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Echocardiography Evaluation of Left Ventricular Systolic Function, Systolic Dysfunction, and Ventricular Dyssynchrony

  • Nehzat Akiash
  • Azin Alizadehasl
  • Anita Sadeghpour
Chapter

Abstract

The ejection fraction (EF) is the most widely used measure and popular method in evaluating left ventricular (LV) systolic function and is considered a critical prognostic factor in all types of heart diseases.

Precise evaluation of LV volume and systolic function is necessary for defining the optimal timing of surgery in patients with valvular heart diseases such as severe mitral regurgitation and aortic regurgitation.

This section attempts to introduce the different findings that can be obtained from echocardiography in patients with systolic heart failure.

Keywords

Echocardiography Left ventricular systolic function Systolic dysfunction Ventricular dyssynchrony Speckle-tracking echocardiography Stroke volume Cardiac resynchronization therapy Global longitudinal strain 

Abbreviations

CRT

Cardiac resynchronization therapy

EF

Ejection fraction

GLS

Global longitudinal strain

HR

Heart rate

IVC

Inferior vena cava

LV

Left ventricle

LVOT

Left ventricular outflow tract

PAP

Pulmonary arterial pressure

PVR

Pulmonary vascular resistance

RA

Right atrium

RV

Right ventricle

STE

Speckle-tracking echocardiography

SV

Stroke volume

TDI

Tissue Doppler imaging

TRV

Tricuspid regurgitation velocity

VTI

Velocity time integral

Supplementary material

Movie 11.1

(related to Fig. 11.4): Left Ventricular ejection fraction measurement using 3DE (AVI 3658 kb)

Movie 11.2

(related to Fig. 11.5): The aneurysm of the LV apex in the 4-chamber view (AVI 20965 kb)

Movie 11.3

(related to Fig. 11.5): Large thrombus into the LV apex (AVI 11881 kb)

Movie 11.4

(related to Fig. 11.5): Large amount of pericardial effusion (AVI 21176 kb)

Movie 11.5

(related to Fig. 11.5): Pleural effusion in the apical 4-chamber and parasternal long-axis views, respectively (AVI 26457 kb)

Movie 11.6

(related to Fig. 11.10): Significant tethering of the mitral valve leaflets (AVI 10406 kb)

Movie 11.7

(related to Fig. 11.10): With severe mitral regurgitation in the apical 4-chamber view (AVI 13842 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Nehzat Akiash
    • 1
  • Azin Alizadehasl
    • 2
  • Anita Sadeghpour
    • 3
  1. 1.Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical SciencesAhvazIran
  2. 2.Echocardiologist, Echocardiography and Cardiogenetic Research CentersCardio-Oncology Department, Rajaie Cardiovascular Medical and Research CenterTehranIran
  3. 3.Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical ScienceTehranIran

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