#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Overview of echocardiographic parameters in the dia­gnostics of heart failure with preserved ejection fraction of the left ventricle


Authors: M. Špinarová 1;  J. Meluzín 1,2;  L. Špinarová 1
Authors‘ workplace: I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně 1;  Mezinárodní centrum klinického výzkumu, FN u sv. Anny v Brně 2
Published in: Kardiol Rev Int Med 2018, 20(1): 66-70

Overview

Heart failure with preserved ejection fraction occurs almost with the same frequency and severity as heart failure with reduced ejection fraction. Echocardiography is the most useful non-invasive diagnostic test in the evaluation of this condition. However, no single parameter that would allow a simple assessment of the diastolic function has been discovered yet. For an accurate diagnosis, a complex echocardiographic examination must be performed to demonstrate the presence of structural and/ or functional cardiac abnormalities. Structural parameters, determinants of transmitral and pulmonary venous flow velocity by pulse Doppler, and mitral annular velocity by tissue Doppler, are used to make this assessment. Also speckle tracking echocardiography and an evaluation of myocardial deformity are becoming part of an integrated approach to the assessment of diastolic function. Many other parameters are the subject of extensive clinical research.

Key words:
heart failure with preserved ejection fraction –  diastolic dysfunction –  echocardiography


Sources

1. Ponikowski P, Voors AA, Anker SD et al. 2016 ESC Guidelines for the dia­gnosis and treatment of acute and chronic heart failure: The Task Force for the dia­g­­nosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37(27): 2129– 2200. doi: 10.1093/ eurheartj/ ehw128.

2. Špinar J, Hradec J, Špinarová L et al. Souhrn Doporučených postupů ESC pro dia­gnostiku a léčbu akutního a chronického srdečního selhání z roku 2016. Připraven Českou kardiologickou společností. Cor Vasa 2016; 58(5): 597– 636.

3. Špinar J, Vítovec J, Špinarová L. Srdeční selhání se zachovanou ejekční frakcí. Vnitř Lék 2016; 62(7– 8): 646– 651.

4. Yamamoto K, Sakata Y, Ohtani T et al. Heart fail­ure with preserved ejection fraction. Circ J 2009; 73(3): 404– 410.

5. Owan TE, Hodge DO, Herges RM et al. Trends in prevalence and outcome of heart failure with preserved ejection fraction. N Engl J Med 2006; 355(3): 251– 259.

6. Yamamoto K, Masuyama T, Sakata Y et al. Roles of renin-angiotensin and endothelin systems in development of diastolic heart failure in hypertensive hearts. Cardiovasc Res 2000; 47(2): 274– 283.

7. Koitabashi N, Arai M, Kogure S et al. Increased connective tissue growth factor relative to brain natri­uretic peptide as a determinant of myocardial fibrosis. Hypertension 2007; 49(5): 1120– 1127.

8. Pudil R. Srdeční selhání se zachovalou ejekční frakcí. Labor aktuell –  časopis pro klienty Roche Dia­gnostics v České a Slovenské republice 2017; (2): 4– 7.

9. Gregorová Z, Meluzín J, Špinarová L. Co je nového v srdečním selhání se zachovalou ejekční frakcí levé komory za posledních pět let? Vnitř Lék 2014; 60(7– 8): 586– 594.

10. McMurray J, Pfeffer MA. New therapeutic options in congestive heart failure: Part II. Circulation 2002; 105(18): 2223– 2228.

11. Gregorova Z, Meluzin J, Stepanova R et al. Longitudinal, circumferential and radial systolic left ventricular function in patients with heart failure and preserved ejection fraction. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2016; 160(3): 385– 392.

12. Cioffi G, Senni M, Tarantini L et al. Analysis of circumferential and longitudinal left ventricular sys­tolic function in patients with non-ischemic chronic heart failure and preserved ejection fraction (from the CARRY-IN-HFpEF study). Am J Cardiol 2012; 109(3): 383– 389. doi: 10.1016/ j.amjcard.2011.09.022.

13. Linhart A. Echokardiografické hodnocení strukturálních změn levé komory u hypertenze. Hypertenze a kardiovaskulární prevence 2015; 4(2): 39– 43.

14. Lang RM, Badano LP, Mor-Avi V et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imag­ing 2015; 16(3): 233– 270. doi: 10.1093/ ehjci/ jev014.

15. Devereux RB, Alonso DR, Lutas EM et al. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol 1986; 57(6): 450– 458.

16. Nagueh SF, Smiseth OA, Appleton CP et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imag­ing 2016; 17(12): 1321– 1360.

17. Špinar J, Vítovec J, Hradec J et al. Doporučený postup České kardiologické společnosti pro dia­gnostiku a léčbu chronického srdečního selhání, 2011. Cor Vasa 2012; 54(3– 4): 161– 182.

18. Meluzín J. Odhad vzestupu plnícího tlaku levé komory pomocí echokardiografie. Interv Akut Kardiol 2009; 8(3): 128– 133.

19. Nagueh SF, Middleton KJ, Kopelen HA et al. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of fill­ing pressures. J Am Coll Cardiol 1997; 30(6): 1527– 1533.

20. Hutyra M, Skála T, Kamínek M et al. Speckle track­ing echokardiografie –  nová ultrazvuková metoda hodnocení globální a regionální funkce myokardu. Kardiol Rev 2008; 10(1): 8– 13.

21. Dandel M, Lehmkuhl H, Knosalla C et al. Strain and strain rate imag­ing by echocardiography –  basic concepts and clinical appli­cability. Curr Cardiol Rev 2009; 5(2): 133– 148. doi: 10.2174/ 157340309788166642.

22. Wang J, Khoury DS, Thohan V et al. Global diastolic strain rate for the assessment of left ventricular relaxation and fill­ing pressures. Circulation 2007; 115(11): 1376– 1383.

23. Meluzin J, Spinarova L, Hude P et al. Estimation of left ventricular fill­ing pressures by speckle track­ing echocardiography in patients with idiopathic dilated cardiomyopathy. Eur J Echocardiogr 2011; 12(1): 11– 18. doi: 10.1093/ ejechocard/ jeq088.

24. Takeda Y, Sakata Y, Higashimori M et al. Noninvasive assessment of wall distensibility with the eval­uation of diastolic epicardial movement. J Card Fail 2009; 15(1): 68– 77. doi: 10.1016/ j.cardfail.2008.09.004.

25. Ohtani T, Mohammed SF, Yamamoto K et al. Diastolic stiffness as assessed by diastolic wall strain is associated with adverse remodell­ing and poor outcomes in heart failure with preserved ejection fraction. Eur Heart J 2012; 33(14): 1742– 1749. doi: 10.1093/ eurheartj/ ehs135.

26. Špinarová M, Meluzín J, Podroužková H et al. New echocardiographic parameters in the dia­gnosis of heart failure with preserved ejection fraction. Int J Cardiovasc Imag 2017; 34(2): 229– 235.

27. Gharib M, Rambod E, Kheradvar A et al. Optimal vortex formation as an index of cardiac health. Proc Natl Acad Sci USA 2006; 103(16): 6305– 6308.

28. Kheradvar A, Assadi R, Falahatpisheh A et al. Assessment of transmitral vortex formation in patients with diastolic dysfunction. J Am Soc Echocardiogr 2012; 25(2): 220– 227. doi: 10.1016/ j.echo.2011.10.003.

29. Poh KK, Lee LC, Shen L et al. Left ventricular fluid dynamics in heart failure: echocardiographic measurement and utilities of vortex formation time. Eur Heart J Cardiovasc Imag­ing 2012; 13(5): 385– 393. doi: 10.1093/ ejechocard/ jer288.

Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology

Article was published in

Cardiology Review

Issue 1

2018 Issue 1

Most read in this issue
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#