Skip to main content

Advertisement

SpringerLink
Log in

Echocardiographic assessment of left ventricular relaxation and cardiac filling pressures

  • Published:
Current Heart Failure Reports Aims and scope Submit manuscript

Abstract

Echocardiography is the cornerstone for the assessment of left ventricular diastolic function in routine clinical practice. The technique can provide a comprehensive evaluation of left ventricular structure and function in patients with normal and depressed ejection fraction. Aside from two-dimensional imaging, Doppler measurements include mitral inflow, pulmonary venous flow, flow propagation velocity, and tissue Doppler imaging. Using recently published algorithms, left ventricular relaxation and filling pressures can be estimated, and the grade of diastolic dysfunction can be classified.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References and Recommended Reading

  1. Nagueh SF, Appleton CP, Gillebert TC, et al.: Recommendations for the evaluation of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr 2009, 22:107–133.

    Article  PubMed  Google Scholar 

  2. Lang RM, Bierig M, Devereux RB, et al.: American Society of Echocardiography’s Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology Recommendations for chamber quantification. Eur J Echocardiogr 2006, 7:79–108.

    Article  PubMed  Google Scholar 

  3. Hurrell D, Nishimura RA, Ilstrup DM, Appleton CP: Utility of preload alteration in assessment of left ventricular filling pressure by Doppler echocardiography: a simultaneous catheterization and Doppler echocardiographic study. J Am Coll Cardiol 1997, 30:459–467.

    Article  PubMed  CAS  Google Scholar 

  4. Rivas-Gotz C, Manolios M, Thohan V, Nagueh SF: Impact of left ventricular ejection fraction on estimation of left ventricular filling pressures using tissue Doppler and flow propagation velocity. Am J Cardiol 2003, 91:780–784.

    Article  PubMed  Google Scholar 

  5. Ohte N, Narita H, Akita S, et al.: Striking effect of left ventricular systolic performance on propagation velocity of left ventricular early diastolic filling flow. J Am Soc Echocardiogr 2001, 14:1070–1074.

    Article  PubMed  CAS  Google Scholar 

  6. Kasner M, Westermann D, Steendijk P, et al.: Utility of Doppler echocardiography and tissue Doppler imaging in the estimation of diastolic function in heart failure with normal ejection fraction: a comparative Doppler-conductance catheterization study. Circulation 2007, 11:637–647.

    Article  Google Scholar 

  7. Rivas-Gotz C, Khoury DS, Manolios M, et al.: Time interval between onset of mitral inflow and onset of early diastolic velocity by tissue Doppler: a novel index of left ventricular relaxation: experimental studies and clinical application. J Am Coll Cardiol 2003, 42:1463–1470.

    Article  PubMed  Google Scholar 

  8. Wang J, Khoury DS, Thohan V, et al.: Global diastolic strain rate for the assessment of left ventricular relaxation and filling pressures. Circulation 2007, 115:1376–1383.

    Article  PubMed  Google Scholar 

  9. Wang J, Khoury DS, Yue Y, et al.: Left ventricular untwisting rate by speckle tracking echocardiography. Circulation 2007, 116:2580–2586.

    Article  PubMed  Google Scholar 

  10. Rohde LE, Palombini DV, Polanczyk CA, et al.: A hemodynamically oriented echocardiography-based strategy in the treatment of congestive heart failure. J Card Fail 2007, 13:618–625.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Methodist DeBakey Heart and Vascular Center, Smith Tower, 6550 Fannin, SM 677, Houston, TX, 77030, USA

    Sherif F. Nagueh

Authors
  1. Sherif F. Nagueh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sherif F. Nagueh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nagueh, S.F. Echocardiographic assessment of left ventricular relaxation and cardiac filling pressures. Curr Heart Fail Rep 6, 154–159 (2009). https://doi.org/10.1007/s11897-009-0022-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11897-009-0022-8

Keywords

Search

Navigation