The Role of Echocardiography in Heart Failure with Preserved Ejection Fraction What Do We Want from Imaging?

被引:35
作者
Obokata, Masaru [1 ]
Reddy, Yogesh N. V. [1 ]
Borlaug, Barry A. [1 ]
机构
[1] Mayo Clin & Mayo Fdn, Dept Cardiovasc Med, 200 First St Southwest, Rochester, MN 55906 USA
基金
美国国家卫生研究院;
关键词
Diagnosis Diastolic function; Echocardiography; Filling pressure; Heart failure; Phenotyping; Risk stratification; VENTRICULAR FILLING PRESSURE; CAPILLARY WEDGE PRESSURE; CORONARY-ARTERY-DISEASE; SPECKLE-TRACKING ECHOCARDIOGRAPHY; END-DIASTOLIC PRESSURE; MITRAL FLOW VELOCITY; GLOBAL STRAIN-RATE; LEFT ATRIAL SIZE; DOPPLER-ECHOCARDIOGRAPHY; EUROPEAN ASSOCIATION;
D O I
10.1016/j.hfc.2018.12.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Noninvasive imaging, particularly echocardiography, plays a central role in the evaluation for heart failure with preserved ejection fraction ( HFpEF). Echocardiography helps to rule in HFpEF among patients with unexplained dyspnea when the diagnosis is uncertain. In established HFpEF, echocardiography provides important insights into pathophysiology and phenotyping, such as isolated left ventricular diastolic dysfunction, left atrial dysfunction, abnormal right ventricular-pulmonary artery coupling, ischemia, or obesity phenotypes. In addition, imaging enables risk stratification for HFpEF. This article provides a critical appraisal of the role of echocardiography in the diagnosis and evaluation of HFpEF.
引用
收藏
页码:241 / +
页数:17
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