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
相关论文
共 112 条
[71]   Myocardial Injury and Cardiac Reserve in Patients With Heart Failure and Preserved Ejection Fraction [J].
Obokata, Masaru ;
Reddy, Yogesh N. V. ;
Melenovsky, Vojtech ;
Kane, Garvan C. ;
Olson, Thomas P. ;
Jarolim, Petr ;
Borlaug, Barry A. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 72 (01) :29-40
[72]   The strengths and limitations of E/e' in heart failure with preserved ejection fraction [J].
Obokata, Masaru ;
Borlaug, Barry A. .
EUROPEAN JOURNAL OF HEART FAILURE, 2018, 20 (09) :1312-1314
[73]   Haemodynamics, dyspnoea, and pulmonary reserve in heart failure with preserved ejection fraction [J].
Obokata, Masaru ;
Olson, Thomas P. ;
Reddy, Yogesh N., V ;
Melenovsky, Vojtech ;
Kane, Garvan C. ;
Borlaug, Barry A. .
EUROPEAN HEART JOURNAL, 2018, 39 (30) :2810-2821
[74]   Evidence Supporting the Existence of a Distinct Obese Phenotype of Heart Failure With Preserved Ejection Fraction [J].
Obokata, Masaru ;
Reddy, Yogesh N. V. ;
Pislaru, Sorin V. ;
Melenovsky, Vojtech ;
Borlaug, Barry A. .
CIRCULATION, 2017, 136 (01) :6-+
[75]   Role of Diastolic Stress Testing in the Evaluation for Heart Failure With Preserved Ejection Fraction: A Simultaneous Invasive-Echocardiographic Study [J].
Obokata, Masaru ;
Kane, Garvan C. ;
Reddy, Yogesh N. V. ;
Olson, Thomas P. ;
Melenovsky, Vojtech ;
Borlaug, Barry A. .
CIRCULATION, 2017, 135 (09) :825-838
[76]   Incremental Diagnostic Value of LA Strain With Leg Lifts in Heart Failure With Preserved Ejection Fraction [J].
Obokata, Masaru ;
Negishi, Kazuaki ;
Kurosawa, Koji ;
Arima, Hitomi ;
Tateno, Rieko ;
Ui, Goro ;
Tange, Shoichi ;
Arai, Masashi ;
Kurabayashi, Masahiko .
JACC-CARDIOVASCULAR IMAGING, 2013, 6 (07) :749-758
[77]  
Ommen SR, 2000, CIRCULATION, V102, P1788
[78]   Trends in prevalence and outcome of heart failure with preserved ejection fraction [J].
Owan, Theophilus E. ;
Hodge, David O. ;
Herges, Regina M. ;
Jacobsen, Steven J. ;
Roger, Veronique L. ;
Redfield, Margaret M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (03) :251-259
[79]   Heart Failure With Preserved Ejection Fraction in Outpatients With Unexplained Dyspnea A Pressure-Volume Loop Analysis [J].
Penicka, Martin ;
Bartunek, Jozef ;
Trakalova, Helena ;
Hrabakova, Hana ;
Maruskova, Michaela ;
Karasek, Jiri ;
Kocka, Viktor .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2010, 55 (16) :1700-1709
[80]   Diastolic dysfunction in heart failure with preserved systolic function:: Need for objective evidence -: Results from the CHARM echocardiographic Substudy CHARMES [J].
Persson, Hans ;
Lonn, Eva ;
Edner, Magnus ;
Baruch, Lawrence ;
Lang, Chim C. ;
Morton, John J. ;
Ostergren, Jan ;
McKelvie, Robert S. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 49 (06) :687-694