Advances in Echocardiographic Imaging in Heart Failure With Reduced and Preserved Ejection Fraction
Alaa Mabrouk Salem Omar1, Manish Bansal1, Partho P Sengupta2
1From the Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai School of Medicine, New York, New York (A.M.S.O., M.B., P.P.S.); and Department of Internal Medicine, Medical Division, National Research Centre, Dokki, Cairo, Egypt (A.M.S.O.).
Insights
Echocardiography is crucial for heart failure (HF) patient management, offering insights into disease progression and enabling personalized treatment through advanced imaging and big data analytics. This review highlights recent echocardiographic advances for improved HF phenotyping, risk stratification, and clinical outcomes.
Area of Science:
- Cardiology
- Medical Imaging
- Biomedical Engineering
Background:
- Echocardiography is essential for heart failure (HF) evaluation due to its safety and comprehensive cardiac assessment capabilities.
- It plays a vital role in phenotyping, risk stratification, and guiding therapeutic decisions for HF patients.
- Multiparametric myocardial deformation imaging offers new insights into HF pathogenesis and progression.
Purpose of the Study:
- To review recent advances in echocardiography for heart failure management.
- To emphasize the role of echocardiography in HF phenotyping, risk stratification, and optimizing clinical outcomes.
- To discuss the impact of novel imaging techniques and big data analytics on precision medicine in HF.
Main Methods:
- Review of current literature on echocardiographic advancements in heart failure.
- Analysis of multiparametric myocardial deformation imaging techniques.
- Evaluation of pocket cardiac ultrasound and big data analytics applications.
Main Results:
- Echocardiography provides comprehensive assessment of cardiac structure and function in heart failure.
- Multiparametric imaging elucidates distinct patterns of myocardial dysfunction in HF progression.
- Miniaturized echocardiography, including pocket ultrasound, enhances diagnostic accuracy and risk stratification.
- Big data analytics integrated with echocardiography pave the way for precision medicine in HF.
Conclusions:
- Echocardiography remains an indispensable tool in the evolving landscape of heart failure care.
- Recent advances significantly enhance the ability to phenotype, stratify risk, and personalize treatment for HF patients.
- The integration of advanced echocardiographic techniques and big data analytics promises to optimize clinical outcomes in heart failure management.
Abstract:
Echocardiography, given its safety, easy availability, and the ability to permit a comprehensive assessment of cardiac structure and function, is an indispensable tool in the evaluation and management of patients with heart failure (HF). From initial phenotyping and risk stratification to providing vital data for guiding therapeutic decision-making and monitoring, echocardiography plays a pivotal role in the care of HF patients. The recent advent of multiparametric approaches for myocardial deformation imaging has provided valuable insights in the pathogenesis of HF, elucidating distinct patterns of myocardial dysfunction and events that are associated with progression from subclinical stage to overt HF. At the same time, miniaturization of echocardiography has further expanded clinical application of echocardiography, with the use of pocket cardiac ultrasound as an adjunct to physical examination demonstrated to improve diagnostic accuracy and risk stratification. Furthermore, ongoing advances in the field of big data analytics promise to create an exciting opportunity to operationalize precision medicine as the new approach to healthcare delivery that aims to individualize patient care by integrating data extracted from clinical, laboratory, echocardiographic, and genetic assessments. The present review summarizes the recent advances in the field of echocardiography, with emphasis on their role in HF phenotyping, risk stratification, and optimizing clinical outcomes.
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