Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc...

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Can We Predict Clinical Outcome in HFrEF Based on LV Global Longitudinal Strain? I.A. Paraskevaidis

Transcript of Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc...

Page 1: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

Can We Predict Clinical Outcome inHFrEF Based on LV Global

Longitudinal Strain?

I.A. Paraskevaidis

Page 2: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

I have no Conflict of Interest

Page 3: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

ESC Guidelines, EHJ, 2016

ESC GUIDELINES, 2016

E. Potter et al. J Am Coll Cardiol Img 2018;11:260–74

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Variability EF vs. GLS

A.L. Crowley et al. JASE 2016;29:1144-54.) T. Stanton et al. Circ Cardiovasc Imaging. 2009;2:356-364

Page 5: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

S.Mak et al,. JASE 2012;25:341-8

Cardiac Function

S.Mak et al. J Am Soc Echocardiogr 2012;25:341-8T. Stanton et al. Circ Cardiovasc Imaging. 2009;2:356-364

Page 6: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

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

Cardiology 2008 ;124:64–71

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S.Mak et al,. JASE 2012;25:341-8

Cardiac Function

I.A.Paraskevaidis et al. Am J Cardiol 2008; 102:1225–1229

Page 8: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

G-Y Cho et al. J Am Coll Cardiol 2009;54:618–24

Global 2-Dimensional Strain as a NewPrognosticator in Pts With HF

H. Motoki et al. J Am Coll Cardiol 2012;60:2074–81

Page 9: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

H. Motoki et al. J Am Coll Cardiol 2012;60:2074–81

LV GLS and LVEF in HFrEF

Page 10: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

Multidimensional Cardiac Deformation Predict Functional Capacity in pts with Advanced Systolic HF

Paraskevaidis I et al,. International J Cardiology 2014;176:1438–1440

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M.Sengeløv et al. JACC Cardiovasc Imaging. 2015 Dec;8(12):1351-1359

GLS Is a Superior Predictor of All-Cause Mortality in HFrEF

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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

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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

Page 14: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

Paraskevaidis I et al JASE 2017 , doi: 10.1016/j.echo.2017.07.010

Following ChemotherapyTherapeutic Guidance

1-mo

3-mo

1-year

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In-Chang Hwang et al J Am Soc Echocardiogr 2018;31:52-63

In LBBB In AS

NS

Arnold C.T. Ng et al. EHJ - Cardiovascular Imaging , 2017, 0, 1–9

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E. Potter et al. J Am Coll Cardiol Img 2018;11:260–74

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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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EACVI NORRE study EHJ - Cardiovascular Imaging ;2017: 0, 1–8

C. Zito et al. Biomed Res Int. 2018 Dec 5;2018:8979407 Expert consensus. EHJ – Cardiovascular Imaging 2014; 15: 1063–1093

Page 20: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental

Conclusion

Page 21: Can We Predict Clinical Outcome in HFrEF Based on LV ... · Makoto Saito et al. J Am Soc Echocardiogr 2015;28:652-66. GLS and long-term risk of incident HF GLS provided incremental