Assessment of Elevation of and Rapid Change in Left Ventricular Filling Pressure Using a Novel Global Strain Imaging Diastolic Index

Chiang, Shuo-Ju; Daimon, Masao; Ishii, Katsuhisa; Kawata, Takayuki; Miyazaki, Sakiko; Hirose, Kuniaki; Ichikawa, Ryoko; Miyauchi, Katsumi; Yeh, Mei-Hsiu; Chang, Nen-Chung; Daida, Hiroyuki

doi:10.1253/circj.cj-13-0513

Cited by 10 publications

(7 citation statements)

References 36 publications

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“…In 4 studies, investigators used different pharmacological agents to decrease LVFP and measured corresponding changes in E/e′ (Table ) . Despite differences in patient cohorts, agents, and measured indices, all studies concluded that E/e′ does not reflect changes in LVFP …”

Section: Resultsmentioning

confidence: 99%

“…Other groups were for studies that included patients with reduced/mixed LVEF, and for studies that included patients grouped with specific cardiac conditions (eg, cardiac transplants). Overall, we found 28 studies: 9 studies 24,[26][27][28][29][30][31][32][33] for our primary interest, and 19 studies 25,[34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] for secondary interest (Figure). One study included a data set for primary and secondary interest.…”

Section: Patient Cohorts and Study Analysismentioning

confidence: 99%

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What Is the Evidence That the Tissue Doppler Index E/e′ Reflects Left Ventricular Filling Pressure Changes After Exercise or Pharmacological Intervention for Evaluating Diastolic Function? A Systematic Review

Sharifov

Gupta

2017

JAHA

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BackgroundNoninvasive echocardiographic tissue Doppler assessment (E/e′) in response to exercise or pharmacological intervention has been proposed as a useful parameter to assess left ventricular (LV) filling pressure (LVFP) and LV diastolic dysfunction. However, the evidence for it is not well summarized.Methods and ResultsClinical studies that evaluated invasive LVFP changes in response to exercise/other interventions and echocardiographic E/e′ were identified from PubMed, Scopus, Embase, and Cochrane Library databases. We grouped and evaluated studies that included patients with preserved LV ejection fraction (LVEF), patients with mixed/reduced LVEF, and patients with specific cardiac conditions. Overall, we found 28 studies with 9 studies for preserved LVEF, which was our primary interest. Studies had differing methodologies with limited data sets, which precluded quantitative meta‐analysis. We therefore descriptively summarized our findings. Only 2 small studies (N=12 and 10) directly or indirectly support use of E/e′ for assessing LVFP changes in preserved LVEF. In 7 other studies (cumulative N=429) of preserved LVEF, E/e′ was not useful for assessing LVFP changes. For mixed/reduced LVEF groups or specific cardiac conditions, results similar to preserved LVEF were found.ConclusionsWe find that there is insufficient evidence that E/e′ can reliably assess LVFP changes in response to exercise or other interventions. We suggest that well‐designed prospective studies should be conducted for further evaluation.

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Section: Resultsmentioning

confidence: 99%

Section: Patient Cohorts and Study Analysismentioning

confidence: 99%

What Is the Evidence That the Tissue Doppler Index E/e′ Reflects Left Ventricular Filling Pressure Changes After Exercise or Pharmacological Intervention for Evaluating Diastolic Function? A Systematic Review

Sharifov

Gupta

2017

JAHA

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“…> 15 mmHg) and (2) whether the extent of PCWP rise explains the pulmonary artery pressure, measured routinely by tricuspid retrograde velocities, or is there additional pulmonary vascular disease (increased PVR)? A number of noninvasive equations have been proposed to estimate and predict those pressures, but each has limitations.…”

Section: Discussionmentioning

confidence: 99%

Left Atrial Intrinsic Strain Rate Correcting for Pulmonary Wedge Pressure Is Accurate in Estimating Pulmonary Vascular Resistance in Breathless Patients

et al. 2016

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“…Tissue Doppler imaging (TDI) of the mitral annulus was obtained in the apical 4-chamber view with a 1.5-mm sample volume placed at the medial mitral annulus. Early diastolic tissue velocity (E′) was measured and the E/E′ ratio calculated [ 14 – 18 ]. Stroke volume (SV) was calculated using a Doppler method.…”

Section: Methodsmentioning

confidence: 99%

Different characteristics of heart failure due to pump failure and bradyarrhythmia

et al. 2014

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BackgroundHeart failure (HF) can be caused by left ventricular (LV) pump failure as well as by bradyarrhythmias. Hemodynamic differences between HF by LV pump failure and that by bradyarrhythmia have not been fully investigated. We hypothesized that HF by LV pump failure could be associated with both reduced cardiac output (CO) and increased LV filling pressure due to associated LV diastolic dysfunction, whereas HF by bradyarrhythmia could be associated with reduced CO but only modestly increased LV filling pressure due to the absence of LV diastolic dysfunction.MethodsIn 39 patients with HF by LV pump failure (LV ejection fraction <35 %), 24 with HF by bradyarrhythmia, and 22 normal controls, LV volume, ejection fraction, stroke volume, left atrial volume, and early diastolic mitral valve flow to tissue annular velocity ratio (E/E′) were measured by echocardiography.ResultsCompared to patients with HF by LV pump failure, those with HF by bradyarrhythmia had significantly lower heart rates, less LV dilatation, preserved LV ejection fraction, preserved stroke volume, similarly reduced cardiac index (1.8 ± 0.4 vs. 1.6 ± 0.4 L/min/m2, n.s.), preserved LV diastolic function (E′) (4.4 ± 2.1 vs. 7.1 ± 2.9 cm/s, p < 0.001), less dilated end-systolic LA volume, and preserved E/E′ (24 ± 10 vs. 13 ± 7, p < 0.001).ConclusionsHF by LV pump failure is characterized by both significantly reduced CO and increased LV filling pressure, whereas HF by bradyarrhythmia is characterized by a similar reduction in CO but only modestly increased LV filling pressure.

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Assessment of Elevation of and Rapid Change in Left Ventricular Filling Pressure Using a Novel Global Strain Imaging Diastolic Index

Cited by 10 publications

References 36 publications

What Is the Evidence That the Tissue Doppler Index E/e′ Reflects Left Ventricular Filling Pressure Changes After Exercise or Pharmacological Intervention for Evaluating Diastolic Function? A Systematic Review

What Is the Evidence That the Tissue Doppler Index E/e′ Reflects Left Ventricular Filling Pressure Changes After Exercise or Pharmacological Intervention for Evaluating Diastolic Function? A Systematic Review

Left Atrial Intrinsic Strain Rate Correcting for Pulmonary Wedge Pressure Is Accurate in Estimating Pulmonary Vascular Resistance in Breathless Patients

Different characteristics of heart failure due to pump failure and bradyarrhythmia

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