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Systolic and diastolic left ventricular dysfunction: from risk factors to overt heart failure

Tatiana Kuznetsova1, Lieven Herbots, Yu Jin

  • 1Division of Hypertension and Cardiac Rehabilitation, Department of Cardiovascular Diseases, University of Leuven, Campus Sint Rafaël, Kapucijnenvoer 35, Block D, B-3000 Leuven, Belgium. tatiana.kouznetsova@med.kuleuven.be

Expert Review of Cardiovascular Therapy
|February 9, 2010
PubMed

Insights

Heart failure is a growing global health issue. New echocardiography techniques can detect early signs of left ventricular (LV) dysfunction, aiding in risk factor identification and management.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Heart failure (HF) is a significant and growing global health concern.
  • Increasing life expectancy and prevalence of risk factors like hypertension, obesity, and diabetes contribute to the rise in HF.
  • Early detection of left ventricular (LV) dysfunction is crucial for managing heart disease.

Purpose of the Study:

  • To emphasize the importance of detecting subclinical LV dysfunction.
  • To highlight the role of advanced echocardiography in identifying early signs of HF.
  • To underscore the need for timely identification of HF risk factors.

Main Methods:

  • Utilizing conventional echocardiography.
  • Employing advanced imaging techniques such as tissue Doppler and tissue tracking.
  • Conducting community-based studies to assess prevalence.

Main Results:

  • Advanced echocardiography techniques are sensitive in detecting early subclinical deterioration of LV function.
  • Community studies show a higher prevalence of LV systolic and diastolic dysfunction with these new methods.
  • These techniques aid in identifying individuals with early, symptom-free LV dysfunction.

Conclusions:

  • Early detection of subclinical LV dysfunction is feasible with advanced echocardiography.
  • Identifying and managing risk factors is essential in the context of rising HF prevalence.
  • Further prospective studies are needed to understand the prognosis of early, asymptomatic LV dysfunction.

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