The Role of Echocardiography in Heart Failure

Marwick, Thomas H.

doi:10.2967/jnumed.114.150433

Cited by 56 publications

(47 citation statements)

References 60 publications

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“…4 Echocardiography plays an essential role in the assessment of patients with heart failure. 5 The echocardiographic determinants of recovery have not been established among heart failure with reduced ejection fraction whose LVEF has recovered. We conducted a study to enhance our understanding of clinical and echocardiographic features of heart failure with recovered ejection fraction.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic parameters associated with recovery in heart failure with reduced ejection fraction

et al. 2020

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Objective: The study aims to determine the clinical and echocardiographic parameters of patients with recovered heart failure (HFrecEF). Methodology: Sixty-seven patients (cases) were identified as heart failure with recovered ejection fraction (HFrecEF), defined as improvement in EF ≥ 10%. Sixtynine patients (controls) were randomly selected by convenience sampling with no or <10% improvement in EF (HFrEF non-recovered). Results: The mean interval between baseline and follow-up echocardiography was 10.5 months in cases and 11.2 months in the control group. HFrecEF showed a 22.7% improvement in mean ejection fraction, and HFrEF non-recovered group also showed a minor increment of 5.5%. HFrecEF patients were significantly younger (49.51 vs 57.54 years, P .001) with non-ischemic cardiomyopathy (86.6% vs 52.2%). Patients with HFrecEF had significantly less left ventricular end-diastolic and end-systolic vol

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Section: Introductionmentioning

confidence: 99%

Echocardiographic parameters associated with recovery in heart failure with reduced ejection fraction

et al. 2020

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“…According to current guidelines on HF management, daily assessment of the signs and symptoms, fluid balance, vital functions, body weight and renal dysfunction should be carried out in patients hospitalized due to HF decompensation to select decongestive therapy, since natriuretic peptide determination turned out to be ineffective for routine treatment of the patients with prior acute HF [15]. The degree of LV remodeling is an important prognostic factor in the patients with decompensated HF and reduced LVEF [11].…”

Section: Problem Statement and Analysis Of The Latest Researchmentioning

confidence: 99%

Dynamics of Indicators of Structural and Functional State of the Heart in the Post-Infarction Period Depending on the Presence of Decompensated Heart Failure

Levandovska

2019

Arch. clin. med.

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Echocardiographic indicators in decompensated heart failure demonstrate a high prevalence of structural and hemodynamic abnormalities. In the patients with decompensated heart failure in the early and late post-infarction period, echocardiographic indicators were found to significantly differ from those recorded in the patients without heart failure. Thus, reduced ejection fraction, increased end-diastolic volume and end-diastolic dimension indicate left ventricular systolic dysfunction and left ventricular cavity dilation. Since echocardiography of the heart and the pulmonary artery enables real-time estimation of cardiac filling, signs of systolic dysfunction and pulmonary congestion, it may serve as a predictor of decompensated heart failure development in the early and late post-infarction period. The objective of the research was to determine the main echocardiographic indicators in terms of rapid monitoring of deterioration in the main parameters of left ventricular overload for early diagnosis of decompensated heart failure, as well as structural and geometric remodeling of left ventricular myocardium in the early and late post-infarction period. Materials and methods. There were examined 160 patients with acute myocardial infarction. Depending on the development of decompensated heart failure in the early and late post-infarction period, the patients were divided into two subgroups being homogeneous by age and gender. Results. The results obtained indicated significant hemodynamic changes in the patients with decompensated heart failure in the post-infarction period. They included significantly lower values of ejection fraction indicating left ventricular systolic dysfunction and the signs of left ventricular cavity dilation as evidenced by the increase in left ventricular end-diastolic volume and end-diastolic dimension. The tendency for an increase in left ventricular posterior wall thickness and interventricular septal thickness, as well as left ventricular myocardial mass, left ventricular myocardial mass index and left ventricular radius to wall thickness ratio indicated concentric left ventricular remodeling. Conclusions. Modern management of patients with decompensated heart failure should be guided by an objective value of left ventricular ejection fraction as it plays a key role in selecting management strategy for this cohort of patients since a significant reduction in this parameter indicates cardiac decompensation. Pulmonary artery pressure and concentric left ventricular hypertrophy play a significant role in cardiac failure development as well.

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“…Two-dimensional echocardiographic assessment of LV ejection fraction is based on measuring end-diastolic and end-systolic volumes [ 32 , 69 – 71 ] using different geometric models (length-diameter and length-area methods, Simpson's rule method, and modified Simpson's rule). These methods have shown good correlation with angiographic data for the assessment of left ventricular ejection fraction (LVEF), with normal LVEF generally considered to be ≥55–60%.…”

Section: Role Of Echocardiography In Early Diagnosis Of Specific Cmentioning

confidence: 99%

“…The use of CRT has been justified by prognostic benefit in HF patients with wide QRS, but functional benefit is not uniform in these patients. Actually, defining the response to CRT is not easy, and the concept of nonresponsiveness is still controversial [ 71 , 80 ].…”

Section: Role Of Echocardiography In Early Diagnosis Of Specific Cmentioning

confidence: 99%

Early Diagnosis of Cardiovascular Diseases in Workers: Role of Standard and Advanced Echocardiography

Capotosto

Massoni

Sio

et al. 2018

BioMed Research International

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Cardiovascular disease (CVD) still remains the main cause of morbidity and mortality and consequently early diagnosis is of paramount importance. Working conditions can be regarded as an additional risk factor for CVD. Since different aspects of the job may affect vascular health differently, it is important to consider occupation from multiple perspectives to better assess occupational impacts on health. Standard echocardiography has several targets in the cardiac population, as the assessment of myocardial performance, valvular and/or congenital heart disease, and hemodynamics. Three-dimensional echocardiography gained attention recently as a viable clinical tool in assessing left ventricular (LV) and right ventricular (RV) function, volume, and shape. Two-dimensional (2DSTE) and, more recently, three-dimensional speckle tracking echocardiography (3DSTE) have also emerged as methods for detection of global and regional myocardial dysfunction in various cardiovascular diseases and applied to the diagnosis of subtle LV and RV dysfunction. Although these novel echocardiographic imaging modalities have advanced our understanding of LV and RV mechanics, overlapping patterns often show challenges that limit their clinical utility. This review will describe the current state of standard and advanced echocardiography in early detection (secondary prevention) of CVD and address future directions for this potentially important diagnostic strategy.

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The Role of Echocardiography in Heart Failure

Cited by 56 publications

References 60 publications

Echocardiographic parameters associated with recovery in heart failure with reduced ejection fraction

Echocardiographic parameters associated with recovery in heart failure with reduced ejection fraction

Dynamics of Indicators of Structural and Functional State of the Heart in the Post-Infarction Period Depending on the Presence of Decompensated Heart Failure

Early Diagnosis of Cardiovascular Diseases in Workers: Role of Standard and Advanced Echocardiography

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