighter 2 Free mobile app for free download. The characters can also fire their weapons in 8 different directions, meaning no enemy is safe. Download mobile phone apps for keyword Contra, Latest version of mobile phone apps - Contra. Thats why its sequel Super C, or Super Contra, is still relevant. You start with your standard weapon, but finding power-ups can change your weapon to Rapid Fire, Laser, Spread Gun, and more. We tend to think of older games as simple and slow games, but Contra is not one of those. Playing alone or in tandem with someone else, you take on an endless onslaught of enemies. A terrorist group is planning on taking over the world with the help of some aliens, and the two Contra soldiers are sent to stop them. The main characters also got badass code names, Mad Dog and Scorpion. Whether you're going to video game design colleges for a video game design degree and need some inspiration, you're interested in reliving your childhood or you want to simply experience some of the greatest games ever made, Vizzed RGR is for everyone! All games are no longer being sold but I will remove any copyright violations upon request.Contra is a run-and-gun style ссылка на страницу developed by Konami and published by Erbe Software in A few notable changes are that the year it took place was changed toand the setting was changed to the Amazon. Many of the games require no downloading or installing and can be played in the browser just like Flash but using Java while others require a free and safe plugin to be installed. and also have 100s of hacked roms, all playable on the site hassle free. RGR offers games of every genre including RPG, Platform, Arcade, Sports, Puzzle, Strategy, Simulation, Board, Card, Multiplayer, etc. Play Games from Retro Classic gaming systems including Super Nintendo, Sega Genesis, Game Boy Advance, Atari, etc and from the greatest franchises including Mario, Pokemon, Sonic, Zelda, Final Fantasy, Mega Man, etc. Vizzed Retro Game Room offers 1000s of free professionally made games, all playable online on the website.
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Blue cloud gardens1/27/2024 Tips for visiting tulip fields in Holland: Can you walk into the flower fields?įirst of all, we’d love to draw your attention to the fact that the flower fields are not grown for the sole purpose of entertaining tourists. When is the best time to visit the tulip fields in Holland?
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Viatera lumina1/27/2024 Unlike natural stone products, Viatera does not require regular application of sealants. Manufactured as a non-porous product, Viatera prevents harmful bacteria or mold from appearing. Viatera is an exceptional quartz surface solution used in a wide variety of residential and commercial kitchen and bath applications. Viatera, defined by its classic and timeless aesthetic, is comprised of four different collections, each inspired by and celebrating the earth’s natural splendor. Each format is available in 2cm and 3cm thickness. The colors come in a Jumbo II size slab of 63” x 130,” which can accommodate larger layouts, including kitchen islands with fewer seams. Like all Viatera colors, each new color is comprised of up to 93 percent quartz, making it a superior surfacing option comparable to stone. “Along with our brushed finish option, which adds a sense of depth and can minimize finger print marks, the new colors offer even more dynamic visual options to further enhance a space.” ![]() “These new colors were developed knowing that calming hues and designs, rooted in nature, can provide refuge from our hectic, fast-paced and technology driven world,” shared Andrea Flint, product design manager for LG Hausys. LG Hausys’ launch of a new brushed finish option aligns with the marketplace shift toward matte products with depth and dimension. Rondo’s creamy beige background with charcoal and white veining creates a refreshed and tranquil feel.Įncore, from Viatera’s Musica Collection. Etude and Forte offer bright, clean designs with gray and gold veining for a classic and timeless look. Coda elevates modern industrial with warm mid-toned gray, while Encore balances warm charcoal and white for a stunning versatile pattern. The brushed finish is also available for existing collection colors Minuet, Clarino and Basso. All offerings except Etude and Forte are available in a new brushed finish. New additions to Viatera’s Musica Collection include Coda, Encore, Rondo, Forte and Etude. Ribera from Viatera’s Masterpiece Collection. Alongside these polished finish designs, Carbo’s brushed finish black backdrop with light gray veining is high-design without being high-maintenance. Ribera’s tranquil blue-gray design emulates the calming sea while Sabbia provides an updated take on the nostalgia and neutrality of beige. Lumina and Arion bring a depth and cooling presence with gray and white veining. Joining Viatera’s Masterpiece Collection are Lumina, Ribera, Sabbia, Arion and Carbo. Featuring an array of soothing neutrals and calming hues, the new additions can transform any kitchen or bath into a space where serenity and relaxation are easily achieved. 20, 2020 – LG Hausys is introducing 10 new colors, and a new brushed finish option for select colors, within its Viatera Masterpiece and Musica Collections.
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Iconbox wordpress plugin1/27/2024 ![]() ![]() Fitness theme comes with inbuilt drag and drop page builder you can make the website creation a whole lot easier.įunctional Training, Yoga HIIT, Group Training, High-Intensity Interval Training. ![]() What should be done for privacy policy?ĭepending on the laws and regulations of your country, you may need to inform your users about tracking their views, purchases and other metrics that you enabled in settings.Fitness Zone WordPress theme muscled for modern trend, gyms, sport club or fitness centres and personal trainer Websites! Fully responsive layout that looks great on mobile and tablet devices. The optimal price for your products depends on a variety of factors, including demand, competition, costs, country you are selling to, time of the year,… Pricimizer takes all of these factors into consideration to ensure that you are always pricing your products at the most profitable rate. What is the optimal price for my products? This means that our AI engine becomes more efficient over time, saving you time and money while delivering even greater results. Unlike other pricing optimization tools that rely on A/B testing, Pricimizer uses a reinforcement learning approach that minimizes the cost of the learning process. How is Pricimizer different from other pricing optimization tools? Pricimizer uses AI technology to automatically test different prices for each of your products and learns from your customers’ behaviors to identify the most profitable price. Sign up for our price optimization service today and start seeing results! Don’t settle for average profits – let us help you reach your full potential. Plus, you can customize which factors to include and exclude to ensure a pricing strategy that is uniquely tailored to your business needs. From the month of the year to the country and even the day of the week, our AI analyzes them all to offer each customer the optimal price. Say goodbye to copying from your competitors, we will take into account all the factors that matter to your business. Our AI engine takes all of this into consideration to ensure that you are always pricing your products at the most profitable rate. This way even the inflation will be taken into account. We understand that the key to maximizing profits is finding the right balance between demand and price. We set the most profitable price for each of your products! Our AI Learns from your customer behaviors to find the best price. Test different prices for your products automatically. Our AI engine takes all of this into consideration to ensure that you are always pricing your products at the most profitable rate for each individual customer. Our AI engine automatically tests different prices for each of your products and learns from your customers’ behaviors to identify the most profitable price. Are you an online shop owner looking to find the best prices for your products? Pricimizer offers cutting-edge AI technology to help you find the optimal price that maximizes your profits.
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Amazing maze download rom1/26/2024 ![]() You can even sort the game you want to play by region or genre. Our website container various GBA emulators to play your favorite games on Android, Windows PC or Mac device. Alundra (PSX), Amazing Penguin (GB), American Gladiators (NES). We have a diverse range of Game Boy Advance ROMs that you can download and play on your device for free. By bidding/purchasing this product you agree to have fully read and understood the description of the product. AMAZING MAZE ATR Atari 800 (Atari) ( Download Emulator ) File Name Amazing Maze (19xx) (Martin, Scott) (PD) k-file. ADK Tamashii (PS2), Advance Wars (GBA), Advance Wars 2: Black Hole Rising (GBA). Any negative feedback left due to incompatibility will be appealed. We do not accept returns due to incompatibility of video games and software programs. Ensuring you have the correct operating system for any CD/DVD media is your responsibility. Interface Direct control Pacing Real-time Perspective Top-down Genre Puzzle Visual Fixed / flip-screen Description Amazing Maze is a two player maze game. Amazing Maze ROM download is available below and exclusive to. Customers are responsible for ensuring that their postal address and e-mail address is current and correctly registered with ebay and paypal, we cannot be responsible for any mis-directed e-mails or orders due to incorrectly registered e-mail addresses or postal addresses.Please ensure any CD/DVD media is compatible with your computer operating system or console before purchase. Amazing Maze by Midway (1976) Released 1976 Platform Arcade Developed by Dave Nutting Associates, Inc. s game information and ROM download page for Amazing Maze (MAME). We do not provide facilities for items to be collected, all purchases must be posted. Pictures are for display and identification purposes only and the product sold may be different from the pictures shown, please see packaging details. Any returned items will be tested and a refund only issued if the item is proved faulty, we will not refund the cost of return postage. (Topologika Demo download and on CD-ROM, tel: 01326 377 771. Note: This process will not affect your currently installed games, but. (KS2-4) Navigate through a maze finding a key and reaching the exit with the required score. Purchasers are responsible for ensuring compatibility of all computer and software products with their own specific computer system. Clearing your download cache can solve problems with games that wont download or start. All goods are guaranteed in good working order but may not be new unless stated in the auction description. ![]() All goods supplied should be used in accordance with the manufacturers instructions. By bidding on the item(s) above you agree to the terms and conditions on this page.
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Grsync password1/26/2024 For additional help or useful information, we recommend you check the official Grsync website. Thanks for using this tutorial for installing the Grsync on Ubuntu 22.04 LTS Jammy Jellyfish system. Once you have successfully installed Grsync on your Ubuntu 22.04 system, you can open Grsync by searching for it in the Ubuntu application menu or by running the following command in the terminal: grsyncĬongratulations! You have successfully installed Grsync. Once done, you will see the Grsync icon in the launcher. Wait for the installation process to complete.Enter your password and click Authenticate to continue. The Ubuntu Software Center will prompt you for your administrative password.Click the Install button to install Grsync. ![]() Click on the Grsync icon to view the application details. The search results will display Grsync.A session stores a different set of source and destination directories, and any configuration associated to them. Once you have done that, open Grsync, and create a new session. Prepare a folder, ideally somewhere outside your PC an external hard disk, or a network storage drive, for your backups. In the search bar, type “Grsync” and press Enter. Install Grsync with your package manager.Open the Ubuntu Software Center by clicking on the icon in the launcher.First, make sure that all your system packages are up-to-date by running the following apt commands in the terminal. Install Grsync on Ubuntu 22.04 LTS Jammy Jellyfish We recommend acting as a non-root sudo user, however, as you can harm your system if you’re not careful when acting as the root. A non-root sudo useror access to the root user. ![]() You’ll need an internet connection to download the necessary packages and dependencies for Grsync. The rsync command must be installed on the local and remote systems and the userid running HashBackup must be able to ssh to the server without a password. SSH access to the server (or just open Terminal if you’re on a desktop).It’s recommended that you use a fresh OS install to prevent any potential issues.A server running one of the following operating systems: Ubuntu 22.04, 20.04, and any other Debian-based distribution like Linux Mint.You can follow the same instructions for Ubuntu 22.04 and any other Debian-based distribution like Linux Mint, Elementary OS, Pop!_OS, and more as well. I will show you the step-by-step installation of Grsync on Ubuntu 22.04 (Jammy Jellyfish). The installation is quite simple and assumes you are running in the root account, if not you may need to add ‘ sudo‘ to the commands to get root privileges. This article assumes you have at least basic knowledge of Linux, know how to use the shell, and most importantly, you host your site on your own VPS. ![]() It is a graphical user interface (GUI) for the rsync command-line utility, which makes it easy to configure and execute rsync operations. For those of you who didn’t know, Grsync is a powerful tool that enables users to synchronize files and directories across different computers or network locations. In this tutorial, we will show you how to install Grsync on Ubuntu 22.04 LTS.
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Ivcd contrast1/26/2024 ![]() We sought to examine ε cc patterns in patients with systolic dysfunction by applying tagged CMR. ε cc patterns in healthy patients have been studied in detail. In addition, ε cc appears to be more sensitive to dyssynchrony than longitudinal strain in animal models. An advantage of tagged CMR circumferential strain ( ε cc) measurements is the narrow and consistent normal range across different centers. Tagged cardiovascular magnetic resonance (CMR) is a noninvasive technique for measuring local deformation of the myocardium and quantitative assessment of mechanical dyssynchrony. While mechanical dyssynchrony assessed in the longitudinal axis of myocardial motion was shown to be predicative in single center trials, the multi-center PROSPECT trial failed to identify any echocardiographic dyssynchrony criteria to predict responders better than the clinical criteria. As a result, there has been intense investigation to develop noninvasive parameters to predict CRT response. However, 30-40% of patients who receive CRT therapy do not show significant clinical improvement. Recent data from patients with NYHA class I/II HF also demonstrated reduced HF hospitalization and reversal of left ventricular (LV) remodeling with CRT therapy. ![]() Myocardial circumferential strain analysis enables detailed characterization of contraction patterns, strengths, and timing in cardiomyopathy patients with and without LBBB.Ĭardiac resynchronization therapy (CRT) has been shown to improve symptoms, increase exercise capacity, decrease heart failure (HF) hospitalizations, and decrease mortality in patients with New York Heart Association (NYHA) Class III/IV HF with depressed systolic function, and a prolonged QRS in left bundle branch block (LBBB) morphology. Septal dyskinesis exists in some patients with LBBB. The LBBB group had significantly greater dyssynchrony compared to the non-LBBB group and healthy controls assessed by opposing wall delays and 12-segment standard deviation (LBBB 164 ± 30 ms vs. healthy 19 ± 4% both p < 0.0001 compared to healthy), but was similar among the LBBB and non-LBBB groups (p = 0.20). Peak circumferential strain shortening was significantly reduced in all cardiomyopathy patients at the mid-ventricular level (LBBB 9 ± 6%, non-LBBB 10 ± 4% vs. Resultsĭyskinesis of the anterior septum and the inferior septum in at least two ventricular levels was seen in 50% (5 out of 10) of LBBB patients while 30% had isolated dyskinesis of the anteroseptum, and 20% had no dyskinesis in any segments, similar to all of the non-LBBB patients and healthy controls. Time to peak systolic circumferential strain in each of the 6 segments in all three ventricular slices and the standard deviation of time to peak strain in the basal and mid ventricular slices were determined. ![]() Patterns of circumferential strain were analyzed. We determined myocardial circumferential strain at the basal, mid, and apical ventricular level in 35 subjects (10 with ischemic cardiomyopathy, 15 with non-ischemic cardiomyopathy, and 10 healthy controls). We hypothesized that different left ventricular contraction patterns may exist in LBBB patients with depressed systolic function and applied tagged cardiovascular magnetic resonance (CMR) to assess circumferential strain in this population. There have been intense efforts to find reproducible non-invasive parameters to predict CRT response. Cardiac resynchronization therapy (CRT) has been shown to decrease mortality in 60-70% of advanced heart failure patients with left bundle branch block (LBBB) and QRS duration > 120 ms. |