Critical view of diastolic function guidelines: truths and lies
DOI:
https://doi.org/10.37615/retic.n6a3Keywords:
diastolic function, guidelines of diastolic function, echocardiography.Abstract
After the initial experience with invasive studies, pulsed Doppler and other echocardiographic techniques extended the study of the diastole to general practice. The demonstration of cases of heart failure with preserved ejection fraction increased the interest in diastole evaluation. The 2016 Recommendations for evaluation of left ventricular diastolic function is the new update of the practice guidelines for this topic. The new document restores the preponderance of the mitral filling pattern and decreases the role of the annular tissue Doppler and does not include any of the deformation parameters that in 2009 seemed promising. This article discusses the data provided by the new guidelines from the point of view of pathophysiology.
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Folse R, Braunwald E. Determination of fraction of left ventricular volume ejected per beat and of ventricular end-diastolic and residual volumes. Circulation 1962; 25: 674-685. DOI: https://doi.org/10.1161/01.CIR.25.4.674
Mirsky I, Cohn PF, Levine JA. Assessment of left ventricular stiffness in primary myocardial disease and coronary artery disease. Circulation 1974; 50: 128-136. DOI: https://doi.org/10.1161/01.CIR.50.1.128
Appleton CP, Hatle LK, Popp RL. Relation of transmitral flow velocity patterns to left ventricular diastolic function: new insights from a combined hemodynamic and Doppler echocardiographic study. J Am Coll Cardiol 1988; 12: 426-440. DOI: https://doi.org/10.1016/0735-1097(88)90416-0
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. Circulation 2000; 102: 1.788-1.794. DOI: https://doi.org/10.1161/01.CIR.102.15.1788
Gandhi SK, Powers JC, Nomer AM. et.al. The pathogenesis of acute pulmonary edema associated with hypertension. N Eng J Med 2001; 344: 17-22. DOI: https://doi.org/10.1056/NEJM200101043440103
Nagueh SF, Appleton CP, Gillebert TC. et.al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography. Eur J Echo- cardiogr. 2009; 10: 165-193. DOI: https://doi.org/10.1093/ejechocard/jep007
Nishimura RA, Tajik AJ. Evaluation of diastolic filling of left ventricle in health and disease: Doppler Echocardiography is the clinician’s Rosetta Stone. J Am Coll Cardiol 1997; 30: 8-18. DOI: https://doi.org/10.1016/S0735-1097(97)00144-7
Nagueh SF, Smiseth OA, Appleton CP, et.al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: An update frome the American society of echocardiography and the European association of cardiovascular imaging. J Am Soc Echocardiogr 2016; 29: 277-314. DOI: https://doi.org/10.1016/j.echo.2016.01.011
Namba T, Masaki N, Matsuo Y, et.al. Arterial stiffness is significantly associated with left ventricular diastolic disfunction in patients with cardiovascular disease. Int Heart J 2016; 57: 729-735. DOI: https://doi.org/10.1536/ihj.16-112
Opdahl A, Remme EW, Helle-Valle T, et.al. Determinants of left ventricular early-diastolic lengthening velocity. Independent contributions from left ventricular relaxation, restoring forces and lengthening load. Circulation 2009; 119: 2.578-2.586. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.791681
Flachskampf FA, Biering-Sorensen T, Solomon SD, Duvernoy O, Bjemer T, Smiseth OA. Cardiac imaging to evaluate left ventricular diastolic function. J Am Coll Cardiol Img 2015; 8: 1.071-1.093. DOI: https://doi.org/10.1016/j.jcmg.2015.07.004
Sharifov OF, Schiros CG, Aban I, Denney TS, Gupta H. Diagnostic accuracy of tissue Doppler index E/e’ for evaluating left ventricular filling pressure and diastolic dysfunction/heart failure with preserved ejection fraction: a systematic review and metanalysis. J Am Heart Assoc 2016; 5: e002530. DOI: https://doi.org/10.1161/JAHA.115.002530
Andersen OS, Smiseth OA, Dokainish H, et.al. Estimating left ventricular filling pressure by echocardiography. J Am Coll Cardiol 2017; 69: 1.937-1.948.
Reddy JN, Melenovsky V, Redfield MM, Nishimura RA, Borlaug BA. High-Out- put heart failure. A 15-year experience. J Am Coll Cardiol 2016; 68: 473-482. DOI: https://doi.org/10.1016/j.jacc.2016.05.043
Galie N, Humbert M, Vachiery M, et.al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The joint task force for the diagnosis and treatment of pulmonary hypertension of the european society of cardiology and the european respiratory society: endorsed by: association for european paedriatic and congenital cardiology, international society for heart and lung transplantation. Eur Heart J 2016; 37: 67-119. DOI: https://doi.org/10.1093/eurheartj/ehv317
Mitter SS, Shah SJ, Thomas JD. A test in context. E/A and E/E’ to assess diastolic dysfunction and LV filling pressure. J Am Coll Cardiol 2017; 69: 1.451-1.464.
Opdahl A, Remme EW, Helle-Valle T, Edvardsen T, Smiseth OA. Myocardial relaxation, restoring forces and early-diastolic load are independent determinants of left ventricular untwisting rate. Circulation 2012; 126: 1.441-1.451. DOI: https://doi.org/10.1161/CIRCULATIONAHA.111.080861
Marino P, Little WC, Rossi A, et.al. Can left ventricular diastolic stiffness be measured noninvasively? J Am Soc Echocardiogr 2002; 15: 935-943. DOI: https://doi.org/10.1067/mje.2002.121196
Gayat E, Mor-Avi V, Weinert L, Shah SJ, Yodwut Ch, Lang RM. Noninvasive estimation of left ventricular compliance using three-dimensional echocardiography. J Am Soc Echocardiogr 2012; 25: 661-666. DOI: https://doi.org/10.1016/j.echo.2012.03.004
Rommel KP, Von Roeder M, Latuscynski K, et.al. Extracellular Volume fraction for characterization of patients with heart failure and preserved ejection fraction. J Am Coll Cardiol 2016; 67: 1.815-1.825. DOI: https://doi.org/10.1016/j.jacc.2016.02.018
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Copyright (c) 2017 José Francisco Forteza, Marta Noris
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