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Triphasic mitral flow pattern may indicate subclinical left ventricular systolic dysfunction
Osman Bektaş1, Ahmet Karagöz2, Adil Bayramoğlu1
1Department of Cardiology, Ordu University, Ordu, Turkey.
Echocardiography (Mount Kisco, N.Y.)
|November 27, 2019
Summary
Triphasic mitral flow pattern (TMFP) is linked to left ventricular (LV) systolic dysfunction. Closer monitoring of TMFP patients is recommended to prevent heart failure.
Area of Science:
- Cardiology
- Echocardiography
- Heart Failure Research
Background:
- Triphasic mitral flow pattern (TMFP) is a condition that may impact cardiac function.
- Understanding the link between TMFP and left ventricular (LV) function is crucial for predicting heart failure development.
Purpose of the Study:
- To investigate the presence and severity of LV systolic dysfunction in patients with TMFP using speckle tracking echocardiography (STE).
- To evaluate the potential role of TMFP in the development of congestive heart failure.
Main Methods:
- 45 patients with TMFP and 30 healthy controls underwent speckle tracking echocardiography (STE).
- Echocardiographic parameters, including LV ejection fraction, dimensions, mass, and strain, were compared between groups.
Main Results:
- While LV ejection fraction and dimensions were similar, diastolic dysfunction was significantly higher in the TMFP group (84.4% vs 43.3%).
- STE revealed significantly lower global longitudinal strain and global circumferential strain in TMFP patients compared to controls (P < 0.001 for both).
Conclusions:
- Triphasic mitral flow pattern (TMFP) is associated with left ventricular (LV) systolic dysfunction.
- Patients with TMFP may be at higher risk for developing congestive heart failure.
- Close follow-up of TMFP patients is warranted to prevent the onset of heart failure symptoms.
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