Echocardiographic Evaluation of Hemodynamics in Patients With Decompensated Systolic Heart Failure

Nagueh, Sherif F.; Bhatt, Rajat; Vivo, Rey P.; Krim, Selim R.; Sarvari, Sebastian Imre; Russell, Kristoffer; Edvardsen, Thor; Smiseth, Otto A.; Estep, Jerry D.

doi:10.1161/circimaging.111.963496

Cited by 177 publications

(130 citation statements)

References 26 publications

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“…Pozwala ona na bezpośrednią ocenę objętości jam serca, czynności skurczowej i rozkurczowej komór, grubości ścian serca, funkcji zastawek i obecności nadciśnienia płucnego [65][66][67][68][69][70][71][72][73][74]. Te informacje są kluczowe przy stawianiu diagnozy oraz wdrażaniu odpowiedniego leczenia (szczegóły: patrz rozdz.…”

Section: Podstawowe Wstępne Badaniaunclassified

“…Spośród licznych dostępnych technik obrazowania echokardiografia jest metodą z wyboru u pacjentów z podejrzeniem HF, ze względu na swoją dokładność, dostępność, bezpieczeństwo i koszty [68,69,72]. Echokardiografia może być uzupełniona o inne techniki obrazowania dobierane w zależności od możliwości uzyskania odpowiedzi na specyficzne pytania [71,73].…”

Section: Badania Obrazowe I Inne Testy Diagnostyczneunclassified

See 1 more Smart Citation

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Ponikowski

Voors

Anker³

et al. 2016

Kardiol Pol

459

446

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Section: Podstawowe Wstępne Badaniaunclassified

Section: Badania Obrazowe I Inne Testy Diagnostyczneunclassified

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Ponikowski

Voors

Anker³

et al. 2016

Kardiol Pol

459

446

View full text Add to dashboard Cite

“…LV filling pressures can be estimated by echocardiography, and the ratio of mitral peak velocity of early filling (E) to early diastolic mitral annular velocity (E9) (E/E9 ratio) has been originally shown to give a reliable estimate of left atrial pressure [51,52]. However, data have questioned this assumption.…”

Section: Diagnosis Of Ph-lhdmentioning

confidence: 99%

Pulmonary hypertension in left heart disease

Guazzi

Galiè

2012

Eur Respir Rev

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Pulmonary hypertension (PH) is a frequent complication of left heart disease arising from a wide range of cardiac disorders. In the clinical classification, PH associated with left heart disease is classified as Group 2, which includes left heart systolic dysfunction, left heart diastolic dysfunction and left heart valvular disease. In the past, rheumatic mitral valve disease was the most common cause of PH in left heart disease; however, today it is more likely to be associated with hypertensive and/or ischaemic heart disease.As the incidence of these conditions is increasing, the number of patients presenting with PH is also increasing and, today, left heart disease represents the most frequent cause of PH. The development of PH in patients with left heart disease is associated with poor prognosis. However, despite the increasingly large number of patients affected and the impact of PH on outcome, there are currently no specific treatment options for these patients.This review gives an overview of the pathophysiology and epidemiology of PH associated with left heart disease, and discusses the challenges associated with its management and treatment.

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“…The sample volume was positioned at the medial mitral annulus on an apical 4‐chamber view to measure early diastolic tissue Doppler velocity (e′). Mitral Doppler E wave to e′ ratio was used as a surrogate of mean LV diastolic pressure 19, 20. LV diastolic pressure‐volume relationship was calculated as described elsewhere 21.…”

Section: Methodsmentioning

confidence: 99%

Effects of Cardiopulmonary Exercise Rehabilitation on Left Ventricular Mechanical Efficiency and Ventricular‐Arterial Coupling in Patients With Systolic Heart Failure

Aslanger

Assous

Bihry

et al. 2015

JAHA

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BackgroundSuccess of cardiac rehabilitation (CR) is generally assessed by the objective improvement in peak volume of inhaled oxygen (VO 2) measured by cardiopulmonary exercise test (CPX). However, cardiac mechanical efficiency and ventricular‐arterial coupling (VAC) are the other important dimensions of the heart failure pathophysiology, which are not included in CPX‐derived data. The effect of cardiac rehabilitation on left ventricular (LV) efficiency or VAC in unselected heart failure patients has not been studied thus far.Methods and ResultsThirty patients with an ejection fraction of ≤45% were recruited for 20 sessions of exercise‐based CR. Noninvasive LV pressure‐volume loops were constructed and VAC was calculated with the help of applanation tonometry and echocardiography before and after CR. VAC showed an improved mechanical efficiency profile and increased significantly from 0.56±0.18 to 0.67±0.21 (P=0.02). LV mechanical efficiency improved from 43.9±9.1% to 48.8±9.1% (P=0.01). The change in peak VO 2 was not in a significant correlation with the change in VAC (r=−0.18; P=0.31), mechanical efficiency (r=−0.16, P=0.39), or the change in ejection fraction (r=−0.07; P=0.68).Conclusions CR is associated with an improvement in VAC and LV mechanical efficiency in heart failure patients. Further studies are needed to determine the incremental value of VAC and mechanical efficiency over CPX‐derived data in predicting clinical outcomes.

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Echocardiographic Evaluation of Hemodynamics in Patients With Decompensated Systolic Heart Failure

Abstract: Doppler echocardiography provides reliable assessment of right and left ventricular hemodynamics in patients with decompensated heart failure.

Cited by 177 publications

References 26 publications

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

Pulmonary hypertension in left heart disease

Effects of Cardiopulmonary Exercise Rehabilitation on Left Ventricular Mechanical Efficiency and Ventricular‐Arterial Coupling in Patients With Systolic Heart Failure

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