Evaluation of right heart function in heart failure patients using strain imaging and three-dimensional echocardiography

2019 ◽  
Vol 3 (2) ◽  
pp. 317
Author(s):  
GehanE Youssof ◽  
AmalM Hamdy ◽  
LaylaA Mohamed ◽  
NadiaA Agiba
Keyword(s):  
Heart Failure ◽  
Heart Function ◽  
Three Dimensional ◽  
Strain Imaging ◽  
Right Heart ◽  
Heart Failure Patients ◽  
Right Heart Function ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

scholarly journals Right Heart Function Prediction of Outcome in Heart Failure Patients After Catheter Ablation for Recurrent Ventricular Tachycardia

2013 ◽  
Vol 1 (4) ◽  
pp. 281-289 ◽  
Author(s):  
Amaar Ujeyl ◽  
Keiichi Inada ◽  
Katja Hillmann ◽  
Peter Wohlmuth ◽  
Mahoto Kato ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ventricular Tachycardia ◽  
Catheter Ablation ◽  
Heart Function ◽  
Function Prediction ◽  
Prediction Of Outcome ◽  
Right Heart ◽  
Heart Failure Patients ◽  
Right Heart Function

scholarly journals Three dimensional echocardiography documents haemodynamic improvement by biventricular pacing in patients with severe heart failure

Heart ◽  
2001 ◽  
Vol 85 (5) ◽  
pp. 514-520
Author(s):  
W Y Kim ◽  
P Søgaard ◽  
P T Mortensen ◽  
H Kjærulf Jensen ◽  
A Kirstein Pedersen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Biventricular Pacing ◽  
Three Dimensional ◽  
Left Ventricular ◽  
Walking Distance ◽  
Short Term ◽  
Bundle Branch Block ◽  
Patients With Heart Failure ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

OBJECTIVESTo quantify the short term haemodynamic effects of biventricular pacing in patients with heart failure and left bundle branch block by using three dimensional echocardiography.DESIGNThree dimensional echocardiography was performed in 15 consecutive heart failure patients (New York Heart Association functional class III or IV) with an implanted biventricular pacing system. Six minute walk tests were performed to investigate the effect of biventricular pacing on exercise capacity. Data were acquired at sinus rhythm and after short term (2–7 days) biventricular pacing.RESULTSCompared with baseline values, biventricular pacing significantly reduced left ventricular end diastolic volume (EDV) by mean (SD) 4.0 (5.1)% (p < 0.01) and end systolic volume (ESV) by 5.6 (6.4)% (p < 0.02). Mitral regurgitant fraction was significantly reduced by 11 (12.1)% (p < 0.003) and forward stroke volume (FSV) increased by 13.9 (18.6)% (p < 0.02). Exercise capacity was significantly improved with biventricular pacing by 48.4 (43.3)% (p < 0.00001). Regression analyses showed that the percentage increase in FSV independently predicted percentage improvement in walking distance (r2 = 0.73, p < 0.0002). Both basal QRS duration and QRS narrowing predicted pacing efficacy, showing a significant correlation with %ΔEDV, %ΔESV, and %ΔFSV.CONCLUSIONSIn five of 15 consecutive patients with heart failure and left bundle branch block, biventricular pacing induced a more than 15% increase in FSV, which predicted a more than 25% increase in walking distance and was accompanied by an immediate reduction in left ventricular chamber size and mitral regurgitation.

Three-dimensional echocardiography in acute heart failure: Can and should we do it in the emergency department?

2018 ◽  
Vol 35 (5) ◽  
pp. 692-694
Author(s):  
Sajith Matthews ◽  
Phillip D. Levy ◽  
Mark Favot ◽  
Laura Gowland ◽  
Aiden Abidov
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Acute Heart Failure ◽  
Three Dimensional ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

Three-Dimensional Echocardiography of Right Heart Pathology

1998 ◽  
Vol 15 (8) ◽  
pp. 795-806 ◽  
Author(s):  
ARA SADANIANTZ ◽  
DOUGLAS BURTT ◽  
NAVIN C. NANDA ◽  
ZHIAN LI
Keyword(s):  
Three Dimensional ◽  
Right Heart ◽  
Heart Pathology ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

P2473Non-invasive assessment of central venous pressure in heart failure: comparing three-dimensional echocardiography and Swan-Ganz catheter

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
T Szymczyk ◽  
L J Paluszkiewicz ◽  
A Costard-Jaeckle ◽  
V Rudolph ◽  
J F Gummert ◽  
...  
Keyword(s):  
Heart Failure ◽  
Inferior Vena ◽  
Venous Pressure ◽  
Three Dimensional ◽  
Vena Cava ◽  
Right Heart Catheterization ◽  
Heart Catheterization ◽  
Right Heart ◽  
Cross Sectional ◽  
Dimensional Echocardiography

Abstract Background Assessing hemodynamics, in particular central venous pressure (CVP) is essential in heart failure diagnostics, leading individual therapy. Hereby, invasive measurement through Swan-Ganz right heart catheterization (RHC) is considered gold standard for patient evaluation, but catheterization implies risks of invasiveness including bleeding, infection, vessel and nerve injury, as well as patient discomfort. Non-invasive methods are warranted, but no alternative technique is validated yet. Two-dimensional echocardiography (2DE) is believed to be uncertain in this approach as vena cava often shows ellipse-shapes. Therefore, this study sought to investigate standardized and breathing corrected three-dimensional inferior vena cava echocardiography (3DE) to directly compare CVP with right heart catheterization. Methods and results We prospectively included 100 consecutive heart failure patients in this study (mean age 53±12 years, body mass index 27±5, New York Heart Association functional class 2.3±0.6, left ventricular ejection fraction 34.1±12.8%, brain natriuretic peptide 658.13±974.03, 76% male), all underwent Swan-Ganz right-heart catheterization and immediately both 2DE and 3DE (Philips EPIQ 7G) of inferior vena cava. From two-dimensional data the diameter of IVC was measured perpendicularly in long and short-axis. From 3DE data a cross-sectional image of IVC was reconstructed for both vertical and horizontal diameters of IVC as well as the area of IVC. Established 2DE images revealed mean vena cava sizes of 15.9±5.9 mm, while standardized cross-sectional breathing corrected 3DE images showed diameters of 19.8±7.8 mm in longitudinal axis and 15.74±7.8 in short axis. RHC mean CVP was 9.00±5.4 mmHg and correlation of CVP and 2DE measurements failed adequate correlation (2DE 95% CI 0.19–1.61; r=0.25; p=0.312). However, 3DE axis ratio assessment correlated well with invasive CVP and showed reproducible results (3DE 95% CI 0.26–0.69; r=0.89; p<0.01). This resulted for a CVP cut point of 10 mmHg in a 89% true negative and 50% true positive correct detection. Conclusions Standardized 3DE correlates well with invasive CVP while established 2DE usual care assessment does not show reliable CVP correlation. 3DE CVP assessment may represent a more feasible and easily applicable method for CVP measurement, including absence for risks of right heart catheterization. Further studies are ongoing to validate these findings in the future.

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