Predictores ecocardiográficos de capacidad de ejercicio en pacientes con insuficiencia cardiaca sistólica. Valor de la insuficiencia mitral

Mitral Regurgitation in Patients With Systolic Heart Failure: More Than a Bystander

“…In the article published in Revista Española de Cardiologı´a, Trivi et al have taken on the difficult task of finding echocardiographic predictors of exercise intolerance in patients with HF and LV systolic dysfunction. 16 Their study enrolled 151 patients with clinically stable chronic HF and LV systolic dysfunction, defined as LV ejection fraction 40%. All patients were evaluated by conventional rest echocardiography and assessed for LV diameter, volume, and ejection fraction; left atrial diameter and area; and severity of MR.…”

Left atrial emptying fraction predicts limited exercise performance in heart failure patients

“…Several echo-parameters were tested previously 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 for clinical outcome prediction in patients with HF. Different indices were also, proposed as predictors of survival 11 , 12 , 13 , 14 , 15 , 16 , 17 , quality of life 11 , 12 , 13 , 14 , 15 and exercise capacity 22 , 23 , 24 , 25 , 26 in these patients. Six-minute walk test (6-MWT) has been introduced as an accurate tool for assessing exercise capacity in HF patients, being safe, simple to perform and its results can predict clinical outcomes 18 , 19 , 20 , 21 .…”

“…Left ventricular (LV) systolic function indices 22 , 23 and those of global mechanical dyssynchrony 24 , 25 , 26 have been shown to independently predict exercise capacity in HF patients. However, the left atrial (LA) function indices and their relationship with exercise markers have not been completely tested yet in this setting.…”

Insuficiencia mitral en pacientes con insuficiencia cardiaca sistólica: más que un mero espectador

“…In the article published in Revista Espan ˜ola de Cardiologı´a, Trivi et al have taken on the difficult task of finding echocardiographic predictors of exercise intolerance in patients with HF and LV systolic dysfunction. 16 Their study enrolled 151 patients with clinically stable chronic HF and LV systolic dysfunction, defined as LV ejection fraction 40%. All patients were evaluated by conventional rest echocardiography and assessed for LV diameter, volume, and ejection fraction; left atrial diameter and area; and severity of MR.…”