Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc...
Transcript of Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc...
Can We Predict Clinical Outcome inHFrEF Based on LV Global
Longitudinal Strain?
I.A. Paraskevaidis
I have no Conflict of Interest
ESC Guidelines, EHJ, 2016
ESC GUIDELINES, 2016
E. Potter et al. J Am Coll Cardiol Img 2018;11:260–74
Variability EF vs. GLS
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Cardiac Function
S.Mak et al. J Am Soc Echocardiogr 2012;25:341-8T. Stanton et al. Circ Cardiovasc Imaging. 2009;2:356-364
Right ventricle
TA velocities >11,5 cm/s suggests ΚΕ 45%
IVC < 2.52 m/s2 prognostic index of death
Pulse Tissue Doppler Imaging
I. Paraskevaidis et al. Am J Cardiol 2007;100:1677–1682I. Paraskevaidis et al. JASE 2006;19:249-254I.Paraskevaidis et al International J
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Cardiac Function
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Global 2-Dimensional Strain as a NewPrognosticator in Pts With HF
H. Motoki et al. J Am Coll Cardiol 2012;60:2074–81
H. Motoki et al. J Am Coll Cardiol 2012;60:2074–81
LV GLS and LVEF in HFrEF
Multidimensional Cardiac Deformation Predict Functional Capacity in pts with Advanced Systolic HF
Paraskevaidis I et al,. International J Cardiology 2014;176:1438–1440
M.Sengeløv et al. JACC Cardiovasc Imaging. 2015 Dec;8(12):1351-1359
GLS Is a Superior Predictor of All-Cause Mortality in HFrEF
Association of LV Strain with 30-DayMortality and Readmission in Patients with HF
Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66
GLS and long-term risk of incident HF
GLS provided incremental prognostic information beyond the Framingham Risk Score, the SCORE risk chart and the modified ACC/AHA Pooled Cohort Equation for the composite outcome and incident HF.
Tor Biering-Sørensen et al. Circ Cardiovasc Imaging. 2017 March ; 10(3
Paraskevaidis I et al JASE 2017 , doi: 10.1016/j.echo.2017.07.010
Following ChemotherapyTherapeutic Guidance
1-mo
3-mo
1-year
In-Chang Hwang et al J Am Soc Echocardiogr 2018;31:52-63
In LBBB In AS
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Arnold C.T. Ng et al. EHJ - Cardiovascular Imaging , 2017, 0, 1–9
E. Potter et al. J Am Coll Cardiol Img 2018;11:260–74
Additional Prognostic Value of RV GLS for Prediction of Survival in HFrEF
A Comparative Study With CMR
L. Houard et al. JACC Img 2019 Feb 11. pii: S1936-878X(19)30052-X.H. Motoki et al. J Am Soc Echocardiogr 2014;27:726-32
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Conclusion