Overview of echocardiographic parameters in the diagnostics of heart failure with preserved ejection fraction of the left ventricle

Czech version

Authors: M. Špinarová ¹; J. Meluzín ^1,2; L. Špinarová ¹
Authors‘ workplace: I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně ¹; Mezinárodní centrum klinického výzkumu, FN u sv. Anny v Brně ²
Published in: Kardiol Rev Int Med 2018, 20(1): 66-70

Overview

Heart failure with preserved ejection fraction occurs almost with the same frequency and severity as heart failure with reduced ejection fraction. Echocardiography is the most useful non-invasive diagnostic test in the evaluation of this condition. However, no single parameter that would allow a simple assessment of the diastolic function has been discovered yet. For an accurate diagnosis, a complex echocardiographic examination must be performed to demonstrate the presence of structural and/ or functional cardiac abnormalities. Structural parameters, determinants of transmitral and pulmonary venous flow velocity by pulse Doppler, and mitral annular velocity by tissue Doppler, are used to make this assessment. Also speckle tracking echocardiography and an evaluation of myocardial deformity are becoming part of an integrated approach to the assessment of diastolic function. Many other parameters are the subject of extensive clinical research.

Key words:
heart failure with preserved ejection fraction – diastolic dysfunction – echocardiography

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