Left atrial strain evaluation to assess left ventricle diastolic dysfunction and heart failure with preserved ejection fraction: a guide to clinical practice

Silva, Mariana; Sampaio, Francisco; Braga, Joana; Ribeiro, José; Fontes‐Carvalho, Ricardo

doi:10.1007/s10554-023-02816-y

“…STE achieves this by acquiring images at a frame rate of 50-80 per second [57], allowing more accurate and comprehensive cardiac imaging. Further reinforcing the utility of STE, numerous studies have demonstrated that both LV and LA strain, along with strain rate, are reliable predictors of LV diastolic function [31,54,58,59]. These findings underscore the potential of STE as a transformative tool in the evaluation and management of cardiac function, particularly diastolic performance.…”

Section: Strain Imagingmentioning

confidence: 82%

“…LA remodeling and dysfunction secondary to increased LV filling pressures are associated with worse symptoms, more pulmonary vascular disease, greater right ventricular dysfunction, depressed exercise capacity, and adverse outcomes [28,29]. Hence, some researchers propose that reduced LA strain (LAS) [30,31] and increased LA stiffness (E/e′/LAS) [32] are the most accurate diagnostic criteria for diastolic HF.…”

Section: Abnormal LV Filling Patternsmentioning

confidence: 99%

Interpreting Diastolic Dynamics and Evaluation Through Echocardiography

Zhang,

Li,

Cardoso

et al. 2024

Preprint

0

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In patients with heart failure, the evaluation of left ventricular (LV) diastolic function is vital, offering crucial insights into hemodynamic impact and prognostic accuracy. Echocardiography stands as the primary imaging modality for diastolic function assessment, and using it effectively requires a profound understanding of the underlying pathology. This review covers four main topics: first, the fundamental driving forces behind each phase of normal diastolic dynamics, along with the physiological basis of two widely used echocardiographic assessment parameters, E/e' and mitral annulus early diastolic velocity (e'); second, the intricate functional relationship between the left atrium and LV in patients with varying degrees of LV diastolic dysfunction (LVDD); third, the role of stress echocardiography in diagnosing LVDD and the significance of parameter changes in this context; and fourth, the clinical utility of evaluating diastolic function from echocardiography images across diverse cardiovascular care areas.

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“…STE achieves this by acquiring images at a frame rate of 50-80 per second [59], allowing more accurate and comprehensive cardiac imaging. Further reinforcing the utility of STE, numerous studies have demonstrated that both LV and LA strain, along with strain rate, are reliable predictors of LV diastolic function [32,56,60,61]. These findings underscore the potential of STE as a transformative tool in the evaluation and management of cardiac function, particularly diastolic performance.…”

Section: Strain Imagingmentioning

confidence: 82%

“…LA remodeling and dysfunction secondary to increased LV filling pressures are associated with worse symptoms, more pulmonary vascular disease, greater right ventricular dysfunction, depressed exercise capacity, and adverse outcomes [29,30]. Hence, some researchers propose that reduced LA strain (LAS) [31,32] and increased LA stiffness (E/e′/LAS) [33] are the most accurate diagnostic criteria for diastolic HF.…”

Section: Abnormal LV Filling Patternsmentioning

confidence: 99%

Interpreting Diastolic Dynamics and Evaluation Through Echocardiography

Zhang,

Li,

Cardoso

et al. 2024

Preprint

0

View full text Add to dashboard Cite

In patients with heart failure, the evaluation of left ventricular (LV) diastolic function is vital, offering crucial insights into hemodynamic impact and prognostic accuracy. Echocardiography stands as the primary imaging modality for diastolic function assessment, and using it effectively requires a profound understanding of the underlying pathology. This review covers four main topics: first, the fundamental driving forces behind each phase of normal diastolic dynamics, along with the physiological basis of two widely used echocardiographic assessment parameters, E/e' and mitral annulus early diastolic velocity (e'); second, the intricate functional relationship between the left atrium and LV in patients with varying degrees of LV diastolic dysfunction (LVDD); third, the role of stress echocardiography in diagnosing LVDD and the significance of parameter changes in this context; and fourth, the clinical utility of evaluating diastolic function from echocardiography images across diverse cardiovascular care areas.

show abstract