Echocardiographic L-wave as a prognostic indicator in transcatheter aortic valve replacement.
Aged
Aged, 80 and over
Aortic Valve
/ diagnostic imaging
Aortic Valve Stenosis
/ diagnostic imaging
Diastole
Echocardiography, Doppler, Pulsed
Female
Hemodynamics
Humans
Male
Predictive Value of Tests
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Transcatheter Aortic Valve Replacement
/ adverse effects
Treatment Outcome
Ventricular Function, Left
Aortic stenosis
Diastolic dysfunction
L-wave
TAVR
Journal
The international journal of cardiovascular imaging
ISSN: 1875-8312
Titre abrégé: Int J Cardiovasc Imaging
Pays: United States
ID NLM: 100969716
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
18
02
2020
accepted:
26
05
2020
pubmed:
20
6
2020
medline:
29
9
2020
entrez:
20
6
2020
Statut:
ppublish
Résumé
This study applies L-wave measurements of mid-diastolic trans-mitral flow. Although considered to be a marker of elevated filling pressure or delayed myocardial relaxation, its clinical and prognostic value is yet to be completely elucidated. It has been shown that transcatheter aortic valve replacement (TAVR) induces reverse remodeling and improves diastolic function and prognosis in patients with severe aortic stenosis (AS). Our purpose was to evaluate the prognostic value of L-wave following TAVR. We examined clinical and echocardiographic data of patients undergoing TAVR. L-Wave presence and velocity were recorded at baseline and at 1 month and 6 months following TAVR. The effect of the procedure on L-wave measurements and its impact on mortality and other clinical outcomes were analyzed. A total of 502 patients (mean age 82.58 ± 5.9) undergoing TAVR were included. Patients with baseline L-wave (n = 68, 12%) had a smaller stroke volume index by 5.7 ± 2.3 ml/m
Identifiants
pubmed: 32556718
doi: 10.1007/s10554-020-01903-8
pii: 10.1007/s10554-020-01903-8
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1897-1905Références
Little WC, Warner JG, Rankin KM et al (1998) Evaluation of left ventricular diastolic function from the pattern of left ventricular filling. Clin Cardiol 21:5–9
doi: 10.1002/clc.4960210102
Kerut EK (2008) The mitral L-wave: a relatively common but ignored useful finding. Echocardiography 25:548–550. https://doi.org/10.1111/j.1540-8175.2007.00626.x
doi: 10.1111/j.1540-8175.2007.00626.x
pubmed: 18279403
Ha J-W, Oh JK, Redfield MM et al (2004) Triphasic mitral inflow velocity with middiastolic filling: clinical implications and associated echocardiographic findings. J Am Soc Echocardiogr 17:428–431. https://doi.org/10.1016/j.echo.2004.02.007
doi: 10.1016/j.echo.2004.02.007
pubmed: 15122181
Lam CSP, Han L, Ha J-W et al (2005) The mitral L wave: A marker of pseudonormal filling and predictor of heart failure in patients with left ventricular hypertrophy. J Am Soc Echocardiogr 18:336–341. https://doi.org/10.1016/j.echo.2004.10.019
doi: 10.1016/j.echo.2004.10.019
pubmed: 15846161
Oh JK, Hatle L, Tajik AJ, Little WC (2006) Diastolic heart failure can be diagnosed by comprehensive two-dimensional and Doppler echocardiography. J Am Coll Cardiol 47:500–506. https://doi.org/10.1016/j.jacc.2005.09.032
doi: 10.1016/j.jacc.2005.09.032
pubmed: 16458127
Ghosh E, Caruthers SD, Kovács SJ (2014) E-wave generated intraventricular diastolic vortex to L-wave relation: model-based prediction with in vivo validation. J Appl Physiol 117:316–324. https://doi.org/10.1152/japplphysiol.00215.2014
doi: 10.1152/japplphysiol.00215.2014
pubmed: 24903922
Keren G, Meisner JS, Sherez J et al (1986) Interrelationship of mid-diastolic mitral valve motion, pulmonary venous flow, and transmitral flow. Circulation 74:36–44. https://doi.org/10.1161/01.CIR.74.1.36
doi: 10.1161/01.CIR.74.1.36
pubmed: 3708776
Masai K, Mano T, Goda A et al (2018) Correlates and prognostic values of appearance of L wave in heart failure patients with preserved vs. Reduced ejection fraction. Circul J 82:2311–2316. https://doi.org/10.1253/circj.CJ-18-0417
doi: 10.1253/circj.CJ-18-0417
Oh JK, Park S-J, Nagueh SF (2011) Established and novel clinical applications of diastolic function assessment by echocardiography. Circulation 4:444–455. https://doi.org/10.1161/CIRCIMAGING.110.961623
doi: 10.1161/CIRCIMAGING.110.961623
pubmed: 21772012
Kampaktsis PN, Kokkinidis DG, Wong S-C et al (2017) The role and clinical implications of diastolic dysfunction in aortic stenosis. Heart 103:1481–1487. https://doi.org/10.1136/heartjnl-2017-311506
doi: 10.1136/heartjnl-2017-311506
pubmed: 28684437
Voigtländer L, Seiffert M (2018) Expanding TAVI to low and intermediate risk patients. Front Cardiovasc Med. https://doi.org/10.3389/fcvm.2018.00092
doi: 10.3389/fcvm.2018.00092
pubmed: 30050909
pmcid: 6052659
Puri R, Iung B, Cohen DJ, Rodés-Cabau J (2016) TAVI or No TAVI: identifying patients unlikely to benefit from transcatheter aortic valve implantation. Eur Heart J 37:2217–2225. https://doi.org/10.1093/eurheartj/ehv756
doi: 10.1093/eurheartj/ehv756
pubmed: 26819226
Poulin F, Carasso S, Horlick EM et al (2014) Recovery of left ventricular mechanics after transcatheter aortic valve implantation: effects of baseline ventricular function and postprocedural aortic regurgitation. J Am Soc Echocardiogr 27:1133–1142. https://doi.org/10.1016/j.echo.2014.07.001
doi: 10.1016/j.echo.2014.07.001
pubmed: 25125314
Nagueh SF, Smiseth OA, Appleton CP et al (2016) Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 29:277–314. https://doi.org/10.1016/j.echo.2016.01.011
doi: 10.1016/j.echo.2016.01.011
pubmed: 27037982
Lang RM, Badano LP, Mor-Avi V et al (2015) Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 28:1–39.e14. https://doi.org/10.1016/j.echo.2014.10.003
doi: 10.1016/j.echo.2014.10.003
Ha J, Ahn J, Moon J et al (2006) Triphasic mitral inflow velocity with mid-diastolic flow: the presence of mid-diastolic mitral annular velocity indicates advanced diastolic dysfunction☆. Eur J Echocardiogr 7:16–21. https://doi.org/10.1016/j.euje.2005.03.007
doi: 10.1016/j.euje.2005.03.007
pubmed: 16378917
Athappan G, Patvardhan E, Tuzcu EM et al (2013) Incidence, predictors, and outcomes of aortic regurgitation after transcatheter aortic valve replacement: meta-analysis and systematic review of literature. J Am Coll Cardiol 61:1585–1595. https://doi.org/10.1016/j.jacc.2013.01.047
doi: 10.1016/j.jacc.2013.01.047
pubmed: 23500308
From pressure overload to volume overload: aortic regurgitation after transcatheter aortic valve implantation. - PubMed - NCBI. https://www.ncbi.nlm.nih.gov/pubmed/22709742 . Accessed 9 Feb 2019
Nadruz W, Claggett B, Gonçalves A et al (2016) Smoking and cardiac structure and function in the elderly: the ARIC Study (Atherosclerosis Risk in Communities). Circ Cardiovasc Imaging 9:e004950. https://doi.org/10.1161/CIRCIMAGING.116.004950
doi: 10.1161/CIRCIMAGING.116.004950
pubmed: 27625349
pmcid: 5193104
Ferrara F, Rudski LG, Vriz O et al (2016) Physiologic correlates of tricuspid annular plane systolic excursion in 1168 healthy subjects. Int J Cardiol 223:736–743. https://doi.org/10.1016/j.ijcard.2016.08.275
doi: 10.1016/j.ijcard.2016.08.275
pubmed: 27573598
Fang F, Zhang Q, Chan JYS et al (2011) Deleterious effect of right ventricular apical pacing on left ventricular diastolic function and the impact of pre-existing diastolic disease. Eur Heart J 32:1891–1899. https://doi.org/10.1093/eurheartj/ehr118
doi: 10.1093/eurheartj/ehr118
pubmed: 21531741
Mohananey D, Jobanputra Y, Kumar A et al (2017) Clinical and echocardiographic outcomes following permanent pacemaker implantation after transcatheter aortic valve replacement. Circulation 10:e005046. https://doi.org/10.1161/CIRCINTERVENTIONS.117.005046
doi: 10.1161/CIRCINTERVENTIONS.117.005046
pubmed: 28698290
Töger J, Kanski M, Carlsson M et al (2012) Vortex ring formation in the left ventricle of the heart: analysis by 4D flow MRI and lagrangian coherent structures. Ann Biomed Eng 40:2652–2662. https://doi.org/10.1007/s10439-012-0615-3
doi: 10.1007/s10439-012-0615-3
pubmed: 22805980
Kovács SJ (2015) Diastolic function in heart failure. Clin Med Insights. https://doi.org/10.4137/CMC.S18743
doi: 10.4137/CMC.S18743
Kim S-A, Son J, Shim C-Y et al (2017) Long-term outcome of patients with triphasic mitral flow with a mid-diastolic L wave: prognostic role of left atrial volume and N-terminal pro-brain natriuretic peptide. Int J Cardiovasc Imaging 33:1377–1384. https://doi.org/10.1007/s10554-017-1122-2
doi: 10.1007/s10554-017-1122-2
pubmed: 28349264
Su H-M, Lin T-H, Hsu P-C et al (2013) Incremental prognostic value of identifying mitral L wave in patients with atrial fibrillation. Int J Cardiol 168:4501–4503. https://doi.org/10.1016/j.ijcard.2013.06.118
doi: 10.1016/j.ijcard.2013.06.118
pubmed: 23871343
Nakai H, Takeuchi M, Nishikage T et al (2007) The mitral L wave: a marker of advanced diastolic dysfunction in patients with atrial fibrillation. Circ J 71:1244–1249
doi: 10.1253/circj.71.1244
Davies C, Zerebiec K, Rożanowska A et al (2018) Is left ventricular hypertrophy a friend or foe of patients with aortic stenosis? Adv Interv Cardiol 14:328–337. https://doi.org/10.5114/aic.2018.78734
doi: 10.5114/aic.2018.78734
Kayama S, Aratake S, Sawamura S et al (2013) Medium and long-term prognosis of transcatheter aortic valve implantation from the perspective of left ventricular diastolic function. Cardiol J. https://doi.org/10.5603/CJ.a2018.0005
doi: 10.5603/CJ.a2018.0005
Muratori M, Fusini L, Tamborini G et al (2016) Sustained favourable haemodynamics 1 year after TAVI: improvement in NYHA functional class related to improvement of left ventricular diastolic function. Eur Heart J 17:1269–1278. https://doi.org/10.1093/ehjci/jev306
doi: 10.1093/ehjci/jev306
Kramer J, Biner S, Ghermezi M et al (2017) Impact of left ventricular filling parameters on outcome of patients undergoing trans-catheter aortic valve replacement. Eur Heart J Cardiovasc Imaging 18:304–314. https://doi.org/10.1093/ehjci/jew097
doi: 10.1093/ehjci/jew097
pubmed: 27166025
Suzuki-Eguchi N, Murata M, Itabashi Y et al (2018) Prognostic value of pre-procedural left ventricular strain for clinical events after transcatheter aortic valve implantation. PLoS ONE 13:e0205190. https://doi.org/10.1371/journal.pone.0205190
doi: 10.1371/journal.pone.0205190
pubmed: 30308001
pmcid: 6181329
Maayan K, Simon B, Yan T et al (2014) Predictors of improvement in diastolic function after transcatheter aortic valve implantation. J Echocardiogr 12:17–23. https://doi.org/10.1007/s12574-013-0195-8
doi: 10.1007/s12574-013-0195-8
pubmed: 27278912
Broyd CJ, Rigo F, Nijjer S et al (2018) Regression of left ventricular hypertrophy provides an additive physiological benefit following treatment of aortic stenosis: Insights from serial coronary wave intensity analysis. Acta Physiol 224:e13109. https://doi.org/10.1111/apha.13109
doi: 10.1111/apha.13109