Left atrial strain improves estimation of filling pressures in heart failure: a simultaneous echocardiographic and invasive haemodynamic study.
Aged
Atrial Function, Left
Atrial Pressure
Biomechanical Phenomena
Cardiac Pacing, Artificial
Catheterization, Swan-Ganz
Echocardiography, Doppler
Exercise Test
Female
Heart Failure
/ diagnosis
Hemodynamics
Humans
Male
Middle Aged
Predictive Value of Tests
Prognosis
Prospective Studies
Pulmonary Wedge Pressure
Ventricular Function, Left
Ventricular Pressure
Diastolic pressures
Exercise
Invasive
Left atrial strain
Non-invasive
Journal
Clinical research in cardiology : official journal of the German Cardiac Society
ISSN: 1861-0692
Titre abrégé: Clin Res Cardiol
Pays: Germany
ID NLM: 101264123
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
22
09
2018
accepted:
28
11
2018
pubmed:
12
12
2018
medline:
20
12
2019
entrez:
12
12
2018
Statut:
ppublish
Résumé
Left ventricular diastolic pressure estimation is essential for characterization of heart failure (HF). Patients with normal resting left atrial (LA) pressures (LAP), but steep LAP elevation on exertion, pose a particular diagnostic challenge. Current recommendations on echocardiographic LAP estimation have limited accuracy. Our aim was to investigate whether LA mechanical alterations assessed by LA strain (LA-GS) can contribute to non-invasive LAP diagnostics. Simultaneous echocardiographic and right heart catheterization (RHC) data at rest and during exercise was analyzed in 164 prospectively enrolled patients, referred for RHC due to HF symptoms. 56% had preserved ejection fraction (pEF). At rest, 97 patients displayed elevated mean pulmonary arterial wedge pressure (PAWP LA-GS comprises a robust method for PAWP
Identifiants
pubmed: 30536044
doi: 10.1007/s00392-018-1399-8
pii: 10.1007/s00392-018-1399-8
pmc: PMC6529379
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
703-715Subventions
Organisme : Vetenskapsrådet
ID : 2013-23897-104604-23
Organisme : Vetenskapsrådet
ID : 523-2014-2336
Organisme : Hjärt-Lungfonden
ID : 20120321
Organisme : Hjärt-Lungfonden
ID : 20150557
Organisme : Stockholms Läns Landsting
ID : 20110120
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