Article

Heart Failure Reviews

, Volume 16, Issue 4, pp 327-337

Novel techniques for assessment of left ventricular systolic function

  • Sonal ChandraAffiliated withNon-invasive Cardiac Imaging Center, Section of Cardiology, University of Chicago Medical Center
  • , Hicham SkaliAffiliated withNon-invasive Cardiovascular Imaging Program, Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women’s Hospital, Harvard Medical School
  • , Ron BlanksteinAffiliated withNon-invasive Cardiovascular Imaging Program, Department of Medicine (Cardiovascular Division) and Radiology, Brigham and Women’s Hospital, Harvard Medical School Email author 

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Abstract

The evaluation of left ventricular systolic function is one of the most common reasons for referral for a non-invasive cardiac imaging study. In addition to its diagnostic and prognostic value, an assessment of ejection fraction can also be used to guide medical and device therapy. Thus, obtaining an accurate and reproducible assessment of LVEF is essential for patient management. This review will focus on novel multi-modality techniques used for the quantification of left ventricular systolic function. Emerging echocardiography techniques such as three-dimensional echocardiography and strain imaging and their incremental role over traditional 2D imaging will be discussed. In addition, new developments expanding nuclear imaging techniques’ evaluation of left ventricular systolic function will be reviewed. Finally, an overview of advances in imaging techniques such as cardiac magnetic resonance and cardiac computed tomography, which now allow for an accurate and highly reproducible assessment of LVEF, will be presented.

Keywords

Left ventricular systolic function Ejection fraction Multi-modality imaging Cardiac magnetic resonance imaging Cardiac computed tomography Three-dimensional echocardiography