Technical Aspects of Diastology: Why Mitral Inflow and Tissue Doppler Imaging Are the Preferred Parameters?

Bess, Renee; Khan, Shahabuddin; Rosman, Howard; Cohen, Gerald I.; Allebban, Zuhair; Gardin, Julius M.

doi:10.1111/j.1540-8175.2006.00215.x

Cited by 48 publications

(46 citation statements)

References 26 publications

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“…However, this is a robust method, even in the presence of atrial fibrillation [50], with excellent feasibility and reproducibility [51], able to diagnose diastolic dysfunction in nondipper prehypertension patients [52].…”

Section: Study Limitationsmentioning

confidence: 99%

Reversal of subclinical left ventricular dysfunction by antihypertensive treatment: a prospective trial of nebivolol against metoprolol

Vinereanu

Gherghinescu

Ciobanu

et al. 2011

Journal of Hypertension

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Section: Study Limitationsmentioning

confidence: 99%

Reversal of subclinical left ventricular dysfunction by antihypertensive treatment: a prospective trial of nebivolol against metoprolol

Vinereanu

Gherghinescu

Ciobanu

et al. 2011

Journal of Hypertension

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“…Echocardiography is the imaging technique of choice in evaluation of diastolic function. Among the parameters available for echocardiographic assessment of diastolic function (Table 2), transmitral flow velocities and tissue Doppler imaging are the quickest to acquire and have the lowest interobserver variability (42). In healthy, young individuals, most LV filling occurs in early diastole, resulting in a prevailing E-wave.…”

Section: Assessment Of Diastolic LV Functionmentioning

confidence: 99%

Heart Failure With Normal Ejection Fraction: The Complementary Roles of Echocardiography and CMR Imaging

Leong

Pasquale

Selvanayagam

2010

JACC: Cardiovascular Imaging

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Heart failure with normal ejection fraction (HFNEF), previously referred to as diastolic heart failure, has increased in prevalence as a cause of heart failure, now accounting for up to 50% of all cases. Contrary to initial evidence, the prognostic outlook in HFNEF may be similar to that of heart failure with reduced ejection fraction. According to current consensus statements, the diagnosis of HFNEF requires the demonstration of relatively preserved systolic left ventricular function and evidence of diastolic dysfunction. Noninvasive imaging techniques now permit evaluation of these parameters without need for cardiac catheterization in the large majority of patients. Echocardiography is the modality of choice in the evaluation of diastolic function but suffers from limitations in its assessment of systolic function. Cardiac magnetic resonance (CMR) imaging is the gold standard in the volumetric quantification of systolic function; however, it has limitations in its ability to characterize diastolic function. This report aims to review the strengths and weaknesses of both imaging modalities in the diagnosis of HFNEF. With regards to echocardiography, it will specifically describe limitations in measuring left ventricular ejection fraction, describe novel techniques to assess systolic function such as tissue velocity and strain analysis, and will review the measurements used in the evaluation of diastolic function. With respect to CMR, this review will highlight its value in the assessment of systolic left ventricular function, will review ancillary CMR findings that may support the diagnosis of HFNEF such as tissue characterization, and will provide a brief overview of CMR techniques to assess diastolic function. We propose that these 2 modalities may play a complementary role in the diagnosis of HFNEF. The importance of imaging in the diagnosis of HFNEF extends to both the individual patient and to clinical trials of therapies for this condition.

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“…This is supported by a good compromise between easiness and reliability among a wide range of cardiac diseases. We will only discuss the clinical application of the E/E' ratio (see Figure 1) which has been consistently found to be more reproducible in daily practice [40]. …”

Section: Introductionmentioning

confidence: 99%

Current clinical applications of spectral tissue Doppler echocardiography (E/E' ratio) as a noninvasive surrogate for left ventricular diastolic pressures in the diagnosis of heart failure with preserved left ventricular systolic function

Arquès

Roux

Luccioni

2007

Cardiovasc Ultrasound

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Congestive heart failure with preserved left ventricular systolic function has emerged as a growing epidemic medical syndrome in developed countries, which is characterized by high morbidity and mortality rates. Rapid and accurate diagnosis of this condition is essential for optimizing the therapeutic management. The diagnosis of congestive heart failure is challenging in patients presenting without obvious left ventricular systolic dysfunction and additional diagnostic information is most commonly required in this setting. Comprehensive Doppler echocardiography is the single most useful diagnostic test recommended by the ESC and ACC/AHA guidelines for assessing left ventricular ejection fraction and cardiac abnormalities in patients with suspected congestive heart failure, and non-invasively determined basal or exercise-induced pulmonary capillary hypertension is likely to become a hallmark of congestive heart failure in symptomatic patients with preserved left ventricular systolic function. The present review will focus on the current clinical applications of spectral tissue Doppler echocardiography used as a reliable noninvasive surrogate for left ventricular diastolic pressures at rest as well as during exercise in the diagnosis of heart failure with preserved left ventricular systolic function. Chronic congestive heart failure, a disease of exercise, and acute heart failure syndromes are characterized by specific pathophysiologic and diagnostic issues, and these two clinical presentations will be discussed separately.

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Technical Aspects of Diastology: Why Mitral Inflow and Tissue Doppler Imaging Are the Preferred Parameters?

Cited by 48 publications

References 26 publications

Reversal of subclinical left ventricular dysfunction by antihypertensive treatment: a prospective trial of nebivolol against metoprolol

Reversal of subclinical left ventricular dysfunction by antihypertensive treatment: a prospective trial of nebivolol against metoprolol

Heart Failure With Normal Ejection Fraction: The Complementary Roles of Echocardiography and CMR Imaging

Current clinical applications of spectral tissue Doppler echocardiography (E/E' ratio) as a noninvasive surrogate for left ventricular diastolic pressures in the diagnosis of heart failure with preserved left ventricular systolic function

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