Increased preload and echocardiographic assessment of diastolic function.
diastolic dysfunction
diastolic function
echocardiography
hemodialysis
preload
tissue Doppler imaging
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
Sep 2024
Sep 2024
Historique:
revised:
07
08
2024
received:
27
05
2024
accepted:
21
08
2024
medline:
3
9
2024
pubmed:
3
9
2024
entrez:
3
9
2024
Statut:
ppublish
Résumé
Echocardiographic diastolic parameters are used to diagnose and monitor increased left ventricular filling pressure (LVFP) and we hypothesized that increased loading conditions cause increased E/e'. Our aim was to assess the effect of preload augmentation on diastolic parameters among both healthy subjects and subjects with known cardiac disease. We included 129 subjects merged from two cohorts; one dialysis cohort (n = 47) and one infusion cohort (n = 82). Echocardiography was performed immediately before and after hemodialysis (HD) or saline infusion, under low and high loading conditions. Elevated LVFP was defined as septal E/e' ≥ 15 and/or lateral E/e' ≥ 13 at high-loading conditions. The population was divided according to elevated LVFP (n = 31) and normal LVFP (n = 98). The load difference for the population was 972 ± 460 mL, with no differences in load difference between elevated and normal LVFP (p NS). The subjects with elevated LVFP were older (63 ± 11 vs. 46 ± 16 years, p < .001), and had lower LV ejection fraction (50 ± 14 vs. 59 ± 8.1%, p < .01). After augmented preload, EDV increased in the normal LVFP group (p < .01) but remained unchanged in the elevated LVFP group (p NS). Both E and e' increased among the subjects with normal LVFP, whereas E/e' remained unchanged (∆E/e' +.1 [-.5-1.2]), p NS). Among the subjects with elevated, LVFP we observed increased E but not e', resulting in significantly increased E/e' (∆ average E/e' +2.4 [0-4.0], p < .01). Augmented preload does not seem to affect E/e' among subjects with normal LVFP, whereas E/e' seems to increase significantly among subjects with elevated LVFP.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e15917Informations de copyright
© 2024 The Author(s). Echocardiography published by Wiley Periodicals LLC.
Références
Redfield MM, Jacobsen SJ, Burnett JC Jr, Mahoney DW, Bailey KR, Rodeheffer RJ. Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic. JAMA. 2003;289(2):194‐202.
Smiseth OA, Morris DA, Cardim N, et al. Multimodality imaging in patients with heart failure and preserved ejection fraction: an expert consensus document of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2022;23(2):e34‐e61.
Paulus WJ, Tschöpe C, Sanderson JE, et al. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the Heart Failure and Echocardiography Associations of the European Society of Cardiology. Eur Heart J. 2007;28(20):2539‐2550.
Nagueh SF, Smiseth OA, Appleton CP, et al. 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. Eur Heart J Cardiovasc Imaging. 2016;17(12):1321‐1360.
Nagueh SF, Appleton CP, Gillebert TC, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. Eur J Echocardiog. 2009;10(2):165‐193.
Nagueh SF, Middleton KJ, Kopelen HA, Zoghbi WA, Quiñones MA. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol. 1997;30(6):1527‐1533.
Sohn DW, Chai IH, Lee DJ, et al. Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol. 1997;30(2):474‐480.
Cheung AK, Sarnak MJ, Yan G, et al. Cardiac diseases in maintenance hemodialysis patients: results of the HEMO Study. Kidney Int. 2004;65(6):2380‐2389.
Lang RM, Badano LP, Mor‐Avi V, et al. 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. 2015;28(1):1‐39.e14.
Du Bois D, Du Bois EF. A formula to estimate the approximate surface area if height and weight be known. 1916. Nutrition. 1989;5(5):303‐311.
Devereux RB. Detection of left ventricular hypertrophy by M‐mode echocardiography. Anatomic validation, standardization, and comparison to other methods. Hypertens. 1987;9(2 Pt 2):II19‐II26.
Lancellotti P, Galderisi M, Edvardsen T, et al. Echo‐Doppler estimation of left ventricular filling pressure: results of the multicentre EACVI Euro‐Filling study. Eur Heart J Cardiovasc Imaging. 2017;18(9):961‐968.
Opdahl A, Remme EW, Helle‐Valle T, et al. Determinants of left ventricular early‐diastolic lengthening velocity. Circulation. 2009;119(19):2578‐2586.
Nagueh SF, Sun H, Kopelen HA, Middleton KJ, Khoury DS. Hemodynamic determinants of the mitral annulus diastolic velocities by tissue Doppler. J Am Coll Cardiol. 2001;37(1):278‐285.
Firstenberg MS, Greenberg NL, Main ML, et al. Determinants of diastolic myocardial tissue Doppler velocities: influences of relaxation and preload. J Appl Physiol. 2001;90(1):299‐307.
Graham RJ, Gelman JS, Donelan L, Mottram PM, Peverill RE. Effect of preload reduction by haemodialysis on new indices of diastolic function. Clin Sci Lond Engl. 2003;105(4):499‐506.
Hart E, Shave R, Middleton N, George K, Whyte G, Oxborough D. Effect of preload augmentation on pulsed wave and tissue Doppler echocardiographic indices of diastolic function after a marathon. J Am Soc Echocardiogr. 2007;20(12):1393‐1399.
Caiani EG, Weinert L, Takeuchi M, et al. Evaluation of alterations on mitral annulus velocities, strain, and strain rates due to abrupt changes in preload elicited by parabolic flight. J Appl Physiol. 2007;103(1):80‐87.
Firstenberg MS, Levine BD, Garcia MJ, et al. Relationship of echocardiographic indices to pulmonary capillary wedge pressures in healthy volunteers. J Am Coll Cardiol. 2000;36(5):1664‐1669.
Ayala S, Badakhsh O, Li D, Fleming NW. The effects of an IV fluid bolus on mitral annular velocity and the assessment of diastolic function: a prospective non‐randomized study. BMC Anesthesiol. 2024;24(1):117.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10964498/
Hasegawa H, Little WC, Ohno M, et al. Diastolic mitral annular velocity during the development of heart failure. J Am Coll Cardiol. 2003;41(9):1590‐1597.
Andersen OS, Smiseth OA, Dokainish H, et al. Estimating left ventricular filling pressure by echocardiography. J Am Coll Cardiol. 2017;69(15):1937‐1948.
Tan TS, Akbulut IM, Demirtola AI, et al. LA reservoir strain: a sensitive parameter for estimating LV filling pressure in patients with preserved EF. Int J Cardiovasc Imaging. 2021;37(9):2707‐2716.
Balaney B, Medvedofsky D, Mediratta A, et al. Invasive validation of the echocardiographic assessment of left ventricular filling pressures using the 2016 diastolic guidelines: head‐to‐head comparison with the 2009 guidelines. J Am Soc Echocardiogr. 2018;31(1):79‐88.
Ersbøll M, Raja AA, Warming PE, et al. Changes in left ventricular filling parameters before and after dialysis in patients with end stage renal disease. Int J Cardiovasc Imaging. 2019;35(9):1673‐1681.
Ommen SR, Nishimura RA, Appleton CP, et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler‐catheterization study. Circulation. 2000;102(15):1788‐1794.
Galderisi M, Rapacciuolo A, Esposito R, et al. Site‐dependency of the E/e′ ratio in predicting invasive left ventricular filling pressure in patients with suspected or ascertained coronary artery disease. Eur Heart J Cardiovasc Imaging. 2013;14(6):555‐561.
Sabatier C, Monge I, Maynar J, Ochagavia A. Valoración de la precarga y la respuesta cardiovascular al aporte de volumen [Assessment of cardiovascular preload and response to volume expansion]. Med Intensiva. 2012;36(1):45‐55.
Venkateshvaran A, Lindqvist P. Mitral E‐wave to stroke volume ratio displays stronger diagnostic performance to identify elevated left ventricular filling pressures than mitral E/e′ during passive leg lift: a cross‐sectional study employing simultaneous echocardiography and catheterization. Echocardiography. 2024;41(2):e15756.
Murayama M, Iwano H, Nishino H, et al. Simple two‐dimensional echocardiographic scoring system for the estimation of left ventricular filling pressure. J Am Soc Echocardiogr. 2021;34(7):723‐734.
Yamada H, Kusunose K, Nishio S, et al. Pre‐load stress echocardiography for predicting the prognosis in mild heart failure. JACC Cardiovasc Imaging. 2014;7(7):641‐649.
Johansen LB, Bie P, Warberg J, et al. Hemodilution, central blood volume, and renal responses after an isotonic saline infusion in humans. Am J Physiol. 1997;272(2 Pt 2):R549‐R556.
Malik J, Lachmanova J, Kudlicka J, et al. Left atrial dysfunction in end‐stage renal disease patients treated by hemodialysis. Nephron. 2016;133(3):169‐174.
Mitsnefes MM, Kimball TR, Witt SA, Glascock BJ, Khoury PR, Daniels SR. Left ventricular mass and systolic performance in pediatric patients with chronic renal failure. Circulation. 2003;107(6):864‐868.
Abe K, Yuda S, Sato Y, et al. Intervendor variabilities of left and right ventricular myocardial velocities among three tissue Doppler echocardiography systems. Echocardiogr. 2015;32(12):1790‐1801.
Patey O, Carvalho JS, Thilaganathan B. Intervendor discordance of fetal and neonatal myocardial tissue doppler and speckle‐tracking measurements. J Am Soc Echocardiogr. 2019;32(10):1339‐1349.e23.